Presentation on theme: "UNDP RBA MDG-Based National Planning Workshop"— Presentation transcript:
1 UNDP RBA MDG-Based National Planning Workshop Malaria In AfricaAwash TeklehaimanotFeb 27 March 3, 2006Dares-Salaam, Tanzania
2 The Malaria Burden Malaria is a major global public health problem One fifth of the world’s population at riskMalaria on the resurgence: Spreading to previously controlled or malaria free areasUp to 500 million clinical cases and between2- 3 million deaths each yearOver 90% of the deaths occur in AfricaSignificant disability from severe form of the disease
3 Mortality rate in Africa Death rates reduced in Asia but rising in AfricaWorldAfrica3.0AsiaChinaCentral & S.America2.0Annual Deaths from Malaria(millions)N.America & Europe1.00.1(R.Carter & Mendis 2000
5 Malaria during pregnancy can lead to acute disease and Anaemia Women in endemic countries are four times more likely to suffer from malaria attacks when they are pregnantMalaria parasites can sequester in the placentaAnaemia & and placental malaria are associated with low birth weight, one of the primary causes of neo-natal mortalityUNICEF/C-55-10/Watson
6 Malaria Control Strategy Early diagnosis and prompt treatmentPrevention( ITNs, IRS, IPT)Early detection to prevent or contain epidemicsMonitoring and evaluationStrengthening local capacities in basic and applied research
7 Community-based malaria control Provision of early diagnosis and treatment can reduce malaria mortality and should be the cornerstone of all national malaria control programsCommunity-based programs involving mothers, village health workers or drug vendors can reduce childhood mortality by up to 40%Decrease> 25% hospital admissionsIncrease by 30% on average the compliance to treatmentCommunity-wide use of ITNs, reduces childhood mortality by up to 20%
9 Millennium Development Goal & Target for Malaria Have halted by 2015 and begun to reverse the incidence of malaria –Revised as follows:Reduce malaria morbidity & mortality by 75 % by 2015 from the 2005 baseline level. Consistent with the Goals and Targets that Focus on improving the health of pregnant women and young children.
10 Prospects for optimism Governments of endemic countries are seriously committed to malaria control as part of their poverty reduction strategiesGrowing interest from the international community to support the scaling-up of malaria interventions in the context of the overall MDG effortFunding from the Global Fund for malaria is steadily increasing
11 Scaling-up of National Malaria Control Programs in the Context of the Quick Impact Initiative by 2008Quick Wins:Would provide a critical support for National Millennium Development Goals Strategies.Would Generate rapid momentum and early success stories that would broaden commitment to the Millennium Development Goals.
12 Targets for the Quick Impact Initiative One hundred percent of children under five years of age protected by long-lasting insecticide-treated nets;Eighty percent of people living at risk of malaria are protected by locally appropriate vector control interventions.Long-lasting Insecticidal NetsIndoor residual sprayingEnvironmental managementOne Hundred percent of children under five years of age treated with effective anti-malarial drugs such as ACT, within one day of onset of illness.
13 IndicatorsFour indictors selected to measure progress towards the MDG /Malaria goal and targets.Malaria prevalence rateMalaria-related death rates in <5 & other population groupsProportion of children <5 and other population groups using effective preventive measuresProportion of children <5 and other population groups who receive appropriate clinical treatment for malaria.
14 Barriers to Scaling-up Implementation Lack of coordinated input to malaria controlInadequate financial recoursesInadequate national health systems for delivering essential anti-malaria commodities and effective interventions.Performance of Country Coordinating Mechanism (CCM) in moving national process forward
15 Human Resources constraints and red-tapes for timely procurement of anti-malaria drugs, nets and other essential commoditiesLack of effective commodity management systems.Lack of detail operational plans for implementation at district and community level
16 Delays in assessment of effectiveness of control interventions and development of appropriate policies.Inadequate community – based services for prevention and treatment.Delays to complete administrative and financial processes required by funding Agents such as the GFATMIn effective monitoring and evaluation systems
17 Malaria is also a great obstacle to social and economic development Peak malaria transmission coincides with planting & harvesting seasons; at a time when there is greatest need for agricultural workSubsistence farmers in Africa shoulder the heaviest burden of malaria as their productivity is severely affectedA brief of illness that delays planting or harvesting produce catastrophic effects on farmers because of their fragile way of lifeIllness is also associated with loss of earnings and high treatment costs that must be purchased by the farmer out of his own meagre cash income.