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Malaria Situation update at District Tharparker - March 2014   [Read Full Stroy] Under the guidance of Director, Directorate of Malaria Control (DOMC) Pakistan Principal (PR) Recipient, Global Fund to fight against Aids, TB and Malaria (GFATM) stringent surveillance of malaria cases is being observed in the devastated district of Tharparker, Sindh. Director, Provincial Malaria Control Program Sind has visited the district, alongwith the M&E Officer from PR unit stationed at Sind and other members. Technical team from DOMC PR unit including Epidemiologist and Entomologist are travelling to Tharparker for Epidemiological and Entomological investigation and the report will be uploaded very soon. DOMC is getting malaria cases update on daily basis from the District in order to timely respond to any potential malaria outbreak. Diagnostic facilities are being provided through microscopy and RDT centers. Adequate stock of Anti-malaria drugs and RDT has been provided to the District which is available in the targeted health facilities. Epidemiological data of the said District shows that that number of confirmed Malaria cases is less than previous year for the same time period. Malaria cases Jan-Mar 2013 Jan-Feb 2014* Pf cases 76 15 Pv cases 526 215 Mix 03 10 Total 605 240 No any hospital admission or mortality specific to the Malaria has been reported in the District this year till to date It may be noted that Malaria control interventions in Tharparker are being implemented by DOMC through GFATM support since 2009 which resulted in considerable reduction of malaria burden. DOMC as PR has established 19 Microscopy centers in the district and are fully equipped with trained microscopists and are fully function. In addition 20 RDT centers are also established which are providing quality assured diagnosis to all the suspected cases and effective treatment to all the confirmed cases. DOMC PR unit is providing Artemisinin based Combination Therapy (ACTs) to all the PF and mixed confirmed cases whereas Chloroquine and Primaquine is being given to the PV confirmed cases. PR unit has also distributed around 150,000 Long Lasting Insecticide treated bed Nets (LLINs) in the districts for prevention of malaria during the recent years. Indoor residual Spraying (IRS) has also been applied in the hot spot union councils/ facilities catchment areas. Meeting of the Project Management Unit GFATM reviewed the recent situation in District Tharpakar which has taken several lives especially children. According to current situation and especially malnutrition in this highly endemic district the population at Risk i.e. pregnant women and under five children are vulnerable to malaria, therefore the Directorate of Malaria control has established the malaria early warning cell at DOMC at NIH ChakShahzad Islamabad. For further information, please contact on: spo@dmc.gov.pk or call +92 51 9255 773 (9am to 4pm)

Malaria Control Program, Directorate of Malaria Control, Pakistan


 

Malaria Control activities are on ground since the formulation of Health Services provision fundamentals outlined in Bohr’s commission in the Sub-continent; and in Pakistan these are functional since 1950s through succession of different approaches. The most ambitious program was the Malaria Education Campaign, spearheaded by USAID since 1961. Then the global approaches was changed due to health priorities and draw backs encountered with wide spread drug and insecticide resistance. Then as a strategy WHO initiated global malaria control program aiming to reducing the malaria burden to manageable levels. Pakistan program was also directed toward control approaches through the decentralization process and other funding difficulties during post this era did not allows successful transformation of the operations.
Malaria personnel cadres were amalgamated and Malaria Control program was made a Provincial transferred subject, leveling an apical set up at the Federal level, for the purpose of policy formulation and maintaining coordination. Further the implementation responsibilities were transferred to respective district government in line with the devolution plans. In 1977 Malaria control activities were integrated with the Communicable Disease Control Selection the Provinces.
Owing the two major failures in the endemic countries control programs, in 1998, Roll Back Malaria (RBM) initiative was coordinated and started by WHO, UNICEF, UNDP and the World Bank. Pakistan being the signatory to the effect, started RBM implementation in the phased manner by earmarking 273 million from PSDP allocations for 5 years since FY 2001-02, supplemented by the provincial PC-1 allocations while 658 million have been approved for the next 5 years 2007-2012 to support provincial programs.

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Objective

Goal: To improve the health status of the Pakistani population by effectively controlling malaria through implementation of Global RBM strategies.
Overall Objective: To achieve the overall 50 % reduction in malaria related morbidity and to keep the proportion of falciparum malaria cases at <40% of all malaria cases by year 2014.
 Specific Objective (18th constitutional amendment)
1. To act as Principal Recipient for all GFATM supported health initiatives.
2. Preparation of proposal and liaising with international agencies for securing support for such partner agencies.
3. Providing technical and material resources to provinces for successful implementation of disease control strategies, and diseases surveillance.

Contact Us

Directorate of Malaria Control, Ministry of National Health Services, Regulations & Coordination

First Floor, NACP Building, Directorate of Malaria Control  NIH, Chak Shahzad, Islamabad, Pakistan.

Tel: +92 51 9255773,

Fax: +92 51 925572.