Malaria control in 1995—constraints and opportunities

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Abstract
Contemporary malaria control is based on the early and adequate treatment of the disease and on the application of preventive measures which have been selected to be effective, cost-effective and sustainable. The benefits and problems of malaria control between 1991 and 1995, in four widely different situations are reviewed: the revitalization of the national programme in Vietnam; control as part of disaster relief in Rwanda; Chad's initiation of a programme of cure and prevention in difficult circumstances; and malaria management as part of a reconstructed health-service infrastructure in Cambodia. Implementation of good malaria control appears to require a general health-service infrastructure, a capacity for epidemiology and research, and objective-oriented management of specific preventive action.

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