1. Malaria Control in Suriname drs. Panchoe, MD and drs. H. Cairo Bi- National Health Meeting, Georgetown, Guyana 11 – 13 July 2013 Situational analysis

2. Strategies The policy of malaria control has been translated into 3 main strategies –Emphasis on Rapid Diagnosis and prompt effective Treatment –Behavior Change Communication –Selective vector control with the emphasis on LLINs

3. Malaria Services Medical Mission Primary HealthCare Suriname Anti Malaria Campaign (AMC) - Bureau of Public Health MoH Malaria Program: “Looking for gold, finding malaria” –Tourtonne laboratory –Malaria Service Deliverers Hospitals, Gorvernment- and private clinics

4. History of malaria control in Suriname Beginning of the 20 th : case management and chemoprophylaxis for travelers 1949 to 1955: larval control and residual insecticide spraying as main strategies. 1958: MEP adopted – AMC established 1984: Operational malaria control activities in the interior were transferred to MMPHCS 1997: the MM introduced ITN for all villages in the interior 1995: the National Malaria Board was installed 2004: ACT (Coartem®)introduced 2005 - 2010: MM-MP started 2009 – present day: Gold miner’s Malaria Program

5. Malaria trend (Suriname cases)

6. Malaria by country of origin

7. Challenges How to work together towards elimination How to contain the emergence resistance against ACT (elimination) How to deal with the high cost of malaria elimination How to jointly deal with mobile populations and imported cases (elimination in the Guyana Shield)

8. Areas of Collaboration Strategic Plans aiming at elimination and containment of resistance Joint effort to raise funds for elimination Exchange of information Joint research Treatment protocols