This document outlines a health education program on malaria control in Nepal. It begins with an introduction to malaria, describing it as a disease caused by Plasmodium parasites and transmitted via mosquito bites. Current data on malaria endemic regions in Nepal is provided, showing approximately 13 million people live in at-risk areas. The program goals and objectives aim to educate communities on transmission prevention through proper bed net use. Specific sessions will cover malaria basics, bed net importance and types, targeting at-risk groups. Knowledge and practices will be evaluated through surveys to measure the program's impact on prevention.

1. HEALTH EDUCATION PROGRAMME
ON MALARIA CONTROL

2. INTRODUCTION
• The term malaria originates from Italian word:
''mala aria'‘ which means "bad air“
• A protozoal disease caused by infection with
parasites of the genus Plasmodium
• Transmitted to man by infected female Anopheles
mosquito
• Disease under international surveillance

3. Current scenario of malaria in
Nepal
• Based on the micro‐stratification report 2013,
approximately 13.02 million population (47.9%) live
in malaria endemic areas (VDCS)
• Out of which ~1 million (3.62%) live in high risk
VDCs, 2.66 million (9.8%) live in moderate risk
VDCs, and 9.38 million(34.52%) live in low risk
VDCs.
• A total population of 14.13 (52.1%) is estimated to
live in VDCs where there is no malaria transmission

4. Malaria micro‐stratification
• Map below clearly shows the different clusters
of VDC’s at different risk of malaria

5. • The government committed to a malaria free
Nepal by 2025. The number of confirmed
malaria cases dropped from 1,674 in 2070/71 to
991 in 2072/73. Although the proportion of
Plasmodium falciparum infections decreased to
16.3 percent from 20.3 percent in the previous
year, the proportion is still high, which may be
due to the high number of imported P.
falciparum cases

6. Species prevalent in Nepal
• Two kinds of spesis , falciparum and Vivax were found in various
places. Of them, 80 per cent patients were detected with Vivax and
20 per cent with Falciparum malaria. The death rate is high in the
Falciparum type of malaria.
No Malaria deaths have been recorded after 2012 till da
te.

7. • Goal: To improve health status of malaria risk
population of endemic district.
• General Objective:
To increase the use of bed nets during
sleeping time to prevent malaria.

8. Specific objectives:
At the end of Health Education Program:
• 90% participants will be able to list mode of
transmission of malaria(K)
• 90% participants will be able to explain the
importance of using bed net (K)
• 80% participants will be able to differentiate the
ordinary bed nets and LLINs (K)
• 60% participants will adopt any types of bed nets
based on their needs or capacities (P)

9. Contents of HE session
• Introduction of malaria
• Mode of transmission of malaria
• Importance of using bed nets
• Various types of available bed nets
• Difference between ordinary net and LLINs

10. Target Audience:
Mothers group members
Male farmers group members
Community forest users groups
Female Community Health Volunteers
(FCHVs)

11. HE Methods :
• Brainstorming
• Lecture
• Group Discussion
• Demonstration
HE media/Materials:
• Flip chart: How to use bed net properly & life
cycle of mosquitoes
• Posters /Pamphlets relating to importance of
using bed nets
• Multimedia: LCD, Lap-Top
• Materials for demonstration (Plain bed net and
LLIBN net)

12. Human and other resources plan:
• Health educators team from TU, UCMS , BPH
students
• District Public Health Officer and District
Supervisors from DHO of that district
• Local health facilities' staffs
• Local INGOs /NGOs and staffs
• Transportation will be managed from college
• Budget and other necessary materials will be
made available from EDCD.

13. H.E Topic Target groups Methods and
Media
Resource
person
Location Date and
duration of
session
• Introduction of
malaria and its
mode of
transmission
 FCHVs
 Mothers
groups
members
 Male farmers
groups
member
 Forest
consumer’s
groups
 Brain storming
 Lecture
 Group
discussion
 Flip chart &
poster
 Multimedia
 BPH
students
 Local
HWs
 Nearer
governmen
t school
courtyard
15th March,
2014,
(20 minutes)
 Importance of
using bed net
 Same as
above
 Same as above  Same as
above
 Same as
above
15th March,
2014,
(20 minutes)
 Discussion and Q/A session at the end of health education session of 1st day 20 minutes
 Various types of
bed net
available at
market
 Same as
above
 Same as above  Same
as above
 Same as
above
16th March,
2014 (20
minutes)
 Introduction and
demonstration
ITBN/LLIN and
differences
between
ordinary net and
 Same as
above
 Demonstration
of available bed
nets
 Same
as above
 Same as
above
16th March,
2014 (35
minutes)

14. EVALUATION OF THE PROGRAME

15. 1. Process evaluation
• Plan of health education program
• Materials identification, preparation, uses
• Using of TL method and medias
• Arrangement and allocation of necessary
resources
Techniques of process evaluation
Pre and Post training evaluation
Regular monitoring of sessions and feedback in
post session.
Question/ Answer
Tools for process evaluation
(checklist, questionnaire)
7. Evaluation Plan

16. Process Indicators
• No. of health education session conducted
• No. of supervision conducted
• No. of review meeting conducted
• Number of participants attended HE session

17. 2. Impact evaluation
• Assesses the changes in the KAP that
occurred in the participants as a result of
the Intervention.
Techniques of Impact evaluation
• Household survey
• Observation
• Pre test/post test (assessment of knowledge)

18. Impact indicator
• % of participants able to explain importance of
using bed net
• % of participants able to list mode of
transmission of malaria
• % of participants able to differentiate the
ordinary bed nets and LLINs/ITBN
• % of participants adopting any types of bed
nets

19. 3. Outcome Evaluation
Identifying the changes in the health status of the
participating group
Long-term effects of the program

20. Outcome Indicator
• Incidence of malaria
• Prevalence of malaria
Source of data : HP register; Hospital records; VDC
profile