The National Malaria Control Programme of BENIN Roll Back Malaria in BENIN

1
The National Malaria Control Programme of
BENIN Roll Back Malaria in BENIN 

• Dr. Dorothée. KINDE-GAZARD,
• Coordonnatrice
• Nairobi, November 2001

2
THE MAP OF BENIN

• The surrounding countries West TOGO
• 
  East NIGERIA
• 
  North NIGER
• 
  North West BURKINA-FASO
• Area 112 642 Km2
• Population 6,1 millions habitants.

3
THE MAP OF BENIN

• Regions 6 regions
• Climate 24C 29C
• Seasons North - 1 Dry season
• - 1 Raining season
• South - 2 Dry seasons
• - 2 Raining seasons

4
THE MAP OF BENIN
 

•  

5
MALARIA IN BENIN

• EPIDEDMIOLOGY (Morbidity)
• 1- Simple Malaria
• Incidence rate
• child lt 1 year 437o
• child 1- 5 year 219o
• mean 120 o
• Case number 719.597
• 2- Severe Malaria
• Incidence rate
• child lt 1 year 14,5o
• child 1- 5 year 8,4o
• mean 2,9 o
• Case number 17.569
• 3-Plasmodium Falciparum is the main speces

6
MALARIA IN BENIN

• EPIDEDMIOLOGY (Mortality)
• 1- Mortality rate
• child lt 5year 129o
• 2-Fatality ratio
• child lt 5 year 3,6o

7
MALARIA IN BENINOBJECTIVES AND STRATEGIES

• OBJECTIVES
• 1- Reduce at least 30 the morbidity due to
  malaria by 2005
• 2- Reduce at least 30 the mortality due to
  malaria by 2005DF

8
MALARIA IN BENINOBJECTIVES AND STRATEGIES

• STRATEGIES Case management
• 1- Rapid diagnostic
• 2- Prompt access to correct, affordable and
  appropriate treatment within 24 hours
• 3- Reference of complicated cases
• STRATEGIES Prophylaxis
• 1- Chemoprophylaxis of pregnant women
• 2- Vector control by the protetive measures such
  as bed net and ITM

9
MALARIA IN BENINOBJECTIVES AND STRATEGIES

• STRATEGIES Epidemiological monitoring
• 1- Mapping the response of P. falciparum to
  chloroquin in 6 regions.
• 2- Efficacity 85
• STRATEGIES Research
• 1- Strengthen the research capacity
• 2- Promote the traditionnal herbal practice

10
MALARIA IN BENIN Major Activities

• 1- Inspection Phase
• Analyse of malaria situation (may 2000)
• RBM Database collected (may-jun 2001)
• Rapid assessment of communauty based activities
  against malaria (aout 2001)
• 2- Implementation Phase
• Sentinel surveillance in sanitary zone
• Established supports of malaria database
  collected
• Training of health workers
• Operational research

11
COORDINATION, PARTHNERSHIP AND HEALTH SYSTEM
DEVELOPMENT

• Monthly meeting of parthners (WHO, UNICEF, WB,
  USAID,FAC, PNUD,PSI)
• Exchange of pieces of news
• Harmonisation of the points of views

12
DISEASE MANAGEMENT

• General agreement on the treatment of cases
  RBM/PMCI
• Training book on treatment RBM/PMCI
• Technical guide for fever treatment on the way
  RBM/ PMCI

13
DISEASE PREVENTION

• Creation of Insecticide bed net workshop
• Creation of seventy six (76) impregnated
  insecticide bed net centrers

14
IEC/SOCIAL MOBILIZATION/EVIDENCE BASED ACTIONS

• National agreement on communauty based programm
  of health
• The task of the media in the in RBM initiative
• The task of NOGs

15
PATHNERSHIP WITH NGO

• N M P of BENIN is a vertical programm
• N G O ARE IN COMMUNAUTY
• I E C activities
• Insecticid bed net promotion
• Feeding of bed net
• Child survey

16
PATHNERSHIP WITH NGO

• International NGO
• AFRICARE PROLIPO in south
• PROSAF in north
• PSI marketing social
• PLAN INTERNATIONAL
• Belgique
• France

17
PATHNERSHIP WITH NGO

• PROLIPO Integration heath programm in
• One district level
• Implematation of I M C I
• Training health workers in I M
  C I
• PROSAF Safe motherhood programm and
• Child survey
• Communauty based activities

18
PERSPECTIVES

• DECENTRALISED PROGRAMM TO DISTRCT LEVEL
• STRENGHTEN PATHNERSHIP
• COMMUNAUTY BASED TREATMENT WITH CHLOROQUIN
• PROMOTE CHEMOPROPHYLAXIS OF PREGNANT WOMEN
• REDUCE THE OF

19
THANK YOU- MERCI
ROLL BACK MALARIA IN BENIN