Zambia Active Parasite Detection Campaign 2011 Welcome!!

Zambia Active Parasite Detection Campaign 2011

Welcome!!

APD 2011

• Training and participating in a household survey to measure burden of malaria through active parasite detection and subsequently treat all positive cases.

• We will spend – 1 week training, – 1 week attached to a facility and then will spend

about – 4 weeks testing and treating all individuals of all

ages in selected facilities in your district

National Malaria Strategic Plan 2006-2010

• A malaria ‘free’ Zambia

• Scaling up for impact– Focus on prevention during scale up– Improving diagnosis and care

• Effective program management

• Empowering individuals and communities

• Commitment to M&E

Priority malaria interventions

• Case management– with ACTs (Coartem©) as first line treatment

and improvements in diagnostic services using microscopy and RDTs

• Prevention– Insecticide-treated mosquito nets, now

exclusively LLINs– Indoor residual spraying (IRS) in 15 mainly

urban districts, expanding to 22+ in 2008– Prevention of malaria in pregnancy, including

IPT(SP) and ITNs

Priority malaria interventions

• Active Parasite Detection– Reduce the parasite pool: test everyone

for malaria in an identified area, and treat those who are confirmed to have the disease. If you only treat everyone who is sick you will miss asymptomatic individuals.

– Introduce better surveillance

Reminder: Targets and Goals

National Strategic Plan 2011-2015• establishing five (5) malaria-free zones by

2015

Approach: In lower malaria areas, directly target the malaria-causing parasite, the reservoir of the disease.

Background

• Zambia APD objectives:– Work with districts and local communities in areas

of ongoing malaria transmission to develop a comprehensive strategy to actively test and treat individuals with malaria parasite infections through intensified community outreach

– Indentify and train community health workers; and health facility staff in malaria parasite infection testing and treatment in their communities

– Implement a systematic active malaria parasite detection campaign strategies at the rural health center level.

– Strengthen the capacity of the NMCC and local agencies in implementation of APD.

Tools/Techniques

• Personal Digital Assistants (PDAs)– Household listing (already done)– Questionnaires

• Malaria parasite testing– Rapid Diagnostic Tests (RDTs)

PDAs / GPS

• Two critical advantages– Time saving– Highly efficient at data processing

• One important disadvantage– If the programming is not correct, BIG

potential source of error• FYI: gadgetry, importation,

available pool of PDAs, software development, lessons learned (Windows Mobile 6, VB vs. Visual CE)

Logistics

• Training: • 21 - 25 November (Sinazongwe), • 5 – 9 December (Gwembe)• Facilitated by NMCC, MACEPA, HSSP

• Field work: December, January• Teams will include:

• Gwembe District 52 CHWs and 14 HW• Sinazongwe district - 21 CHWs and 6 HWs

Research Ethics Approval

• University of Zambia

• PATH (for MACEPA)

• Consent for participation

Sensitization

• MoH, CSO, partners

• MoH Province Districts facilities CHW chiefs/headmen communities

• Community radio stations