FOURTH INTERCOUNTRY MEETING OF NATIONAL MALARIA PROGRAMME MANAGERS IN ISFAHAN, ISLAMIC REPUBLIC OF I

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FOURTH INTER-COUNTRY MEETING OF NATIONAL MALARIA
PROGRAMME MANAGERS IN ISFAHAN, ISLAMIC REPUBLIC
OF IRAN FROM 25th TO 28th MAY 2004
PRESENTATION ON MALARIA SITUATION AND THE
PROGRESS MADE IN RBM IMPLEMENTATION, PREPARED BY
SPLM SECRETARIAT OF HEALTH IN SOUTHERN SUDAN
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Southern Sudan Regional Boundaries with
estimated population accessed by OLS
Upper Nile
Total Pop 1,192,617 Target Pop 206,323
Bahr el Ghazal
Total Pop 2,316,254 Target Pop 463,251
Lakes
Jonglei
Total Pop 1,358,337 Target Pop 234,992
Total Pop 671,034 Target Pop 116,089
Western Equatoria
Total Pop 846,770 Target Pop 146,962
Eastern Equatoria
Total Pop 1,285,224 Target Pop 222,343
Total 7,666,793 Target 1,389,364
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MALARIA SITUATION IN SOUTHERN SUDAN

• Malaria is hyper endemic with some areas
  (Equatoria) of holoendemic (prennial/stable
  transmission)
• Essentially due to P. falciparum (90) and P.
  vivax (8)
• Vector responsible for transmission is Anopheles
  Aranbeinsis and A. funestus
• Risk groups are under five children and pregnant
  women
• 74 of the population in endemic areas are at
  risk for malaria
• 27 of OPD attendance is due to clinical malaria
• Data on confirmed malaria cases and deaths are
  limited

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CONTINUATION OF MALARIA SITUATION

• Malaria epidemics are common due to climatic
  changes and movement of non-immune people from
  areas of low to high endemicity.
• 40 of CQ and 16 SP treatment failure rates were
  documented from the studies conducted in five
  places of South Sudan (Lui, Mapel, Lankien,
  Kajo-Keji and Akeum)
• 30 of under five children are sleeping under bed
  net

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SUSPECTED CLINICAL CASES OF MALARIA REPORTED BY
REGION/YEAR IN SOUTHERN SUDAN
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MALARIA MORBIDITY AND MORTALITY AT SIX HOSPITALS
IN SOUTHERN SUDAN IN 2003
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MALARIA ADMISSIONS IN LUI HOSPITAL of (Mundri
county) 2003
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MALARIA ADMISSIONS TO MAPEL HOSPITAL 2003
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MALARIA ADMISSION TO YAMBIO HOSPITAL
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MAJOR PROGRESS MADE IN THE IMPLEMENTATION OF RBM
PROGRAMME IN SOUTHERN SUDAN

• Strengthening RBM partnership with SPLM
  Secretariat of Health UNICEF, NGOs and donors
• Initiating the process of AMD policy change by
  conducting a review workshop for the partners at
  Nairobi level
• and three advocacy training on ACT for the NGOs
  and county health departments in Equatoria,
  Bahr-al Ghazal and Lakes/Upper Nile
• Developing a draft document of national ITN
  policy and strategy for Southern Sudan
• Standardization and expansion of monitoring AMD
  efficacy in Southern Sudan

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CONSTRAINTS OF RBM IMPLEMENTATION IN SOUTHER SUDAN

• No regular budget for RBM programme in Southern
  Sudan
• No emergency supplies for investigation and
  response during malaria epidemics
• Logistic problems in Southern Sudan
• Lack of baseline data for malaria in Southern
  Sudan
• Building RBM partnership for 60 SPLM County
  health departments in Southern Sudan where only
  six in place
• Absence of private sector for RBM partnership in
  Southern Sudan