Naga World Hotel Phnom Penh 21-22 March 2013 Presentation Outline - - PowerPoint PPT Presentation

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Naga World Hotel Phnom Penh 21-22 March 2013 Presentation Outline - - PowerPoint PPT Presentation

Nov 23, 2022 524 likes •891 views

Annual conference on Malaria Malaria situation in Pailin, Cambodia Naga World Hotel Phnom Penh 21-22 March 2013 Presentation Outline Geography Location: 376 km Northwest of Phnom

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SLIDE 1

Malaria situation in Pailin, Cambodia

Naga World Hotel Phnom Penh 21-22 March 2013

Annual conference on Malaria

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SLIDE 2

Presentation Outline

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SLIDE 3

Geography

  • Location: 376 km Northwest of Phnom

Penh, and 86 km from Battambang Province.

  • Surface

: 1,097.66 km²

  • Population : 70,486 persons(2012)
  • Borderland : North, East and South

bordering with Battambang province of Cambodia and West bordering with Chanthaburi, Thailand

  • The international check-point (Prom

check-point) to against to Ban Phakat check-point of Pongnamron, Chanthaburi in Thailand.

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SLIDE 4

Pailin has 1 city and 1 district, 8 Communes, 83 administrative villages and 31 annexed villages.

 Health facility coverage :

– 1 PHD – 1 RH – 6 HCs – 114Villages= 184VHV, and 225 VMWs working in all Villages, and – 45 farm owners with MMWs for 30 Villages

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SLIDE 5

Malaria Achievements in Pailin

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SLIDE 6

Early Diagnosis And Treatment (EDAT)

  • Strengthen public health facilities providing 24H

services for malaria (1 RH & 6 HCs)

  • Diagnose malaria by RDT at community, and by

microscope at HFs

  • Treat malaria with recommended Anti-malaria drugs

(Ex. first line for Duo-cotexcin, Malarone, and second line for Quinine & Tetra,…)

  • Promote private sector engagement in malaria

control ( Private & Public Mixed = PPM)

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SLIDE 7

EDAT (Continued)

  • 92 VMWs in 46 villages supported by FHI360

and other 67 villages supported by MC with 133 VMWs (New VMWs were upgraded from VHSGs in the village)

  • 45 MMWs in 30 villages selected and trained

to provide early diagnosis and treatment and also health education to mobile and migrant populations at the farms.

  • Rapidly Detected and treated the malaria

through outreach activities by HC staffs.

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SLIDE 8

Operational research/Study

  • Therapeutic Efficacy Study (TES on Malaria

drugs).

  • Follow-up of malaria treatment with Malarone

(Pilot Project).

  • G6PD rapid test Study .
  • Entomology study, etc.
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SLIDE 9

Cross-border Activities

  • Joint cross border meeting at national levels on

malaria control and prevention (reference from the meeting result at Bangkok and Siem Reap).

  • Joint World Malaria Day (25 April).
  • Screening migrant workers at malaria post, at the

border check-point.

  • Cross-border meeting with Chanthaburi PHO/

Pongnamron (Twin-Cities) on malaria ( ID patient card at the border used).

  • Harmonized and Joint BCC bi-lingual materials pre-

testing

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SLIDE 10

10

LLIN distribution & Re-impregnation

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SLIDE 11

Tend of Treated, Severe and Death Cases in Pailin from 2004-2012

7888 8695 8623 1454 1365 1408 1027 785 504

282 203 169 231 82 46 12 13 21 15 4 1 1 2

1000 2000 3000 4000 5000 6000 7000 8000 9000 10000

2004 2005 2006 2007 2008 2009 2010 2011 2012

Tot Cases Severe Cases Death Cases

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SLIDE 12

Malaria Incidence & Mortality Rate in Pailin from 2004-2012 ( Health Facility and VMW )

158 174 147 29 23 21 17 11 9 30 8 2 2 4

20 40 60 80 100 120 140 160 180 200 2004 2005 2006 2007 2008 2009 2010 2011 2012 Treated Cases/1,000

Incidence Rate/1000 Mortality/100,000

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SLIDE 13

Parasite Species Distribution, 2011-2012

Pf 17% Pv 74% Mixt 9%

Pf 13% Pv 74% Mix 13%

2011 2012

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SLIDE 14

Spacies Trent, 2006-2012 Pailin

1000 2000 3000 4000 5000 6000 7000 2006 2007 2008 2009 2010 2011 2012

PF PV MIXT

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SLIDE 15

Malaria cases for mobile and permanent people in Pailin, 2012

583 989 165 227

200 400 600 800 1000 1200 Mobile Permanent Tested Positive

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SLIDE 16

Malaria cases by age and sex Pailin, 2012

4 20 251 13 1 18 68 17

50 100 150 200 250 300 0-4yr 5-14yr 15-49yr >49yr Male Female

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SLIDE 17

Identification of Success Factors

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SLIDE 18

1-Malaria Case Management :

  • Encourage malaria treatment based on parasitological

confirmation (RDT/microscope)

  • Ban prescribing/selling Artemisinin derivative monotherapy to

patient

  • Refer malaria cases from private sectors to public health

facilities and to VMWs/MMWs. 2-Prevention :

  • Full ITN coverage for local population,
  • LLIN coverage for mobile and migrant population,
  • Re-impregnation of existing conventional nets, IRS, ..
  • Health Education.
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SLIDE 19

3-Partnership

  • MOH/CNM
  • WHO
  • Local authorities and community volunteers
  • URC/CAP-Malaria
  • Malaria Consortium (MC)
  • FHI-360 and other partners
  • Thai counterparts.
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SLIDE 20

Institutional Development, Program Management

  • Development of comprehensive AOP.
  • Regular Supervision & Monitoring on actual implementation

(for both public and private sectors).

  • Supply system (Test and drugs) and Emergency response.
  • Quality Assurance (Q/A) of malaria microscopy.
  • Trainings, meetings and workshops on specific and relevant

topics to health staffs, community volunteers and all partners.

  • Program coordination under guidance from MoH/CNM.
  • Program reporting and dissemination of the results.
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SLIDE 21

Challenges

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SLIDE 22

Some Activities by photo

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SLIDE 23

Delegation of WHO and MOH Visited Phnom Dambang village (VMW)

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SLIDE 24

Delegation of WHO and MOH Visited Krochab HC

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SLIDE 25

Delegation of WHO and MOH Visited Farm owners and workers

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SLIDE 26

Delegation of WHO and MOH Visited Pharmacy store

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SLIDE 27

Pro-SWG meeting for Malaria elimination

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SLIDE 28

Worl rld Mala laria ria Day with Thai i dele legatio ion

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SLIDE 29

LLIN/LLIHN distribution in Pailin for 2012

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SLIDE 30

Sup upervis ision

  • n on LLI

LIN/L /LLI LIHN HN used ed at the he villa llage

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SLIDE 31

Training on malaria diagosis and treatment to health staffs

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SLIDE 32

Training on Malaria diagosis and treatment to VMW/ W/MMW

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SLIDE 33

Mont

  • nthly

hly mee eetin ting g with ith VMWs/MMWs

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SLIDE 34

Bi Bi-mo monthly meeting with VHSG (Village Health Supporting Gro roup)

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SLIDE 35

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Thank you for your attendant !