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War on Malaria: I like the idea but HOW are they gonna do it?

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10:21 am
February 16, 2009


marty.sperow

Member

posts 99

I'd like to know more about the “detailed strategy and action plan. New equipment and supplies are being purchased.”

http://www.scoop.co.nz/stories/WO0902/S00285.htm

Friday, 13 February 2009, 4:11 pm
Press Release: AusAID

MEDIA RELEASE DATE 13 February 2009

Solomon Islands And Australia Work Together To Eliminate Malaria

Solomon Islands and Vanuatu are leading members of a new regional network to eliminate malaria launched in Australia this week. The Asia Pacific Malaria Elimination Network (APMEN) brings together the 10 countries in the region which have committed themselves to eliminating malaria from within their borders.

Solomon Islands has set itself challenging goals to tackle malaria. These include ending malaria-related deaths and reducing parasite incidence by 65%. It also aims to eliminate malaria in Temotu Province by 2014 and then progressively in all other provinces to create a malaria-free Solomon Islands.

Professor Sir Richard Feachem, Chair of the Australian Government-supported Malaria Reference Group, is visiting Honiara this week to review progress on malaria elimination efforts in the Solomon Islands. Sir Richard is a former head of the Global Fund to Fight HIV, Malaria and Tuberculosis.

“Solomon Islands and Vanuatu are at the forefront of the battle to create a malaria-free Melanesia” said Sir Richard yesterday following a meeting with Deputy Prime Minister Fred Fono and Minister for Health and Medical Services, Johnson Koli.

“The work in Solomon Islands is off to a good start” said Sir Richard. “The Ministry of Health and Medical Services has developed a detailed strategy and action plan. New equipment and supplies are being purchased. And in Temotu we have conducted the largest survey of malaria ever undertaken in Solomon Islands in collaboration with the Australian Army Malaria Institute.”

Albino Bobogare, Director of the Ministry’s Vector Borne Disease Control Unit said “Solomon Islands is now poised to implement the action phase of the program which will eliminate malaria from Temotu Province and greatly reduce it in all other provinces.”

Acting Australian High Commissioner Alison Duncan welcomed the close collaboration between Australia and Solomon Islands on this important initiative. “Australia has committed A$14 million from 2007 to 2011 to assist Solomon Islands to implement the Malaria Action Plan. This includes a strong management and technical team based in the University of Queensland in Brisbane and on the ground assistance in Solomon Islands.” The funds to support malaria elimination have been made available by AusAID, the Japanese International Cooperation Agency, WHO and the Global Fund.

ENDS

7:21 pm
February 16, 2009


Rob Wood

Member

Sydney

posts 52

Yup, a little light on the details….

I know the UN was getting excited about those Malaria proof mosquito nets a while back, but I don't see that it would eradicate anything…

10:50 am
April 24, 2009


marty.sperow

Member

posts 99

Still waiting on the answer to my original question… Meanwhile Zambia seems to be taking control.   I don't see why this wouldn't work in the Solomons too. 

http://www.emaxhealth.com/2/39/30591/malaria-deaths-decline-zambia.html

Malaria Deaths Decline In Zambia

Malaria deaths reported from health facilities in Zambia have declined by 66%. This result along with other supporting data indicates that Zambia has reached the 2010 Roll Back Malaria target of a more than 50% reduction in malaria mortality compared to 2000. On World Malaria Day, celebrated on 25 April, Zambia's efforts will be promoted as a model for other countries to follow. Rwanda, United Republic of Tanzania, and Sao Tome and Principe are the other African countries who have achieved major reductions in malaria mortality through accelerated malaria control activities.

The decline in Zambia was especially steep after 3.6 million long-lasting insecticidal nets were distributed between 2006 and 2008. During this period malaria deaths declined 47% and nationwide surveys showed parasite prevalence declined 53% from 21.8% to 10.2% and the percentage of children with severe anaemia declined 68% from 13.3% to 4.3%. Most moderate and severe anaemia in children is caused by malaria.

“This is a remarkable achievement and a tribute to the hard work and commitment of the Ministry of Health of Zambia and its partners to combat malaria,” said Dr Luis Gomes Sambo, WHO Regional Director for Africa. “As we celebrate World Malaria Day this week, I urge all countries affected by malaria to intensify and sustain malaria control and elimination efforts in order to meet the 2010 goal of 100% coverage.”

WHO, with the support of the Global Fund to fight AIDS, Tuberculosis and Malaria, has been collaborating with health ministries over the last two years to evaluate impact from accelerated malaria control activities.

Malaria control activities accelerated

Accelerated malaria control activities started in Zambia in 2003 when approximately 500 000 insecticide-treated nets were distributed and artemisinin-based combination therapy (ACT) started in seven pilot districts through a grant from the Global Fund.

Since then, the Ministry of Health of Zambia has further expanded malaria control activities with grants worth US$ 120 million from the Global Fund and support from partners including the President's Malaria Initiative (PMI), the Malaria Control and Evaluation Partnership in Africa (MACEPA) and the World Bank Booster Program for Malaria Control in Africa.

“The Global Fund is pleased to see proof that malaria control resources provided by the Ministry of Health, the Global Fund, and other partners are resulting in a dramatic reduction of preventable deaths,” said Dr Michel Kazatchkine, Executive Director of the Global Fund, which provides two thirds of all resources for malaria control worldwide. “Zambia stands as an example of what we can achieve throughout Africa through the combination of universal access to bednets and effective malaria medicines,” he said.

Increasing coverage

By 2006-2007, large amounts of insecticide-treated nets and ACT were distributed and indoor residual spraying was taking place in 15 of 72 districts in Zambia. During 2006 and 2007 insecticide-treated nets were distributed to the general population rather than only children and pregnant women, who were the primary beneficiaries in earlier campaigns.

Mr Kapembwa Simbao, Minister of Health for Zambia said the Government of Zambia is committed to increasing coverage of key malaria control interventions and reducing the burden of malaria throughout the country.

“We will endeavour to continue to build on progress made and ensure that malaria control is addressed as part of a health systems strengthening effort to ensure that ACTs will reach all persons with suspected malaria thereby ensuring universal coverage,” he said.

In countries with moderate and low transmission malaria, it appears that the Roll Back Malaria target of a more than 75% reduction is within reach several years before 2015. Aggressive malaria control measures as in Zambia may enable African countries to make rapid progress towards the Millennium Development Goals target of reducing child mortality by two thirds by 2015.

Source:
World Health Organization

8:09 am
April 25, 2009


marty.sperow

Member

posts 99

Happy World Malaria Day!

http://www.rbm.who.int/worldmalariaday/


11:03 am
May 21, 2009


marty.sperow

Member

posts 99

Aha.  Finally some answers (in red below).

http://www.islandsbusiness.com/news/index_dynamic/containerNameToReplace=MiddleMiddle/focusModuleID=130/focusContentID=15210/tableName=mediaRelease/overideSkinName=newsArticle-full.tpl

Big funding boost for war on malaria in Solomon Island

Article from the Solomon Star: website,: http://solomonstarnews.com

Wed, 20 May 2009

Solomon Islands Ministry of Health and Medical Services (MHMS) welcomes the increasing momentum being demonstrated by its key partners towards the shared goal of eliminating malaria by 2020.

Permanent Secretary Dr Lester Ross announced that over 2009-2011, an increment of $210 million is planned to be invested in malaria control, and ultimately elimination.

The announcement comes at the end of the recent visit to Isabel Province by Professor Sir Richard Feachem, Chair of the Malaria Reference Group (MRG) of the Pacific Malaria Initiative.

 “Together with funding contributed by the national government, the Australian Agency for International Development (AusAID) and The Global Fund to Fight AIDS, Tuberculosis and Malaria (Global Fund) will be contributing significant resources over this time,” Dr Ross said.

“A good proportion of this new funding will support wide-scale, whole of population coverage of a package of key interventions for preventing malaria.

“These include Long Lasting Insecticide Treated Nets (LLINs), targeted indoor residual spraying (IRS), the introduction of rapid diagnostic tests to ensure prompt, accurate diagnosis at the community level, and new, highly effective anti-malarial treatments”.

Albino Bobagare, Manager of the National Vector Borne Disease Control Programme (VBDCP) and a member of the MRG, added: “Most importantly, this Global Fund and AusAID funding is being added to the Government’s own malaria funding and managed through one national malaria control and elimination strategy and work plan.”

“This ensures that we manage this funding with long term capacity building and eliminating malaria in mind, rather than operating separate mini projects,” he said.

The Ministry of Health says it is commited to ensuring that the enhanced resources for malaria also strengthen national and provincial health service management, and the capacity of primary care facilities to deliver a wide range of primary care services.

“Replacing fragmented, vertical projects with a strengthened, integrated, and well functioning national health care system is our goal,” Dr Ross said.

 He said malaria featured prominently on the agenda of the National Health Conference and the Joint Annual Performance Review of the health sector.

This was held from May 11 to 14.

Recommendations from these meetings will be taken forward by the ministry during 2009, reinforcing the Government’s commitment to improving the health of all Solomon Islanders through the delivery of better preventive and curative health services.

Two key partners helping the ministry to achieve its goals for improved health service delivery, malaria control and, ultimately, malaria elimination are the Secretariat of the Pacific Community (SPC) and the Pacific Malaria Initiative Support Centre (PacMISC).
SPC is responsible for the day to day management of funding being contributed by the Global Fund for malaria control while PacMISC, located at the University of Queensland, coordinates and manages AusAID-funded technical assistance to the National VBDCP.

“SPC’s establishment, in early 2009, of its first national Pacific Islands office, in Honiara, provides a unique opportunity to ensure that the malaria grant from the Global Fund supports fully the shared commitment of funding one national malaria programme within the framework of improving overall health services delivery” Mia Rimon, SPC’s Solomon Island spokesperson, said.

SPC performs the role of “Principal Recipient” of all Global Fund financing that will be provided to the Solomon Islands over the next three years, including a new pool of funding for tuberculosis control and a broader health systems strengthening focus.

 “SPC’s growing financial and strategic support to the Solomon Islands has been formalised through a Joint Country Strategy that defines key areas of focus, collaboration and mutual accountability for the next five years.

“Importantly, from a Solomon Islander’s perspective, the Joint Country Strategy sets priorities for action that the Solomon Islands themselves have set,” said Dr Jimmie Rodgers, Director General of SPC.

Senda Fifii of the Ministry of Foreign Affairs said: “The Joint Country Strategy is a welcome approach.”

 “It signals one of the first times that a funding and technical support partner has taken the government’s Medium Term Development Strategy as the basis for defining how they will work with us to achieve planned and jointly agreed outcomes”.

Mr Fifii said the funding partnership with AusAID and SPC is critical to turning the tide against malaria in the Solomon Islands.

“And our implementation arrangements already show strong signs of strengthened implementation arrangements beyond the Government sector.

“SPC’s focus on supporting the Solomon Islands to build bridges between Government, civil society, faith based organisations and the private sector will, we believe, ensure that this tide is fully turned,” Mr Fifii said.

The Secretariat of the Pacific Community (SPC) (www.spc.int/php) is an international organisation that provides technical and policy advice and assistance, training and research services to its Pacific Island members.

It works in a wide range of sectors, including natural resources (agriculture, fisheries and forestry), health, statistics, human development, information and communication technology and social issues. SPC was established in 1947.

It has 26 member countries and territories and its working languages are English and French.

The organisation has been expanding rapidly and now has approximately 350 staff and a total annual budget of XPF (French Pacific francs) 4.9 billion (approximately USD 60 million).

The mission of SPC’s Public Health Division is to maximise the development potential of Pacific Island people in health, culture and information and enhance the empowerment of women and young people.

The Global Fund to Fight AIDS, Tuberculosis and Malaria (www.theglobalfund.org) is a unique global public/private partnership dedicated to attracting and disbursing additional resources to prevent and treat HIV and AIDS, tuberculosis and malaria.

This partnership between governments, civil society, the private sector and affected communities represents a new approach to international health financing.

The Global Fund works in close collaboration with other bilateral and multilateral organizations to supplement existing efforts dealing with the three diseases.

At the end of 2008, Global Fund-supported programs are estimated to have averted more than 2.5 million deaths by providing AIDS treatment for 2 million people, anti-tuberculosis treatment for 4.6 million people, and by distributing 70 million insecticide-treated bed nets for the prevention of malaria worldwide.

The Global Fund has so far approved funding in 140 countries worth US$ 15.1 billion.

The Malaria Reference Group (MRG) was established to provide high level strategic advice on initiative development and effectiveness during the lifetime of the Pacific Malaria Initiative (http://pacmisc.net/pacmisc/about.asp).

The MRG consists of a small group of highly regarded international malaria experts with complementary expertise. Professor Sir Richard Feachem, former Executive Director of the Global Fund, chairs the MRG.

The MRG is a core component of AusAID’s quality assurance strategy for the Pacific Malaria Initiative.

It meets once a year to review the proposed strategies for malaria control and elimination in Vanuatu and the Solomon Islands, and provide proactive support to address programme implementation and sustainability challenges.

6:22 pm
July 27, 2009


marty.sperow

Member

posts 99

http://solomonstarnews.com/index.php?option=com_content&task=view&id=10385&change=71&changeown=78&Itemid=26

Temotu launches war against Malaria

Monday, 27 July 2009

THE Malaria Elimination initiative that aims to get rid of Malaria in Temotu Province by 2014 was officially launched in Lata, Temotu Province, last Friday.

Temotu is the first province to have undertaken the elimination programme, which commenced last year.

Minister of Health and Medical Services Clay Forau, Permanent Secretary Dr Lester Ross, Director of Pacific Malaria Initiative Support Centre (PacMISC) Dr Andrew Vallely, staff of National Vector Borne Disease Control Programme and WHO representative Dr Ken Chen and JICA representative Hiroto Kobayashi travelled to Lata to attend the launching ceremony. 

The launching also coincided with World Malaria Day celebration at the provincial headquarters.

World Malaria Day falls annually on 25 April, however, the province commemorated the event with the launching.
When launching the programme, Minister Forau noted that Malaria has been a challenge to the county’s socio-economic development for years.

Mr Forau added that Malaria touches every aspect of people’s lives as well as all components of the health.
“Malaria touches every aspect of peoples’ lives as well as all components of the health system and structure,” he said.     

The minister said the Elimination of Malaria is a priority program of the Ministry of Health and is also in line with the Millennium Development Goals, which Solomon Islands has signed.

Mr Forau added that socio-economic development such as tourism will emerge if Malaria is eliminated. He told the people of Temotu that elimination is a fight that needs collaboration from all levels. Mr Forau urged the people of Temotu Province to take ownership of the program and make full use of bed nets, rapid diagnostic test, the new anti-malarial medicine ‘Coartem’ and residual spray.

The malaria elimination programme aims to have 100 percent of the provincial population utilising Long Lasting Insecticide-treated bed nets, and comprehensive coverage of indoor residual spraying in villages with high-level transmission of malaria and the introduction of rapid diagnostic tests.

Along with these measures, is the rational use of the new anti-malarial medicine ‘Coartem’ and improved diagnostic coverage.

Director of Temotu Province Medical Services and Chairman of the Malaria Elimination Committee Dr Chris Becha said this year’s world Malaria Day theme “Counting Malaria Out” aims to focus the attention of key stakeholders or the need to redouble the efforts to control and ultimately eliminate malaria.

Dr Becha said his committee which was established early this year is purposely to drive the effort of eliminating malaria in the province.

Deputy Premier of Temotu Province, Noel Keniano said the Malaria Elimination Programme will be implemented through out the province with exception probably for Anuta and Tikopia islands which have no Anopheles mosquitos.

He said the elimination programme is a challenge for peole of the province and urged his people to work together to fight for a Malaria Free Temotu Province so that people are free to do economic activities and live a healthy live.
Speech and Drama competitions and feasting concluded the launching ceremony.

Solomon Islands and Vanuatu have the highest documented incidence of Malaria in the Asia Pacific Region. The Program is funded by AusAID through the Pacific Malaria Initiative Support Centre (PacMISC).

PacMISC is part of a $25 million AusAID commitment to intensified malaria control and progressive elimination in the South-West Pacific.

Other partners are The Global Fund, The world Health Organisation (WHO) and JICA which provide technical assistance towards the programme.

Temotu Province is expected to be certified as malaria-free by 2014.

By MARY KIVO

6:32 pm
July 27, 2009


Rob Wood

Member

Sydney

posts 52

Seems a little ambitious using only nets and spray??

I actually knew a guy who worked for the company that makes those nets in Japan. The stats for their effectiveness was very good, but I don't think it was 100%


2:09 pm
July 28, 2009


marty.sperow

Member

posts 99

Very ambitious.  Treated nets and spraying seemed to work very well in Zambia (plus I wouldn't know what else could be done except what they do e.g. in Honduras: Eliminating unnecessary pooling of water e.g. in old tires).  But eliminating Malaria 100% requires flawless execution and diligent cooperation by the public. 

Another question:  Has 100% elimination ever been realized anywhere else?

If Temoku Province pulls this off, they will have every reason to be a proud example to the rest of the region and beyond.

7:20 pm
July 28, 2009


Rob Wood

Member

Sydney

posts 52

I sense a sceptic!

To be honest, I just don't see that it could be done. Worth trying, but…


8:53 am
July 29, 2009


marty.sperow

Member

posts 99

Well, if Honduras can pull off their fight for democracy (I'll start believing it when elections are held in November), anything is possible, including Temotu Province becoming malaria-free.

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