annual conference on malaria report 2012/11... · presentation outline ... malaria incidence &...
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Malaria situation in Pailin, Cambodia
Naga World Hotel Phnom Penh
21-22 March 2013
Annual conference on Malaria
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Presentation Outline
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Geography
• Location: 376 km Northwest of Phnom Penh, and 86 km from Battambang Province.
• Surface : 1,097.66 km²
• Population : 70,486 persons(2012)
• Borderland : North, East and South bordering with Battambang province of Cambodia and West bordering with Chanthaburi, Thailand
• The international check-point (Prom check-point) to against to Ban Phakat check-point of Pongnamron, Chanthaburi in Thailand.
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Pailin has 1 city and 1 district, 8 Communes, 83 administrative villages and 31 annexed villages.
Health facility coverage : – 1 PHD
– 1 RH
– 6 HCs
– 114Villages= 184VHV, and 225 VMWs working in all Villages, and
– 45 farm owners with MMWs for 30 Villages
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Malaria Achievements
in Pailin
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Early Diagnosis And Treatment (EDAT)
Strengthen public health facilities providing 24H services for malaria (1 RH & 6 HCs)
Diagnose malaria by RDT at community, and by microscope at HFs
Treat malaria with recommended Anti-malaria drugs (Ex. first line for Duo-cotexcin, Malarone, and second line for Quinine & Tetra,…)
Promote private sector engagement in malaria control ( Private & Public Mixed = PPM)
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EDAT (Continued)
92 VMWs in 46 villages supported by FHI360 and other 67 villages supported by MC with 133 VMWs (New VMWs were upgraded from VHSGs in the village)
45 MMWs in 30 villages selected and trained to provide early diagnosis and treatment and also health education to mobile and migrant populations at the farms.
Rapidly Detected and treated the malaria through outreach activities by HC staffs.
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Operational research/Study
Therapeutic Efficacy Study (TES on Malaria
drugs).
Follow-up of malaria treatment with Malarone
(Pilot Project).
G6PD rapid test Study .
Entomology study, etc.
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Cross-border Activities
• Joint cross border meeting at national levels on malaria control and prevention (reference from the meeting result at Bangkok and Siem Reap).
• Joint World Malaria Day (25 April).
• Screening migrant workers at malaria post, at the border check-point.
• Cross-border meeting with Chanthaburi PHO/ Pongnamron (Twin-Cities) on malaria ( ID patient card at the border used).
• Harmonized and Joint BCC bi-lingual materials pre-testing
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10
LLIN distribution & Re-impregnation
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Tend of Treated, Severe and Death
Cases in Pailin from 2004-2012
7888
8695 8623
1454 1365 14081027
785504
282203 169 231
82 46 12
13 2115 4 1 1 2 0 0 0 00
1000
2000
3000
4000
5000
6000
7000
8000
9000
10000
2004 2005 2006 2007 2008 2009 2010 2011 2012
Tot Cases Severe Cases Death Cases
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Malaria Incidence & Mortality Rate in
Pailin from 2004-2012
( Health Facility and VMW )
158
174
147
29 23 2117
11 9
30
82 2 4
0 0 0 00
20
40
60
80
100
120
140
160
180
200
2004 2005 2006 2007 2008 2009 2010 2011 2012
Tre
ated
Cas
es/1
,000
Incidence Rate/1000 Mortality/100,000
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Parasite Species Distribution, 2011-2012
Pf 17%
Pv 74%
Mixt 9%
Pf13%
Pv74%
Mix13%
2011 2012
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Spacies Trent, 2006-2012 Pailin
0
1000
2000
3000
4000
5000
6000
7000
2006 2007 2008 2009 2010 2011 2012
PF PV MIXT
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Malaria cases for mobile and
permanent people in Pailin, 2012
583
989
165227
0
200
400
600
800
1000
1200
Mobile Permanent
Tested
Positive
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Malaria cases by age and sex
Pailin, 2012
420
251
131
18
68
17
0
50
100
150
200
250
300
0-4yr 5-14yr 15-49yr >49yr
Male
Female
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Identification of Success Factors
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1-Malaria Case Management :
Encourage malaria treatment based on parasitological
confirmation (RDT/microscope)
Ban prescribing/selling Artemisinin derivative monotherapy to
patient
Refer malaria cases from private sectors to public health
facilities and to VMWs/MMWs.
2-Prevention :
Full ITN coverage for local population,
LLIN coverage for mobile and migrant population,
Re-impregnation of existing conventional nets, IRS, ..
Health Education.
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3-Partnership
MOH/CNM
WHO
Local authorities and community volunteers
URC/CAP-Malaria
Malaria Consortium (MC)
FHI-360 and other partners
Thai counterparts.
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Institutional Development, Program Management
Development of comprehensive AOP.
Regular Supervision & Monitoring on actual implementation
(for both public and private sectors).
Supply system (Test and drugs) and Emergency response.
Quality Assurance (Q/A) of malaria microscopy.
Trainings, meetings and workshops on specific and relevant
topics to health staffs, community volunteers and all partners.
Program coordination under guidance from MoH/CNM.
Program reporting and dissemination of the results.
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Challenges •
•
•
•
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Some Activities by
photo
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Delegation of WHO and MOH Visited Phnom Dambang village (VMW)
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Delegation of WHO and MOH Visited Krochab HC
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Delegation of WHO and MOH Visited Farm owners and workers
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Delegation of WHO and MOH Visited Pharmacy store
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Pro-SWG meeting for Malaria elimination
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World Malaria Day with Thai delegation
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LLIN/LLIHN distribution in Pailin for 2012
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Supervision on LLIN/LLIHN used at the village
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Training on malaria diagosis and treatment to health staffs
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Training on Malaria diagosis and treatment to VMW/MMW
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Monthly meeting with VMWs/MMWs
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Bi-monthly meeting with VHSG (Village Health Supporting Group)
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Thank you for your attendant !