Ministry of National Health Services Regulations and Coordination - PowerPoint PPT Presentation

Directorate of Malaria Control Ministry of National Health Services Regulations and Coordination Government of Pakistan Dr Abdul Majeed Senior Project Officer DOMC

Malaria Burden in Pakistan Annual Parasite Incidence (API) (Year 2013) KPK 4.21 Punjab 0.1 Balochistan API is significantly higher in 7.14 the RURAL areas than in the URBAN areas Sindh 1.64 National: 1.59 Directorate of Malaria Control

Malaria Indicators 8 7 6 5 4 3 2 1 0 2001 2002 2003 2004 2005 2006 2007 2008 2009 2010 2011 2012 2013 SPR 2.99 3.01 3.00 2.81 2.66 2.78 1.71 2.77 3.49 5.46 6.98 5.92 6.18 API 0.73 0.67 0.81 0.81 0.77 0.75 0.78 0.59 0.74 1.46 1.88 1.7 1.6 BER 2.44 2.28 3.11 2.87 2.88 2.7 2.5 2.15 2.1 2.67 2.69 2.87 3.3

Province wise & year wise Confirmed Malaria cases 350000 300000 250000 Reported cases 200000 150000 100000 50000 0 Punjab Sindh KPK FATA Baluchistan AJK TOTAL 2011 19699 93306 75384 46149 84579 475 319592 2012 17522 114651 63494 30948 63733 433 290781 2013 9295 70269 98137 34116 69678 260 281755

Malaria (P.F) Trends 70.00 60.00 Poportion of Total confirmed cases 50.00 40.00 30.00 20.00 10.00 0.00 Punjab Sindh KPK FATA Balochistan AJK Total 2011 15.04 46.04 12.19 20.18 58.27 2.74 35.58 2012 6.25 30.65 9.59 13.34 44.50 2.77 25.73 2013 7.64 27.29 7.67 21.99 33.26 1.15 20.62

Pro rovinci cial l Dist istribution of f Confirmed Mala laria Cases Confirmed Malaria cases - 2013 Confirmed Malaria cases - 2014 Punjab 3% AJK 0% Baluchis Sindh SINDH tan BALUCHIS 21% 25% 25% TAN 30% FATA 12% FATA KPK 15% 34% KPK 35% Punjab has not shared data for year 2014

PF : : PV ra ratio (2 (2014) 18% PF PV 82% Punjab has not shared data for year 2014

BER & SP SPR (2 (2014) 9 8 7 6 5 8.3 4 3 2 3.2 1 0 BER SPR Punjab has not shared data for year 2014

Annual l Par arasite In Inci cidence (2 (2014) 9 8.4 8 6.9 7 6 5 4 3.2 2.6 3 2 1.1 1 0.04 0 SINDH KPK FATA BALUCHISTAN AJK TOTAL Punjab has not shared data for year 2014

SSF R – 10

Achievements • All Suspected Case tested for Malaria • All Confirmed Case treated with Anti-Malarial Drugs • Targeted Population Provided with Preventive measures • Capacity of Health care to provide enhanced to ensure rationale use of Malaria treatments • Knowledge of People about malaria improved • Un-interrupted supply of pharmaceuticals and health items • Supply of Quality products

Events carried out  Country wide Malaria Program assessment by international consultants i.e. MPR (Malaria Programmatic Review)  Malaria Indicator Survey (MIS)  National and Provincial Strategic Plans 2015 – 2020  Resource generation (2014 – 2017): Successful submission of Concept Note to TGF under New Funding Model  Un-interrupted provision of Services: Ext. of R-10 Phase-1  Establishment of Data Management units at all levels  CCM Oversight visits  OSDV & DQA

Annual Parasite Incidence 12 10.8 10 8.67 8.59 8.51 8 7.29 7.12 6 4 2 0 2009 2010 2011 2012 2013 2014 API

Epidemiological Shift 90 80 78 71.7 70 63 64 60 54 56 50 43 45 40 35 36 30 28 21 20 10 0 2009 2010 2011 2012 2013 2014 PV Pf

Annual Vivax Incidence (AVI) 7 6.23 5.69 6 5.4 4.72 5 3.9 4 3 2.57 2 1 0 2009 2010 2011 2012 2013 2014 AVI

Disease (P. Falciparum) trend 7 6.07 6 74% Reduction 5 4.68 4.54 4 3.02 3 2.44 2 1.60 1 0 2009 2010 2011 2012 2013 2014 AFI

Success Stories

Khyber Agency 9 8 7 6 5 4 7.9 3 4.8 2 3.6 1 1.3 0 2011 2012 2013 2014 Courtesy Merlin, Pakistan

Bannu 4 3.5 3 2.5 2 3.7 1.5 2.2 1 1.9 0.5 0.7 0 2011 2012 2013 2014 Courtesy Merlin, Pakistan

Lakki 1.6 1.4 1.2 1 0.8 1.4 0.6 0.4 0.7 0.4 0.2 0.3 0 2011 2012 2013 2014 Courtesy Merlin, Pakistan

Sibbi 3 2.5 2 1.5 2.3 2.1 1 1.2 0.5 0.6 0 2011 2012 2013 2014 Courtesy Merlin, Pakistan

Naseer Abad 16 14 12 10 8 14.2 6 9.3 4 2 3.5 3.1 0 2011 2012 2013 2014 Courtesy Merlin, Pakistan

Harnai 14 12 10 8 6 11.7 4 6.4 2 4.0 3.9 0 2011 2012 2013 2014 Courtesy Merlin, Pakistan

Killa Saifullah 4 3.5 3 2.5 2 3.7 1.5 1 1.6 0.5 0.7 0.3 0 2011 2012 2013 2014 Courtesy Merlin, Pakistan

Loralai 5 4.5 4 3.5 3 2.5 4.5 2 1.5 3.0 2.6 1 1.7 0.5 0 2011 2012 2013 2014 Courtesy Merlin, Pakistan

Zhob – Sherani 14 12 10 8 13.2 6 4 2 3.7 3.4 2.0 0 2011 2012 2013 2014 Courtesy Merlin, Pakistan

Nagarparkar, Tharparkar (Sindh) Year PV PF Mix Total +ve SPR 2010 1182 685 13 1880 38 2011 2343 433 21 2797 35 2012 1402 115 23 1540 29 2013 283 99 3 385 13 2014 123 16 1 140 6