Title: LUCSA/ELCA Regional Malaria Program: Update and Future Perspective
1LUCSA/ELCA Regional Malaria Program Update and
Future Perspective
- Prepared by
- Lucas Owuor-Omondi
2Goal
- The overall goal of the LUCSA/ELCA Regional
Malaria Program is to contribute to the reduction
of morbidity and mortality due to malaria,
particularly among pregnant women and children
under- five as well as among vulnerable
population groups.
3Objective
- To empower congregations and surrounding
communities to reduce the risk and vulnerability
to malaria infection and to alleviate the impact
of the disease and disease condition on the
affected households, with a strong focus on
children under five years, pregnant women and the
disadvantaged from the hard to reach areas.
4Coverage
- The five targeted countries are Angola, Malawi,
Mozambique, Zambia, and Zimbabwe.
5Coverage (e.g.) - Mozambique
- 146 Congregations, 146 Congregational
Development Committees (CDCs), 14 Parish
Development Committees (PDC), 3 (three)
District Development Committees (DDC), 730
Activists, 85 Clinical Officers/Nurses, 135
Traditional Health Workers, 146 Youth groups and
146 Women groups.
6Coverage - Mozambique
- The primary beneficiaries are the inhabitant of
the 3 proposed areas covered by the Program
12.924 people (7.237 women- 56) - The secondary beneficiaries are the neighboring
populations of the targeted districts in Nampula,
Cabo Delgado, Tete, Zambezia, Manica, Sofala,
Gaza and Maputo City.
7LUCSA/ELCA Regional Malaria Program An
Opportunity
- The Program presents an opportunity to LUCSA to
contribute to the strengthening of the
organizational and development capacity of member
churches with a view to enhancing their
efficiency, effectiveness and responsiveness to
enable them to address the problem of malaria and
related needs of the congregations and
surrounding communities.
8Strategic Priorities Pillars
- Institutional Capacity Building
- Malaria prevention, control and management
- Treatment
- Sustainable Livelihood
9Collaboration and Partnership Zambia
- Zambia by far has demonstrated high level of
networking between partners with more faith being
given to the church. A lot of responsibilities
have been put the church as a result of
partnership created e.g. Ministry of Health,
National HIV and AIDS, Human Rights Commission
10 11Most Significant Changes
- The malaria campaign programme has really
helped. There has been notable reduction in the
burden of the disease in the area. Before the
program started, people only slept in the
mosquito nets during rainy seasons when
mosquitoes are plenty but now we all sleep under
the mosquito nets throughout the year and this
has reduced the number of malaria cases in our
village. For example my son will never go to
sleep not until he is covered with a mosquito
net. We now know how to protect ourselves and we
are not spending on medicines any more. (A
mother in Simaubi Zambia)
12Most significant Changes (cont..)
- This is a very good programme please may the
Lord bless you for bringing this programme here.
We thank the Lutheran church for bringing VCT to
our area. This is the first time we are having
something like this. Today we have had people to
teach about public Health, Reproductive health,
TB and HIV/AIDS. We thank the Project Coordinator
for bringing these people to this area especially
the people who have talked about reproductive
health. We have a problem here that children
start having babies when they are still young
instead of concentrating on education, because of
this we have a lot of girls who are school
dropouts in this area. An Elder in Mulimba -
Zambia
13Most Significant Changes (Cont..)
- It is very encouraging to see our headman
calling for Malaria sensitisation meetings at his
home. Since the time our headman came from the
training workshop which was conducted by the
ELCZa/LECA Malaria campaign programme in Zambezi
so far he has held about three Malaria Campaign
meetings. He is also involved in the teaching and
he tells us that he doesnt want to see anyone in
his village die of malaria because its a disease
that is curable, treatable and preventable. (An
Elder in Dipalata Congregation Zambia)
14Most Significant Changes (Contd..)
- I have learned not to wait till it is late to
take a sick person for testing and treatment
within 24 hours! - Joaquim Cardoso (33) married with 5 children, an
Activista in Namacaua - Namina in Mozambique
recalls with a lot sadness and pain, how his own
child died of malaria. Speaking in his native
language Emakua, Senhor Joaquim recognizes the
seriousness of Malaria as a deadly disease by
recalling the title of a song sung by the
activists during the door-door sensitizations
campaigns, households visits - Malariayala
Nikassope!, which they use to drive the point
home that malaria is preventable
15Some Statistics Mozambique
- The Clinic at Namina town in Nampula Province in
Mozambique reports The cases of malaria have
significantly reduced during the first semester
2012 as compared to the same period last year
(2011), from 1, 982 cases to 1,129 diagnosed
cases respectively! This represents a 43
decrease in malaria cases from one year to the
next. (Litos Manuel, General Medical Technician,
Namina)
16Some statistics Zambia
- 1,099 church, community and traditional leaders
were trained and 6,300 information, education and
campaign materials on malaria specific behavior
change were distributed. - 4 open clinics were conducted and 2,031 with
symptoms of malaria were tested
17Some Statistics Zambia (cont..)
- Out of the 1,484 who tested positive during the
four open clinics were treated.
18Some Statistics Zambia (contd..)
- Between Jan-Sept 2012 the malaria livelihood
program managed to reach a total of five hundred
and nine people (509) 264 males and 245 females
in 12 Villages covered by the program.
19Some Statistics Zimbabwe
- 58 awareness sessions were carried out by Malaria
Focal Persons, from January June , or about one
session every three days. - 3,107 people were reached through training
programs on signs and symptoms of malaria,
prevention methods, environmental management and
treatment.
20Some Statistics Zimbabwe (cont..)
- 692 community members were trained in malaria
treatment methods including Rapid Diagnostic
Testing, Intermittent Preventive Treatment and
early treatment-seeking behaviors
21Mozambique Angola Malawi Zambia Zimbabwe
HH with mosquito nets 57 37 67.3 70.4 41
HH with at least one ITN 28.4 35 56.8 64 28.8
of children lt5 years who slept under an ITN a night before the interview 17.5 26 39.4 50 30.3
of pregnant women who slept under an ITN the night before the interview 19.5 35.2 47.7 9.7
of women who during the pregnancy that occurred in the last two years took two or more doses of SP/Fansider 18.6 18 55 70.2
of children lt5 years who had fever during two weeks preceding the interview 13.4 34 34.5 34.1
of children lt5 years who had fever in the last two weeks preceding the interview and who took antimalarial either within 24 or 48 hours 22.2 16.4 28 18.7
22The Challenge
- It is arguably unrealistic to suggest that
malaria can be eradicated from much of tropical
Africa, but it is entirely reasonable to assume
that the burden can be reduced such that malaria
is no longer considered a priority public health
problem.
23Monitoring and Evaluation
- LUCSA will utilize the following FIVE core
indicators as a basis for measuring change
brought about by the Program - Reduction in malaria morbidity and mortality.
- Improvement in target households and communities
capacity to prevent, control and manage the
disease.
24Monitoring and Evaluation
- 3. Organizational Development and Systems
Strengthening of member churches to ensure
upward and downward accountability effective
response to emerging issues timely and quality
services effective resource mobilization,
management and control and documentation and
sharing of best practices.
25Monitoring and Evaluation
- 4. Linkages between the Regional Malaria Program
and other sectors of government and other key
actors. - 5. Technical support and partnership building.
26A Call for Partnership
- The will to sustain the gains we have made in
malaria must come not only from politicians, but
from affected communities. If communities can
know the true burden of malaria and can see the
results of prevention and control efforts, then
the will to eliminate and ultimately eradicate
malaria will never fade. - Dr Margaret Chan, Director-, General WHO
27Thank You !