Written by Super User Category: Malaria Control in Kenya
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Overview

Vector Control is an important component of the global malaria control strategy. The roles of vector control unit are:

  1.  Selecting appropriate insecticides and treated materials.
  2.  Determining methods used for estimating annual national requirements.
  3.  Coordination of vector control efforts, technical working group and sub-committees.
  4.  Resource mobilisation of vector control interventions.

 

To have at least 80% of people living in malaria risk areas use appropriate malaria preventive interventions by 2018.

  • 1. Distribution of LLINs through appropriate channels

  • Distribution of LLINs through appropriate channels in order to achieve and sustain universal coverage. This is done through the following ways:

    • Mass distribution of LLINs after every 3 years in malaria endemic and epidemic prone regions.

    • Routine distribution of LLINs to pregnant women and children under 1 year in all malaria prone areas. The distribution should be done through antenatal care (ANC) and child welfare clinics.

    • Social marketing of subsidised LLINs at designated locations in poor neighbourhoods both in the rural and urban areas. There should also be indoor residual spraying (IRS) in the targeted areas.

    • Malaria burden reduction: The use of IRS combined with LLINs will be deployed in targeted malaria endemic areas over three consecutive years during peak transmission seasons. Institutions that include boarding schools and prisons will be sprayed.

    • Epidemic prevention and response: IRS will be conducted in epidemic-prone areas based on analysis of sentinel surveillance data. This will be done to avert impending epidemics.

    • Capacity building for IRS: This is done by providing spraying equipment, insecticides and offering training to all targeted sub-counties.

    • 2. Larval Source Management (LSM)

      Larval source management (LSM) in line with the integrated vector management (IVM) guidelines that include larviciding and environmental management will be implemented in specific locations where breeding sites are few, fixed and easy to find. The LSM capacity will be built in all the 47 counties in the country.

      3. Malaria free schools initiative

      The package of interventions for the malaria free schools initiative includes mainstreaming malaria control in the school curriculum as well as deploying IRS and LLINs in boarding schools in malaria endemic and epidemic prone areas.

      4. Prevention of malaria in pregnancy

      The use of LLINs, diagnosis and treatment of malaria in pregnancy are covered in objectives 1 and 2 respectively.

      • All pregnant women in the 14 malaria endemic counties shall receive at least 3 doses of intermittent preventive treatment in pregnancy (IPTp) with sulfadoxine-pyrimethamine (SP) at antenatal clinics (ANCs).

      • Annual quantification of SP based on the consumption rates will ensure adequate supplies.

      • Training, retraining and supervision of health staff shall be done by the National Malaria Control Programme (NMCP), partners and the counties.

      • Appropriate IPTp messages and materials will be disseminated to the public for use by pregnant mothers.

      • Community Health Volunteers (CHVs) and health workers will sensitise pregnant women on early ANC attendance to receive IPTp doses under observation.

       

    Achievements

    • Mosquito net ownership in malaria endemic and epidemic prone areas is above 91%.

    • LLIN use on children under the age of 5 years has greatly improved from 47% to 59% and pregnant women from 48% to 51% respectively.

    Challenges

    • Emergence of insecticide resistance that has limited the choice of insecticides for IRS. This stopped the use of IRS since 2013.

    • In spite of high LLINs possession, utilisation is still low.

    • Inadequate domestic investment in vector control measures. The provision of LLINs and insecticides is entirely supported by donor-funds.

    • There are no proper disposal mechanisms for used LLINs.

     


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