1. Overview of Progress in Malaria Control in Kenya
Dr. Waqo Ejersa
Head, National Malaria Control Programme
WMD – Media Briefing breakfast 2015

2. National Malaria Control Programme
Malaria control in Kenya is guided by a policy document.
The Policy is implemented through a strategic plan 2009 – 2017 and its monitoring and evaluation component
Key tenets in these documents is
Health sector leadership
Priority investment in high impact, quick win measures
Adherence to the 3-ones (One-strategy; One-coordinating Mechanism; One monitoring and evaluation framework)

3. Progress of the Malaria Control in Kenya

4. Total Malaria cases as a proportion of new OPD cases 2011-2015
Malaria cases have been decreasing over the last 5 years, Malaria cases between January % to Feb 2015 Dec %

5. Confirmed OPD Malaria cases per 1000 population 2012-2014 Kenya
This for the whole country. N=confirmed cases D=population of Kenya. The peaks of transmission are in June July after the rains

6. Availability of Malaria diagnostics between 2010-2014
Please show the increase of the availability of diagnostics

7. Performance of health workers form the quality of Care Survey 2010-2014
Composite performance means that the clinician tested before treating, only prescribed anti-malarials for test positive cases and did not treat test negatives with anti- malarials. The composite performance has increased steadily form 2010.

8. Achievements
Distribution of 3.3 m LLINS in Migori, Kisumu, Siaya, Vihiga, Homa Bay and West Pokot Counties
Training of lake endemic CHMT’s on Malaria SBCC
Planning of mass net distribution with county teams in Western, Rift Valley, Coast and Parts of Nyanza region
Training of County TOTs on malaria surveillance
Training of health workers on malaria surveillance

9. Key malaria control ongoing activities
Finalization of Kenya Malaria strategy ( )
Capacity-building for surveillance and Integrated vector management
Strengthening Case management through scaling up of diagnostics- microscopy and RDTs in counties
Training of County Malaria coordinators on malaria programming
Quality of care 8 survey to measure success of malaria care services delivery
This activities are currently ongoing

10. Key malaria control planned activities
Distribution of 10.6 m LLINs across Rift valley, Coast, Western and parts of Nyanza
National level Malaria indicator survey (MIS) in 2015 to further assess progress towards targets
Training of public and private sector workers on malaria case management
In the next one-year these are some of the key activities that we will be undertaking.

11. Challenges
Overreliance on external support for the implementation of the strategic plan
Low uptake and utilization of Interventions and tools
Insecticides resistance
Continued high prevalence in Lake region
Capacity of the counties and sub-counties in effective program management

12. Challenges
Exploiting the opportunity to the use of community health structures for increasing access to care
Sub-optimal routine data from HIS and IDSR coupled with paucity of inpatient and laboratory data
Gaps in funding for procurement of 2nd line Dihydroartemesininpiperaquin (DHAP)

13. Way forward
Consolidating the gains and expanding access to priority interventions
Strengthening access to quality case management at all levels
Strengthening acquisition and use of quality surveillance and routine data
Intensifying advocacy for mobilization and equitable allocation of local resources (National and County kitty)
Strengthening management and leadership for malaria programming and implementation at County and sub-county level
Strengthening programing advocacy , and behavour change communication

14. Thank You