Regional initiative to sustain country achievement SEAR Krongthong Thimasarn Regional Adviser, Malaria World Health Organization Regional Office for South- East Asia, New Delhi - PowerPoint PPT Presentation

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Regional initiative to sustain country achievement SEAR Krongthong Thimasarn Regional Adviser, Malaria World Health Organization Regional Office for South- East Asia, New Delhi

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Title: Regional initiative to sustain country achievement SEAR Krongthong Thimasarn Regional Adviser, Malaria World Health Organization Regional Office for South- East Asia, New Delhi


1
Regional initiative to sustain country
achievement SEAR Krongthong Thimasarn Regional
Adviser, Malaria World Health Organization Region
al Office for South- East Asia, New Delhi
2
Malaria trends in the SEA Region are disturbing
  • Huge size of population at risk (252m of Pf,
    1347m of Pv)
  • Highly unstable, dynamic and great diversity of
    malaria epidemiology
  • Affected by socio-ecological changes
  • P. falciparum increasing
  • now about 50 of all cases
  • Drug resistance to P. falciparum spreading
  • Emergence of ACT tolerant strain Pf in Mekong
    region
  • Outbreaks frequent and widespread

3
Malaria trends in the SEA Region are
disturbing(cont)
  • Underreporting of cases/deaths
  • Treatment by private sector (80)
  • Irrational use of drugs
  • 4 high burden countries
  • India
  • Indonesia
  • Bangladesh
  • Myanmar

4
Malaria Endemicity in SEA Region, 2007
5
Country categorization in Asia-Pacific
Source World Malaria Report 2008. Geneva, World
Health Organization, 2008.
6
Classification of SEAR countries according to its
broad status of malaria control GMAP
  • High disease burden countries to scale-up key
    interventions (Bangladesh, India, Indonesia,
    Myanmar and Timor Leste)
  • The present coverage of ITN/LLIN, ACT is low
  • Moderate burden countries to sustain achievement
    (Bhutan, Nepal and Thailand)
  • Low transmission aim for malaria elimination
    (DPR Korea and Sri Lanka)
  • Malaria free Maldives
  • India, Indonesia, Bangladesh are 3 of 5
    countries in the world having largest population

7
The Revised Malaria Control Strategy for SEAR
2006-2010 endorsed by 60th Regional Committee
  • Broad strategies
  • Reform approaches to programme planning and
    management
  • Revamp surveillance and strengthen monitoring and
    evaluation
  • Scale up coverage and proper use of ITN/LLIN
  • Target interventions to risk groups
  • Scale up control of P.vivax malaria

8
The Revised Malaria Control Strategy for SEAR
2006-2010
  • Guiding principles
  • Emphasis on ecological, environmental and
    behavioral determinants
  • Revamping surveillance and strengthening
    monitoring evaluation
  • Improving programme planning and management
  • Multi-sectoral involvement

9
Approaches to sustain achievements
  • 1) to scale-up/maintain high coverage of key
    interventions
  • 2) to strengthen capacity of national malaria
    control programmes at country and district levels
  • 3) to maintain high level political commitment
    and donor contribution
  • 4) to maintain awareness of community
  • 5) to prevent outbreaks through strengthening
    surveillance (Integrated disease surveillance)

10
Approaches to sustain achievements (cont)
  • To scale-up / maintain high coverage of key
    interventions
  • based on area stratification and identification
    of pop at risk
  • Diagnosis and treatment (RDT ACT)
  • To strengthen public-private partnership
  • Strengthen capacity of non-health and private
    sectors in deploying RDT and ACT
  • Promote production of RDT establish QC system
  • Subsidized prized RDT ACT for private sector
  • To implement integrated vector management (IVM)
    through multisectoral approach
  • ITN/LLIN at least 80 coverage (target of 60
    in 2010)
  • To give free or highly subsidized ITN/LLIN (need
    support from donors)
  • IRS in high risk areas epidemics

11
Approaches to sustain achievements (cont)
  • To strengthen capacity of national malaria
    control programmes at country and district levels
  • Support regional/national training to building
    cadres of malaria staff to replace malaria
    veterans
  • Develop training curriculum, guidelines and work
    with medical colleges
  • Promote multisectoral approach and building up
    partnership with non-health sectors

12
Approaches to sustain achievements (cont)
  • To maintain high level political commitment and
    donor contribution
  • Advocate malaria in all forums
  • To maintain awareness of community
  • Promote malaria campaign
  • Identify potential groups in community
  • IEC - BCC
  • To prevent outbreaks through strengthening
    Surveillance (Integrated disease surveillance)
  • Health system strengthening
  • To integrate malaria with healthy public policies

13
Way forward
  • Slow decline of malaria morbidity and mortality
    reported from countries (2000-2007)
  • Sharp increase in coverage of interventions over
    the past 2-3 years
  • ITN/LLIN coverage increased from 3 to 14 (still
    too low)
  • IRS coverage increased from 22 to 35
  • (large size of and hard-to-reach Pop at risk are
    main obstacles)
  • All SEAR countries with Pf adopted ACT and are
    up-scaling coverage
  • WHO at all levels committed to provide technical
    support to Member states in order to reach
    targets and maintain acheivements

14
Thank you
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