Table 3 Implementation of the 1-3-7 strategy for malaria elimination
1-3-7 strategy | Activities | ||||||
|---|---|---|---|---|---|---|---|
Case notification (within 1 day) | Confirmed malaria cases | ||||||
Area classification | Active foci (A1) | Residual non-active foci (A2) | Receptive foci (B1) | Non-receptive foci (B2) | |||
Case investigation and classification (within 3 days) | Indigenous/Imported | Indigenous/Imported | Imported | Indigenous | Imported | ||
Foci investigation and response (7 days) | Surveillance | RACD 50 people/10 HHs 1–2 km PACD (2 rounds/year) Foci investigation (persistent indigenous cases) | RACD 50 people/10 HHs 1–2 km PACD (1 round/year) Foci investigation (if an indigenous index case is reported) | RACD 50 people/10 HHs 1–2 km Re-investigation and confirmation | RACD in whole village and cluster screening Re-investigation and confirmation Foci investigation Confirm new focus | Continue surveillance | |
Diagnosis | Communitya (RDT/Microscopy) Public health facilityb (Microscopy) | Community (RDT/Microscopy) Public health facility (Microscopy) | Public health facility (Microscopy) | Community (RDT/Microscopy) Public health facility (Microscopy) | Hospitals (Microscopy) | ||
Treatment and follow-up | Supervised treatment Case follow-upc | Supervised treatment Case follow-up | Supervised treatment Case follow-up | Supervised treatment Case follow-up | Supervised treatment Case follow-up | ||
Vector control | Vector survey ITNs or IRS (90% coverage) LLIN (1 per 2 persons) | Vector survey ITNs or IRS (90% coverage) LLIN (1 per 2 persons) | Vector survey | Vector survey ITNs or IRS (90% coverage) LLIN (1 per 2 persons) | |||