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Uganda: Progress and Challenges towards SUFI

Estimated Entomological Infective Rate (EIR) 1994-2004 in Eritrea

Malaria interventions coverage

Indicator 2000-2001 2004-2005 2006
% of households with at least one mosquito net of any type 12.8 26.0 34.3
% of households with at least one insecticide-treated net (ITN) - - 15.9
% of chidlren under five years of age sleeping under any type of mosquito net 7.3 22.0 21.6
% of children under five years of age sleeping under an insecticide-treated mosquito net (ITN) 0 - 9.7
% children under five years of age with fever receiving any anti-malarial medicines 27.7 - 61.8
% children under five years of age with fever receiving any anti-malarial medicines promptly (within 24 hours) 7.3 - 10
% of women who received IPT (treatment with at least 2 doses of SP/Fansidar) during pregnancy - - 17.0
% of pregnant women aged 15-49 years sleeping under an ITN 1.0 - 10.0
% of pregnant women age 15-49 who slept under a mosquito net the night before the interview 6.6 - 24.5
% of pregnant women age 15-49 who slept under an insecticide-treated net (ITN) the night before the interview - - 10.1

Source: DHS 2000-01; AIS 2004-05; DHS 2006

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. Paludis, An. Nili, An. Brohieri, An. Pharoensis, An. Hargreavesi, An. Hancocki, An. Bwambae, An. Quadriannulatus
Total population 29,377,764 (2008)
Population at risk 29,377,764 (2008)
~ 100% of the Population lives in areas at risk of malaria.
Pregnant women at risk of malaria 1,468,888 (2006)
Children under five at risk of malaria 6,022,442 (2008)
Reported malaria episodes 8,400,000 (2006)
Malaria deaths (all ages) 110,000 (2004
Infant mortality (per 1000) 137 ( 2006)
II. Current Policy and Strategy

Primary interventions:

III. Primary interventions

[+] ITNs

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

Challenges

  • Inadequate Resources: Human resources at all levels Inadequate Financial resources
  • Delayed commodity procurements
  • Weak health systems / HMIS difficult to measure impact (M&E)
  • Weak diagnostic services

To overcome the challenges:

  • Training on M&E
  • Strengthening Diagnostics and use of RDTs
  • Strengthening malaria private –public partnership to coordinate activities
  • Review strategies for attracting and retaining human resources
  • Develop Global Fund round 8 proposal

Support needs (TA and Finance)

  • Support for development of PSM plan
  • Support for development of M&E plan
  • Support for development of management system/structures
  • Support for training laboratory technicians
V. Key RBM Partners in Uganda

  • WHO
  • UNICEF
  • WORLD BANK
  • PMI
  • USAID
  • DFID
  • IRISH AID
  • Italian corporation
  • JICA
  • NGOs: MACIS, PSI, Malaria Consortium, UPHOLD, AFFORD, AMREF, HCP, RTI
  • CBOs
  • Private Companies

Source: NMCP Uganda

For questions, contact Ms Nadia Lasri, RBM Partnership facilitation
Dr J. Banda, RBM Partnership facilitation Coordinator,
Dr J.B. Rwakimari, National Malaria Control Programme Manager

RESOURCES & LINKS:

Uganda Malaria Control Strategic Plan 2005/06 – 2009/10
Uganda Ministry of Health NMCP
DHS report 2006

Malaria treatment protocols:
WHO Global AMDP database

Malaria contry profiles
PMI
PMI Overview of malaria in Uganda
World Malaria report 2005
WHO/AFRO

Online publications:
PubMed

Maps:
MARA/ARMA Uganda maps

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