malariaInnovative approaches to protecting the vulnerable.
Malaria in the DRC
Malaria remains a worldwide problem, particularly in sub-Saharan Africa where 90% of cases and 92% of deaths occur (WHO). Although the global number of cases has nearly halved since 2000, there were still 214 million cases and 438,000 deaths in 2015. In the same year, DRC saw an estimated 19 million cases and 42,000 deaths, contributing to nearly 10% of the world totals (World Malaria Report 2015). More than two-thirds of these deaths occurred in children less than five years of age.
IMA works to reduce morbidity and mortality via ASSP’s two primary malaria prevention interventions: provision of long-lasting insecticidal nets (LLINs) via hang-ups and its Routine Distribution program in health centers, and intermittent preventative treatment in pregnancy (IPTp). ASSP also strives to reinforce the technical capacities and managerial skills of health zone management teams to improve malaria performance.
Both health system and interpersonal factors influence the uptake of the project’s primary malaria prevention interventions. First, many areas lack access to nets and medication due to stock-outs, prohibitive distances between health facilities and villages, and general poverty. Within facilities, staff may lack access to effective diagnostics as well as to treatment supplies for those cases they do identify. Secondly, even where households have access, they may not seek out the interventions due to lack of knowledge, confusion, or myths. Data further demonstrates that households with LLINs may not use them regularly or as intended, perhaps re-directing them for fishing or other purposes.
2.29 million nets have been distributed through our routine and mass bed net distribution programs.
Our Approach to eliminating malaria in the drc
ASSP strives to reduce malaria-related morbidity and mortality among pregnant women and young children, a key strategy for improving primary health care. Specifically, ASSP seeks to:
- Distribute more than 1.1 million LLINs to pregnant women and children under one year of age, achieving 85% population coverage
- Increase the number of pregnant women receiving at least two rounds of IPTp to 85%
- Reinforce the technical capacities and managerial skills of health zone management teams to improve malaria performance.
intermittent preventative therapy
More than 1.6 million women have received two doses of IPTp for malaria during pregnancy in all assisted health zones, reaching 88 percent coverage in year six.
ASSP achieved success in helping pregnant women access IPTp, an average of 71% of pregnant women took two or more doses of IPT through project-supported health facilities throughout the project, preventing thousands of malaria cases.
Routine Bed Net distributions
971,407 pregnant women, 60 percent, and children under one, 40 percent, received free nets from their local health centers as part of our routine distribution program in all 52 assisted health zones.
MASS bed net distributions
1.3 million nets were distributed and hung up in 456,000 households through our Hang Up mass distribution campaigns in Kasai and Nord Ubangi Provinces.
IMA’s mobile tracking initiative (HUT program) measured the LLIN coverage following the first mass LLIN distribution in a target health zone. The mobile technology initiative continues to expand, with 7,000 community volunteers now trained on using Android cell phones for data collection.
ASSP’s technical team created a malaria dashboard for the DHIS2 system that summarizes key indicators related to testing, treatment, and prevention. This will make it easier for health zone and other officials to collect, analyze, and respond to malaria data routinely and effectively.
1,603,010 pregnant women received two doses of intermittent preventative treatment in pregnancy.
ASSP distributed 2.29 million long-lasting insecticide-treated bed nets.
More than 7,000 community volunteers were trained on using Android cell phones for data collection.
ASSP’s technical team created a malaria dashboard for the DHIS2 system that summarizes key indicators related to testing, treatment, and prevention.
IMA DRC Kasai Bed Net Distribution
Each point on the map represents one of the 13,321 households where we installed nets in Nyanga, DRC.
Click on a point to see a picture of the recipient and/or the nets installed.