SIXTH INTERCOUNTRY MEETING OF NATIONAL MALARIA PROGRAMME MANAGERS

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Malaria control programme in Iraq
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Iraq in the Middle East
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Iraq-Strata of Malaria
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Iraq-Malaria cases
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Iraq-Malaria cases 2005
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Case management - Diagnosis

• Diagnosis of malaria
• Depends on parasitological diagnosis
• No place for clinical diagnosis
• Blood films in 2005 .944,163
• Future prospect. RDT (in remote areas )

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Case management-Treatment policy

• Drugs of malaria restricted to governmental
  sector

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Case management-Treatment policy

• I- P.vivax
• CQ PQ
• CQ 25 mg. base \ kg. For three days
• PQ
• 0.25 mg.\kg.\day for 14 days

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Case management -Treatment policy

• P. falciparum
• First line ATM-LUM
• Treatment failure Q
• Pregnancy Q

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Vector control interventions

• Vector surveys (routine)
• 10 stations in each governorate
• 0ne entomological team
• 10- 20 visits / month
• Observation , collection and measurement of
  vector density
• Timing all over the year

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Vector control interventions

• IRS in 2 rounds
• Larval control
• 320,000 LLINs

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Malaria in IraqChallenges

• Insecurity (inability to reach sites of
  intervention).
• Instability of governmental financial support.
• Lack in trained manpower
• Lack in equipment and supplies mainly those of
  laboratory diagnosis and vector surveys.

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Malaria in IraqChallenges (cont.)

• Instability in provision of insecticides
• Weak participation of sectors other than
  governmental health sector.
• lack in logistic and communication equipment
• Weak malaria surveillance in some of malaria foci
  

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• Thank you