1. Dr. Irshad Ali Jokhio 1 Bismillahir Rahmanir Raheem

2. REVIEW OF SECONDARY DATA 2009, 2010,2011,2012 2 REVIEW OF SECONDARY DATA

3. Goal of GFATM Round-10 3 To reduce malaria burden by 60% in 38 highly endemic districts. These 38 districts also include 19 districts of the Global Fund Round 10

4. 4 Disease burden True indicator API - Annual Parasite Incidence. API = (confirmed cases during 1 year/population under surveillance) x 1000. Malaria

5. 5 ABER - Annual Blood Examination Rate. Calculated as (number of slides examined/population) x 100. WHO recommendation for malarious areas is that the number of slides examined per month should equal at least 1% of the population INTERVENTION ∨ IMPACTS (SPR+RDT) LLIN Distribution ∨ impacts IRS ∨ impacts Months wise trends Treatments ∨ impacts

15. SUMMARY API WISE Districts2009201020112012 ZHOB 61.329.332.39.9 GAWADAR 34.427.525.726.2 SIBI 4.411.623.917.5 NASERABAD 11.710.225.516.9 KECH 21.39.816.28.9 LAKKI 4.05.811.81.5 BANU 4.510.324.124.5 KHAIRPUR 8.712.71410.8 15

16. 16 In 2012 the case load is deceased in KPK,FATA and Baluchistan because of Increase in screen of suspected ones The effective training in microscopy leads to quality diagnosis. In time provision of treatment on national guidelines especially the ACTs. Development of community trust in public sector laboratories.

17. 17 Preventive measures taken in target districts by providing LLINs Change in behaviour of people by mobilizing them to contact centres for malaria diagnosis & treatment. While in Banu, where case load are slightly increase because of in Bannu District where heavy rain fall and most of Rice cultivation Area in KPK.

18. 18 The case load is visibly increased in 2012 in Sindh because, The heavy and devastated rains. post flood affects. There was onslaught of population from other. adjacent province during rainy season which caused increase in the cases. Intensive & harsh season of malaria in the districts. Lack of coordination between public & private. sector for malaria control interventions.

19. HOW TO IMPROVEMENTS THE SERVICES? 19 DIAGNOSIS+CLINCAL Blood examination centers RDT Centers Mortality Falciparum proportion

20. 20 Thank U