Indicators measuring the performance of malaria programs supported by the global fund in Asia, progress and the way forward

Introduction

In 2010, the Global Fund provided more than 75% of external international financing for malaria control. The Global Fund uses performance based funding in the grants it finances. This paper analyses the indicators used to measure the performance of Global Fund supported malaria grants in Asia.

Methods

Indicators used in the performance frameworks for all Global Fund supported malaria grants in Asia were retrieved from grant database and grouped into impact, outcome, output and input categories and categorized by service delivery areas. Indicators of each group were compared over rounds. Indicators used in performance frameworks were compared with internationally adopted indicators included in the Monitoring and Evaluation Toolkit developed by the Global Fund and international technical agencies.

Results

Between 2002 and 2010, 1,434 indicators were included in the performance frameworks of the 48 malaria grants awarded in Asia, including 229 impact and 227 outcome indicators, 437 output and 541 input indicators, with an average of 29.9 indicators per grant. The proportion of impact and outcome indicators increased over rounds, with that of input indicators declining from 44.1% in Round 1 to 22.7% in Round 9.

Conclusions

Input indicators, which have predominated the performance frameworks of the Global Fund supported malaria programs in Asia have declined between Rounds 1 and 9. However, increased alignment with internationally adopted indicators included in the Monitoring and Evaluation Toolkit is needed to improve the validity of reported results.     

Identification of selective tubulin inhibitors as potential anti-trypanosomal agents

The potency of a series of sulfonamide tubulin inhibitors against the growth of Trypanosoma brucei (T. brucei), as well as human cancer and primary fibroblast cells were evaluated with the aim of determining whether compounds that selectively inhibit parasite proliferation could be identified. Several compounds showed excellent selectivity against T. brucei growth, and have the potential to be used for the treatment of Human African trypanosomiasis. A T. brucei tubulin protein homology model was built based on the crystal structure of the bovine tubulin. The colchicine-binding domain, which is also the binding site of the tested sulfonamide tubulin inhibitors, showed clear differences between the tubulin structures and presumably explained the selectivity of the compounds.     

Gene variation and genetic differentiation among populations of the solitary mud dauber wasp Trypoxylon (Trypargilum) albitarse Fabricius 1804 (Hymenoptera, Crabronidae)

Trypoxylon is a genus of solitary crabronid wasps whose populationgenetics is poorly known. The purpose of the present study was to investigate thegenetic variation and differentiation among five populations of Trypoxylonalbitarse, a species widely distributed throughout the Neotropics, withrecords from Panama to northern Argentina. Eight species-specific microsatellite lociwere used for genotyping 96 adult wasps (one female per nest) sampled at five sitesin Brazil. The analysis of allelic richness and private alleles indicated highgenetic diversity in the populations sampled. Pairwise comparisons using theF_st and D_est indices revealed significant differentiation for all, but one pair ofpopulations. F_st, D_est, AMOVA and assignment test values pointed to inter-population differentiation.Additionally, the analysis of population structure using Bayesian and PCA methodscharacterized two alternative genetic groups. The Mantel test indicated nocorrelation between genetic and geographic distances. Despite evidence ofconsiderable dispersal capacity for T. albitarse, the data indicatelow to moderate population structuring in this species.     

Polymorphic heterologous microsatellite loci for population genetics studies of the white-faced ibis Plegadis chihi (Vieillot, 1817) (Pelecaniformes, Threskiornithidae)

We screened 44 heterologous microsatellites isolated in species of the families Threskiornithidae, Ciconiidae and Ardeidae for their use in a migratory waterbird, the white-faced ibis Plegadis chihi (Vieillot, 1817) (Threskiornithidae). Of the screened loci, 57% amplified successfully and 24% were polymorphic. In two breeding colonies from southern Brazil (N = 131) we detected 32 alleles (2-10 alleles/locus). Average He over all loci and colonies was 0.55, and the combined probability of excluding false parents, 98%. There was no departure from HWE in any loci or population. Eru6 and Eru4 loci were in non-random association in the Alvorada colony, and NnNF5 and Eru5 in both populations. AMOVA analysis indicated that most of the genetic diversity was contained within populations. Structure analysis suggested a single population, and F(ST) value showed weak genetic structuring (F(ST) = 0.009, p = 0.05). The two populations are apparently connected through gene-flow. The panel of six microsatellites optimized here was sufficiently informative for characterizing the genetic diversity and structure in these natural populations of the white-faced ibis. The information generated could be useful in future studies of genetic diversity, relatedness and the mating system in Plegadis chihi and related species.     

Post‐breeding movements of Wood Storks in Brazil and Argentina

Seasonal migration and the dispersal of juvenile and adult Wood Storks (Mycteria americana) after breeding have been documented in the United States, but little is known about the post‐breeding movements of Wood Storks in South America. Our objective was to identify the locations of post‐breeding areas used by Wood Storks banded as nestlings in breeding colonies in Brazil by analyzing banding data. During the period from 1984 to 2007, 2543 nestlings were banded at breeding colonies in three regions of Brazil, with most (94%) banded in the Pantanal wetland in west‐central Brazil. Seventeen bands were subsequently recovered, with most (14) recovered in southern Brazil and northern Argentina. The mean distance between banding and recovery sites was 1265 km. Our results suggest that Wood Stork movements from breeding areas in Brazil are, as also reported in the United States, in response to changing water levels. The rainy season begins at the end of the breeding season and, in apparent response to rising water levels, Wood Storks in our study moved to drier areas further south with shallower water where they can forage more efficiently. Because only a small percentage of the area where Wood Stork bands were recovered in our study is currently protected, measures are needed to prevent habitat destruction and preserve wetland habitats used by Wood Storks during the post‐breeding period in southern Brazil and Argentina.     

Telemental health: A status update

A rather large body of literature now exists on the use of telemental health services in the diagnosis and management of various psychiatric conditions. This review aims to provide an up‐to‐date assessment of telemental health, focusing on four main areas: computerized CBT (cCBT), Internet‐based CBT (iCBT), virtual reality exposure therapy (VRET), and mobile therapy (mTherapy). Four scientific databases were searched and, where possible, larger, better‐designed meta‐analyses and controlled trials were highlighted. Taken together, published studies support an expanded role for telepsychiatry tools, with advantages that include increased care access, enhanced efficiency, reduced stigma associated with visiting mental health clinics, and the ability to bypass diagnosis‐specific obstacles to treatment, such as when social anxiety prevents a patient from leaving the house. Of technology‐mediated therapies, cCBT and iCBT possess the most efficacy evidence, with VRET and mTherapy representing promising but less researched options that have grown in parallel with virtual reality and mobile technology advances. Nonetheless, telepsychiatry remains challenging because of the need for specific computer skills, the difficulty in providing patients with a deep understanding or support, concerns about the “therapeutic alliance”, privacy fears, and the well documented problem of patient attrition. Future studies should further test the efficacy, advantages and limitations of technology‐enabled CBT, as well as explore the online delivery of other psychotherapeutic and psychopharmacological modalities.     

Gelrite plate technique for culturing Sulfolobus solfataricus,a thermoacidophilic archaebacterium

Summary A rapid procedure for plating the thermo-acidophilic archaebacterium Sulfolobus solfataricus using Gerlite as a gelling agent is reported. The technique uses a clear, single layer in which the colonies are grown.     

Isolation of extremely halotolerant cocci from Antarctica

Abstract Five non-motile Gram-positive cocci were isolated from saline located in geothermal regions of the Antarctic continent. The organisms were extremely halotolerant growing between 0 and 4.2 M NaCl. On the basis of the results of phenotypic characterizations, lipid and quinone analyses, and the amino acid composition of the cell the isolates have been assigned to the genus Micrococcus .     

Development of microsatellite DNA loci from the wood stork (Aves,Ciconiidae, Mycteria americana)

We isolated 11 polymorphic microsatellite loci for wood stork (Mycteria americana). Polymerase chain reaction (PCR) primers and conditions are described for the amplification of five dinucleotide, one trinucleotide and five tetranucleotide microsatellite loci. The PCR primers were tested on two wood stork populations, Fazenda Ipiranga, Mato Grosso, Brazil (n = 11) and Tamiami West, Everglades, Florida, USA (n = 20). The primers yielded two to four alleles per locus, an observed heterozygosity of 0.0–0.727 and a polymorphic information content of 0.048–0.604. The low level of polymorphism for these markers is consistent with previous studies of this species.     

Production of 1,3-Propanediol from Glucose by Recombinant <Emphasis Type="Italic">Escherichia coli</Emphasis> BL21(DE3)

A range of recombinant strains of Escherichia coli were developed to produce 1,3-propanediol (1,3-PDO), an important C3 diol, from glucose. Two modules, the glycerol-producing pathway converting dihydroxyacetone phosphate to glycerol and the 1,3-PDO-producing pathway converting glycerol to 1,3-PDO, were introduced into E. coli. In addition, to avoid oxidative assimilation of the produced glycerol, glycerol oxidative pathway was deleted. Furthermore, to enhance the carbon flow to the Embden- Meyerhof-Parnas pathway, the Entner-Doudoroff pathway was disrupted by deleting 6-phosphogluconate dehydratase and 2-keto-3-deoxy-6-phosphogluconate aldolase. Finally, the acetate production pathway was removed to minimize the production of acetate, a major and toxic by-product. Flask experiments were carried out to examine the performance of the developed recombinant E. coli. The best strain could produce 1,3-PDO with a yield of 0.47 mol/mol glucose. Along with 1,3-PDO, glycerol was produced with a yield of 0.33 mol/mol glucose.