Post on 11-Aug-2020
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
Punjab0.1
Sindh1.64
Balochistan7.14
KPK4.21
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
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
0
1
2
3
4
5
6
7
8
Malaria Indicators
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
0
50000
100000
150000
200000
250000
300000
350000R
epo
rted
cas
es
Province wise & year wise Confirmed Malaria cases
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
Po
po
rtio
n o
f To
tal c
on
firm
ed
cas
es
Malaria (P.F) Trends
Provincial Distribution of Confirmed
Malaria Cases
Confirmed Malaria cases - 2013
Punjab3%
Sindh25%
KPK35%
FATA12%
Baluchistan25%
Confirmed Malaria cases - 2014
SINDH21%
KPK34%
FATA15%
BALUCHISTAN30%
AJK0%
Punjab has not shared data for year 2014
PF : PV ratio (2014)
18%
82%
PF
PV
Punjab has not shared data for year 2014
BER & SPR (2014)
3.2
8.3
0
1
2
3
4
5
6
7
8
9
BER SPR
Punjab has not shared data for year 2014
Annual Parasite Incidence (2014)
1.1
3.2
8.4
6.9
0.04
2.6
0
1
2
3
4
5
6
7
8
9
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
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
Annual Parasite Incidence
7.12
8.59
10.8
8.51 8.67
7.29
0
2
4
6
8
10
12
2009 2010 2011 2012 2013 2014
API
Epidemiological Shift
3645 43
6471.7
78
6354 56
3528
21
0
10
20
30
40
50
60
70
80
90
2009 2010 2011 2012 2013 2014
PV Pf
Annual Vivax Incidence (AVI)
2.57
3.9
4.72
5.4
6.23 5.69
0
1
2
3
4
5
6
7
2009 2010 2011 2012 2013 2014
AVI
4.54 4.68
6.07
3.02
2.44
1.60
0
1
2
3
4
5
6
7
2009 2010 2011 2012 2013 2014
AFI
74% Reduction
Disease (P. Falciparum) trend
Success Stories
Khyber Agency
3.6
1.3
7.9
4.8
0
1
2
3
4
5
6
7
8
9
2011 2012 2013 2014
Courtesy Merlin, Pakistan
Bannu
3.7
1.92.2
0.7
0
0.5
1
1.5
2
2.5
3
3.5
4
2011 2012 2013 2014
Courtesy Merlin, Pakistan
Lakki
1.4
0.7
0.40.3
0
0.2
0.4
0.6
0.8
1
1.2
1.4
1.6
2011 2012 2013 2014
Courtesy Merlin, Pakistan
Sibbi
2.32.1
1.2
0.6
0
0.5
1
1.5
2
2.5
3
2011 2012 2013 2014
Courtesy Merlin, Pakistan
Naseer Abad
14.2
9.3
3.5 3.1
0
2
4
6
8
10
12
14
16
2011 2012 2013 2014
Courtesy Merlin, Pakistan
Harnai
11.7
6.4
4.0 3.9
0
2
4
6
8
10
12
14
2011 2012 2013 2014
Courtesy Merlin, Pakistan
Killa Saifullah
3.7
1.6
0.70.3
0
0.5
1
1.5
2
2.5
3
3.5
4
2011 2012 2013 2014
Courtesy Merlin, Pakistan
Loralai
4.5
2.63.0
1.7
0
0.5
1
1.5
2
2.5
3
3.5
4
4.5
5
2011 2012 2013 2014
Courtesy Merlin, Pakistan
Zhob – Sherani
13.2
3.42.0
3.7
0
2
4
6
8
10
12
14
2011 2012 2013 2014
Courtesy Merlin, Pakistan
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)