MALARIA PREVENTION In BURKINA FASO:“Land of Upright People”

Malaria in Burkina Faso (2010)

5,723,481 cases

9024 deaths

47.6% of health center consultations

59.7% of hospitalisations

46.9% of overall deaths

23% of families own at least on treated mosquito net (2009)

10% of children under 5 sleep under treated mosquito nets (2009)

Incidence of Malaria

DISTRIBUTION OF ENDEMICITY

CLINICAL BURDEN

PMI & MCHIP

Burkina is NOT a PMI focus country

MCHIP manages malaria programs

Jhpiego - MCHIP Lead (Training)

Deliver (John Snow, Inc) - Logistics & Procurement

Abt, Ass. - IRS

USAID

NMCP (MOH)

Ecole Nationale de la Sante Publique (ENSP)

Peace Corps

MCHIP Objectives

Objective 1- Improve health care providers’ knowledge and skills in integrated malaria prevention and control based on current policy, guidelines, and training materials.

Objective 2- Improve regional and district level supervisors capacity to provide integrated malaria supervision to frontline providers.

Objective 3- Develop and disseminate appropriate communication materials to improve knowledge, attitudes, and practices of two key target groups, health service providers and health facility clients, through the use of job aids and culturally appropriate posters and related materials. PEACE CORPS!!!!!!!!!!!!!!!!

Objective 4- Strengthen pre-service education; specifically, updating malaria training content and teaching methods in national nursing and/or midwifery schools.

National Malaria Control Program (NMCP)

The goal of the strategic plan is to reduce morbidity by 75% compared to 2000 and mortality to a level close to zero.1 To achieve this the following objectives have been set.

By the end of 2015, 100% of suspected malaria cases will be tested for and treated at a health facility.

By the end of 2015, 100% of pregnant women and children under 5 will receive IPT.

By the end of 2015, 100% of the population will sleep under LLINs.

By the end of 2015, 100% of the population in 4 regions will benefit from IRS.

By the end of 2015, 100% of breeding sites in the Centre and Hauts-Bassins regions will be covered by anti-larvals.

By 2015, all commodoties (RDTs, treatment medication, IPTp (SP), bednets, etc) will be available at the village level.

By the end of 2015, 80% of the populations will practice behaviors favorable to fighting malaria.

By the end of 2015, 100% of health disctricts will produce qualitity data related to malaria in all public, privite, and communitiy level facilities.

By the end of 2015, the capacity of PNLP in the management and coodination of all anti-malaria activities, interventions, and partners will be reinforced.

NMCP Con’t

Case Management

Diagnostics & Treatment

Malaria in Pregnancy

Intermittent Preventive Treatment (IPTp)

Long lasting insecticide treated bednets (LLINs)

Case Management

Vector Control

LLINs

Indoor residual spray (IRS)

Anti-Larval

Surveillance

Institutional Capacity Building

In-service training

Pre-service education

Support supervision

Communication

Monitoring and Evaluation (M & E)

Qualitity Improvement

Community Awareness

Technical Focus Strategies

Peace Corps and Malaria

PC-BF has made malaria prevention and treatment a priority by incorporating it into its “High Five” activities that every volunteer does.

The PC-BF CHAT (Community Health & AIDS Task force) committee has also been very active in marketing malaria activities to all PCVs.

Peace Corps and Malaria

Peace Corps and Malaria

PC-BF has teamed with Jhpiego to train CHAT members along with 16 health volunteers and 8 ASCs/COGES

A PCRV has been assigned to work with Jhpiego to stegthen collaboration

A cascading TOT is programed for April and May

Prevention in Burkina Faso

Mosquito Nets (LLIN)

Neem Cream

Skin Coverage

Window Screens

Indoor Residual Spray (IRS)

Prenatal Counseling

Activties/Projects

Net Distributions

Proper net usage campaigns

Neem Cream projuctions workshops (IGA)

Awareness campaigns about malaria symtoms and prevention

Student Clubs

Supply chain management assistance at clinics for medication and RDTs

NEEM CREAM

Ingredients:

1 liter of water

1 small tin of neem leaves

1 bar of hard soap (cut into small melt-able pieces)

200 cfa of buerre de karité (about 1 liter when melted) 

IN ONE VILLAGE PROJECT GENERATED AN 80,000

FCFA FOR WOMEN’S GROUP!!!!!!!

NEEM CREAM

Photo Wall

Health volunteer took photos of people properly using bed nets and printed them with the tagline “______, dort sous moustiquaire”

Over 300 photos were hung in the central health center (CSPS)

Projected funded through SPA grant