Transcript Bajaur - Malaria Control Program, Directorate of Malaria Control

In the Name of Allah, The Most Merciful and Compassionate
the Most Gracious and Beneficent
BAJAUR AGENCY
Review
( May , 2013)
Mr Altafur Rehman
AFO Bajaur Agency
21th May, 2013
Map of Bajaur
Border length with Afghanistan = 65 Kilometers
Shares borders with Mohmand Agency, Malakand , Lower Dir & Afghanistan
Demography
Shares borders with Mohmand Agency, Malakand , Lower Dir & Afghanistan
Border Length
KM
Afghanistan
65 km
Malakand
30 km
Dir
60 km
Mohmand
55 km
Name of
Tehsil
Target
Population
<5 Years
Nawagai
19043
Wara Ko
Mamound
29176
Khar
46956
Utmankhel
21200
Barang
18405
Loe Mamound
29930
Salarzai
< 5 Year Population
2,23570
Chamarkand
44623
1522
Current Status of Accessibility
Salarzo
Utmankhel
Nawagai
Khar
Chamarkand
Barang
Inaccessible Areas
Accessible Areas
Tribe wise map
Utmankhel
Barang
Salarzai
Utmankhel
Mamound
Mixed
Agency Profile
Total Population
13,0000
< 5 Year Population
223,570
Number of Tehsil
8
No of Facilities
39
No of High Risk UCs
10
No of RDT Centers
19
No of Microscopy Centers
17
Total No of Sub Tehsil/
Division
2
Trend of Microscopy & RDTs Centers 2008-2013
Trend of microscopy & RDTs Centers 2008-2013
Year
2008
MC
RDT
07
0
07
04
2010
16
05
2011
16
15
2012
17
19
2013
17
19
2009
Trend of Positive cases 2008-2013
Year
2008
PF
PV
Max
Total Slide
100
2249
0
10104
2530
2091
29
20088
2010
2416
2149
42
19962
2011
2443
4420
07
33502
2012
643
3833
66
26204
2013
101
413
12
7538
2009
Trend of Positive cases 2008-2013
Malaria Microscopy Centers
Sr.
No.
Name of Centre
Functiona Reason for Non Functional
l / Non
Functiona
l
1
AHQH Khar
Yes
No
2
CH Nawagai
Yes
No
3
CHC Zoor Bander
Yes
No
4
CHC Mnadal
No
Transfer of M/S
5
CHC Qazafi
Yes
No
6
CHC Jar
No
Transfer of M/S
7
CHC Ragagan
Yes
No
8
CHC Kotki Lar sadin
Yes
No
9
CHC Derakai
Yes
No
10
RHC Pashat
Yes
No
Malaria Microscopy Centers
Sr.
No.
Name of Centre
Functiona Reason for Non Functional
l / Non
Functiona
l
11
CHC Lagarie
Yes
No
12
CHC Bilot
Yes
No
13
CHC Khari Kamar
Yes
No
14
Bajaour Scout Hospital
Yes
No
15
RHC Barang
Yes
No
16
CHC Arang
Yes
No
17
CHC Gani Ada
Yes
No
Malaria RDT Centers
Sr.
No.
Name of Centre
Functiona Reason for Non Functional
l / Non
Functiona
l
1
CD Gardai
Yes
NO
2
CHC Kolala 1
Yes
NO
3
CHC Kolala 2
Yes
NO
4
CHC Debdabu
Yes
NO
5
CHC Malangai
Yes
NO
6
CHC Mena
Yes
NO
7
CHC Inayat kalli
Yes
NO
8
CHC Loesam
Yes
NO
9
CHC Halki charmang
Yes
NO
10
CHC Hilal Khil
Yes
NO
Malaria RDT Centers
Sr.
No.
Name of Centre
Functiona Reason for Non Functional
l / Non
Functiona
l
11
CHC Sarkari Qila
Yes
NO
12
CHC Kokti Charmang
Yes
NO
13
CHC Landie
Yes
NO
14
CHC Dabar
Yes
NO
15
CHC Safari Gadamar
Yes
NO
16
CHC Tarie
Yes
NO
17
CHC Lakian
Yes
NO
18
CHC Tali
Yes
NO
19
CHC Ghakhai
Yes
NO
Trained Staff at Malaria Microscopy Centers
Sr Name of Centre
.
N
o.
Staff Trained in
Malaria Case
Management
Staff
Trained
Microscopy
Staff
Trained
MIS
1
AHQH Khar
Yes
Yes
Yes
2
CH Nawagai
Yes
Yes
Yes
3
CHC Zoor Bander
Yes
Yes
Yes
4
CHC Mnadal
Yes
Yes
Yes
5
CHC Qazafi
Yes
Yes
Yes
6
CHC Jar
Yes
Yes
Yes
7
CHC Ragagan
Yes
Yes
Yes
8
CHC Kotki Lar sadin
Yes
Yes
Yes
9
CHC Derakai
Yes
Yes
Yes
Yes
Yes
Yes
10 RHC Pashat
Trained Staff at Malaria Microscopy Centers
Sr Name of Centre
.
N
o.
Staff Trained in
Malaria Case
Management
Staff
Trained
Microscopy
Staff
Trained
MIS
11 CHC Lagarie
Yes
Yes
Yes
12 CHC Bilot
Yes
Yes
Yes
13 CHC Khari Kamar
Yes
Yes
Yes
14 Bajaour Scout Hospital
Yes
Yes
Yes
15 RHC Barang
Yes
Yes
Yes
16 CHC Arang
Yes
Yes
Yes
17 CHC Gani Ada
Yes
Yes
Yes
Trained Staff at Malaria RDT Centers
Sr Name of Centre
.
N
o.
Staff Trained in
Malaria Case
Management
Staff
Trained
RDT
Staff
Trained
MIS
1
CD Gardai
Yes
Yes
Yes
2
CHC Kolala 1
Yes
Yes
Yes
3
CHC Kolala 2
Yes
Yes
Yes
4
CHC Debdabu
Yes
Yes
Yes
5
CHC Malangai
Yes
Yes
Yes
6
CHC Mena
Yes
Yes
Yes
7
CHC Inayat kalli
Yes
Yes
Yes
8
CHC Loesam
Yes
Yes
Yes
9
CHC Halki charmang
Yes
Yes
Yes
Yes
Yes
Yes
10 CHC Hilal Khil
Trained Staff at Malaria RDT Centers
Sr Name of Centre
.
N
o.
Staff Trained in
Malaria Case
Management
Staff
Trained
RDT
Staff
Trained
MIS
11 CHC Sarkari Qila
Yes
Yes
Yes
12 CHC Kokti Charmang
Yes
Yes
Yes
13 CHC Landie
Yes
Yes
Yes
14 CHC Dabar
Yes
Yes
Yes
15 CHC Safari Gadamar
Yes
Yes
Yes
16 CHC Tarie
Yes
Yes
Yes
17 CHC Lakian
Yes
Yes
Yes
18 CHC Tali
Yes
Yes
Yes
19 CHC Ghakhai
Yes
Yes
Yes
Stock Situation at Malaria Microscopy Centers
Sr Name of Centre
.
N
o.
Chemical
s/
reagents
Slides
/pickers
Antimalarial
Drugs
1
CHC Lagarie
Supplied by ACD
Supplied by ACD
Tab
Chloroquin,premaquin,ACT,inj
Quinin,ETC
2
CHC Bilot
Supplied by ACD
Supplied by ACD
Tab
Chloroquin,premaquin,ACT,inj
Quinin,ETC
3
CHC Khari Kamar
Supplied by ACD
Supplied by ACD
Tab
Chloroquin,premaquin,ACT,inj
Quinin,ETC
4
Bajaour Scout Hospital
Supplied by ACD
Supplied by ACD
Tab
Chloroquin,premaquin,ACT,inj
Quinin,ETC
5
RHC Barang
Supplied by ACD
Supplied by ACD
Tab
Chloroquin,premaquin,ACT,inj
Quinin,ETC
6
CHC Arang
Supplied by ACD
Supplied by ACD
Tab
Chloroquin,premaquin,ACT,inj
Quinin,ETC
7
CHC Gani Ada
Supplied by ACD
Supplied by ACD
Tab
Chloroquin,premaquin,ACT,inj
Stock Situation at Malaria Microscopy Centers
Sr Name of Centre
.
N
o.
Chemical
s/
reagents
Slides
/pickers
Antimalarial
Drugs
11 AHQ Khar
Supplied by ACD
Supplied by ACD
Tab
Chloroquin,premaquin,ACT,inj
Quinin,ETC
12 CHC Nawagai
Supplied by ACD
Supplied by ACD
Tab
Chloroquin,premaquin,ACT,inj
Quinin,ETC
13 CHC Zorbander
Supplied by ACD
Supplied by ACD
Tab
Chloroquin,premaquin,ACT,inj
Quinin,ETC
14 CHC Mandal
Supplied by ACD
Supplied by ACD
Tab
Chloroquin,premaquin,ACT,inj
Quinin,ETC
15 RHC Pashat
Supplied by ACD
Supplied by ACD
Tab
Chloroquin,premaquin,ACT,inj
Quinin,ETC
16 CHC Derakai
Supplied by ACD
Supplied by ACD
Tab
Chloroquin,premaquin,ACT,inj
Quinin,ETC
17 CHC Kotki Larsadin
Supplied by ACD
Supplied by ACD
Tab
Chloroquin,premaquin,ACT,inj
Quinin,ETC
18 CHC Raghagan
Supplied by ACD
Supplied by ACD
Tab
Chloroquin,premaquin,ACT,inj
Quinin,ETC
Stock Situation at Malaria RDT Centers
Sr Name of Centre
.
N
o.
RDTs
Antimalarial Drugs
1
CD Gardai
Yes
Tab primaqen,ACTs,chloroquine,Inj Quinin ETC
2
CHC Kolala 1
Yes
Tab primaqen,ACTs,chloroquine,Inj Quinin ETC
3
CHC Kolala 2
Yes
Tab primaqen,ACTs,chloroquine,Inj Quinin ETC
4
CHC Debdabu
Yes
Tab primaqen,ACTs,chloroquine,Inj Quinin ETC
5
CHC Malangai
Yes
Tab primaqen,ACTs,chloroquine,Inj Quinin ETC
6
CHC Mena
Yes
Tab primaqen,ACTs,chloroquine,Inj Quinin ETC
7
CHC Inayat kalli
Yes
Tab primaqen,ACTs,chloroquine,Inj Quinin ETC
8
CHC Loesam
Yes
Tab primaqen,ACTs,chloroquine,Inj Quinin ETC
9
CHC Halki charmang
Yes
Tab primaqen,ACTs,chloroquine,Inj Quinin ETC
Stock Situation at Malaria RDT Centers
Sr Name of Centre
.
N
o.
RDTs
Antimalarial Drugs
11 CHC Sarkari Qila
Yes
Tab primaqen,ACTs,chloroquine,Inj Quinin ETC
12 CHC Kokti Charmang
Yes
Tab primaqen,ACTs,chloroquine,Inj Quinin ETC
13 CHC Landie
Yes
Tab primaqen,ACTs,chloroquine,Inj Quinin ETC
14 CHC Dabar
Yes
Tab primaqen,ACTs,chloroquine,Inj Quinin ETC
15 CHC Safari Gadamar
Yes
Tab primaqen,ACTs,chloroquine,Inj Quinin ETC
16 CHC Tarie
Yes
Tab primaqen,ACTs,chloroquine,Inj Quinin ETC
17 CHC Lakian
Yes
Tab primaqen,ACTs,chloroquine,Inj Quinin ETC
18 CHC Tali
Yes
Tab primaqen,ACTs,chloroquine,Inj Quinin ETC
19 CHC Ghakhai
Yes
Tab primaqen,ACTs,chloroquine,Inj Quinin ETC
Microscopy quality assurance
measures in the district
• All centers Functional
• All Microscopies were Trained
• All stock were quarterly supplied ACD
Malaria Caseload in District
Comparison between 2012&2013
PF
PV
Mixed
2012
2013
2012
2013
2012
2013
Jan
138
44
58
110
2
8
Feb
52
31
104
128
2
1
March
22
26
170
175
0
3
Total for Qtr
212
101
332
413
8
12
Update on Monthly Malaria
Coordination Meetings
Record of Minutes of meetings ( Jan, Feb, March 2013)
Compliance with decisions of Meetings ( Jan, Feb, March 2013)
• Monthly Co Ordination Meeting were Regularly
Conducting
• Record the minutes of Meeting
• Discussing the issue in its possible solution
• Record were updating and cross checking were regularly
don
Involvement of DHMT in
Distribution and Verification of
LLINs
• Active involvement of DHMT in distribution
and verification of LLINs By ACD
Involvement of DHMT in Indoor
Residual Spray
• Active involvement of DHMT in indoor
Residual Spray by ACD
• TWO FOG MACHINE MOTER CYCLE.
• MOTER CYCLE TEN.
• SUZUKI FOG ONE.
• HAND PUMP THIRTY TWO(out work)
Vector control
• 2009 LLIN 26621
• 2010 LLIN 26622
• 2012 LLIN 26600
• 2013 LLIN 32700 DISTRIBUTION ON PROCESS
•
SPRAY DETAILE
. 2006, 7735 HOUSES SPRAYED.
.2009, PAK ARMAY IN ALL THE AGENCY.
.2010, 28032 HOUSES SPRAYED.
.2011, 3056 HOUSES SPRAYED.
.2012,ALL AGENCY BY ROAD FOG SRAYED.
.2013, TRAINIG WAS GIVEN BY ACD FOUR TEAM WAS
NOMINATED.
Main Issues & Solutions
• Transfer of Microscopiest from Centers
•
Let no family suffer the loss of a mother or a child due to
preventable or treatable causes in Pakistan