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

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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


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Directorate of Malaria Control Ministry of National Health Services Regulations and Coordination Government of Pakistan

Dr Abdul Majeed Senior Project Officer DOMC

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Malaria Burden in Pakistan

Punjab 0.1 Sindh 1.64

Balochistan 7.14

KPK 4.21

Annual Parasite Incidence (API) (Year 2013)

API is significantly higher in the RURAL areas than in the URBAN areas

Directorate of Malaria Control

National: 1.59

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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

1 2 3 4 5 6 7 8

Malaria Indicators

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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

50000 100000 150000 200000 250000 300000 350000

Reported cases

Province wise & year wise Confirmed Malaria cases

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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 0.00 10.00 20.00 30.00 40.00 50.00 60.00 70.00 Poportion of Total confirmed cases

Malaria (P.F) Trends

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Pro rovinci cial l Dist istribution of f Confirmed Mala laria Cases

Confirmed Malaria cases - 2013

Punjab 3% Sindh 25% KPK 35% FATA 12% Baluchis tan 25%

Confirmed Malaria cases - 2014

SINDH 21% KPK 34% FATA 15% BALUCHIS TAN 30% AJK 0%

Punjab has not shared data for year 2014

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PF : : PV ra ratio (2 (2014)

18% 82%

PF PV Punjab has not shared data for year 2014

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BER & SP SPR (2 (2014)

3.2 8.3 1 2 3 4 5 6 7 8 9 BER SPR

Punjab has not shared data for year 2014

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Annual l Par arasite In Inci cidence (2 (2014)

1.1 3.2 8.4 6.9 0.04 2.6 1 2 3 4 5 6 7 8 9

SINDH KPK FATA BALUCHISTAN AJK TOTAL

Punjab has not shared data for year 2014

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SSF R – 10

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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
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  • 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

Events carried out

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Annual Parasite Incidence

7.12 8.59 10.8 8.51 8.67 7.29

2 4 6 8 10 12

2009 2010 2011 2012 2013 2014 API

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Epidemiological Shift

36 45 43 64 71.7 78 63 54 56 35 28 21

10 20 30 40 50 60 70 80 90 2009 2010 2011 2012 2013 2014

PV Pf

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Annual Vivax Incidence (AVI)

2.57 3.9 4.72 5.4 6.23 5.69 1 2 3 4 5 6 7

2009 2010 2011 2012 2013 2014

AVI

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4.54 4.68 6.07 3.02 2.44 1.60 1 2 3 4 5 6 7 2009 2010 2011 2012 2013 2014

AFI

74% Reduction

Disease (P. Falciparum) trend

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Success Stories

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Khyber Agency

3.6 1.3 7.9 4.8 1 2 3 4 5 6 7 8 9 2011 2012 2013 2014

Courtesy Merlin, Pakistan

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Bannu

3.7 1.9 2.2 0.7 0.5 1 1.5 2 2.5 3 3.5 4 2011 2012 2013 2014

Courtesy Merlin, Pakistan

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Lakki

1.4 0.7 0.4 0.3 0.2 0.4 0.6 0.8 1 1.2 1.4 1.6 2011 2012 2013 2014

Courtesy Merlin, Pakistan

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Sibbi

2.3 2.1 1.2 0.6 0.5 1 1.5 2 2.5 3 2011 2012 2013 2014

Courtesy Merlin, Pakistan

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Naseer Abad

14.2 9.3 3.5 3.1 2 4 6 8 10 12 14 16 2011 2012 2013 2014

Courtesy Merlin, Pakistan

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Harnai

11.7 6.4 4.0 3.9 2 4 6 8 10 12 14 2011 2012 2013 2014

Courtesy Merlin, Pakistan

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Killa Saifullah

3.7 1.6 0.7 0.3 0.5 1 1.5 2 2.5 3 3.5 4 2011 2012 2013 2014

Courtesy Merlin, Pakistan

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Loralai

4.5 2.6 3.0 1.7 0.5 1 1.5 2 2.5 3 3.5 4 4.5 5 2011 2012 2013 2014

Courtesy Merlin, Pakistan

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Zhob – Sherani

13.2 3.4 2.0 3.7 2 4 6 8 10 12 14 2011 2012 2013 2014

Courtesy Merlin, Pakistan

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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

Nagarparkar, Tharparkar (Sindh)

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