Malaria Control Programme
Pakistan has a population of 180 million inhabitants of which 177 million are at risk of malaria. With 3.5 million presumed and confirmed malaria cases annually.
Malaria in Pakistan is typically unstable and major transmission period is post monsoon i.e. from August to November. Major vector species are Anopheles culicifacies and A. stephensi, both still susceptible to the insecticides currently being used. The widely distributed causative organisms are Plasmodium falciparum and Plasmodium vivax. Vivax malaria still dominates the transmission though significant rise in the more lethal form falciparum is observed in Balochistan and Sindh. There is significant drug resistance (chloroquine and Fansidar resistance) prevalent throughout the country where the levels in the western border areas are very significant. The malariogenic potential of Pakistan has a negative impact on its socio-economic growth and productivity, as the main transmission season is spiralled with the harvesting and sowing of the main crops (wheat, rice, sugar cane) Epidemiologically, Pakistan is classified as a moderate malaria endemic country with a National API averaging at 1.08 (MIS, 2015) and wide diversity within and between the provinces and districts. Plasmodium Vivax and Plasmodium Falciparum are the only prevalent species of parasites detected so far, with plasmodium vivax being the major parasite species responsible for >80% reported confirmed cases in the country.
BRSP with the financial support of The Indus Hospital (TIH) is implementing its Malaria control interventions in 11 Districts (Noshki, Mastung, Sibi, Naseerabad, Pishin, Killa Saifullah, Zhob, Sherani, Loralai, Musa Khail and Harnai) under the Global Fund grant for Malaria. The project deliverables include capacity building of target health facilities staff on diagnosis & treatment guidelines, reporting and surveillance, Notification of Health facilities as RDT and Microscopy Centers for Malaria interventions, Mass coverage through LLINs in statrum-1 districts, BCC campaign by engaging LHWs and local CBOs of the target areas.
The project deliverables include capacity building of health facilities’ staff on diagnosis & treatment guidelines, reporting and surveillance, notification of Health facilities as Rapid Diagnostic Test (RDT) and establishment of microscopy centers for malaria, mass coverage through Long Lasting Insecticidal Nets (LLINs) in statrum-1 districts, and promotion of BCC campaign by engaging Lady Health Workers (LHWs) and local Community-based Organizations (CBOs) of the target areas. Highlights of the achievements are as under:
5,07,265 LLINs were distributed to at-risk populations through mass distribution in Noshki, Naseerabad, Sibi, Pishin, Loralai and Zhob Districts. The operational issues of ANC are still there and BRSP is struggling to cope with them while more than 21000 LLIN’s were distributed to pregnant women
584 sessions were held with community activists, religious leaders, were engaged in advocacy events and provided awareness about malaria treatment, prevention and utilization of LLIN in targeted districts
164,088 community members were provided awareness about malaria through Behavioural Change Communication (BCC) by LHWs and local organizations in targeted districts.
80 persons were provided training on Malaria Microscopy in collaboration with Institute of Public Health (IPH)
311 health facilities’ focal persons were trained on uncomplicated malaria case management as per national guidelines developed by World Health Organization (WHO).
247 health facilities’ focal persons were trained on rapid diagnostic test for proper diagnosis in targeted districts.
211 Health care providers were trained on (MIS) malaria information system in districts
165 monthly cluster meetings were organized with the focal persons of targeted health facilities for ensuring the proper reporting, coordination and responding the issues faced by BRSP and department during the implementation of the project.
- Event Gallery