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III. Financing

II. Intervention policies and strategies

IV. Coverage

2005 2006 2007 2008 2009 2010 2011 2012 2013 2014 2015

0

Gov. expend. Global Fund World Bank USAID/PMI WHO/UNICEF Others

Democratic People's Republic of Korea

Sources of financing Government expenditure by intervention in 2015

Coverage of ITN and IRS Cases tested

V. Impact

Cases treated Cases tracked

Confirmed malaria cases per 1000 and ABER Number of malaria cases

P

2005 2006 2007 2008 2009 2010 2011 2012 2013 2014 2015 0

At high risk protected with ITNs All ages who slept under an ITN (survey) Households with at least one ITN (survey) At high risk protected with IRS

S

2005 2006 2007 2008 2009 2010 2011 2012 2013 2014 2015

0

2005 2006 2007 2008 2009 2010 2011 2012 2013 2014 2015 0

Antimalarials distributed vs reported cases ACTs distributed vs reported P. f. cases

Primaquine distributed vs reported P. v. cases ACTs as % of all antimalarials received by <5 (survey)

(%)

2005 2006 2007 2008 2009 2010 2011 2012 2013 2014 2015 0

Reporting completenes Cases investigated Foci investigated

P

2005 2006 2007 2008 2009 2010 2011 2012 2013 2014 2015

0

ABER (microscopy & RDT) Slide positivity rate RDT positivity rate

Cases

2005 2006 2007 2008 2009 2010 2011 2012 2013 2014 2015

0

Total cases Imported cases Indigenous case (P.falciparum) Indigenous case (P.vivax)

I. Epidemiological profile

Population (UN) %

Plasmodium species:

Major anopheles species: An. sinensis

P. falciparum (0%), P.vivax (100%)

Parasites and vectors 2015

High transmission (> 1 case per 1000 population)

Low transmission (0-1 cases per 1000 population)

Malaria-free (0 cases)

Total

Estimated cases: Reported confirmed cases (health facility):

Reported deaths: Estimated deaths:

7,022

0

7,700 [7,200 ; 8,600]

0 Confirmed cases at community level:

-Insecticides & spray materials ITNs

Diagnostic testing Antimalarial medicines Monitoring and Evaluation

Human Resources & Technical Assistance Management and other costs

Pie chart includes 100% of total expenditures

Therapeutic efficacy tests (clinical and parasitological failure, %)

Medicine Year Min Median Max Follow-up No of studies Species

CQ 2012-2015 0 2.55 4.8 28 days 8 P. vivax

CQ+PQ 2012-2012 3.2 4.35 5.5 28 days 2 P. vivax

Insecticide susceptibility bioassays (reported resistance to at least one insecticide for any vector at any locality)

Year Pyrethroid DDT Carbamate Organophosphate Species/complex tested

2011–2014 No No No Anopheles spp.

South-East Asia Region

Notes:

Reported confirmed cases and reported deaths are indigenous only IPT used to prevent malaria during pregnancy

Intervention Policies/strategies Yes/No Adopted

ITN ITNs/ LLINs distributed free of charge

ITNs/ LLINs distributed to all age groups

Yes

Use of larval control recommended

Patients of all ages should receive diagnostic test

Malaria diagnosis is free of charge in the public sector

ACT is free of charge for all ages in public sector

The sale of oral artemisinin-based monotherapies (oAMTs)

Single dose of primaquine is used as gametocidal medicine for P. falciparum

Primaquine is used for radical treatment of P. vivax

G6PD test is a requirement before treatment with primaquine

Directly observed treatment with primaquine is undertaken

System for monitoring adverse reactions to antimalarials exists

ACD for case investigation (reactive)

ACD of febrile cases at community level (pro-active)

Mass screening is undertaken

Uncomplicated P. falciparum cases routinely admitted

Uncomplicated P. vivax cases routinely admitted

Yes 2005

Never allowed

-No

-Foci and case investigation undertaken

Case reporting from private sector is mandatory

No

No

-Antimalarial treatment policy Medicine Year adopted

First-line treatment of unconfirmed malaria

First-line treatment of P. falciparum

Treatment failure of P. falciparum

Treatment of severe malaria

Treatment of P. vivax

Type pf RDT used

-

-0.25 mg/Kg (14 days)

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