Malaria Control Efforts in Kenya Malaria is the leading cause of morbidity and mortality in Kenya. It accounts for 15% of all outpatient attendances (DHIS 2015). The most vulnerable group to malaria infections are pregnant women and children under 5 years of age. To address the severe burden of malaria in Kenya , Ministry of Health has prioritized malaria control through the Kenya Heath Sector Strategic and investment Plan (KHSSP) 2014-2018 and mandated the National Malaria Control Program (NMCP) to coordinate the implementation of the National Malaria Strategy. In collaboration with partners, the government also developed the 8-year Kenyan National Malaria Strategy (KNMS) 2009-2017 which was launched in November 2009 and reviewed in 2013.
1. To have at least 80% of people living in malaria risk areas using appropriate malaria preventive interventions by 2017. 2. To have 100% of all suspected malaria cases presenting to a health provider managed according to the national malaria treatment guidelines by 2017: 3. To ensure that 100% of the malaria epidemic prone and seasonal transmission sub counties have the capacity to detect and timely respond to malaria epidemics by 2017. 4. Ensure that all malaria indicators are routinely monitored, reported and evaluated in all counties by 2017: 5. To increase utilization of all malaria control interventions by communities in Kenya to at least 80 % by 2017. 6. To improve capacity in coordination, leadership, governance and resource mobilization at all levels towards achievement of the malaria program objectives by 2017
Case Management: This approach deals with the formulation and implementation of malaria treatment policy issues. It is intended to guarantee all people access to quick and effective treatment, to significantly reduce illness and death from malaria. The specific issues addressed under this approach include drug policy and management, pharmacovigilance, drug quality testing and therapeutic efficacy testing.
Management of malaria and Anaemia in Pregnancy (MIP): The approach addresses the provision of malaria prevention measures and treatment of pregnant women. These include provision of Insecticide Treated Bednets and Intermittent Preventive Treatment (IPT).
Vector control: This approach's intention is to ensure use of insecticide treated nets by at risk communities, to significantly reduce rates of the disease and other methods through Integrated Vector Management.
Epidemic Preparedness and Response (EPR): This approach is intended to improve epidemic preparedness and response by establishment of malaria early warning systems and carrying out preventive measures such as the Indoor Residue Spraying (IRS) campaigns.
In addition to the four strategic approaches, the NMS outlines two vital cross cutting strategies required to support the above strategic approaches , namely:
Advocacy Communication and Socio mobilization: This strategy is to better arm the public with malaria preventive and treatment knowledge. It is also intended to inform all partners involved so that there is uniformity in the messages disseminated to the communities.
Surveillance Monitoring and Evaluation and Operational Research (SMEOR): Monitoring, evaluation and research approach is used to constantly update and upgrade control strategies. The approach is used to provide reliable information on progress in controlling malaria.