Malaria Control Program Philippines · Malaria Control Program Philippines 14th EB ACTMalaria...
Transcript of Malaria Control Program Philippines · Malaria Control Program Philippines 14th EB ACTMalaria...
Malaria Control ProgramPhilippines
14th EB ACTMalaria Meeting15 17 March 201015 – 17 March 2010
Luang Prabang, LAO PDR
Philippines
58 of 80 provinces: malaria endemic
Population at risk: 12 Mp
22 provinces: maintain malaria-free* status
2– 4 outbreaks per year
* malaria-free: absence of indigenous malaria case
Morbidity Rate, 2000-2008
50000 60
40000
45000
50000
5254565860
Start of RBM Start of GF Rd2 Start of GF Rd5 Start of GF Rd 6
30000
35000
40000
es 4446485052
opul
atio
n
20000
25000
30000
alar
ia C
ase
3638404244
100,
000
Po
10000
15000
20000Ma
2830323436
Rat
e pe
r 1
0
5000
10000
2022242628
02000 2001 2002 2003 2004 2005 2006 2007 2008
Year
20
Mortality Rate, 2000-2008
500 1
400
450
500
0 8
0.9
1
300
350
400
hs 0 6
0.7
0.8
opul
atio
n
200
250
300
alar
ia D
eath
0 4
0.5
0.6
100,
000
Po
100
150
200
Ma
0 2
0.3
0.4
Rat
e pe
r 1
0
50
100
0
0.1
0.2
02000 2001 2002 2003 2004 2005 2006 2007 2008
Year
0
GEOGRAPHICAL DISTRIBUTION OF MALARIA CASES, PHILIPPINES 6 (2003 2008)
Category of Provinces
PHILIPPINES, 6 – year average (2003 – 2008)
g y
A - 5 provinces
B 27 provincesB - 27 provinces
C - 26 provinces
D - 22 provinces
Contribution to the number of cases based on the 6-year average based on the 6-year average
(2003 – 2008)
LUZON – 60.4% (31 prov)
VISAYAS – 0.1% (3 prov)
MINDANAO – 39.5% (24 prov)
Malaria Control Program & Strategic Framework:Program Direction
from control & moving towards li i ielimination
“Shrinking the malaria endemic map”g p
From malaria control to li i tielimination
Source: World Health Organization
M l i C t l PMalaria Control Program9 Provinces in pre-elimination status (API < 0.1/1000)9 Provinces in pre elimination status (API 0.1/1000)
Province APIAbra 0 01/1000Abra 0.01/1000La Union 0.01/1000Negros Oriental 0.01/1000Camarines Sur 0 02/1000Camarines Sur 0.02/1000Lanao del Norte 0.06/1000Antique 0.07/1000Pangasinan 0 08/1000Pangasinan 0.08/1000Laguna 0.08/1000Camarines Norte 0.09/1000
2009 Highlights of A li h tAccomplishments
Revised Malaria Management GuidelinesRevised Malaria Management Guidelines2009 Malaria Manual of Operation
Capability BuildingIntegrated Microscopy for Med TechsO i t ti th R i d M l i M tOrientation on the Revised Malaria Management Malaria management for Disease free zonesSupport for border malaria operationsSupport for border malaria operations
Logistic Support
P Th t 2010Program Thrust 2010
Malaria Medium Term Plan (2011 2016)Malaria Medium-Term Plan (2011 – 2016)Policies/Guidelines/MOP
R i d M G id li f M l iRevised Management Guidelines of MalariaMOP of Malaria Program
S ifi i f d iStratification of endemic areasLogistic Support (Non – GF)
DrugsVector Control: IRS, LLIN
Program Thrust 2010Capability Building
Program managementg gDiagnosis & Treatment – Integrated MicroscopyVector ControlEpidemic Management
Support to Malaria–free & Pre-elimination ppProvinces
Disease SurveillanceRapid Response
Philhealth Out-patient Packagep gAccreditation of Health facilities
UpdatesDrug Quality Monitoring- pilot sites: Palawan, Isabela, Cagayanpilot sites: Palawan, Isabela, Cagayan - Regional drug regulatory officer & malaria
coordinatorcoordinator - anti-malaria drugs collected from both
licensed & unlicensed drug outlets passedlicensed & unlicensed drug outlets passed the quality testing expansion to other sites GF consolidated- expansion to other sites – GF consolidated project
U d tUpdates
Insecticide Resistance MonitoringInsecticide Resistance MonitoringSubmitted the Workplan on IRM
Training Alumni (MMFO, BITTW, TTT)- resource persons/facilitators of local trainings
Enhanced Diagnosis of Malaria through capacity building
trained volunteer village microscopists and medicaltechnologists in targeted endemic areas
>400 barangay microscopists in areas w/out MedTechs
confirmatory diagnosis has increased significantly
turnaround time for patient treatment reduced to 24 hr
LEVEL 2 LEVEL 1LEVEL 3
CHD/PHO CHD/PHO ValidatorsValidators
RITMRITM--NRLNRLProficiency Assessment
Certification
National/ Regional
Regional Regional Accreditation Accreditation and EQA and EQA ProgramProgram
Feedback, supervisionand remedial intervention
Slides for validation
NationalNational
Regional Slide Bank World Health
Organization (WHO) Regional
ProgramProgram
RHU/CHO/hospitRHU/CHO/hospital/laboratoryal/laboratoryMicroscopistsMicroscopists
National National Core Core GroupGroupof Trainers/ of Trainers/ ValidatorsValidators
Regional Slide Bank
RHU/CHOhospital/laboratory/
Slides for validation
Feedback, supervision and remedial intervention
(NCGT) (NCGT)
((composed of NRL staff and
laboratory/BMMC microscopists
Barangay Barangay MicroscopistsMicroscopists
and CHD/PHO validators)
Basic Malaria Microscopy T i iTraining
U d tUpdates
QAS f MiQAS for Microscopy
External Competency Assessment35 malaria validators assessed by an external expert(AMRI) from Oct 2009 and March 1‐12, 2010.
/26 validators under the Level 1/ExpertMicroscopists
9 lid t d th L l 2/M l i9 validators under the Level 2/MalariaMicroscopists
Maraming Salamat !(Thank You Very Much!)