Progress and challenges towards malaria         control in Afghanistan         Najibullah Safi, MD, MSc. HPM, DMPPM       ...
Presentation outline•    Introduction•    Malaria risk in Afghanistan•    Malaria control•    Challenges•    Prospects for...
Introduction• Malaria transmission mostly occurred at the altitude  of less 2000m above the sea level• In Afghanistan, tra...
Risk of malaria transmission in AfghanistanApril 7/2013      Scientific Seminar on Malaria Control   4
Malaria control• Public Sector:       –   Basic Package of Health Services (BPHS)       –   Health post       –   Sub-cent...
Malaria control cont.• Integrated approach for malaria control through  general health services which includes:       –   ...
Trend of Vivax malaria 2002-2012April 7/2013            Scientific Seminar on Malaria Control   7
Trend of Falciparum malaria 2002-2012April 7/2013          Scientific Seminar on Malaria Control   8
Confirmed Vs. Clinical malaria 2002-2012April 7/2013         Scientific Seminar on Malaria Control   9
Factors contributed to malaria control• Financial support from Global Fund and other Donors• Close collaboration and suppo...
Key challenges• Service delivery (diagnosis and treatment)• Vector control• Issues related to health system       –   Lack...
Prospect for malaria control and elimination• The prospect for continued effectiveness in malaria control  and elimination...
April 7/2013   Scientific Seminar on Malaria Control   13
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Malaria situation and progress towards malaria control

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Malaria situation and progress towards malaria control

  1. 1. Progress and challenges towards malaria control in Afghanistan Najibullah Safi, MD, MSc. HPM, DMPPM NPO/PHC, WHO – Afghanistan
  2. 2. Presentation outline• Introduction• Malaria risk in Afghanistan• Malaria control• Challenges• Prospects for malaria control and eliminationApril 7/2013 Scientific Seminar on Malaria Control 2
  3. 3. Introduction• Malaria transmission mostly occurred at the altitude of less 2000m above the sea level• In Afghanistan, transmission of malaria is relatively low and unstable• Almost half of the population live in malaria endemic areas• Main species PV (95%) & PF (5%)• Malaria control remain a challenge despite significant resource allocationApril 7/2013 Scientific Seminar on Malaria Control 3
  4. 4. Risk of malaria transmission in AfghanistanApril 7/2013 Scientific Seminar on Malaria Control 4
  5. 5. Malaria control• Public Sector: – Basic Package of Health Services (BPHS) – Health post – Sub-center Clinical Malaria – Basic health center – Comprehensive health center Confirmed Malaria – District hospital – Essential Package of Hospital Services (EPHS)• Private sectorApril 7/2013 Scientific Seminar on Malaria Control 5
  6. 6. Malaria control cont.• Integrated approach for malaria control through general health services which includes: – Prompt and effective diagnosis and treatment – Integrated vector control – Surveillance (HMIS & DEWS) and control of epidemics – Information, Education and Communication – Health system strengthening and capacity buildingApril 7/2013 Scientific Seminar on Malaria Control 6
  7. 7. Trend of Vivax malaria 2002-2012April 7/2013 Scientific Seminar on Malaria Control 7
  8. 8. Trend of Falciparum malaria 2002-2012April 7/2013 Scientific Seminar on Malaria Control 8
  9. 9. Confirmed Vs. Clinical malaria 2002-2012April 7/2013 Scientific Seminar on Malaria Control 9
  10. 10. Factors contributed to malaria control• Financial support from Global Fund and other Donors• Close collaboration and support from partners• Political commitmentApril 7/2013 Scientific Seminar on Malaria Control 10
  11. 11. Key challenges• Service delivery (diagnosis and treatment)• Vector control• Issues related to health system – Lack of motivation – Coordination among stakeholders – Absence of lab facility in BHC – Unregulated private sector & wide practice of self medication• Poor absorption capacity and bureaucratic procedures• Poor cross border collaboration• Sustainability of the program• Scio-political stabilityApril 7/2013 Scientific Seminar on Malaria Control 11
  12. 12. Prospect for malaria control and elimination• The prospect for continued effectiveness in malaria control and elimination is far from assured although effective tools exist to perform the taskApril 7/2013 Scientific Seminar on Malaria Control 12
  13. 13. April 7/2013 Scientific Seminar on Malaria Control 13
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