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MALARIA CONTROL PROGRAMME: ROLL BACK MALARIA INITIATIVE Draft National Strategic Action Plan for ITN Promotion and implementation 2004-2008 (Pakistan) PROGRAMME GOAL AND OBJECTIVE To reduce the burden of malaria by 50 percent by the year 2010 RBM Implementation all over the country by 2006

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malaria control programme roll back malaria initiative
MALARIA CONTROL PROGRAMME:ROLL BACK MALARIA INITIATIVE

Draft National Strategic Action Plan for ITN Promotion and implementation 2004-2008 (Pakistan)

programme goal and objective
PROGRAMME GOAL AND OBJECTIVE
  • To reduce the burden of malaria by 50 percent by the year 2010
  • RBM Implementation all over the country by 2006
  • Integration of Malaria, leishmaniasis and other vector borne diseases.
elements of national rbm strategy
ELEMENTS OF NATIONAL RBM STRATEGY
  • Strengthened health sector capacity
  • Early detection and prompt treatment o malaria cases
  • Multiple prevention measures including ITNs
  • Detection and control of malaria epidemics
  • Operational research
  • Viable partnerships
slide5

Malaria Occurrence by district

More than 3.5

1.6 – 3.5

0.5 – 1.5

Less than 0.5

No data available

malaria control programme pakistan annual parasite incidence 1000 population api 1000 in 2002
Malaria Control Programme - PakistanAnnual Parasite Incidence/1000 population (API/1000) in 2002
slide11

1960

Gilgit

Recent outbreak in Kurram

Agency, 2001

Bannu

1986

D.I. Khan

D.G.Khan

Quetta

Sibi

Multan

1973

1998

Lehri

Jacobabad

2001

Lesbela

Recent Outbreak

C.L.occurrence areas and years when reported

itn implementation
ITN IMPLEMENTATION

VISION

54% of the Households in the highly endemic districts would have at least one ITN by the year 2008

GOAL

To reduce malaria and leishmaniasis burden in Pakistan using ITNs as a key intervention

OVERALL OBJECTIVE

Increase use of ITNs by all household members in the target areas.

slide14
Cont..

OUTCOME

1. 54% of households in the 23 endemic districts with RBM components in place will have at least one ITN by the end of 2008 by adopting and implementing effective strategies.

2. 50% of nets used by the households are effectively re-treated with insecticides by the end of 2008.

itn experiences in pakistan
ITN EXPERIENCES IN PAKISTAN

Research Trials

  • Two WHO/TDR supported ITN Operation research projects (1998-99) clearly suggest:
    • ITN reduce the morbidity significantly especially in children below 5 Years and acceptance is high.
    • Public-Private partnership is a viable option to promote the use of ITNs
slide16
Cont/…

Implementation

  • Public-Private Partnership

- DOMC with its NGO partners has successfully implemented 29,000 ITNs in flood affected districts (2002)

- DOMC with its partners will implement 180,000 ITNs over the next two years in 11 selected districts

slide17
Cont/…
  • Non Government Organizations:

Health Net International (1993-2003) an NGO has implemented approximately 20,000 ITNs in cyclone affected areas in addition to implementation of ITNs in Afghan refugee camps in Pakistan.

programme partners
Programme Partners
  • Technical Assistance

WHO, HNI, ASD

  • Financial Assistance

Federal & Provincial PC-Is, WHO & GFATM. In addition DFID and USAID have also shown interest.

  • Implementation

Provincial Directorates and NGOs (HNI, Greenstar-SMP, NRSP)

challenges
Challenges
  • Affordable and accessible ITNs
  • Non-availability of well defined operations and mechanisms for ITN availability, promotion, distribution, re-treatment and monitoring & evaluation
  • Clear decision on LLN use
slide20
Cont/…
  • Limited financial assistance
  • Low purchasing power
  • Social acceptability (behavioral change) due to insufficient awareness
  • Lack of operational research
  • Involvement of Commercial Sector and more NGOs
what next
WHAT NEXT ?
  • Rreview, refine, make consensus, finalization and endorsement of National ITN Strategic Action Plan
  • Operationalization of ITN strategy
  • Initiation of ITN implementation through GFATM