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African Traditional Herbal Research ClinicVolume 2, Issue 7 NEWSLETTER JulyAugust 2007FEATURED ARTICLESGovernment to reduce all Deaths due to Malaria byHalf by 2010The Malaria Week marks seven days of intensivehighlights of current malaria control activities.During the week, the Public is updated on what ishappening and where we are going as far as the fightagainst malaria is concerned.Today, 25 April, 2007 marks the end of the “MalariaWeek” that was officially started on 17 th April 2007with Media update and Press Briefing at the Ministry ofHealth headquarters.It is therefore our responsibility to build on what hastaken place during the week to achieve the envisagedobjectives for observing Africa Malaria Day 2007.During the malaria week, a Press Briefing was carriedout to inform the country through the media that theGovernment of Uganda is moving in a strategicdirection towards achieving our set objectives ofreducing by a half of all deaths due to malaria by 2010.In line with the Abuja targets, the malaria decade(2001-2010) has seen Uganda strengthen through theMinistry of Health four main strategies to control andprevent malaria.The Home Based Management of Fevers StrategyImplementation of the Home Based Management ofFevers (HBMF) strategy now covers the wholeCountry. Through this approach, medicines have beenavailed to the community to enable children aged lessthan 5 years old access treatment for malaria within 24hours of recognition of symptoms.To-date, at least two Community-based MedicineDistributors (CMDs) have been trained in all Villagesin Uganda. They have been trained to administermalaria treatment using a pre-packaged dose forchildren aged between 4 months – 2 years and 2-5years. This intervention has saved lives of manychildren that in some district reports indicate that over80 per cent of children under five years are able toDr. Nduhura – State Minister for HealthApril 25, 2007Daily Monitoraccess effective treatment for malaria within 24 hours.This strategy has been quite effective for example; inKumi District, reports indicate that the children’s wardis almost closed and the health workers have moretime to attend to other ailments other than malaria.The proportion of children receiving early treatmentfollowing the introduction HBMF increased from abaseline of 54 per cent-62 per cent among children of2-23 months, and from 56 per cent-65 per cent amongchildren aged 24-59 months.There are indications that HBMF helped to reducesevere anemia among children aged 6-12 months by 16percent, 13-18 months by 25 per cent, and 19-24months by 36 per cent.The problem of long distances to the nearest healthfacility is being tackled by bringing services to thepeople. Every Parish is earmarked to have a functionalHealth Centre II (HCII). About 151 Health Centre IV’sat County levels, have been equipped to offset theburden of referral for emergency cases. By end of2003, the number of health facilities had increased to2,930 country-wide hence increasing accessibility tohealth services within a distance of 5 km from 49 percent in 1986 to 72 per cent.There has also been increased Public-PrivatePartnerships in health care delivery. For instance, thenew medicines introduced to treat malaria with acombination of Artemesinin Therapies (ACTs), PublicHealth Facilities and Private not for Profit Clinics havebeen provided with pre-packaged medicines to treatpatients free of charge.Furthermore, the government is supporting bothGovernment and NGO Health Facilities to providemalaria treatment by providing conditional PrimaryHealth Care grants to each health care facility.-4-Traditional African Clinic – July/August 2007Continued on page 5
Continued from page 4 – Government to Reduce AllMalaria Deaths by Half by 2010Prevention of Malaria in Pregnancy (MIP)Intermittent Preventive Treatment of Malaria inPregnancy (IPT) is another strategy to control malaria.Mothers are encouraged to take two doses of SP(Fansidar) during the 4 th and 7 th Month of Pregnancy inAntenatal Clinics. This is meant to reduce frequency ofabortions due to malaria, anaemia and number ofchildren born underweight as a result of malaria. Theproportion of pregnant women receiving IPT with SPincreased from 20 per cent in 2002/03 to 30 per cent in2003/04.Promotion of Insecticide Treated Nets (ITNs)Promotion of Insecticide Treated Nets (ITN’s) is highon government priority list. Through Public-PrivatePartnerships, we have just concluded the distributionof free nets to children below five years and pregnantwomen. There is increased distribution of LongLasting Nets to vulnerable groups country-wide. Oneof the main activities during the Malaria Week was thelaunch of “Malaria No More Nets” that are to bedistributed in 26 Districts. As a starter, Kaliro Districtreceived its share of freely distributed nets on 23 April,2007 to coincide with the Africa Malaria Week.Indoor Residual Spraying (IRS)My Ministry is also putting emphasis on vector controlthrough Indoor Residual Spraying (IRS). We areconsidering the re-introduction and use of DDT forindoor residual spraying for malaria vector control inUganda after being cleared by WHO. As of now tworounds of Indoor Residual Spraying (IRS) using Iconhave been conducted in Kabale District. The analysisof data from health facilities indicates a greatbreakthrough in reducing malaria among the peoplethat would be reporting for treatment.Kanungu District has just concluded the IndoorResidual Spraying (IRS) exercise and in KitgumDistrict, IRS is taking place in IDP Camps right now.In all these Districts, the Leaders together with ourPartners through the Presidential Malaria Initiativehave done a great job. It is this Leadership andPartnership that our theme for this year is emphasizingto Roll Back Malaria for Positive Results.The struggle to Uganda of malaria cannot be overemphasized.Everybody is mandated to contributefrom their point of advantage. As we observe the 7 thAfrica Malaria Day, remember:1. Seek malaria treatment within 24 hours ofsymptoms’ recognition2. Consistently sleep under a treated Mosquitonet3. Clean your environment to avoid and reducebreeding sites for mosquitoes4. Close your windows and doors early to avoidmosquitoes entering your house5. Let your house be sprayed with approvedinsecticidesLET’S FIGHT AND KILL MOSQUITOES NOW.☻☻☻☻☻☻Continued from page 2 – Uganda Gets 2 Million Doses ofCoartemof safe and effective medicines in African countries.The officials said Norvatis has formed a partnership withEast African countries to increase agricultural cultivationof Artemisia, the plant from which Artemisinin, the activeingredient in Coartem is made.☻☻☻☻☻☻New Hope in Malaria WarDr. Salim AbdullaApril 23, 2007Daily MonitorMalaria one of Africa’s oldest and gravest threats, maysoon meet its match: a vaccine. A malaria vaccine has beenconsidered among science’s greatest challenges.But thanks to a remarkable discovery and a novelpartnership, we could have an effective vaccine in just afew year’ time. Let’s make this Africa Malaria Day (April25) by getting ready to adopt the vaccine.The world’s most advanced malaria vaccine, RTS,S madehistory in 2004 when results from a trial of 2,000 youngchildren in Mozambique showed that a vaccine couldreduce severe malaria by 49%.Since severe malaria kills up to a million children a yearand sickens millions more, even partial protection of thiskind could save millions of lives.An unusual partnership – linking a vaccine manufacturer, afoundation and African scientists – is working hard tomake this vaccine available. Right now RTS,s is in latePhase II trials in Gabon, Ghana, Kenya, Mozambique andTanzania.Next year, RTS,s will begin the final stage in the clinicaldevelopment process. If these tests continue to besuccessful the vaccine could be available as soon as 2012.Continued on page 9-5-Traditional African Clinic – July/August 2007
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