Meeting the Abuja Targets in Ghana: experiences with interventions for Malaria and other Childhood Diseases
|
|
- Frederick Lane
- 5 years ago
- Views:
Transcription
1 Meeting the Abuja Targets in Ghana: experiences with interventions for Malaria and other Childhood Diseases * Dr Constance Bart-Plange Introduction Malaria is hyperendemic in Ghana with minimal seasonal variations and remains the major cause of morbidity and mortality among children under five years and pregnant women. The disease contributes to 44% of all outpatient visits to health facilities (2004 Annual Report, NMCP). The most recent Ghana Demographic and Health Survey, conducted in 2003, showed that the national average of underfive mortality is 111 per 1000 live births. Integrating services Ghana adopted the Roll Back Malaria initiative in 1998 and, subsequently, the Abuja targets set in Interventions were thus put in place, some of which were integrated into existing approaches at the community level. Accelerated Child Survival Development Project in Upper East Region The Accelerated Child Survival Development (ACSD) project was initiated by UNICEF in 2002 in the Upper East region and later in four districts in the northern region to scale up the delivery of cost effective child-survival interventions. That region was selected because of the high under-five mortality and the widespread poverty in the area. The majority of the interventions had been introduced in the districts before ACSD was initiated. However, the project harnessed the collective experiences in the region and elsewhere with a view to rapidly reducing underfive mortality and malnutrition by 15% in three years or by 25% in five years with the involvement of all stakeholders. Key components of the strategy were to define a package of costeffective interventions, train community-based volunteers and social support groups, provide logistics, and introduce new interventions. The interventions were re-packaged and dubbed: EPI plus, ANC plus IMCI plus. They were implemented systematically depending on the capacity of the district. These packages became vehicles for introducing new interventions: EPI plus added vitamin A supplementation, de-worming and defaulter tracing to routine EPI interventions; ANC plus added ITN and intermittent preventive treatment (IPT) to routine antenatal care; ** Dr Felicia Owusu-Antwi IMCI plus added homebased care for fevers as well as ITNs use. To improve uptake of these interventions three complementary delivery strategies were used based on a community s proximity to a heath facility. Health facility based delivery targeted communities located close to health facilities; outreach delivery targeted at communities located far from a health centre but accessible by motorcycles; and community-based delivery targeted at remote communities. The community-based strategy is modeled on community IMCI and uses trained and equipped community-based volunteers (mostly women) to manage fevers, treat diarrhea, and give health talks at homes. A review of ACSD in 2004 revealed the following: 50 AFRICAN HEALTH MONITOR JANUARY JUNE 2006
2 The proportion of children sleeping under ITNs increased from 4.6% in 2002 to 21% in 2003 in Upper East region compared with 0.8% and 1.9% in the Upper West region over the same period. The proportion of children correctly managed with oral rehydration salt increased from 35% to 65% in Upper East region. The proportion of fully immunized children aged months increased from 44% to 77% during the same period, at an estimated cost of US$ 5 per capita of the targeted population. Even though other factors may have contributed to the programme s effectiveness, these findings reveal the potential benefits of a focused and integrated approach. Integrating ITN distribution in existing programmes Ghana has made significant strides in the integration of ITN promotion in child survival programmes. Notable among these are the Expanded Programme on Immunization (EPI) promotion and the child health promotion week. Child health promotion and ITN distribution Ghana has set aside one week in May every year to promote child health. This involves providing a package which includes insecticides-treated nets (ITNs) distribution and re-treatment using community-based agents and organizations, growth promotion, immunization, ORT administration as well as birth registration. This approach has Figure 1: NID-ITN integration: Immunization coverage in four districts in Central Region, Ghana led to an increase in ITN use among children and pregnant women. Integration of ITN distribution into EPI in the Central Region, 2004 Ghana integrated the distribution of ITNs into the National Immunization Programmes. National Immunization Day (NID) volunteers distributed special coupons to caretakers and mothers of all children under five years of age. The coupons were then exchanged for highly subsidized nets from nearby health facilities. A total of ITNs were thus distributed within a period of four months. EPI subsequently conducted an integrated immunization and ITN coverage survey in four of the districts. The findings revealed an increase in ITN use from 7% to 34.8% four months after the exercise was completed. Immunization coverage was also high during NIDs with ITN distribution (2004B) as compared with NIDs done without ITN distribution (2004A) and 2005 (see Table 1). It can be concluded that integrating ITN distribution with NID has synergistic effect: ITN distribution enhanced immunization coverage while NIDs enhanced ITN uptake and use. Note: 2004(B) is the only time ITNs were integrated with NIDs in Central Region. The graph clearly shows a high immunization coverage compared with the other periods (2003, 2004 A and 2005) when NID was done without ITN distribution. The impact of integrated interventions has been great. The use of ITNs in children and pregnant women increased from 3.3% in 2003 to 15.1% in Malaria cases per thousand population decreased from 173/1000 in 2003 to 160/1000 in 2004 (Figure 2). Mothers and child caretakers knowledge of malaria recognition and management has improved to about 52% (NMCP Rapid Assessment, 2005). Lessons learnt and the way forward Lessons can be summarized as follows: The coverage of existing interventions can be increased if activities are integrated. AFRICAN HEALTH MONITOR JANUARY JUNE
3 Table 1: ITN coverage in children under five years, REGION % ITN USE 2004 (EPI SURVEY) % ITN USE 2003 DHS SURVEY WESTERN CENTRAL GAR B/A EASTERN VOLTA ASHANTI UPPER WEST UPPER EAST NORTHERN NATIONAL Figure 2: Prevalence of malaria in Ghana, (per thousand population) Figure 3: Status of malaria control interventions in Ghana in the context of Abuja targets Community-based agents, if trained and equipped, can facilitate the dissemination of innovations in the community. A carefully considered combination of delivery strategies can increase the uptake of health services. Active tracing of each defaulter improves coverage. Non-government actors can facilitate community action to improve health. Integrated interventions can be scaled up to the whole country to maximize coverage. * Dr Bart-Plange is the Manager, National Malaria Control Programme, Ghana ** Dr Owusu-Antwi is the National Professional Officer for Malaria, WHO, Ghana 52 AFRICAN HEALTH MONITOR JANUARY JUNE 2006
4 Malaria Control in Burundi By Dr Akadiri Inoussa Malaria burden in Burundi Malaria is the leading public health problem in Burundi by virtue of its morbidity and mortality. It is endemic and occurs in three epidemiological strata: - lowlands where malaria is hyper-endemic ( and where lives 23% of the total population); - central highland plateaux ( m) which are potentially epidemic areas, especially around marshlands where more and more rice farms and fish ponds are being opened (56% of the population); - and Congo-Nile ridge (>1800m), which is a non-endemic area where there are only imported cases In 1987, the overall economic loss due to malaria in Burundi was estimated at US$ 730 million, or US$ 117 per capita. It includes direct losses related to the cost of managing diseases and indirect costs related to the absenteeism of working adults. In 2002, malaria accounted for 46% of consultations in health facilities and 47% of deaths among children under five years of age (source: National Epidemiology and Statistics Service). For more than a decade now, prevalence of malaria in Burundi has been increasing, for example from cases in 1991 to cases in 2000 (cf incidence table in annex). This malaria situation has been aggravated by the increasing appearance of resistance of P. falciparum to first-line (Chloroquine) and second-line (Sulfadoxine Pyrimethamine) drugs and by a particularly severe malaria epidemic at the end of 2000 and in early This led the Burundian health authorities to opt for a change of malaria treatment policy during a national consensus workshop held in July Following the results of Therapeutic Efficacy Tests conducted with two combinations drugs artesunate/amodiaquine and artemether/lumefantrine (efficacy test table), the artesunate/amodiaquine (AS/AQ) combination was chosen as first-line treatment and as treatment during malaria epidemics. The new protocol was officially launched on 10 November 2003 at Gatumba under the effective chairmanship of His Excellency the Minister of Public Health. The ceremony was attended by top officials from the Ministry of Health, local political and administrative authorities, representatives of UN organizations and donors who supported to the change process (cf launch photo in annex) Implementation of the new ACT-based malaria treatment protocol WHO has been promoted and supported implementation of the new malaria treatment protocol since November 2003 through: Partnership building - Formation by the Ministry of Health of a technical group responsible for the implementation of the new protocol. The group comprises officials of the Ministry of Public Health, NGOs, UNICEF and WHO. - Support for local mobilization of resources (DFID, GFATM, etc) for the implementation of the new protocol. Supply of ACTs The first supply comprising separated blisters ( AS and AQ) covered the first ten months of implementation of the new protocol. With the second order of co-blisters of tablets and co-blisters of tablets, the country s requirements were covered up to February 2005 as projected. A third order of co-blisters of tablets, coblisters of tablets and co-blisters of tablets provided a stock of drugs up to June 2005 in the entire country. Supply of ACTs to health facilities was done Through Provincial Health Offices from the central stock ordered and deposited at the UNICEF office. Replenishment of supplies is subject to presentation of documents on the use of the previous stock at both the Provincial Health Offices and health facilities levels (number of pa- AFRICAN HEALTH MONITOR JANUARY JUNE
5 tients treated, quantity of drugs used, statement of income from the sale of anti-malarial drugs, etc.). Through the normal channel of the Ministry of Public Health to approved public health facilities exclusively from the stock financed by the Global Fund to Fight AIDS, Tuberculosis and Malaria (GFATM): from CAMEBU to Provincial Health Offices and from the latter to health facilities. Payment is on a service basis: consultation, laboratory tests and drugs are billed separately. Concerning the sale of antimalarial drugs, under-five children pay a fixed sum of 100 Burundian francs (US$ 0.1) and people belonging to other age brackets pay 200 Burundian francs (US$ 0.2). Provision of tools - Preparation of modules for health personnel training in the management of malaria, including the integrated management of childhood illness (IMCI) approach, by WHO, UNICEF and the Médecins sans Frontières (MSF) group. - Preparation and validation of the malaria epidemic control plan with the support of WHO experts (Regional Office and country office), national experts and health partners. Implementation of the plan activities has started with various training sessions in integrated disease surveillance and response (IDSR). - Preparation of pharmacovigilance tools for detection of the adverse effects of drugs (AED) and establishment of six pharmacovigilance sentinel sites. - Preparation of an operational plan for promotion of the use of impregnated mosquito nets. - Preparation of supervision protocols. Enhancement of health personnel skills - A series of cascade training courses for implementation of the new protocol: 15 national trainers and 85 provincial trainers: 1845 health workers have been trained (400 with financing from the Global Fund and with financing from WHO, UNICEF and the European Development Fund (EDF); all heads and deputy heads of approved public CDS of the country s 17 provinces were trained. - Training of 64 health workers in pharmacovigilance. - Supervision activities were jointly carried out by P/LMTC, WHO and the technical committee responsible for monitoring implementation of the new protocol. Monitoring and evaluation WHO continued to play a supervisory role by addressing all technical issues and intervening actively in monitoring and evaluation. - Holding of information meetings on the implementation of the new protocol through health exchange meetings organized by WHO and bringing together all health partners. - To render the sentinel sites functional, each site was provided with a microscope, reagents, slides and sundry accessories for preparing thick and thin films. - Support for the periodic monitoring of the sensitivity of parasites to antimalarial drugs (AS + AQ) and that of vectors to routine insecticides. - A periodic review of morbidity data is carried out in health centres and hospitals. Monitoring and evaluation results Monitoring It is early to measure the impact of the new protocol as implementation started only in November Also many other factors which may influence morbidity and mortality must be taken into account. However, a review of morbidity data for 2000 to 2004 in the country s health centres and hospitals was conducted. Malaria incidence among patients dropped from 46% in 2000 to 23% in A rapid analysis of data in the provinces hosting the sentinel sites (Kayanza, Gitega, Cankuzo, Bubanza, Karusi and Bujumbura Mairie) shows that monthly incidence rates dropped during 2004 compared with the previous years. This is attributable to several factors including the introduction of the new malaria treatment protocol. The case of Karuzi deserves special mention. In this province, 54 AFRICAN HEALTH MONITOR JANUARY JUNE 2006
6 the monthly malaria incidence curve during the first quarter of 2004 is lower than all the other years and is almost horizontal, which can be explained by the fact that: - Most CDS in this province are supported by the Belgian MSF; these centres conduct a clinical diagnosis using the paracheck quick screening test before the patient undergoes treatment. The patients treated were therefore more likely to be suffering more from malaria. - There is a parallel multiple environmental interventions programme in this province, including indoor residual spraying and treatment of waste water pipes, which could have a positive impact on malaria morbidity as well. In one health exchange meeting, partners reported about an ACTs stock shortage since June 2005 in some provinces : the order placed by GFATM which was expected since June 2005 was received at CAMEBU in August Evaluation A WHO Regional Office for Africa and ICP/MAL team supported the Ministry of Public Health in the conduct of the evaluation of malaria management in health centres from 24 January to 23 February The following were the conclusions of the evaluation: - AS+AQ was available in 77.5%, 91.3%, 40% of public health services, licensed health centres and private sector respectively. - 45% of workers involved in the management of malaria cases were trained but the training did not take into consideration the Integrated Management of Childhood Illness (IMCI) approach; - 89% of health workers were trained and supervised at least once during the last six months preceding the survey; - the clinical examination inadequately screened for signs of danger in underfive children with fever; - frequency of prescription of Artesunate + Amodiaquine combination in the case of uncomplicated malaria was not different in children under five years of age and those over five years, that is 71% as against 69% (X2= 2.9 ; p=0.08) and quinine was still prescribed in most cases of uncomplicated malaria, that is between 50% and 80% of cases; - the proportion of people accompanying sick children or of the patient themselves who understood the advice given by health workers during outpatients consultations was 86%; - on the day of the survey, 80% (n = 80) of health facilities reported having the Artesunate + Amodiaquine combination in stock whereas direct observation of the stock revealed that the combination was physically available in 75% (n-75 ) of health facilities; 50% of private health facilities did not have any first-line antimalarial drug on the day of the survey; Availability of the Artesunate + Amodiaquine combination was: 50% (n-8) in hospitals and 81% (n-64) in health centres. Challenges and prospects In view of the fact that the success of implementation of the new malaria treatment protocol depends largely on the availability of drugs used at all levels of the health system, the challenges to be faced are: - sustained availability of ACTs; - engaging private sector involvement (pharmacies and health centres) in putting ACTs at the disposal of patients; - provision and management of ACTs at community level in the home management of cases of uncomplicated malaria; - uncertainty in the outcome of proposal submitted to the fifth round of the Global Fund to Fight AIDS, Tuberculosis and Malaria regarding the malaria and strengthening of health systems components. The strengthening of the health system will help remedy constraints in performance observed during the first evaluation and contribute to effective Roll Back Malaria in Burundi. AFRICAN HEALTH MONITOR JANUARY JUNE
7 ANNEXES Trends in malaria incidence in Burundi from 2000 to 2004 Year Population Malaria cases Indicence Source: EPISTAT/MSP Artemisinin-based combination therapy efficacy test results (AQ+ASU and COARTEM) Product Included RCPA ETT ETP ETP+ETT AQ+ASU % 3.4% 0.7% 4.1% COARTEM % 0.7% 0.0% 0.7% Source: Report of National Workshop on Prospects for Malaria Treatment Therapies in Burundi, July 2002 Official launch of the new malaria treatment protocol at Gatumba on 10 November 2003: the Minister of Public Health holding an AS + AQ blister in the company of partners (WHO, UNICEF, etc.) 56 AFRICAN HEALTH MONITOR JANUARY JUNE 2006
Implementing the Abuja Declaration and Plan of Action: the journey so far
Implementing the Abuja Declaration and Plan of Action: the journey so far The Abuja Declaration African leaders who met on 25 April 2000 in Abuja, Nigeria, laid out the foundation for a sustained battle
More informationMalaria Control in Togo
Malaria Control in Togo Introduction * Dr Kodjo Morgah In Collaboration with Dr Koubagnine Takpa (Director, EPI) Dr Jérome Agbekou (DPC/WHO/Togo) Dr Stephan Tohon (ICP/MAL/WA) Dr Jean Pierre E. Batchassi
More informationIssue 6: January - June 2016 National Malaria Control Programme (NMCP) Box KB 493 Korle - Bu Accra Ghana
Issue 6: January - June 2016 National Malaria Control Programme (NMCP) Box KB 493 Korle - Bu Accra Ghana Contents Page Editorial and Report Highlights Page 1 Malaria Burden Page 2 Key Activities undertaken
More informationEnding Malaria in Nigeria: The WHO Agenda
Nigeria Institute of Medical Research 2016 World Malaria Day Lecture 27 April, 2016 Ending Malaria in Nigeria: The WHO Agenda Dr Tolu Arowolo Malaria Containment Programme, WHO, Nigeria arowolot@who.int
More informationIssue 8: January December 2016 National Malaria Control Programme (NMCP) Box KB 493 Korle - Bu Accra Ghana
Issue 8: January December National Malaria Control Programme (NMCP) Box KB 493 Korle - Bu Accra Ghana Contents Page Editorial and Report Highlights 1 Malaria Burden 2 Key Activities Undertaken in 2 Malaria
More informationTanzania s Progress in Combating Malaria: Achievement and Challenges
Tanzania s Progress in Combating Malaria: Achievement and Challenges DR RENATA A MANDIKE DEPUTY PROGRAMME MANAGER NATIONAL MALARIA CONTROL PROGRAMME, MINISTRY OF HEALTH, COMMUNITY DEVELOPMENT, GENDER,
More informationIssue 9: January March, 2017 National Malaria Control Programme (NMCP) Box KB 493 Korle - Bu Accra Ghana
Issue 9: January March, 2017 National Malaria Control Programme (NMCP) Box KB 493 Korle - Bu Accra Ghana Contents Page Editorial and Report Highlights 1 Malaria Burden 2 Key activities undertaken in First
More informationWHO Consultation on universal access to core malaria interventions in high burden countries: main conclusions and recommendations
WHO Consultation on universal access to core malaria interventions in high burden countries: main conclusions and recommendations 12-15 February 2018 Salle XI, ILO Building, Geneva, Switzerland Country
More informationAnnex A: Impact, Outcome and Coverage Indicators (including Glossary of Terms)
IMPACT INDICATORS (INDICATORS PER GOAL) HIV/AIDS TUBERCULOSIS MALARIA Reduced HIV prevalence among sexually active population Reduced HIV prevalence in specific groups (sex workers, clients of sex workers,
More informationResolution adopted by the General Assembly. [without reference to a Main Committee (A/62/L.39 and Add.1)]
United Nations General Assembly Distr.: General 7 March 2008 Sixty-second session Agenda item 47 Resolution adopted by the General Assembly [without reference to a Main Committee (A/62/L.39 and Add.1)]
More informationPURPOSE The purpose of the Malaria Control Strategic Plan 2005/ /10 is to provide a common platform and detailed description of interventions
PURPOSE The purpose of the Malaria Control Strategic Plan 2005/06-2009/10 is to provide a common platform and detailed description of interventions for all RBM partners and sectors of society. It encourages
More informationSummary World Malaria Report 2010
Summary The summarizes information received from 106 malaria-endemic countries and other partners and updates the analyses presented in the 2009 Report. It highlights continued progress made towards meeting
More informationAddressing Malaria in Pregnancy: A Comprehensive Approach to Maternal and Newborn Health Outcomes
Addressing Malaria in Pregnancy: A Comprehensive Approach to Maternal and Newborn Health Outcomes Malaria is a major public health crisis, especially in sub-saharan Africa, where 90% of all malaria-related
More informationA New Class of Malaria Drugs: The Coartem Breakthrough from Novartis
A New Class of Malaria Drugs: The Coartem Breakthrough from Novartis and its Chinese Partners Hans Rietveld, Director, Global Access and Marketing, Malaria Initiative, Novartis Pharma AG Workshop on Access
More informationInterpretation of the World Malaria Report Country Profile
Interpretation of the World Malaria Report Country Profile Acknowledgements This presentation was developed to help explain the components of the World Malaria Report Country Profile. The 2017 World Malaria
More informationKey Messages for World Malaria Day 2009
INFORMATION RBM/WG/2009/INF.12 10 APR 2009 Draft document General distribution English Only Key Messages for World Malaria Day 2009 Counting Malaria Out to Reaching the 2010 Targets On the occasion of
More informationPROGRESS REPORT ON CHILD SURVIVAL: A STRATEGY FOR THE AFRICAN REGION. Information Document CONTENTS
29 June 2009 REGIONAL COMMITTEE FOR AFRICA ORIGINAL: ENGLISH Fifty-ninth session Kigali, Republic of Rwanda, 31 August 4 September 2009 Provisional agenda item 9.2 PROGRESS REPORT ON CHILD SURVIVAL: A
More informationREGIONAL COMMITTEE FOR AFRICA AFR/RC53/13 Rev June 2003 Fifty-third session Johannesburg, South Africa, 1 5 September 2003
WORLD HEALTH ORGANIZATION REGIONAL OFFICE FOR AFRICA ORGANISATION MONDIALE DE LA SANTE BUREAU REGIONAL DE L AFRIQUE ORGANIZAÇÃO MUNDIAL DE SAÚDE ESCRITÓRIO REGIONAL AFRICANO REGIONAL COMMITTEE FOR AFRICA
More informationOverview of Malaria Epidemiology in Ethiopia
Overview of Malaria Epidemiology in Ethiopia Wakgari Deressa, PhD School of Public Health Addis Ababa University Symposium on Neuro-infectious Disease United Nations Conference Center, AA February 28,
More informationUNICEF AND MALARIA MEDICINES. Supply Division October 2006
UNICEF AND MALARIA MEDICINES Supply Division October 2006 PROCUREMENT SERVICES SUPPORTING CHILD RIGHTS UNICEF PROVIDES PROCUREMENT SERVICES AS PART OF ITS MANDATE Helping partners access resources for
More informationTUBERCULOSIS AND HIV/AIDS: A STRATEGY FOR THE CONTROL OF A DUAL EPIDEMIC IN THE WHO AFRICAN REGION. Report of the Regional Director.
30 August 2007 REGIONAL COMMITTEE FOR AFRICA ORIGINAL: ENGLISH Fifty-seventh session Brazzaville, Republic of Congo, 27 31 August Provisional agenda item 7.8 TUBERCULOSIS AND HIV/AIDS: A STRATEGY FOR THE
More informationTHE ROAD TO 2020: MOBILSING THE PRIVATE SECTOR IN NIGERIA S FIGHT AGAINST MALARIA- THE LAGOS STATE APPROACH.
THE ROAD TO 2020: MOBILSING THE PRIVATE SECTOR IN NIGERIA S FIGHT AGAINST MALARIA- THE LAGOS STATE APPROACH. A PAPER PRESENTED AT THE 2015 CAMA ANNUAL TECHNICAL FORUM. Dr Modele Osunkiyesi Permanent Secretary
More informationWHO Global Malaria Programme. February 2009
WHO Global Malaria Programme February 2009 Table of Contents 1. The world malaria situation 2. The critical role of WHO's Global Malaria Programme 3. Our programme of work explained 4. Situation analysis
More informationThe World Bank Ghana - Maternal, Child Health and Nutrition Project (P145792)
Public Disclosure Authorized AFRICA Ghana Health, Nutrition & Population Global Practice IBRD/IDA Investment Project Financing FY 2014 Seq No: 7 ARCHIVED on 25-Sep-2017 ISR29449 Implementing Agencies:
More information128th Session 25 November 2010 Provisional agenda item Malaria. Prevention and control: sustaining the gains and reducing transmission
EXECUTIVE BOARD 128th Session 25 November 2010 Provisional agenda item 4.11 Malaria Prevention and control: sustaining the gains and reducing transmission Report by the Secretariat 1. Millennium Development
More informationCopenhagen, Denmark, September August Malaria
Regional Committee for Europe 64th session EUR/RC64/Inf.Doc./5 Copenhagen, Denmark, 15 18 September 2014 21 August 2014 140602 Provisional agenda item 3 ORIGINAL: ENGLISH Malaria Following the support
More informationProgress on the Containment of Artemisinin Tolerant Malaria Parasites in South-East Asia (ARCE) Initiative
Progress on the Containment of Artemisinin Tolerant Malaria Parasites in South-East Asia (ARCE) Initiative I. Background For many years, the border area between Cambodia and Thailand has been the source
More informationImproving Nutrition Through Multisectoral Approaches
Improving Nutrition Through Multisectoral Approaches Health Undernutrition and health linkages Undernutrition is the single greatest cause of child deaths in most low-income and lower middle-income countries.
More informationFighting Harder and Smarter Against Malaria. Dr.Bernard Nahlen Deputy US Global Malaria Coordinator University of Georgia, February 23, 2010
Fighting Harder and Smarter Against Malaria Dr.Bernard Nahlen Deputy US Global Malaria Coordinator University of Georgia, February 23, 2010 Outline Burden of malaria Global support for rolling back malaria
More informationResource Allocation for Malaria Prevention. Bahar Yetis Kara
Resource Allocation for Malaria Prevention Bahar Yetis Kara Malaria Video 1: JumboJets (0.50 min) 10 Facts about Malaria (WHO) Fact 1: can be transmitted to people of all ages. bites of infected mosquitoes.
More informationStrengthening of health services at community level Project Code
Appealing Agency WORLD HEALTH ORGANIZATION Project Title Strengthening of health services at community level Project Code DPRK-03/H07 Sector Theme Project Objectives Provide 1,200 ri-clinics and 15 county
More informationIPC Acute Malnutrition Analysis
IPC Acute Malnutrition Analysis Key Findings Out of the 18 provinces in the country, 9 are classified as in Phase 2 according to the IPC Acute Malnutrition (IPC AMN) scale; Phase 2 is considered as Alert
More informationEpidemiology and control profile of malaria in. Sierra Leone 2017 Supplement
Epidemiology and control profile of malaria in Sierra Leone 2017 Supplement About this supplement In 2015, the Sierra Leone National Malaria Control Programme released a comprehensive malaria control profile
More informationMALARIA A MAJOR CAUSE OF CHILD DEATH AND POVERTY IN AFRICA
MALARIA A MAJOR CAUSE OF CHILD DEATH AND POVERTY IN AFRICA CONTROLLING THE MALARIA BURDEN IN AFRICA KEY ACTIONS FOR UNICEF Strengthen UNICEF input to evidence-based antenatal services Forge partnership
More informationMALARIA CONTROL as a best practice Corporate Social Responsibility Programme
GHANA MALARIA CONTROL as a best practice Corporate Social Responsibility Programme Steve Knowles Programme Director Steve Knowles (AngloGold Ashanti Malaria Programme Director) says: A Malaria Control
More informationStrengthening and integrating MNCH. Partners forum Meeting April,17-21/2007 Dar es Salaam,Tanzaniay
Ethiopia Strengthening and integrating MNCH Partners forum Meeting April,17-21/2007 Dar es Salaam,Tanzaniay Outline 1. Back ground Key demographic data How many die? National progress to MDG 4 and 5 Causes
More informationRevised Strategy for Malaria Control in the South-East Asia Region
24 th Meeting of Ministers of Health Dhaka, Bangladesh, 20-21 August 2006 SEA/HMM/Meet.24/3 10 July 2006 Revised Strategy for Malaria Control in the South-East Asia Region Malaria is disease of high priority
More informationChild Health Services
Chapter 4 Child Health Services 4.1 Background 4.1.1 Collection of Child Health Information According to the World Health Organization (WHO), many sick children who are brought to the attention of health
More informationPrompt and Effective Treatment of Malaria through Integrated Services. Dr G.N Ntadom Case Management Branch, NMEP
Prompt and Effective Treatment of Malaria through Integrated Services Dr G.N Ntadom Case Management Branch, NMEP Case Management Branch of the NMEP Introduction Case Management Branch under the NMEP is
More informationAccelerating progress towards the health-related Millennium Development Goals
Accelerating progress towards the health-related Millennium Development Goals The critical role of the national health policy & strategy in strengthening health systems and delivering effective interventions
More informationDengue Haemorrhagic Fever in Thailand
By Wiwat Rojanapithayakorn Office of Dengue Control, Department of Communicable Diseases Control, Ministry of Public Health, Thailand Abstract Dengue haemorrhagic fever was first reported in Thailand in
More informationThe Good Medicine Why are millions of malaria victims in Africa going without a treatment that works?
410 The Good Medicine Why are millions of malaria victims in Africa going without a treatment that works? By Anastasia Warpinski Imagine a five-year-old girl in a small village in sub-saharan Africa. A
More informationCHILD SURVIVAL A Strategy for the African Region
AFR/RC56/13 CHILD SURVIVAL A Strategy for the African Region The World Bank CHILD SURVIVAL A Strategy for the African Region AFRO Library Cataloguing-in-Publication Data Child survival: A strategy for
More informationVIRAL HEPATITIS: SITUATION ANALYSIS AND PERSPECTIVES IN THE AFRICAN REGION. Report of the Secretariat. CONTENTS Paragraphs BACKGROUND...
8 April 2014 REGIONAL COMMITTEE FOR AFRICA ORIGINAL: ENGLISH PROGRAMME SUBCOMMITTEE Sixty-fourth session Brazzaville, Republic of Congo, 9 11 June 2014 Provisional agenda item 6 VIRAL HEPATITIS: SITUATION
More informationThe Global Fund & UNICEF Partnership
The Global Fund & UNICEF Partnership Prof Michel D. Kazatchkine Executive Director UNICEF Executive Board February 9 th, 2011 The Global Fund Millennium Development Goals 1. Eradicate extreme poverty and
More informationMalaria Initiative: Access
Novartis Social Business Malaria Initiative: Access Improving affordability and availability of medicines Over the past decade, the Novartis Malaria Initiative has pioneered the pharmaceutical response
More informationH1N1 PANDEMIC: LESSONS LEARNT VIEWS FROM A COUNTRY RECEIVING DONATED PRODUCTS
H1N1 PANDEMIC: LESSONS LEARNT VIEWS FROM A COUNTRY RECEIVING DONATED PRODUCTS Delese Mimi Darko Head of Pharmacovigilance and Clinical Trials Food and Drugs Board, Ghana OUTLINE Ghana s Healthcare system
More informationAide Mémoire. 1. Purpose
Aide Mémoire Namibia Malaria Program Performance Review 1. Purpose The National Vector-borne Diseases Control Programme (NDVCP) within the Directorate of Special Programmes (DSP) in the Ministry of Health
More informationMalaria Competence Network collaborates to roll back malaria
Malaria Competence Network collaborates to roll back malaria Ibrahim Kamara and Komlan Toulassi Blaise Sedoh I knew of the existence of malaria and how to treat it. But, now that we have self-assessed
More informationProgress report on. Achievement of the Millennium Development Goals relating to maternal and child health
Regional Committee for the EM/RC52/INF.DOC.4 Eastern Mediterranean July 2005 Fifty-second Session Original: Arabic Agenda item 4 (d) Progress report on Achievement of the Millennium Development Goals relating
More informationAbstract. Mathias Tumwebaze. Lecturer, Mountains of the Moon University P.O. Box 837, Fort Portal,
EVALUATION OF THE CAPACITY TO APPROPRIATELY DIAGNOSE AND TREAT MALARIA: 9(1) 46-51 umu Press 2011 EVALUATION OF THE CAPACITY TO APPROPRIATELY DIAGNOSE AND TREAT MALARIA AT RURAL HEALTH CENTERS IN KABAROLE
More informationCountdown to 2015: tracking progress, fostering accountability
Countdown to 2015: tracking progress, fostering accountability Countdown to 2015 is a global movement to track, stimulate and support country progress towards achieving the health-related Millennium Development
More informationRUSSIA Mobilizing support for the Global Fund to Fight AIDS, Tuberculosis, and Malaria
RUSSIA 3.1 HEALTH FINANCING AND STRENGTHENING HEALTH SYSTEMS 3.1.1 We will continue our efforts towards the goal of providing at least a projected US$ 60 billion to fight infectious diseases and improve
More informationImproving Programme Implementation through Embedded Research (ipier) EMRO Region PROJECT SUMMARIES
Egypt Factors contributing to the failure of the health system to regulate private facilities in Egypt Mohammed NOUR EL-DIN and Population Despite efforts by the to increase the proportion of institutional
More informationEvaluation of the Kajiado Nutrition Programme in Kenya. May By Lee Crawfurd and Serufuse Sekidde
Evaluation of the Kajiado Nutrition Programme in Kenya May 2012 By Lee Crawfurd and Serufuse Sekidde 1 2 Executive Summary This end-term evaluation assesses the performance of Concern Worldwide s Emergency
More informationSummary Results Matrix: Government of Ghana UNICEF Country Programme, Key Progress Indicators Verification
5. Policy advocacy and partnership for children s rights By 2010, 5.1. the capacities of project partners at decentralized and national levels will be strengthened through support for the generation, analysis
More informationOver the three- year project period from 2011 to 2013, there were four objectives:
Redacted INTRODUCTION Burkina Faso, a landlocked country with a population of almost 17.5 million people, ranks 183 out of 187 on the UN Human Development Index scale,. Eighty percent of its disease burden
More informationVIRAL HEPATITIS: SITUATION ANALYSIS AND PERSPECTIVES IN THE AFRICAN REGION. Report of the Secretariat. CONTENTS Paragraphs BACKGROUND...
5 November 2014 REGIONAL COMMITTEE FOR AFRICA ORIGINAL: ENGLISH Sixty-fourth session Cotonou, Republic of Benin, 3 7 November 2014 Provisional agenda item 11 VIRAL HEPATITIS: SITUATION ANALYSIS AND PERSPECTIVES
More informationFrom Aggregate Costing To Costing the Scale-Up: Kenya s Experience. TERRIE WEFWAFWA Ministry of Health Nutrition Unit
From Aggregate Costing To Costing the Scale-Up: Kenya s Experience. TERRIE WEFWAFWA Ministry of Health Nutrition Unit Presentation outline Background Information Previous Costing Methods Costing for Scale
More informationM A L A R I A. The Burden of Malaria: The Impact and Cost of Malaria:
M A L A R I A The world is at a potential turning point in the fight against malaria. We are better placed than ever before to scale up efforts using existing tools and proven solutions to tackle malaria.
More informationWFP s Nutrition Interventions and Policies in Africa including Ghana. Lauren Landis: Director of the Nutrition Division December 2015
WFP s Nutrition Interventions and Policies in Africa including Ghana Lauren Landis: Director of the Nutrition Division December 2015 Agenda 1. The Nutrition Solutions 2. WFP Nutrition Programmes in Africa
More informationUHC. Moving toward. Ghana NATIONAL INITIATIVES, KEY CHALLENGES, AND THE ROLE OF COLLABORATIVE ACTIVITIES. Public Disclosure Authorized
Public Disclosure Authorized Public Disclosure Authorized Moving toward UHC Ghana NATIONAL INITIATIVES, KEY CHALLENGES, AND THE ROLE OF COLLABORATIVE ACTIVITIES re Authorized Public Disclosure Authorized
More informationSub-national government administration (10%);Health (57%);Central government administration (18%);Other social services (15%) Project ID
Public Disclosure Authorized Public Disclosure Authorized Public Disclosure Authorized Public Disclosure Authorized Project Name PROJECT INFORMATION DOCUMENT (PID) APPRAISAL STAGE Report No.: AB5554 Malaria
More informationSummary of the Eighth Meeting of the ITFDE (II) October 4, 2005
Summary of the Eighth Meeting of the ITFDE (II) October 4, 2005 The Eighth Meeting of the International Task Force for Disease Eradication (ITFDE) was convened at The Carter Center from 9:00am to 4:00pm
More informationSPECIAL EVENT ON PHILANTHROPY AND THE GLOBAL PUBLIC HEALTH AGENDA. 23 February 2009, United Nations, New York Conference Room 2, 3:00 p.m. 6:00 p.m.
SPECIAL EVENT ON PHILANTHROPY AND THE GLOBAL PUBLIC HEALTH AGENDA 23 February 2009, United Nations, New York Conference Room 2, 3:00 p.m. 6:00 p.m. ISSUES NOTE Improving the Health Outcomes of Women and
More informationPLANNING INTEGRATED HIV SERVICES AT THE HEALTH CENTRE
CHAPTER 2 PLANNING INTEGRATED HIV SERVICES AT THE HEALTH CENTRE 2.1 INTRODUCTION Achieving quality integrated HIV services at your health centre is dependant on good planning and management. This chapter
More informationLesson 9: Community Based Management of Fever in Malaria
Lesson 9: Community Based Management of Fever in Malaria From WikiEducator Contents 1 Introduction 2 Definition 2.1 Lesson 2.1.1 Importance of Community Based Management of Fever and Malaria particularly
More informationIMCI Health Facility Survey
IMCI Health Facility Survey Sudan March - April 23 World Health Organization Regional Office for the Eastern Mediterranean Federal Ministry of Health Republic of Sudan OBJECTIVES 1 To assess the quality
More informationSeasonal Malaria Chemoprevention
Seasonal Malaria Chemoprevention with sulfadoxine pyrimethamine plus amodiaquine in children a field guide Seasonal Malaria Chemoprevention with sulfadoxine pyrimethamine plus amodiaquine in children
More informationReady to beat malaria
World Malaria day 2018 Communications toolkit Ready to beat malaria WORLD MALARIA Day 2018 WHO joins partner organizations in promoting this year s World Malaria Day theme, Ready to beat malaria. This
More informationSaving children and mothers
Saving children and mothers child survival & development programme UNICEF South Africa/Blow Fish UNICEF South Africa/Schermbrucker South Africa s progress in healthcare The Statistics Under-five 62/1,000
More informationLessons Learned from Scale Up of Malaria Control in Zambia
Working Together to Maximise Health Impact of New Anti-Malarials Lessons Learned from Scale Up of Malaria Control in Zambia Dr Naawa Sipalanyambe Zambia National Malaria Control Programme Presentation
More informationAction Plan of China Malaria Elimination ( ) Page 2
http://www.gov.cn/gzdt/att/att/site1/20100526/001e3741a2cc0d67233801.doc Action Plan of China Malaria Elimination (2010 2020) Malaria is a major parasitic disease, which imposes serious threat to people
More informationLesson 1: Malaria What Is It? How Can It Be Prevented?
Unit 4: Lesson 1: Malaria What Is It? How Can It Be Prevented? Suggested Class Time: 45 Minutes Objectives: Learn the basic facts about malaria and the preventive role of bed nets in halting its spread;
More informationCost Effectiveness Analysis: Malaria Vector Control In Kenya
THE BUDGET FOCUS A Publication of the IEA Budget Information Programme Issue No. 28 November 2011 Cost Effectiveness Analysis: Malaria Vector Control In Kenya Malaria in Kenya is a major epidemic and is
More informationReintroducing the IUD in Kenya
Reintroducing the IUD in Kenya Background Between 1978 and 1998, the proportion of married Kenyan women using modern contraceptive methods rose from only 9 percent to 39 percent. However, use of the intrauterine
More informationEBOLA VIRUS DISEASE. Democratic Republic of Congo. External Situation Report 2 Date of issue: 16 May Situation update
EBOLA VIRUS DISEASE Democratic Republic of Congo External Situation Report 2 Date of issue: 16 May 2017 1. Situation update WHO continues to monitor the outbreak of Ebola virus disease (EVD) in Likati
More informationGlobal Malaria Initiative
Global Malaria Initiative Appeal No. MAA00031 21/04/2009 This report covers the period 01/01/2008 to 31/12/2008. Volunteers from the Madagascar Red Cross participate in malaria behaviour change communication
More informationAccelerating the Reduction of Malaria Morbidity and Mortality (ARM3) BENIN Behavior Change Communication (BCC): for Malaria Prevention and Treatment
Accelerating the Reduction of Malaria Morbidity and Mortality (ARM3) BENIN Behavior Change Communication (BCC): for Malaria Prevention and Treatment Malaria is endemic in Benin and everyone in the country
More informationAntigua and Barbuda, Lebanon and Swaziland:* draft resolution
United Nations A/71/L.89 General Assembly Distr.: Limited 5 September 2017 Original: English Seventy-first session Agenda item 12 2001-2010: Decade to Roll Back Malaria in Developing Countries, Particularly
More information1. The World Bank-GAVI Partnership and the Purpose of the Review
1. The World Bank-GAVI Partnership and the Purpose of the Review 1.1 The new World Bank Group strategy makes a strong case for an expanded World Bank Group role in global and regional dialogue and collective
More informationReport. 10 th Meeting of the Expert Review Committee (ERC) on Polio Eradication in Nigeria
Report 10 th Meeting of the Expert Review Committee (ERC) on Polio Eradication in Nigeria Kano, Nigeria 12-13 July 2006 Executive Summary The 10 th Expert Review Committee (ERC) met in Kano on 12-13 July
More informationFrom a one-size-fits-all to a tailored approach for malaria control
From a one-size-fits-all to a tailored approach for malaria control MMV 12 th Stakeholders Meeting New Delhi, India 07 November 2012 Robert D. Newman, MD, MPH Director, Global Malaria Programme newmanr@who.int
More information/ / 002. District name:
FOR USE WITH KEY INFORMANTS. Please fill the information below before beginning the interview. Please write clearly, in ink: 001. Date (dd/mm/yyyy): / / 002. District name: 003. District population, in
More informationReducing malaria in Solomon Islands: lessons for effective aid
Reducing malaria in Solomon Islands: lessons for effective aid Executive Summary Camilla Burkot and Katherine Gilbert The burden of malaria in Solomon Islands, a small island state of approximately 653,500
More informationMonitoring of the achievement of the health-related Millennium Development Goals
SIXTY-THIRD WORLD HEALTH ASSEMBLY WHA63.15 Agenda item 11.4 21 May 2010 Monitoring of the achievement of the health-related Millennium Development Goals The Sixty-third World Health Assembly, Having considered
More informationResolution adopted by the General Assembly on 11 September [without reference to a Main Committee (A/69/L.91 and Add.1)]
United Nations A/RES/69/325 General Assembly Distr.: General 6 October 2015 Sixty-ninth session Agenda item 12 Resolution adopted by the General Assembly on 11 September 2015 [without reference to a Main
More informationTHE PRESIDENT S MALARIA INITIATIVE
Executive Summary THE PRESIDENT S MALARIA INITIATIVE Sixth Annual Report to Congress April 2012 Maggie Hallahan Photography Executive Summary Over the past five years, many African countries have reported
More informationLANTOS-HYDE UNITED STATES GOVERNMENT MALARIA STRATEGY
DEBBIE GUEYE/PMI ABT ASSOCIATES LANTOS-HYDE UNITED STATES GOVERNMENT MALARIA STRATEGY 2009 2014 SIMPLICE TAKOUBO/PMI ARTURO SANABRIA/PHOTOSHARE APRIL 25, 2010 PRESIDENT S MALARIA INITIATIVE Report Documentation
More informationEmpowered lives. Resilient Nations. MILLENNIUM DEVELOPMENT GOALS (MDGs)
Empowered lives. Resilient Nations. MILLENNIUM DEVELOPMENT GOALS (MDGs) PROVINCIAL PROFILE / LUAPULA PROVINCE / 2013 Copyright 2013 By the United Nations Development Programme Alick Nkhata Road P. O Box
More information1,3,7 New Strategy for Malaria surveillance in elimination phases in China. Prof. Gao Qi
1,3,7 New Strategy for Malaria surveillance in elimination phases in China Prof. Gao Qi Differences in control, elimination and post elimination phases Control Elimination Post Goal Reduce morbidity &
More informationMCHIP Country Brief: Democratic Republic of Congo
MCHIP Country Brief: Democratic Republic of Congo Health and Demographic Data for Democratic Republic of Congo Maternal mortality ratio (deaths/100,000 live births) 540 Neonatal mortality rate (deaths/1,000
More informationPress Statement on the Mosquito Net distribution campaign in Kampala and Wakiso district
Press Statement on the Mosquito Net distribution campaign in Kampala and Wakiso district 22nd November 2017 MINISTRY OF HEALTH P. O. BOX 7272, KAMPALA - UGANDA 1 Press Statement: Distribution of Mosquito
More informationRepellent Soap. The Jojoo Mosquito. Africa s innovative solution to Malaria prevention. Sapphire Trading Company Ltd
The Jojoo Mosquito Repellent Soap Africa s innovative solution to Malaria prevention Sapphire Trading Company Ltd P.O.Box: 45938-00100 Nairobi, Kenya. Tel: +254 735 397 267 +254 733 540 868 +254 700 550
More informationIntegrated Community Case Management (iccm)
Integrated Community Case Management (iccm) March, 2014 Issue Even though Ethiopia has achieved MDG 4 target, nearly 205,000 children are dying every year before they reach their fifth birthday. Every
More informationBackground. Evaluation objectives and approach
1 Background Medical Aid Films bring together world-class health and medical expertise with creative film makers from around the world developing innovative media to transform the health and wellbeing
More informationRepublic of Malawi SPEECH BY THE GUEST OF HONOUR, MINISTER OF HEALTH, HONOURABLE DR PETER KUMPALUME, MP AT THE OFFICAL OPENING OF
Republic of Malawi SPEECH BY THE GUEST OF HONOUR, MINISTER OF HEALTH, HONOURABLE DR PETER KUMPALUME, MP AT THE OFFICAL OPENING OF A PARTNERSHIP FOR MATERNAL NEWBORN & CHILD HEALTH MEETING UMODZI PARK BICC
More informationRenewing Momentum in the fight against HIV/AIDS
2011 marks 30 years since the first cases of AIDS were documented and the world has made incredible progress in its efforts to understand, prevent and treat this pandemic. Progress has been particularly
More informationPROJECT INFORMATION DOCUMENT (PID) CONCEPT STAGE Report No.: AB2030 Project Name. Malaria Booster Program for Health SWAp Region
Public Disclosure Authorized Public Disclosure Authorized Public Disclosure Authorized Public Disclosure Authorized PROJECT INFORMATION DOCUMENT (PID) CONCEPT STAGE Report No.: AB2030 Project Name Malaria
More informationWORLD HEALTH ORGANIZATION. Nutrition and HIV/AIDS
WORLD HEALTH ORGANIZATION EXECUTIVE BOARD EB117/7 117th Session 22 December 2005 Provisional agenda item 4.5 Nutrition and HIV/AIDS Activities undertaken 2004-2005 Report by the Secretariat 1. Resolution
More information