FIFTH INTERCOUNTRY MEETING OF NATIONAL MALARIA PROGRAMME MANAGERS - PowerPoint PPT Presentation

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FIFTH INTERCOUNTRY MEETING OF NATIONAL MALARIA PROGRAMME MANAGERS

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FIFTH INTERCOUNTRY MEETING OF NATIONAL MALARIA ... Third Line: Quinine: (Severe Malaria cases, Pregnancy) Interim Drug ... Third line: Coartem. At Health ... – PowerPoint PPT presentation

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Title: FIFTH INTERCOUNTRY MEETING OF NATIONAL MALARIA PROGRAMME MANAGERS


1
Progress of RBM Implementation in Somalia
  • WHO Somalis in collaboration with Local
    Authorities, UN Agencies, IntNGOs Local NGOs
    strengthened malaria control programe in all
    zones, in reducing morbidity and mortality.
  • Human Resource capacity Building
  • Training on Malaria Microscopy
  • Training on Use and Re-treatment of ITNs
  • Training on Case management for health
    Professionals
  • Training on vector control measures
  • Training on AMD efficacy study for Gedo Region
    Team (SZ)
  • AMD efficacy studies carried out for AQ, SP and
    ASSP
  • Introduction of IPTp in some ANCs in Central
    Zone
  • Malaria surveillance system integrated with HIS
  • Distribution of ITNs to target group through
    partners
  • Indoor residual spray operation in epidemic
    prone areas in NWZ
  • Africa Malaria Day commemorated in all Zones

2
Updates on Malaria Burden
3
Updates on Malaria Burden
4
Vector Assessment
5
Vector Assessment
6
Rainfall Assessment
7
Updates on case management - drug efficacy
studies , drug policy
  • Drug policy in 2004
  • First Line Chloroquine
  • Second line S/P
  • Third Line Quinine (Severe Malaria
    cases, Pregnancy)
  • Interim Drug Policy in 2005
  • First Line ASSP (HospitalsMCHs
    with Microscopy/RDTs)
  • Second Line Quinine (Severe malaria
    Cases Pregnancy)
  • Third line Coartem
  • At Health Post level SP

8
Table 1 Therapuetic efficacy of Sulphadoxine /
Pyrimethamine (SP) in 2004
Data under analysis
9
Table 2 Therapuetic efficacy of Amodiaquine 2004
10
Table 3 Therapuetic efficacy of ArtesunateSP
2004-05
Data under analysis
11
Updates on case Management- diagnosis
12
Updates on vector control interventions and
inter-sectoral coordination for vector control at
country level
  • ITNs
  • 6700 ITNs distributed to all zones to target
    group.
  • Re-treatment of ITNs in C Z (4000 nets)
  • IRS
  • 5 epidemic prone villages in NWZ were sprayed
    with IRS.
  • Biological control
  • Larvivorous fish distributed in NWZ
  • Community sensitization through mass media and
    advocacy on malaria/vector control measures

13
Epidemics control
  • Epidemics occurred in 2004 in CS Zone not
    responded due to insecurity.
  • Larvivorous fish distribution in epidemic prone
    areas in NWZ.
  • Epidemic preparedness plan in Place in NWZ and
    will be extended to other zones with support of
    EMRO in 2005

14
Updates on strengthening malaria ME and
surveillance system
  • CDC surveillance and malaria Surveillance
    integrated
  • ME has to be strengthen by training of Focal
    points
  • 47 Surveillance sites reporting malaria data
  • Epidemic sentinel sites for surveillance selected
    in NWZ and extended to other zones, staff
    training is required
  • Malario-meteric survey completed in NWZ and CS
    zones. The data analysis will be ready by June
    2005
  • NEZ MMHH survey will be conducted in July 2005

15
Partnership, resource mobilization and advocacy
  • What has been done in 2004 related to the above
  • GFATM Fund received from GF for malaria control
    project. In partnership with UNICEF and INGOs
  • Prepared MOU with SRCS, ICD, INTERSOS to work for
    establishing and strengthening malaria microscopy
    in MCHs
  • IDB No
  • ECHO No
  • Bilateral No
  • Others No

16
Review of the progress on the malaria border
coordination
  • Since 1999 several cross border meetings were
    held to develop border malaria control policy
  • In 2002 meeting and technical training were held
    in Harar (Ethiopia)
  • In 2003 Cross border malaria Microscopy training
    was
  • held in Hargeisa for strengthening border
    MCHs for malaria microscopy ( 2 MCHs)
  • Revive the malaria border coordination b/w
    Ethiopia,Djibouti and Somalia in 2005

17
Human Resource Development
  • Main key activities Achievements
  • Malaria Micro-scopists/Lab technicians
  • NWZ NEZ CS Zone
  • 10 25 21
    (8 Private Tech in NEZ)
  • Case management
  • 10 Health professional trained in Case
    management
  • Vector Control Measures.
  • 7 Entomology technician and Entomology
    .assistant trained in NWZ , C S zones
  • Anti malarial drug efficacy study
  • 3 teams were given refresher course and
    one New sentinel site team trained in Gedo region
    of South zone

18
Operational research
  • Malaria-microscopy with RDTs in selected sentinel
    sites
  • Larvivorous fish as a pilot project with control
  • Insecticide treated sheet (Indoor) pilot study
    in Hut houses .

19
Conclusion
  • Achievements.
  • Human Resource development
  • Extension of sentinel sites for Malaria
    Microscopy
  • Extension of Anti Malaria Drug efficacy sentinel
    site
  • Develop minimum vector control capacity in
    epidemic prone areas
  • Epidemic response team available with limited
    resources
  • Malario-meteric survey completed in three zones
  • Vector behaviour pilot study conducted with EMRO
    consultant
  • Drugs, reagents and equipments were provided to
    partners

20
Conclusion -cont
  • Challenges
  • Difficult to coordinate malaria control programe
    due to lack of Central Govt.
  • Lack of drug Policy and drug regulation
  • Irrational use of Anti-malarial (Self Medication)
  • In-adequate laboratory facilities for malaria
    diagnosis
  • Malaria Microscopy quality control mechanism is
    weak
  • Lack if sustainability of trained staff (Brain
    Drain)
  • Insecurity in certain areas

21
Conclusion - contd
  • Way Forward
  • Change of drug policy for Somalia (must consider,
    affordability and accessibility.)
  • Better coordination between all Stakeholders and
    partners
  • Strengthening and developing epidemic
    preparedness plan. Training by EMRO
    Consultant
  • Strengthening and develop efficient quality
    control/quality assurance network for malaria
    microscopy/RDTs
  • Develop effective M E system for malaria control

22
Africa malaria day in Jowhar
  • Thank you for your Patience
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