Malaria

Let's end Malaria for Good!

The provision of services for malaria diagnosis and treatment has been integrated with the Primary health care (PHC) infrastructure of the districts since 1978, while the prevention and vector control component of the program remained vertical at provincial and district level. The huge network of PHC facilities in the country has improved the access of populations to the public sector health services in many parts of the country, but this objective remains to be achieved in bordering provinces and regions of the country where majority of highly malaria endemic districts are located. Weak health infrastructure, lack of trained human resource, weak disease surveillance system, problems in supply chain management of ant malarial drugs and lack of resources for the operations are the major health system constraints which hamper the implementation of current malaria control strategies in these regions. The situation is further compounded due to lack of proper community awareness program.

Lack of skilled staff to diagnose and treat malaria, lack of diagnostic equipment and supplies, regular stock outs of ant malarial drugs including ACTs and weak surveillance are the major obstacles in ensuring the access of population at risk to quality assured diagnosis and effective ant malarial treatment. Lack of resources for the procurement and distribution of LLINs and the application of other vector control measures is the major challenge to reduce the transmission potential of highly endemic regions and districts.

Interventions for Malaria

The project is being implemented to reduce burden of malaria by 75% in 38 highly endemic districts of Pakistan. These 38 districts also include 19 districts of the Global Fund Round 7. The target population in these 38 high risk districts is estimated at 24.84 million. Project is implementing to achieve the following Main objectives:
  • Objective 1: To enhance access of population at risk to quality assured early diagnosis and prompt treatment services
  • Objective 2: To scale-up multiple prevention interventions especially LLINs and IRS to the level of universal coverage in target population
  • Objective 3: To enhance technical and management capacity of malaria control program for improved planning, management and monitoring of malaria control interventions
  • Objective 4: To improve health seeking behaviors and practices of target communities in malaria endemic districts through enhanced community awareness and participation

Malaria Control Program

Detail of the project activities

Pakistan Lions Youth Council has implemented the project for the achievement of the project objectives through these activities:

Orientation sessions with Project staff

Pakistan Lions Youth Council conducted two days project orientation with staff of Pakistan Lions Youth Council to orientate them about the project activities, objectives and implementation plan.

Orientation sessions with Health Officials

Pakistan Lions Youth Council conducted project orientation with staff of Health officials and give the brief about the project activities with introduction of new staff . Team of Pakistan Lions Youth Council conducted meeting with Ms Naheed Jamali Provincial Director Malaria Control Program Sindh.

Assessment of Health Facilities.

Team of Pakistan Lions Youth Council conducted the Assessment of Health facilities in 04 target Districts Tharparkar, Tendo Allahyar, Mirpur khas and Khairpur Mir`s for strengthening existing diagnostic Services,Team of Pakistan lions Youth Council prepared the lists of the missing facilities in RDT and Microscopy centers

Provision of Furniture and supplies to the Diagnostic Centers

Pakistan Lions Youth Council assisted and provided furniture in the existing and new microscopy and RDT centers. For strengthening malaria diagnosis in areas where microscopy and RDT Centers are not available or inaccessible for the communities Pakistan Lions Youth Council established new Microscopy centers with the support of DOMC PLYC provided the supply to these diagnostic Centers provided by the PR

Establishment of New Private RDT Centers

Pakistan lions Youth Council surveyed for the establishment of new private RDT centers in the target areas where Public RDT centers already established were not in the access of Target community, Pakistan Lions Youth Council established new 33 RDT centers in the target districts among the reporting period.

Establishment of New Public RDT Centers

Pakistan lions Youth Council surveyed for the establishment of new public RDT centers in the target areas where Public and private RDT centers already established were not in the access of Target community, Pakistan Lions Youth Council established new 40 RDT centers in the target districts among the reporting period.

Prompt and Effective Anti-Malaria Treatment

Skills and capacities of healthcare providers play important role in the correct management of malaria cases. Under this SDA, capacity building of different cadres of public healthcare providers and private providers in management of malaria cases was carried out.

Enhance the Capacity of Healthcare Providers in Proper Malaria Case Management.

Pakistan Lions Youth Council conducted the 03 days training of the government doctors from Health facilities on Malaria Case Management. Public sector health care providers on uncomplicated malaria case management at first level health care facilities in 04 districts These trained health care providers were provided with Case management protocols including job aids and flowcharts and were requested to follow the protocols and display these flow charts in the RDT and Microscopy Centers for supporting quality diagnosis and proper treatment for the people. Pakistan Lions Youth Council conducted two days Training (02 days) of public sector health care providers on uncomplicated malaria case management at first level health care facilities in 04 districts and Training (02 days) of public sector health care providers on severe and complicated malaria case management at secondary and tertiary level health care facilities

Malaria Control Program

Involve private sector in the provision of diagnostic and curative services according to national guidelines

Pakistan Lions Youth Council conducted the 02 days training of the private healthcare from private Health Clinics on Malaria Case Management as per national guidelines. In the covering period 38 private Doctors among the target of 40 doctors were trained. Two doctors were not available for the training so PLYC got 96 % results in this activity these healthcare providers is being monitored by team of Pakistan Lions Youth Council and are provided supervisory support for ensuring quality case management.

Training of RDT ( Private)

Pakistan Lions Youth Council established the RDT centers in the target areas to cover the community where they are not in the access of Government Health facilities, and conducted the training of RDT Technicians from Private Clinics .total 190 RDT technicians from private Health facilities are trained on proper diagnostic protocols and accurate results .Pakistan Lions Youth Council also conducted the refresher trainings of these RDT technicians. There was target of 40 RDT technicians from the private sector and PLYC got b100 % results.

Training of Health care Providers on MIS (Public)

Pakistan Lions Youth Council conducted the training of public Health care providers on MIS from Public (Government health Facilities BHUs RHC etc) .total 262 Health care providers among targeted of 262 are trained as two Health care providers were not available. These Personnel are trained on proper use of MIS and reporting system as well reporting formats.

Training of Private care Providers on MIS (Public)

Pakistan Lions Youth Council conducted the training of private Health care providers on MIS from Public .total 38 Health care providers among targeted of 40 are trained as two Health care providers were not available. These Personnel are trained on proper use of MIS and reporting system as well reporting formats

Training of Microscopy Technicians ( Public)

Pakistan Lions Youth Council conducted the training of RDT Technicians from Public (Government health Facilities BHUs RHC etc) .total 74 microscopist (Lab Technicians) among targeted of 74 are trained microscopists as two microscopists were not available. These Microsopists are trained on proper diagnostic protocols and accurate results .Pakistan Lions Youth Council also conducted the refresher trainings of these microscopists for provision of proper microscopy diagnostic facilities to the Community total target achievement is 100 %.

Refresher Training of Microscopists

Pakistan Lions Youth Council arranged the refresher training of microscopists in the target districts for the issues being faced by them during the diagnostic process. They were trained through the use of microscopes.

Training of Public Health care providers on Severe CMG

Pakistan Lions Youth Council conducted the 02 days training of the private and Public healthcare from private and Public Health facilities on Malaria case management Guidelines (CMG) Malaria Case Management as per national guidelines. In the covering period 24 Health care providers were the target and Pakistan Lions Youth Council trained 23 Health care providers total result achievement is 98% .

To improve health seeking behaviors and practices of target communities in malaria endemic districts through enhanced community awareness and participation

The National Malaria Control Strategy recognizes that effective advocacy, communication and social mobilization forms the foundation for any efforts to effectively change service-providersí ability, community behaviors and overall demand for effective service utilization. In this regard, a combination of coordinated awareness raising and community outreach strategies is employed including mass media, interpersonal communication, and malaria focused IEC material development and dissemination.