Malaria LLIN SEP 2006

8/8/2019 Malaria LLIN SEP 2006

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THIKA DISTRICT PROFILE

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GEOGRAPHICAL SETTINGS.THIKA district is one of the seven districts that form central province. It was curved out

of the larger Kiambu and Muranga districts in 1995. It lies between latitude 3 53 and 1 45south of equator and longitudes 36 35 and 37 and 25 east. It borders Nairobi city to the

south, Maragwa district to the north and machakos district to the east. The district has

1960.2km. It is divided into six administrative divisions with Ruiru being the largest andGatundu south being the smallest. It has four constituencies namely: Juja, Gatanga,

Gatundu south and Gatundu north.

AREA AND ADMINISRTATIVE UNITS BY DIVISION

DIVISION AREA

(KMS)

LOCATIONS SUBLOCATIONS

THIKA MUNICIPALITY 220.2 2 7

KAKUZI 481.2 4 12

GATANGA 251.1 4 17

KAMWANGI (GATUNDUNORTH)

289.0 4 23

GATUNDU SOUTH 192.1 4 23

RUIRU 526.6 2 7

TOTAL 1960.2 20 89

1.2 CLIMATE AND SOCIAL ECONOMICThe most important aspect of climate which plays a leading role in the use of land is rain-

fall the district is divided into two climatic regions, with the area which borders Kiambu,

some parts of Murang`a and Nairobi having enough rainfall while the area borderingMachakos and some parts of Murang`a having very little rainfall and thus its mostly dry.

There are two rainy seasons with long rains spanning from march-may and short rains

from Oct-Nov. The district is relatively hot.Most people in the district are mainly small-scale farmers growing coffee and tea. Thika

district harbours Thika town, which is one of the major industrialized town in Kenya with

several processing industries. There are few civil servants and business people staying intown, casual labourers in the urban areas constitute to a big percentage because of the

many industries /factories in the town. Thika and Ruiru municipalities have various

manufacturing industries.

The district has a comparatively good primary school enrolment of 83% and 21.1%secondary school being 3rd best in the province as far as enrolment is concerned.

Teacher pupil ratio is 1:32 and for secondary school 1:18.

Almost half of Thika residents need more than an hour to get to nearest dispensary.

70.9% have safe sanitation and 60% of them have clean water to drink

POPULATION SIZE AND DISTRIBUTION:

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THIKA DISTRICT POPULATION PROJECTIONS

DIVISION 1999 POP 2000 POP 2001 POP 2002 POP 2003 POP 2004 POP 2005 POP

GATANGA 103048 103872 104703 105541 106385 107236 108094

GATUNDU 113699 114609 115525 116450 117381 118320 119267

KAKUZI 71622 72195 72773 73355 73942 74533 75129

KAMWANGI 99460 100256 101058 101866 102681 103503 104331

MUNICIPALITY 107174 108031 108896 109767 110645 111530 112422

RUIRU 150710 151916 153131 154356 155591 156836 158090

TOTALS 645713 650879 656086 661334 666625 671958 677334

DISTRICT OBJECTIVESMALARIA OBJECTIVES

BROAD OBJECTIVE

To reduce Malaria morbidity and mortality in children under five years old , byprotecting them with LLIN.

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SPECIFIC OBJECTIVES

1. Reduce malaria morbidity from 24.1% to 23%2. Reach at least 61.1% of the 118,191 population of children below 5 years in Thikadistrict.

3. Create more awareness of the community on malaria prevention and control.

4. Scale up other on going activities of malaria control and prevention in Thika

district.

Activities planned Stakeholders meeting

Training of supervisors, divisional coordinators, distributors and

volunteers.

Social mobilization

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LLIN distribution

TRAINING Programme

Training objectives

Prepare District and Divisional coordinators for LLIN distribution

1. Describe roles of different participants

2. To review and Discuss the strategies to be used to avoid leakages duringdistribution

3. To discuss the social mobilization strategies.

4. Monitoring and evaluationThe training of coordinators, team supervisors and health worker in distribution team

was done in Thika municipality on 23 /09/2006 where by allocation of teams and posts toman was done.

The facilitators were DHMT members who were trained in Maragua district on22/09/06.Volunteers were trained in respective divisions by coordinators and team supervisors

24/09/06.

PERSONNEL RECRUITMENT AND PARTICIPATION

The DPHO held a meeting with all members of the DHMT where they were informed

about LLIN distribution campaign.

ParticipationThe four District coordinator were the DPHO, DMOH, DPHN and DHEO .

Divisional coordinatorsAll the 6 Divisional public health officers were the Divisional coordinators. They also

coordinated the entire social mobilisation in the divisions

VolunteersThe volunteers were recruited from the individual Divisions by the divisional

coordinators, the criteria used was that one was either a community health worker, or

assistant chief working in the same division.

Mostly GoK drivers were used to shift nets from one post to another and also to drivecoordinators and supervisors in respective areas.

Assistant chiefs helped to control the crowd and also for mobilisation.

Team organisation

Every Team had 3 volunteers and a health worker who identified the under five andassessed health needs e.g. malnutrition, immunisation of the child

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Every post was managed by one health worker who identified age of the child, one

volunteer controlled the crowd, tallying and inking and one for social mobilisation.Every team filled the tally sheet on daily basis, and submitted the same to the data

manager at the district level.

Every morning a review meeting was held by the coordinators and the supervisors.

MONITORING AND EVALUATIONTally sheets and Warehouse stock sheets were filled daily by the distribution team as the

exercise was going on.

Summary sheets were filled by the divisional coordinator daily and submitted to the datamanager through the supervisors and district coordinators.

Review meetings were held by supervisors, coordinators and national coordinator every

morning before setting off for the day.Supervision and consultations were carried out to identify the grey areas to facilitate

creation of mobile posts in each division.A Checklist was used to assess organization of the posts and abnormalities werecorrected accordingly.

LLIN DISTRIBUTION AND MANAGEMENT

Thika district received 72,000(1800 bales each had 40nets) from3/09/06- 09/09/06 andthey were stored in 4 regional depots.

Positioning to the distribution posts began on 18/09/06-24/09/06

Distribution began from 25/09/06-27/09/06 and by the third day 70400 nets were

distributed and the remainder was redistributed to the divisions and all were distributedon 28/09/06.

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THE TABLE BELOW SHOWS MALARIA INCIDENCE IN THE

DISTIRICT 2006DIVISION JAN FEB MAR APR MAY JUN JUL AUG TOTAL

GATANGA 2879 2994 2948 2115 3108 3048 4174 3774 2504

GATUNDU 2228 2277 2404 2040 2660 2174 3325 2399 1950

KAKUZI2469 2423 2420 2226 2606 2606 2585 1197 1853

KAMWANGI 2718 2497 2623 1665 2505 3542 4087 2232 2186

MUNI CI P ALI TY 4125 3135 4322 3760 4981 4223 4601 3988 3313RUI RU 1708 1835 2437 2264 3860 3366 3131 2814 2141

TOTALS

1612

7

1516

1

1715

4

1407

0

1972

0

1895

9

2190

3

1640

4

139,49

LLINS DISTRIBUTION 2006 PER DIVISIONDAY ONE DAY TWO DAY

THREE

DAY

FOUR

TOTALS

GATANGA 4300 3889 1811 400 10400

MUNICIPALITY 2766 3895 7259 400 14320

KAMWANGI 3858 5289 1853 360 11360KAKUZI 4808 4717 4835 0 14360

RUIRU 2619 3672 4349 400 11040

GATUNDU 3950 5510 1020 40 10520

TOTAL 22301 26972 21127 1600 72000

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Challenges

Break down of vehicles

Distance covered by the guardians and the children was long

The supply of the nets was inadequate to reach all the under fives in the district

Some posts were overwhelmed by the number of the under five in need of nets

Pregnant women also wanted nets

Population outside target age

Lack of IEC materials

LESSONS LEARNED

People like free things

There is need for more LLIN to cover the 40% of target population left out

RECOMMEDATIONS National level should ensure availability of resources 2 weeks before campaign

IEC Materials should be available for campaigns. Thika district to be considered for more LLIN to cover the 40% left out.

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Malaria LLIN SEP 2006

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