Malaria is Still a

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Inter-Country Meeting Of
National malaria Program
managers lahore,pakistan,12-15
May 2003
Roll Back Malaria
Update In I.R.Iran
A. SHAHBAZI
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Malaria is still a Major Health problem in
South east provinces .
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A total of 15558 cases have been reported in
2002 .
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69 of the cases were reported by three South -
eastern provinces .
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52 of the cases are Non - Iranians
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MALARIA CASES IN I. R.IRAN1350-1381
(1971-2002)
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Trend of Malaria Cases in I.R.IRAN 1993 - 2002
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The indigenous cases are 5326 ( 28 ) .
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The ratio of Falciparum to the Vivax cases is
about 1 to 6 .
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Reported Malaria Cases by Parasite in I.R.IRAN in
2002
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Falciparum Rate in I.R.IRAN (1990 - 2002)
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Six Elements Of
RBM 1-Evidence base decision 2-Rapid diagnosis
and treatment 3-Multiple prevention 4-Focused
research 5-Well coordinated action 6-Dynamic
global movement
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Strategies Of Malaria Control
Program In I.R.Iran 1-Rapid diagnosis 2-Prompt
treatment 3-Entomological survey and vector
control 4-improvement of data collection 5-Contro
l of community displacement 6-Forecasting,
detection and community participation 7-Health
education and community participation 8-Inter-coll
aboration 9-Global dynamic and border
collaboration 10-Applicable research 11-Capacity
bulding

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• Opportunities
• political and financial support of government
• International support
• Inter and intra-collaboration
• Economical Improvement of the country
• Socio- economic development of the malarious
  areas
• Unfavorable condition for malaria transmission
  in some parts of the country

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• Strengthens
• Existence of experience from the pervious years
• Appropriate potential source for financial
  support
• Relative support for equipment
• Existence of surveillance system
• Existence of capacity for local health education
  in the community and personnel

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• Threats
• community migration from rural areas to the
  suburbs of the big cities
• Variation in malaria vectors and their bionomics
• Population displacement
• Industrialization and urbanization
• Favorite climatic condition for malaria vector
  breeding and transmission

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• Poverty and shortage of development in the
  malarias areas
• Political instability in the neighboring
  countries
• Lack of border collaboration among the
  vicinities countries
• Settlement of villages in remote areas with no
  access to health facilities
• Resistant of malaria vectors to insecticides
• Resistance of malaria agents to antimalarial
  drugs

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• Weaknesses
• Rapid replacement in the managerial level
• Lack of monitoring system
• Weakness on applicable research
• Shortage of experienced personnel
• Shortage of applicable data on vector
• Shortage of financial support
• Existence of PHC system

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• Monitoring of Antimalarial Drugs
  Efficacy
• 1-Number of site 5
• 2-Number of workshop 3
• 3-Complementary workshop 1
• 4- Translation and distribution of the book of
  monitoring
  . 1800
• 5- Initiation of sampling AUG 2002
• 6-Location of sites Hormozgan province
  2
• Sistan and
  Baluchestan province 2
  
• Kerman
  province 1

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There was no routine monitoring programme for
antimalarial drugs thrapeotic efficacy by WHO
recommended standard tests as a national malaria
surveillance measure .
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At present the evaluation of antimalarial drugs
efficacy is being done in 5 sites located in 3
provinces.
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• Results of test
• TOTAL 51
• AGE lt5
  5- 15
  ADULT
• 2
  13 36
• 3.9
  25.5 70.6
• GENDER M
  F
• 40
  11
• 78.4
  21.6
• CLASSIFICATION OF RESPONSE
• LOSS
  ACPR ETF
  LCF LPF
• 5
  12 7
  13 14
• 9.8
  23.5 13.7
  25.5 27.5

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• RESULTS ACCORDING TO SITES
• TOTAL LOSS
  ACPR ETF LCF LPF
• BANDAR ABBAS 11 2
  3 (27) 1 3 2
• MINAB 1 0
  0 0 1
  0
• CHABAHAR 13 0
  4 (31) 2 3 4
• SARBAZ 24 3
  5 (21) 4 6
  6
• KAHNOUJ 2 0
  0 0 0
  2

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