Title: FIFTH INTERCOUNTRY MEETING OF NATIONAL MALARIA PROGRAMME MANAGERS
1Progress of RBM Implementation in Somalia
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- 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
2Updates on Malaria Burden
3Updates on Malaria Burden
4Vector Assessment
5Vector Assessment
6Rainfall Assessment
7Updates 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
8Table 1 Therapuetic efficacy of Sulphadoxine /
Pyrimethamine (SP) in 2004
Data under analysis
9Table 2 Therapuetic efficacy of Amodiaquine 2004
10Table 3 Therapuetic efficacy of ArtesunateSP
2004-05
Data under analysis
11Updates on case Management- diagnosis
12Updates 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
13Epidemics 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
14Updates 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
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15Partnership, 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
16Review 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
17Human 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
18Operational 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 .
19Conclusion
- 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 -
20Conclusion -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
21Conclusion - 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
22Africa malaria day in Jowhar
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- Thank you for your Patience