The Impact of the Malaria National Strategy Application Program of the Global Fund on Malaria Elimination in Henan Province

Objective: To analyze the impact of the national strategy application （NSA） program of the global fund on malaria elimination in Henan Province. Methods: The internal control system on project, fund and supplies was developed to ensure the normalized implementation of NSA program in Henan Province. The multi-channel communication platform including telephone, e-mail and so on was established for data’s progressively reporting, review and summary. The training, supervision and assessment were implemented to ensure that the data was real and correct. The data derived from the NSA program and other project involved with malaria control in the Province from 2009 to 2012 was collected and compared. Changes on human resources, financial input, supplies purchasing and the main malaria control measures before and after the implementation of the program were analyzed. Results: A total of 29.72 million yuan financial support which accounted for more than half of the total financial input on malaria control at the same time in the Province was provided by the NSA program. A total of 3 966 microscopists and 61 415 health workers from primary health care received skill training on malaria dectection and control. After implementation of the program, there was an increase in the diagnosis rate by blood test from 2009 （45.67%, 738/1 616） to 2012 （99.36%, 155/156） （χ2=161.91. P＜0.01）. The malaria incidence showing a step-wise decline from 2009 to 2012 which were 1.71/100 000, 0.94/100 000, 0.34/100 000 and 0.17/100 000 respectively, with an increase in imported cases（χ2=1 310.70, P＜0.01） and no report of indigenous malaria cases in 2012, for the first time. The reported cases in counties of the NSA program during 2009-2012 constituted 98.08%（1 585/1 616）, 92.75% （831/896）, 80.25% （252/314） and 67.31% （105/156） of all malaria cases reported in that year in the Province （χ2=300.38, P＜0.01）. The awareness rates on malaria prevention and treatment among residents and students were 94.65% （25 246/26 673） and 93.73% （16 328/17 421） in 2012, both significantly higher than the baseline in 2009 （63.88%, 5 755/9 009; 53.39%, 3 170/5 937） （χ2=5 594.01, P＜0.01; χ2=5 221.53, P＜0.01）. Conclusion: The implementation of the NSA program has motivated the elimination of malaria in Henan Province.