Malaria Control Program

DESCRIPTION

Malaria is a life-threatening disease caused by plasmodium parasites transmitted by anopheles mosquito or rarely through blood transfusion and sharing of contaminated needles causing acute febrile illness and symptoms in the form of fever, headache and chills. Untreated, P. falciparum malaria may progress to severe illness and possibly, death.

The Philippines carry a high burden of malaria disease in the past but with the unrelenting efforts of the DOH- National Malaria Control and Elimination Program, cases and deaths has been reduced significantly, that the country is now inching towards elimination. DOH-NMCEP aims to eliminate malaria by adopting a health system focused approach to achieve universal coverage with quality-assured malaria diagnosis and treatment, strengthen governance and human resources, maintain the financial support needed, and ensure timely and accurate information management.

The sub-national elimination strategy of the DOH–NMCEP has resulted to the declaration of 42 out of the 81 provinces in the country as malaria-free. Currently, only 7 provinces remain with local transmission of the disease. One of these provinces is Palawan, which holds more than 90% of the country’s malaria cases. Despite these, the program remains optimistic of meeting its goals by instituting effective measures of reducing transmission; working closely with regional offices, local government units, line agencies, key affected population’s (KAP) representatives and also maintaining collaboration with partners like the Pilipinas Shell Foundation, Inc. (PSFI) and the World Health Organization (WHO). The Philippines aims to eliminate malaria by 2030.

VISION

A Malaria–Free Philippines by 2030

MISSION

Further accelerate malaria control and transition towards elimination

OBJECTIVES

Objective 1 (Universal Access) – To ensure universal access to reliable diagnosis, highly effective and appropriate treatment and preventive measures
Objective 2 (Governance and Human Resources) – To strengthen governance and human resources capacity at all levels to manage and implement malaria interventions
Objective 3 (Health Financing) – To secure government and non-government financing to sustain malaria control and elimination efforts at all levels
Objective 4 (Health Information and Regulation) – To ensure quality malaria services, timely detection of infection and immediate response, and information and evidence to guide malaria elimination

PROGRAM COMPONENTS

1. Program Management and Health System -
2. Diagnosis and Treatment
3. Vector Control
4. Advocacy and Social Mobilization
5. Surveillance, Outbreak Preparedness and Response
6. Monitoring and Evaluation
7. Partnerships
8. Assessment of Other Factors - assessment of the possible contribution of factors such as government health expenditure, poverty, forest cover, etc

PARTNER INSTITUTIONS

  • World Health Organisation (WHO)
  • Filipinas Shell Foundation Inc. (PSFI)
  • Asian Collaborative Training Network for Malaria (ACT Malaria)
  • National Commission on Indigenous Peoples (NCIP)
  • Bureau of Quarantine (BOQ)
  • University of the Philippines-Philippine General Hospital (UP-PGH)
  • Research Institute for Tropical Medicine (RITM)
  • Asia Pacific Malaria Elimination Network (APMEN)

POLICIES AND LAWS

1966 : Republic Act 4832: Malaria Eradication Law; an act creating the malaria eradication service and providing funds for the duration of the campaign.
1973 : cut-off from the support of USAID and WHO
1982 : EO 851, ordered the decentralization and integration of malaria control in “the general health sevices”
1983 : “Malaria Eradication” to “Malaria control”
1986 : EO 119 : change in the bureaucracy of the Philippine government – revising the system of the Department of Health
1987 : Department Circular No. 167 s. 1987: Semi-vertical Malaria programme1991: RA 7160 “Local Government Code”
2009 : AO 2009-0001 “Revised Policy and Guidelines on the Diagnosis and Treatment of Malaria
2009:AO 2009-0024 “Reconstitution of the Country Coordinating Mechanism in Support of the Global Fund to Fight Against AIDS, Tuberculosis and Malaria Grants in the Philippines”
2012: AO 2012-0026 “Guidelines in the Conduct of Border Operation”
2013: AO 2013-0007 “Guidelines on Establishment of Elimination Hub”
2013: AO 2013-0023 “Guidelines on Establishment of Collaborating Centers”
2014: AO 2014-0004: PhilMIS : Reporting and Recording of malaria cases

STRATEGIES, ACTION POINTS, AND TIMELINE

  1. Early Detection and Prompt Treatment through a strengthened case-finding mode;
  2. Foci investigation and Classification as a means to determine need for interventions;
  3. Annual Stratification using Foci Classification;
  4. Strengthened recording and reporting;
  5. Use of Primaquine as a transmission-blocking agent;
  6. Use of Artesunate ampoules and suppositories;
  7. Expanded RDT and sustained microscopy services;
  8. LLIN as continued cornerstone of vector control
  9. IRS in border areas and as outbreak response mechanism;
  10. Quality assurance monitoring to cover all aspects of malaria service delivery;
  11. Structured capability-building of local health system staff; and
  12. Adaption of specified IEC strategies and other social mobilization approaches for identified risk groups

PROGRAM ACCOMPLISHMENTS/STATUS

SUB-NATIONAL INITIATIVES WITH 42 PROVINCES DECLARED MALARIA - FREE OUT OF 81 PROVINCES, ONLY 7 PROVINCES REMAINS WITH LOCAL TRANSMISSION
SIGNIFICANT REDUCTION OF CASES AND DEATHS THAT in 2010; 19,217 cases were detected with 33 deaths and a downward trend leading to 3,998 cases with 4 deaths in 2017. These figures denote 83% decrease in cases from 2010 to 2017

CALENDAR OF ACTIVITIES

  • World Malaria Day, 25 April 2018
  • Entomology Meeting, 16-17 May 2018
  • Malaria Technical Working Group Meeting (quarterly or as need arises)
  • OLMIS Meeting, 5 June 2018
  • Entomology Refresher Course 23-28 July 2018
  • Curriculum Refinement Workshop, 30 July to 3 Aug 2018
  • Philippine Coordinating Committee Meeting (monthly)
  • Mindanao Cluster Meeting (Cluster I, 8-9 August 2018; Cluster II, 28-29 August 2018)
  • Integrated Vector Management Control, 13-17 August 2018
  • External Competency Assessment 13-17 August 2018

STATISTICS

Distribution of Cases in the Philippines (Palawan Vs. other Provinces)

 

PROGRAM MANAGER CONTACT INFORMATION

Raffy A. Deray, MD, MPH

OIC Chief –Infectious disease for Elimination Division/ NMCEP National Program Manager

-----

October 26, 2018