Integrated Malaria Control Program
Country of Operation
- Concern WorldwideFor-profit
- The International Rescue CommitteeNot-for-profit
- Ministry of Health RwandaGovernment
SummaryThe Integrated Malaria Control Program is collaborating with health management teams and three international private voluntary organizations (PVOS) to provide guidance, training and medications. The program seeks to reduce malarial infections amongst poor and marginalized populations.
The overall goal of the program is to pilot-test the ability of community health workers to provide front-line anti-malarial treatment in rural community settings. Specific objectives include increasig the proportion of children under 5 years of age with uncomplicated malaria who received correct treatment from a trained provider within 24 hours of the onset of symptoms to 60% as per the Rwandan Target; demonstrating that community health workers can appropriately use simple case management guidelines for children under 5 with fever; and increasing caregivers’ awareness of the danger signs of malaria in children.
Key program components
The Ministry of Health recommended two major strategies to lessen the burden of malaria: 1) the use of insecticide-treated bednets for prevention, particularly among vulnerable groups including pregnant women and children under 5; and 2) early diagnosis and treatment with combination therapy amodiaquine and sulfdoxine/pyrimethamine. To improve compliance, the Ministry of Health has arranged for blister packets containing a complete course of treatment to be made avail-able at a subsidized price of 20 cents (US). To address the related problems of high malaria mortality and low use of health facilities, the program has collaborated with the Ministry of Health’s National Malaria Control Program to authorized the distribution of first-line antimalarial medication by community health workers. The National Malaria Control program has decided to implement the policy in a few districts initially, and has chosen sites that benefit from child survival support from organizations including Concern, IRC, and World Relief (Kibilizi Health District in Butare Province with Concern Worldwide, Kirehe Health District in Kibungo Province with IRC, Kibogora Health District in Cyangugu Province with World Relief). Later, the program extended the pilot to all health centers in the three health districts of Kibilizi, Kirehe and Kibogora. Major successes include training community health workers to treat pneumonia in children at its first warning signs, launching the program in two new districts, and using the drug artesunate-combination Coartem® for malaria treatment. Further steps have been taken toward integrating home-based management of fever with Community Integrated Management of Childhood Illness (C-IMCI) and into the overall Community Health structure of the Ministry of Heath.
The Rwanda National Integrated Malaria Control Program collaborated with health management teams and three international private voluntary organizations (PVOs) – Concern Worldwide, The International Rescue Committee, and World Relief – to implement a pilot program for community-based distribution of antima-larial medication in Kibilizi, Kiboga, and Kirehe districts. The program was funded by the CORE Group, the U.S. Agency for International Development (USAID), and the Global Fund to Fight AIDS, Tuberculosis, and Malaria (GFATM).