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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:
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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