01383nas a2200229 4500000000100000008004100001260003400042653001000076653001600086653001500102653001800117653001900135100001200154700001400166700001300180700001100193245013800204856011000342300000800452520066800460022002501128 2025 d bOxford University Press (OUP)10aDumka10aElimination10aInnovative10aInterventions10aKala-azar (KA)1 aArora N1 aShukla RS1 aPandey D1 aPaul A00aIntegrating community efforts, innovative government interventions and data in the fight against kala-azar: lessons from Dumka, India uhttps://academic.oup.com/inthealth/advance-article-pdf/doi/10.1093/inthealth/ihaf083/64358569/ihaf083.pdf a1-53 a
Kala-azar, a sandfly-borne neglected tropical disease, primarily affects the poorest populations in endemic regions of India. In 2023, India achieved the elimination threshold as a public health problem by reporting <1 case per 10 000 population at the block level across the country. Dumka, one of four kala-azar endemic districts in Jharkhand, was a significant focus of transmission and achieved the target 1 y before, in 2022, sustaining it through today. Strategic, data-driven innovative interventions addressed persistent sociocultural and socio-economic factors that were contributing to the persistence of transmission in Dumka.
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