Manual on malaria control in primary health care in Africa

This manual examines the degree to which a malaria control program can be implemented within a national primary health care (PHC) system and attempts to indicate the relative costs, in money and manpower, of different levels of program activity. Several of the interventions recommended diverge markedly from previously accepted practices. The manual first reviews the relationship between PHC and malaria control in tropical Africa, describes points in the disease cycle where effective intervention is possible, and outlines potential control efforts and the principles underlying them. Subsequent chapters discuss local considerations that must enter into the planning of anti-malaria programs for each of four "Tactical Variant" situations; indicate actions to be taken as part of plan formulation; describe supply, equipment, and personnel needs; and identify interventions that can be carried out by appropriately trained, supervised, supplied, and motivated PHC workers. The role of operational research is then discussed. A final chapter outlines actions that must be taken by host governments as prerequisites for donor assistance in malaria control. Annexes include 14 reports and papers on different facets of malaria control and general and technical bibliographies.