1 / 31

MALARIA SITUATION IN PAKISTAN

MALARIA SITUATION IN PAKISTAN PROGRAMME GOALS AND OBJECTIVES To reduce the burden of malaria by 50 percent by the year 2010 RBM Implementation all over the country by 2006 ELEMENTS OF NATIONAL RBM STRATEGY Early detection and prompt treatment of malaria cases

niveditha
Download Presentation

MALARIA SITUATION IN PAKISTAN

An Image/Link below is provided (as is) to download presentation Download Policy: Content on the Website is provided to you AS IS for your information and personal use and may not be sold / licensed / shared on other websites without getting consent from its author. Content is provided to you AS IS for your information and personal use only. Download presentation by click this link. While downloading, if for some reason you are not able to download a presentation, the publisher may have deleted the file from their server. During download, if you can't get a presentation, the file might be deleted by the publisher.

E N D

Presentation Transcript

  1. MALARIA SITUATIONIN PAKISTAN

  2. PROGRAMME GOALS AND OBJECTIVES • To reduce the burden of malaria by 50 percent by the year 2010 • RBM Implementation all over the country by 2006

  3. ELEMENTS OF NATIONAL RBM STRATEGY • Early detection and prompt treatment of malaria cases • Multiple prevention measures including ITNs and focal spraying with insecticides • Detection and control of malaria epidemics • Operational research • Viable partnerships with government, non-government and private sector partners

  4. Malaria Occurrence in Pakistan:Annual Parasite Incidence/1000 population

  5. Occurrence of Potentially Dangerous Malaria: Percentage of Plasmodium Falciparum

  6. 2003 DATA - Malaria Control Programme Annual Parasite Incidence – API/1000 population More than 3.5 1.6 – 3.5 0.5 – 1.5 Less than 0.5 No data available

  7. 2003 Data - Malaria Control Programme Annual Falciparum Incidence – API/1000 population More than 3.5 1.6 – 3.5 0.3 – 1.5 Less than 0.2 No Data available

  8. Districts with RBM in place PUNJAB: Muzzafargarh, D.G. Khan, Rajanpur, Bhawalnagar, Jhang, Kasoor, Sailkot, Khenewal, Rahimyar Khan, Liayah SINDH: Hyderabad, Mirpurkhas, Badin, Jacobabad Thatta NWFP:D.I. Khan, Sawabi, Laki Marwat, Kohat, Karak, Bunner, Bannu, Malakand BALUCHISTAN:Pishin, Zhob, Kharan, Lasbella, Nasirabad

  9. Programme Expansion – by Province(2002-2006)

  10. ACTIVITIES • DIPS IN 21 RBM DISTRICTS • CAPACITY BUILDING • CASE MANAGEMENT • TRAINING OF MEDICS/PARAMEDICS • TRAININGOF MICROSCOPISTS • PROVISION OF LOGISTICS • PROVISION OF ANTI MALARIAL DRUGS

  11. ACTIVITIES (contd) VECTOR CONTROL IRSFOCAL SPRAY IN SELECTED AREAS PROVISION OF SPRAY EQUIPMENTS INSECTICIDES LARVECIDES ULV FOG GENERATORS (N.W.F.P) ITNS

  12. Treatment & Diagnostic facilities • The district and sub-district hospitals and rural health centers (and few selected basic health units) work as microscopy centers. • The primary health care facilities such as basic health units and dispensaries work as treatment centers. • The Tehsil and district headquarter hospitals also provide specialist care to complicated/severe malaria cases.

  13. EPIDEMIC CONTROL • Epidemics in district, Okara, Mirpurkhas • Flood affected areas of Sindh and Balochistan • WHO support in investigation & response

  14. PROGRESS-1 • National strategic plan developed. • Federal and Provincial PC-1s approved. • Case management guidelines and microscopy manual developed (local language). • 21 districts initiated RBM activities, as per DIPs. • Malaria early warning system (MEWS) drafted. • TV, radio and print materials developed. • GFATM support for programme strengthening

  15. Capacity Building/ Advocacy and Communication • Revitalization of the former NIMRT • Training to various levels of malaria workers • National plan for advocacy & education in place • Advocacy and mass awareness activities started - TV: 500 -Radio messages: 400 - Newspaper: Advertised in leading News papers for

  16. Training of doctors and technicians

  17. Specialized Courses Conducted

  18. Provincial/District Strengthening through Federal PC-I

  19. PARTNERSHIPS

  20. International & National partnerships-1 WHO • JPRM: US$ 72,000 (02 yrs.) • Tech Officer (RBM): 01 • Further commitment for TA GFATM • Grant Round 2 : US$ 4.4 Million Strengthening microscopy in 23 districts Enhanced case management capacity in 23 districts Design and implement BCC strategy Promote the use of ITNs in 11 pilot districts through public-private partnership

  21. International & National partnerships-2 GFATM Round 3: Proposal approved by Tech Rev Panel (TRP) Total grant approved: US$ 1.5 million DFID • DFID-NHF to provide TA and budget support to the MCP for strengthening RBM expansion. TA includes: • Human resource • Provincial level strategic planning and PC-1 revision. • Development of training materials and manuals

  22. International & National partnerships-3 The programme is piloting implementation of ITNs in 11 districts in partnership with following NGOs: • Health Net International Peshawar • National Rural Support Programme/ Association for Social Development • greenstar

  23. IMPLEMENTATION • Drug resistance sentinel sites needs functional , trainings has been completed & implementation will start shortly. • Sentinel sites for recording and reporting of severe malaria morbidity & mortality identified workers are trained, tools for data collection provided & the sentinel sites will be functional in next quarter of this year.

  24. OPERATIONAL RESEARCH • Drug resistance studies carried out in 12 districts. • Research study on care providers and community perspectives (contracted to IPH Lahore) - Assessment of public & private sector health care delivery capabilities and potential for malaria control - Assessment of community perceptions and practices regarding malaria and its control

  25. STRENGTHENING OF FEDRAL DIRCTORATE IN PROCESS A. DFID • INTERNATIONAL ADVISOR 01 • PROGRAMME OFFICERS 02 • EPIDIMIOLOGIST 01 • DEVELOPMENT OF GUIDELINES B. GFATM ROUND-II • PROJECT COORDINATOR (FIELD) 01 • M/TECHNICIANS FOR NIMRT 02 • M/REPAIR TECHNICIANS 05

  26. STRENGTHENING OF FEDRAL DIRECTORATE C.GOVERNMENT OF PAKISTAN 1.COMPUTOR PROGRAMMER 01 2.MEDICAL OFFICER 01 3.SCIENTIFIC OFFICER (NMIRT) 01 4.ADMIN OFFICER 01 AND SUPPORT STAFF.* * Advertisement made

  27. ISSUES & CHALLANGES

  28. ISSUES • Need for provincial and district level strategic planning • Need for strengthening supervision and monitoring at provincial and district level • Sub-optimal use of malaria human & other resources • Inadequate field cost (TA/DA) for malaria staff • Involvement of private sector in malaria control

  29. ISSUES Drug resistance • RII level to chloroquine • Resistance is now on increase Insecticide resistance • Two primary malaria vectors are resistant to Organochlorines (DDT, BHC, Dieldrin) and Organophosphates (Malathion)

  30. ISSUES • National Policy on the vector control (rational use of insecticide) • National Malaria Treatment Policy to be in line with WHO ACT • Integration of MCP activities with EPI and MCH • Uncontrolled private sector

  31. THANK YOU

More Related