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Tanzania: Progress and Challenges towards SUFI

OPD and malaria deaths in Tanzania

Malaria interventions coverage

Indicator 1999 2000-2001 2004-2005
% households with at least one mosquito net of any type 30 37 46
% households with at least one insecticide-treated net (ITN) 1 - 23
% chidlren under five years of age sleeping under any type of mosquito net 21 - 31
% children under five years of age sleeping under an insecticide-treated mosquito net (ITN) 2 - 16
% children under five years of age with fever receiving any anti-malarial medicines 53 - 58
% children under five years of age with fever receiving any anti-malarial medicines promptly (within 24 hours) - - 51
% children with fever receiving any anti-malarial medicines, by drug type - - 58
% women who received IPT (treatment with at least 2 doses of SP/Fansidar) during pregnancy - - 22
% pregnant women aged 15-49 years sleeping under an ITN - - 16

Source: DHS 1999; NSO 2000/01; DHS 2004/0

I. Epidemiological background

Parasite (Plasmodium) types The main parasite is Plasmodium falciparum.
Main vector (mosquito) types An. Arabiensis, An. Funestus, An. Gambiae, An. Coustani, An. Merus, An. Nili, An. Paludis, An. Pharoensis
Total population 38,291,219 (2007)
Population at risk 38,291,219 (2007)
~ 100% of the population lives in areas at risk of malaria
Pregnant women at risk of malaria 1,645,573 (2007)
Children under five at risk of malaria 7,031,077 ( 2007)
Number of reported clinical malaria / fever cases 13,104,143 (2006)
Reported malaria episodes 13,104,143 (2006)
Child under 5 malaria mortality 53,320 ( 2005)
Infant mortality (per 1000) 112 (2005)

Source of the data: NMCP, DHS 2005

II. Current Policy and Strategy

Coming soon

III. Primary interventions

[+] Malaria OPD cases, malaria admitted cases, malaria deaths in health facilities

[+] Malaria in pregnancy

[+] Nets and ITNs Ownership

IV. Challenges and Priority support needs (2008 - 2010)

Challenges

  • Universal coverage including home treatment is a challenge (Artemether/Alumefantrine, at 12-15 USD not affordable at private sector outlets which provide for 30-40% of malaria treatment service)
  • No alternate drug to SP for IPT
  • Women coming late for ANC
  • Universal Access to Long Lasting Insecticide Treated Nets (3 nets/ household)
  • At least 300 million USD needed to cover the whole population
  • Funding: 5 yrs IRS Master Plan requires 70.4 million USD
  • Human resource constraints at all levels
  • Sustaining the momentum-global- funding
  • Partnership building at country level
  • Malaria parasite drug resistance
  • Vector Insecticide resistance
  • Behavioural change takes time
  • Poverty
V. Key RBM Partners in Rwanda

For questions, contact Ms Nadia Lasri, RBM Partnership facilitation
Dr James Banda, RBM Partnership facilitation Coordinator,
Dr Alex Mwita, National Malaria Control Programme Manager

RESOURCES & LINKS:

Malaria Medium Term Strategic Plan 2002-2007
National Strategy for Growth and Reduction of Poverty (NSGRP)
PMI operational Plan FY08

Surveys:
DHS reports

Malaria treatment protocols:
WHO Global AMDP database

Malaria contry profiles
WHO/AFRO
World Malaria Report 2005
PMI
PMI Overview of malaria in Tanzania

Online publications:
PubMed

Maps:
MARA/ARMA Rwanda maps

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