Malaria Control Program

Malaria Control
Program
Julienne Rowelie A. Sanchez, RN
October 12, 2017
Content
A. Overview of the Illness
» Brief pathogenesis
» Latest Epidemiological Data
B. WHO Programs in addressing the Illness/Issue
» Title
» Scope/Target
» Methods
» Impact/Achievements (Global level)
C. Philippine DOH Programs
» Target/Goals
» What the Local Health Unit is implementing
» Other Programs related to the topic
D. Assessment of the DOH Programs
E. Suggestions/Recommendations
“Humanity has but three great
enemies:
Fever, famine, and war;
of these by far the greatest, by far
the most terrible, is fever.”
- William Osler
A. Overview of the Illness
Brief pathogenesis
Latest Epidemiological Data
What is
MALARIA
?
Brief Pathogenesis
Malaria
» Is a protozoan disease transmitted
by the bite of infected Anopheles
mosquito
» The most important of the parasitic
disease of humans, it is transmitted
in 108 countries containing 3 billion
people and causes nearly 1 million
deaths each year.
Infectious Agent
» Five species of the genus
Plasmodium cause nearly all
malarial infections in humans:
1. P. falciparum
2. P. vivax
3. P. ovale
4. P. malariae
5. P. knowlesi
Hosts:
» Female Anopheles Mosquito
» Humans
LATEST
EPIDEMIOLOGICAL
DATA
GLOBAL
World Malaria Report 2016
90% African Region
7% South-East Asia Region
2% Eastern Mediterranean
2015: Region
212 million cases

-22% since 2000
-14% since 2010
2015:
-50% since 2000

-22% since 2010
429,000
DEATHS
303,000
DEATHS
Children under
5 years
Malaria remains a major killer of children, and is
estimated to take the life of a child
every 2 minutes.
LOCAL
501 Malaria
Cases
Philippine Integrated Disease
Surveillance and Response
Malaria Surveillance Report
January 1- May 6, 2017
2016:
32 provinces
declared as
Malaria Free
9 provinces still
Endemic
41 provinces on
Elimination
Status
B. WHO Programs in
addressing the Illness/Issue
Title
Scope/Target
Methods
Impact/Achievements (Global level)
Global Technical Strategy for
Malaria 2016–2030 (GTS)
GOALS:
• Reducing malaria case incidence
by at least 90% by 2030.
• Reducing malaria mortality rates
by at least 90% by 2030.
• Eliminating malaria in at least 35
countries by 2030.
• Preventing a resurgence of
malaria in all countries that are
malaria-free
C. Philippine DOH Programs
Target/Goals
What the Local Health Unit is implementing
Other Programs related to the topic
Program Strategies:
1.Early diagnosis and prompt
treatment
2. Vector control
3. Enhancement of local
capacity
Philippine Malaria
Information System
(PhilMIS)
Philippine Malaria
Information System
(PhilMIS)
• developed by the National
Epidemiology Center of the Department
of Health
• by modifying and improving on the Rural
Health Unit-Malaria Information
System (RHU-MIS)
• The development was made possible
through the technical and financial
support of WHO-AusAID RBM Project
and Global Fund Malaria.
The Philippine Malaria Information
System aims to:
•To provide information in a computerized form

needed for planning, implementation, monitoring and
evaluation of malaria control program.
•To standardize the collection of malaria data using the
same reporting and recording forms in malaria endemic
provinces.
•To achieve quality malaria data.
•To easily retrieve malaria indicators required for
programme management and those needed by funding
agencies and other stakeholders.
•To avoid the delay in generating the required
information through prompt reporting system.
MALARIA STATUS in Cavite:
MALARIA-FREE since 2007

Program Accomplishments
» For the development of health policies, the Malaria Medium Term Plan
(2011-2016) is already in its final draft while the Malaria Monitoring
and Evaluation Framework and Plan is being drafted. The Malaria
Program is being monitored in six provinces as the Philippine Malaria
Information System is being reviewed and enhanced.
» In strengthening the capabilities of the LGUs, trainings are conducted.
These include: series of Basic and Advance Malaria Microscopy
Training; Malaria Program Management Orientation and Training for
the rural health unit (RHU) staff; and Data Utilization Training. Also,
there are the Clinical Management for Uncomplicated and Severe
Malaria and the Malaria Epidemic Management.
» Lastly, health services are leveraged through the provision of anti-
malaria commodities.
D. Assessment of the DOH
Programs
Program Weaknesses:
» Inefficiency in the design and implementation of some known

effective interventions and measures slowed down progress in
elimination of the disease:
» Poor targeting of LGUs for assistance and special population groups
to be assisted
» Delayed establishment of functional management support systems
» Lack of policies and guidelines
» Weak foundation for sustainability of program efforts and outcomes
» Dearth of personnel to manage/coordinate and implement MCP at
all levels of operations limit the actions towards malaria elimination
E. Suggestions/
Recommendations
Recommendations:
» Increased funds be made available so that research on malaria can be
broadened according to the priorities, including laboratory and field
research on the biology of malaria parasites, their mosquito vectors, and
their interaction with humans.
» Focus attention and intensify assistance to the following provinces/areas

regardless of current category:
a. those with higher morbidity and/or mortality reported
b. those with fluctuating trends in malaria cases and deaths
c. those with still considerably high number of malaria cases and deaths
d. those that are slow in reducing mortality and morbidity or those unable to
achieve the desired reduction targets
e. chartered cities with considerably high morbidity cases
» Design and establish an MCP package of interventions and approaches responsive
to needs of identified high risk groups: MCP in the military, MCP in areas hosting
active industrial activities, MCP among displaced populations, etc.
» Continue/sustain operations of the diagnostic and management/treatment service

outlets for early diagnosis and prompt treatment in areas with stable and unstable
transmission: sustain BMMC and RDT site operations, train more private
practitioners, provide drugs/supplies to private health facilities, fast track efficacy
study and QA of RDT
» Strengthen health promotion to improve knowledge, health seeking behavior and

practices of targeted clients and to generate support from concerned stakeholders.
» Step up actions in supervision and monitoring of compliance by health facilities,

practitioners, or local health offices to MCP policy, guides and protocols to ensure
quality malaria diagnostic and treatment services, maintenance of ITNs specifically
LLINs and appropriate application of IRS, etc.
» Establish sustainable support system for malaria-free areas to prevent re-
introduction of infection: surveillance system, malaria personnel transition
plan, health promotion. Establish sustainable support system of successful
border operations inter/intra-provincial and municipal levels.
» Strengthen QAS for microscopy services and use of RDT
» Institute supervision guide in each facility to ensure compliance to treatment

protocol.
» Continue the conduct of entomological studies for efficacy of nets, and

monitoring local procurement of malarial drugs and insecticides and other
operations research to establish quality of vector control measures
» Intensify Health Promotion and Education regarding Malaria signs and
symptoms, risk factors, prevention, and treatment
» Increase manpower through hiring of more health professionals such as

nurses and medtechs.
» Improvement of Information Management and dissemination of

information to the public.
» Conduct orientation or reorientation programs to Local Health Workers

or Barangay Health Workers
» Encourage active involvement of the community

QUESTIONS
1. The highest cases of malaria belonged to what age group?
a. 5 to 9 years old
b. Less than 1 year old
c. Above 60 years old
d. None of the above
2. The following are species of the genus Plasmodium that causes nearly all malarial infections in humans EXCEPT:
a. P. knowlesi
b. P. ovale
c. P. vivax
d. P. malaeri
3. Sporozoites infect liver cells and mature into schizonts which rupture and release which of the following?
a. Hypnozoites
b. Schizogony
c. Merozoites
d. Ookinetes
4. The World Health Organization utilized the following strategies for malaria vector control EXCEPT:
a. Long lasting insecticidal nets
b. Indoor residual spraying
c. Outdoor residual spraying
d. All of the above
5. Which of the following is the vision of the Department of Health on the National Malaria Control Program?
a. To accelerate the transition from control to sustained elimination of the disease
b. Sustain malaria financing at all levels of operation
c. Control Malaria Philippines
d. A malaria-free Philippines by 2020

Malaria Control Program

Uploaded by

Malaria Control Program

Uploaded by

Malaria Control

212 million cases

-50% since 2000

•To provide information in a computerized form

MALARIA-FREE since 2007

» Inefficiency in the design and implementation of some known

» Focus attention and intensify assistance to the following provinces/areas

» Continue/sustain operations of the diagnostic and management/treatment service

» Strengthen health promotion to improve knowledge, health seeking behavior and

» Step up actions in supervision and monitoring of compliance by health facilities,

» Strengthen QAS for microscopy services and use of RDT

» Institute supervision guide in each facility to ensure compliance to treatment

» Continue the conduct of entomological studies for efficacy of nets, and

» Increase manpower through hiring of more health professionals such as

» Improvement of Information Management and dissemination of

» Conduct orientation or reorientation programs to Local Health Workers

» Encourage active involvement of the community

You might also like