Thailand is one of eight new countries that the World Health Organization (WHO) has recently identified as having the potential to eliminate malaria by 2025. The country has had notable success in reducing indigenous malaria cases and malaria transmission within its territory.
However, since 2021, there has been a notable surge in malaria cases due to the influx of migrant people from Myanmar fleeing political and social instability. This surge highlights the urgent need for effective malaria control measures, especially in the nine temporary shelters housing 81,241 displaced persons.
With the support of the Global Fund Regional Artemisinin-resistance Initiative (RAI) grant, the International Rescue Committee (IRC) and its partner Malteser International (MI) are providing essential primary health care services to displaced people from Myanmar living in the nine temporary shelters along the Thailand–Myanmar border. IRC operates in seven of the nine shelters in Mae Hong Son Province, Tak Province, Kanchanaburi Province and Ratchaburi Province, while MI operates in two shelters in Mae Hong Son Province.
The mass distribution of LLINs targets malaria and helps prevent other diseases spread by mosquitoes. Health education was integral to this effort. IRC and MI teams went from door to door, demonstrating proper net-hanging techniques and providing guidance on reducing net wear and tear. This personalized approach ensured higher coverage, even in hard-to-reach areas, and allowed residents to directly voice any concerns or questions to healthcare workers.
In areas where cultural beliefs or personal habits posed challenges to net usage, fixed-point distribution methods were employed. Community leaders and members were engaged in the education process, fostering a culture of consistent and correct LLIN use. This community-led approach, supported by local leaders, was key to ensuring the nets were actively used, thereby maximizing their impact.
Thailand's efforts in malaria control within these temporary shelters illustrate a holistic approach that combines prevention, treatment and community engagement. This strategy addresses the immediate health needs of displaced populations and strengthens the country's overall capacity to eliminate malaria by 2026.
