National Malaria Control Programme NMCP

1
National Malaria Control Programme (NMCP)

• By
• Dr E. Sinyinza
• Disease Control Specialist
• Central Board of Health

2
Programme Over View

• National Malaria Control Centre (NMCC) of
• the MoH mandated to Coordinate activities of
• the NMCP, as follows
• Planning
• Implementation
• Monitoring Evaluation

3
The NMCP Major Thrusts

• Roll Back Malaria (RBM)
• A global Social Movement launched by the WHO
  Secretary General in 1998
• RBM founded on strengthening global partnership
• Goal of RBM
• To halve the BURDEN of malaria by 2010
• Objectives of RBM
• To achieve a 30 increase in number of people
  able to get effective malaria treatment within 24
  hours
• Encourage use of Insecticide Treated Bednets
  (ITNs)
• Reduce malaria by 50 in pregnancy and children
  under the age of 5 years

4
RBM in Zambia Milestone-1

• Year 1998
• Zambia joined the rest of Africa in support of
  Africa Malaria Initiative
• Zambia participated in the pre-testing of
  Situation Analysis instruments for RBM
  collaboration with WHO
• Year 1999
• Zambia selected as one of the eight spotlight
  countries for the implementation of Roll Back
  Malaria in WHO/African region

5
RBM in Zambia Milestones - 2

• Year 1999
• Presidential commitment to the RBM movement in
  Zambia
• Formation of the National RBM Secretariat which
  is being chaired by the D/Minister -MoH
• Zambia participated in pre-testing of the WHO RBM
  tools developed for the assessment of the country
  malaria situation
• Partnership sensitization on RBM

6
RBM in Zambia Milestones - 3

• Year 2000
• Situation Analysis conducted to determine the
  burden of malaria in Zambia
• Development of the Country Strategy for Rolling
  Back Malaria
• Partnership mapping for RBM
• Zambias participation and commitment to the
  Resolutions of the Heads of State Summit on RBM
  in Abuja, Nigeria.

7
RBM Country Strategy - 1

• Year 2001
• Partnership input to the Finalization of the
  Country Strategy for Rolling Back Malaria
• Meeting chaired by the PS MoH DG CBoH
• Six themes endorsed for the implementation
• of RBM in Zambia Country Strategy

8
RBM Country Strategy - 2

• SIX THEMES (working as Task Groups)
• Partnership Mapping Building
• ITNS and Vector control
• Information Education Communication (IEC)
• Case Management
• Epidemic preparedness
• Monitoring Evaluation (M E), Surveillance,
  and Research

9
RBM Theme 1

• Partnership Mapping and Building
• RBM is founded on Partnership Building and
  individual partners participating according to
  their comparative advantage
• Key partners in Zambia UNICEF, USAID, WHO, UNDP,
  JICA, WORLD BANK,
• Formation of district RBM working groups
• Community participation emphasized !

10
RBM Theme 2

• Insecticide Treated Nets (ITNs) Vector Control
• The Government is considering waiving TAX and any
  Tariffs on all Insecticides and materials used
  for vector control in Malaria
• Community Based Malaria Control and Prevention
  (CBMCP)
• More than 50 districts covered
• Vector Susceptibility testing conducted in
  Chipata and Chongwe (NMCC), Chingola and Chibombo
  (TDRC).
• Mean mortality 99 using ICON.

11
RBM Theme 3

• IEC
• April 25, 2001
• Zambia joined the rest of the World in the
  Commemoration of the AFRICA MALARIA DAY.
• Development, pre-testing, distribution and
  administering IEC materials through the district
  health structures

12
RBM Theme 4

• Case Management
• Generate all empirical evidence on antimalarial
  drug resistance and efficacy (Chloroquine
  Fansidar(R)) so as to facilitate Drug policy
  review
• Review the National Malaria Drug Policy for
  effective Case Management
• Review/Develop and administer treatment
  guide-lines (ITG) through the district health
  structures
• Train districts/Hospitals in uncomplicated and
  severe malaria management using the IMCI model

13
RBM Theme 5

• Epidemic Preparedness
• Map-out epidemic prone districts
• Map-out areas prone to Malaria Emergencies
  (Floods, Refugees, disasters)
• Support districts in epidemic preparedness

14
RBM Theme 6

• M E, Surveillance and Research
• Developing a National Malaria Sentinel
  Surveillance System that is Simple, Flexible
  Timely and responsive to RBM key indicators
• Strengthen district information systems,
  including timely reporting for epidemic
  prevention
• Integration of IMCI/RBM/IDSR surveillance in
  Mwinilunga, Samfya, Chipata and Senanga

15
RBM Activities and timetable 2001
16
RBM Activities
17
RBM Activities
18
Joint implementing partners
19
Joint implementing partners
20
IMCI and MPS in RBM program

• IMCI Vehicle for case management
• IMCI health facility survey baseline data
  collection at health facility Malaria included
• NSO to assist in data collection (integration
  of IMCI and IDSR)

21
Role of NGOs in the program

• NGO support to ITNs
• -DAPP, ADRA, CMAZ, CARE, UNICEF, WORLD VISION,
  NETMARK,
• Expansion of the ITN programme to rural areas
• Challenge for the future is to scale up
  successful programmes nationally

22
Role of NGOs in the program

• NGO support to IEC
• Development and implementation of IEC materials
  through their malaria programmes (CMAZ, CARE,
  DAPP, SFH, ADRA, WORLD VISION
• Development of IEC trainers of trainers for
  districts(WHO)
• District level development of strategies and
  action plans
• Development of an IEC policy and strategy(USAID,
  UNICEF)

23
Role of NGOs in the program

• SFH support to private sector
• -through mass media this will include radio and
  television promotion
• - through shops and pharmacies promotes use and
  sell of ITNs, posters and other materials in
  privately owned shops