OVERVIEW OF MALARIA CONTROL ACTIVITIES AND ROLE OF NGOs

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OVERVIEW OF MALARIA CONTROL ACTIVITIES AND ROLE
OF NGOs

• By Timothy Musombi
• Division of Malaria Control
• 26th November 2001

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INTRODUCTION

• Malaria burden in Kenya
• Almost every person in Kenya is exposed to the
  risk of malaria infection in his or her life. 70
  live in areas where these risks occur every year.
• At least 4 million clinical attacks of malaria to
  Children under 5 years occur annually. Over 50
  of these attacks are managed by mothers at home
  using medicine from shops
• Malaria is the most common condition accounting
  for 30 of all new cases attended a out-patient
  departments. 19 end up with admissions in
  hospitals. The case fatality ranges between 3.5
  8.5.
• 4 10 million school days and 170 million
  working days are lost each year due to malaria
  (MoH 2000).

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Objective

• To reduce Malaria Mortality and Morbidity by 30
  among Kenya's Population by the year 2006 and
  maintain that level of reduction through to 2010.

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Strategic Interventions

• Quality case management Early diagnosis,prompt
  and effective treatment of cases.
• Management of Malaria and Anaemia in pregnancy
• Vector Control using insecticides treated nets
  and other methods
• Epidemic preparedness and response
• Supporting structures
• Information, Education and Communication
• Monitoring, Evaluation and Research

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RBM Activities

• Case Management
• Routine case management support at H/F level
• Update of health workers on case management of
  severe malaria
• Drug policy consensus workshop
• Household community component on IMCI/RBM
• Update of DOMC staff on shopkeeper training
• Update of H/workers on management of malaria in
  lt5
• Consultation meeting to incorporate malaria in
  EPI activities

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RBM Activities

• CONSENSUS BUILDING
• Developed of 2002/2003 POA and Submitted to WHO
  for budgetary support
• Mid-term review process for the UNICEF country
  programme
• PARTNERSHIP BUILDING
• Held consultative meetings with PSI on the social
  marketing strategy of ITNs.
• Discussions with MoWD to incorporate malaria
  control activities in water projects
• Discussion with LSHTM to develop systems for
  prediction and detection of malaria epidemics in
  EA 
• Advocacy visit by J.J. Rawlings, former Ghanaian
  president and UN special ambassador

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INSTITUTIONAL STRENGTHENING

• DOMC staff attended abridged course in IMCI in
  Tanzania
• 12 Districts supported for social mobilization of
  ITNs
• DOMC participation in National Agricultural show
• Parasitologist in DOMC attended workshop on
  People and Malaria
• Malaria epidemic preparedness workshop held for
  six epidemic prone Districts
• Donation of laboratory reagents to DOMC
• Purchase of equipment for DOMC offices
• Two NMCP attending a course on Planning malaria
  control in Nazareth Ethiopia

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RBM Activities

• STRATEGY DEVELOPMENT 
• Developing guidelines for home care malaria
  control
• POA for malaria epidemic preparedness as part of
  wider POA
• RESOURCES
• DFID has approved 17.8 million pounds to PSI for
  social marketing of ITNs

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ROLE OF NGOs

• Social marketing of insecticide treated net
• Community delivery of curative services
• Health education (Creating awareness)
• Operational research
• Community delivery of safe motherhood services
• Emergency relief services
• Delivery of ITNs services to communities
• Capacity building

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DOMC Relationship to IMCI and Safe Motherhood
Programmes

• National policy on malaria in pregnancy
• DOMC and Division of Reproductive Health
  developing an disseminating simplified guidelines
  on IPT
• Advocacy of IPT and ITN at district and community
  levels
• Support to districts to sensitize TBAs and other
  CORPs on IPT
• Distribution of ITNs to pregnant mothers through
  ANC
• Zero rating of VAT on ready made nets
• Promotion of effective case management of Malaria
  and Anaemia at all levels of antenatal health
  care.

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Thank You