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Table 1 Current protocol for malaria surveillance and treatment in India

From: The Summary Index of Malaria Surveillance (SIMS): a stable index of malaria within India

Level Government Strategy/Activities Private sector response
Household/where there is no doctor • Active surveillance of fever cases (home visit of HW)
• Presumptive treatment with chloroquin
• Peripheral blood smear
• If the result is positive then radical treatment with Primaquin for appropriate duration based on whether it is Pv or Pf.
• Over-the-counter incomplete treatment by pharmacists
PHC or health facility (doctor available) • Passive surveillance of fever cases (attendees of the facility)
• If there is no facility for blood smear examination then presumptive treatment with chloroquin, with a peripheral blood smear or rapid test for Pf taken for subsequent analysis. If the result is positive then radical treatment with Primaquin for appropriate duration based on whether it is Pv or Pf.
• If there is a facility for blood smear examination (malaria clinic), peripheral blood smear and decide course of treatment based on the results (PT/PT +RT/Post RT/IPT).
• Case management based on clinical impression, Peripheral Blood smear/Rapid test for Pf/Quantitative Buffy coat/Indirect tests to detect Malaria.
• Use of Mefloquin/ACT
Referral hospital (specialist doctor available) • Case management of walk-in as well as referred malaria fever based on clinical impression, peripheral blood smear, rapid test for Pf, quantitative buffy coat, and indirect tests to detect malaria.
• Decide course of treatment based on the results (PT/PT +RT/Post RT/IPT)
• Use of Mefloquin/ACT is common
• Case management of walk-in as well as referred malaria fever based on clinical impression, peripheral blood smear, rapid test for Pf, quantitative buffy coat, and indirect tests to detect malaria.
• Use of Mefloquin/ACT