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Malaria: Obstacles and Opportunities (1991)
Institute of Medicine (IOM)

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. "Appendix A: Paradigms." Malaria: Obstacles and Opportunities. Washington, DC: The National Academies Press, 1991.

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MALARIA: Obstacles and Opportunities
  1. Parasite species

    • Plasmodium falciparum

    • P. vivax

    • P. malariae

    • P. ovale

  2. Population characteristics

    • Immune status (high, low, none)

    • Movement (settled, resettled, transient); if transient: organized, nomads, random

    • Population density and settlement patterns

  3. Social, behavioral, and economic characteristics

    • Housing

    • Occupation

    • Water utilization

    • Health-seeking behavior

    • Sleeping habits

    • Customs and taboos

    • Income and wealth

    • Local understanding of malaria

    • Access to health care

  4. 5. Health infrastructure

    • National health budget

    • Status of governmental health care delivery system

    • National malaria control program (type, budget, and efficiency)

    • Importance of non-governmental services (i.e. missions, private voluntary organizations)

    • Availability of private health care

    • Importance of health care delivery by family, market, etc.

  5. Use of drugs

    • Cost

    • Availability

    • Drug-use patterns

    • Effectiveness (degree of resistance)

  6. Vector considerations

    • Behavior (breeding, feeding, resting)

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280