- Mosquito-borne diseases and control
- Malaria Research and Control
- Global Maternal and Child Health
- Zoonotic diseases and public health
- Viral Infections and Outbreaks Research
- Blood donation and transfusion practices
- Parasites and Host Interactions
- Health Policy Implementation Science
- SARS-CoV-2 and COVID-19 Research
- Sex work and related issues
- SARS-CoV-2 detection and testing
- Migration, Identity, and Health
- Data-Driven Disease Surveillance
- Mining and Resource Management
Academic Hospital Paramaribo
2022
Illegal gold miners are currently key hosts for malaria in French Guiana (FG), with a risk of emergence resistance linked to improper use artemisinin-based combination therapy (ACT). The remoteness the mines and regulatory issues hinder their access health care. A quasi-experimental researched project (Malakit) implemented FG borders Brazil Suriname aimed at determining effectiveness distributed kits self-diagnosis self-treatment illegal miners, after training, strategic border staging...
The Guiana Shield, a small region of South America, is currently one the main hotspots malaria transmission on continent. This Amazonian area characterised by remarkable socioeconomic, cultural, health, and political heterogeneity high degree regional cross-border population mobility, which has contributed to increase in past few years. In this context, cooperation control represents both challenge an indispensable initiative. Viewpoint advocates for creation cooperative mechanism...
Suriname has experienced a significant change in malaria transmission risk and incidence over the past years. The country is now moving toward elimination. first objective of this study to describe epidemiological trends between 2000 2016. second identify spatiotemporal notification points 2007 2016.National surveillance data resulting from active passive screening 2016 were used for temporal trend analysis. A space-time cluster analysis using SaTScan™ was conducted on Malaria Programme-data...
An interventional study named Malakit was implemented between April 2018 and March 2020 to address malaria in gold mining areas French Guiana, collaboration with Suriname Brazil. This innovative intervention relied on the distribution of kits for self-diagnosis self-treatment miners after training by health mediators, referred project as facilitators.
Worldwide, the socioeconomic impacts of COVID-19 disproportionally affect vulnerable groups in society. This paper assesses responses to, and of, pandemic among mobile migrant populations who work Artisanal Small-scale Gold Mining (ASGM) Suriname French Guiana. These are characterized by poverty, informal or illegal status, limited access to health care information. Field research (November 2020-January 2021) Guiana (January, May, June included qualitative interviews, conversations...
Scaling-up an experimental intervention is always a challenge. On the border between French Guiana, Brazil and Suriname, interventional study demonstrated effectiveness of distributing self-diagnosis self-treatment kits (Malakits) to control malaria in mobile hard-to-reach populations. Its integration into Suriname's National Malaria Elimination Plan after 2-year experiment faced numerous challenges, including human resources cope with additional workload coordinators maintain motivation...
<title>Abstract</title> <bold>Background</bold>: In most countries engaged on the last mile towards malaria elimination, residual transmission mainly persists among vulnerable populations represented by isolated and mobile (often cross-border) communities. These are sometimes involved in informal or even illegal activities. regions with <italic>P. vivax</italic> specific biology of this parasite poses additional difficulties related to need for a radical treatment against hypnozoites prevent...
Abstract Background The final challenge for malaria elimination in many countries is to interrupt the circulation of Plasmodium vivax . Given unique biology this parasite, innovative approaches are imperative, with a focus on identifying asymptomatic carriers dormant parasite forms. This article delineates recent epidemiological patterns P. within highly mobile and hard-to-reach population Guiana Shield. It further proposes an assessment potential reservoir carriers. Methods analysis was...
Abstract Background In French Guiana, gold miners working illegally represents a major reservoir of malaria. This mobile population, mainly Brazilian descent, enters the Guianese forest from neighbouring countries, Suriname and Brazil. A complex innovative intervention was piloted as cooperation with three involved countries to control malaria in this specific population. The principle that health workers called “facilitators” provide participants self-diagnosis self-treatment kit along...
Clandestine gold miners remain key hosts for malaria in French Guiana (FG) and contribute to imported cases Suriname Brazil. The Malakit intervention, implemented FG borders with Brazil, provided training on kits self-diagnosis self-treatment. Having shown a likely impact transmission, has now it routine care cross-border moving populations. However, decrease transmission is frequently associated risk perception, knowledge, good practices regarding malaria. This study aims describe the...
Abstract Background A novel strategy to combat malaria was tested using a methodology adapted complex setting in the Amazon region and hard-to-reach, mobile community. The intervention distribution, after training, of self-management kits gold miners who cross Surinamese Brazilian borders with French Guiana work illegally remote mining sites forest this overseas entity. Main text This article aims at presenting all process implementation outcomes following Conceptual Framework Implementation...
Abstract To eliminate malaria, all populations must be included. For those who are not reached by the health care system, specific interventions tailor-made. An innovative Malakit strategy, based on distribution of self-diagnosis and self-treatment kits, has been evaluated in Suriname-French Guiana- Amapá (Brazil) region. The results showed effectiveness good acceptability. intervention is complex many components. Its transferability requires adaptation to other regions, while retaining main...
Abstract Background: In French Guiana, gold miners working illegally represents a major reservoir of malaria. This mobile population, mainly Brazilian descent, enters the Guianese forest from neighboring countries, Suriname and Brazil. A complex innovative intervention was piloted in cooperation with three involved countries to control malaria this specific population. The principle provide participants through health workers called “facilitators” self-diagnosis self-treatment kit along...
Background: The activities and habits of small to medium scale gold miners -and their interaction with both the environment local population- are recognized as one main determinants current occurrence dispersion malaria in Amazon Region. Gold group highest risk for region. Their exploration techniques based on damming creeks rivers, provide water that is used high pressure hoses, dig gold. This practice, multiplies potential breeding sites vectors We assessed prevalence mining areas...
Gold mining communities in the Amazon region typically have limited access to public health services. In Suriname, Ministry of Health Malaria Program (MoH-MP) works with community workers (CHWs), people from without a formal medical degree, provide malaria diagnostic and treatment During COVID-19 pandemic, MoH-MP trained 21 these CHWs outreach testing, using rapid antigen tests for symptomatic persons their communities; afterward, mixed methods research approach was used investigate whether...
During the COVID-19 pandemic, need for making testing readily available was recognized as an important factor individuals to help make informed decisions, including isolate or seek care, and policymakers control transmission. Toward this end, FIND Access Tools Accelerator funded 16 rapid operational research studies one implementation project in Africa, Caribbean, Asia evaluating utility, acceptability, feasibility of different community-based SARS-CoV-2 approaches. Here, we discuss common...
Background: Illegal gold miners are currently a key reservoir for malaria in French Guiana (FG), with risk of emergence resistance linked to improper use artemisinin-based combination therapy (ACT). The remoteness the mines and regulatory issues hinder their access health care.Methods: An intervention researched project (Malakit) implemented FG borders Brazil Suriname aimed at determining effectiveness distributed kits self-diagnosis self-treatment illegal miners, after training, strategic...
Abstract Background: An innovative strategy to combat malaria was tested with a methodology adapted complex setting in the Amazon region and hard-to-reach, mobile population. The intervention distribution, after training, of self-diagnosis self-treatment kits gold miners who cross Surinamese Brazilian borders French Guiana work illegally remote mining sites forest this overseas territory. main evaluation criterion reported behavioral change case symptoms, measured by pre- post-intervention...
Background: Suriname along with Guyana and French have contributed a high concentration of malaria cases in the region. In Suriname, 10% population lives endemic areas. Falciparum is predominant parasite followed by Plasmodium vivax malariae, representing an important public health problem. Effective control measures impacted morbidity mortality changed epidemiological profile country last 5 years. We assessed achievements interventions after 3 years scaling up measures. Methods: National...
Abstract BackgroundClandestine gold miners remain key hosts for malaria in French Guiana (FG) who contribute to imported cases Suriname and Brazil. The Malakit intervention, implemented FG borders with Brazil, provided training on kits self-diagnosis self-treatment. Having shown a likely impact transmission, has now it routine care cross-border moving populations. However, decrease transmission is frequently associated risk perception, knowledge, good practices regarding malaria. This study...
<sec> <title>BACKGROUND</title> An interventional study named Malakit was implemented between April 2018 and March 2020 to address malaria in gold mining areas French Guiana, collaboration with Suriname Brazil. This innovative intervention relied on the distribution of kits for self-diagnosis self-treatment miners after training by health mediators, referred project as facilitators. </sec> <title>OBJECTIVE</title> paper aims describe process which information system designed, developed,...