Case Management Section

Case management is one of the main strategies of malaria control and is the most indicated strategy to reduce mortality due to malaria. The National Malaria Control Strategic Plan provides for capacity building in and reinforcement of case management, both in households and in public and private health facilities.

The National Malaria Control Strategic Plan provides for capacity building in and reinforcement of case management, both in households and in public and private health facilities.

Objectives:
The case management section has two main missions:

To ensure that those affected by malaria have access to, and are able to correctly use, affordable and appropriate treatment within 24 hours of the onset of symptoms (Treatment).

To ensure that pregnant women at risk from malaria, especially those in their first pregnancies, have access to intermittent preventive treatment (IPT).

Treatment Activities
Treatment activities are carried out in health facilities and within communities

1. In Health Facilities

The section is in charge of the following activities concerning the health care system:

	Developing an effective treatment policy based on levels of drug resistance
	Ensuring supply of affordable antimalarial drugs
	Updating of treatment guidelines and disseminating them
	Ensuring proper diagnosis of malaria through supply of microscopes and training of laboratory technicians
	Training of medical personnel on proper case management- uncomplicated malaria, severe malaria, malaria in pregnancy and referral
	Supervising treatment
	Encouraging local production of antimalarial drugs
	Reinforcing pharmacovigilance

 

2. Home-based management of malaria

The case management section also:

	Ensures the availability of pre-packaged treatment kits in communities and families
	Trains and monitors activities of community health providers through dialogue structures
	Encourages the safe use of traditional medicines proven effective

 

Intermittent Preventive Treatment (IPT)

In the domain of IPT, the section:

	Ensures supply of free drugs for IPT (SP)
	Increases IPT coverage through existing ANC services
	Develops alternate modalities to reach women who are not accessing ANC

Results

	A new treatment policy based on Artemisinine based Combined Therapy (ACT) has been adopted since January 2004. The ACT adopted include artesunate + amodiaquine and artemether + lumefantrine.
	The process to withdraw monotherapies on the way since May 2006.
	The supply of subsidized ACTs is in process
	The treatment guidelines have been partially updated  and dissemination has started
	The supply of microscopes is going on
	More than 4,000 medical personnel have been trained on proper case management of all forms of malaria and referral
	Production of ACTs is going on locally
	There exists a newly created pharmacovigilance committee which is to get operational
	More than 300,000 pregnant women were receiving IPT during the first semester 2006

 

ANNONCES