Mass Drug Admin assistance in Soroti/Katakwi Uganda
High Impact – Ongoing
Rotarian Malaria Partners is proud to be a contributing sponsor to a Rotary International Foundation global grant for malaria interventions in Katakwi District, Uganda. The grant, “Katakwi Health Care System Strengthening and Malaria Intervention”, addresses the very high malaria burden in two highly endemic malarial sub-counties of Katakwi District, Kapujan and Toroma, impacting 35,000 villagers. The grant brings together many strong partners including District 5030 Rotary Clubs, Soroti Rotary Central Club of Uganda, Pilgrim Africa and the Ugandan Ministry of Health. In addition, the Rotary global grant has been supplemented by a generous grant from the Bill and Melinda Gates Foundation to sustain the implementation over a three-year period.
This exciting multi-year project uses all current powerful malaria control intervention tools, in addition to health system strengthening, in order to dramatically reduce the transmission of malaria in the two sub counties with high ongoing prevalence despite universal bed net coverage. These intervention tools include (1) Indoor Residual Spraying (IRS) (2) test and treatment camps, (3) insecticide treated bed net (ITN) distribution where there are gaps in universal distribution (4) a strong emphasis on village health care training and (5) critically needed supplies and equipment for the rural Katakwi Health Centre IV, to include anti-malaria drugs, rapid diagnostic test kits for malaria (RDTs), X-ray and other basic equipment.
Last year, the sub counties of Kapujan and Toroma saw 40,000 cases of malaria and lost an estimated $2.6 million USD in direct costs at the household level due to malaria. The project engages all the members of these two sub-counties in a comprehensive malaria control exercise that will cut the transmission of malaria, dropping parasitemia by at least 35% and preventing at least 50% of the mortality and morbidity currently due to malaria, thereby greatly boosting the health (as well as the economic outlook) of the area. The project seeks to mobilize and educate communities, while simultaneously limiting the transmission of malaria. The work includes boosting the capacity of local health workers at the village level, by providing them training, medicines and equipment.
After receiving all authorizations to proceed from the Uganda Ministry of Health, the National Drug Authority of Uganda and other key agencies, we are excited to share the news that the Prime Minister of Uganda, together with the Minister of Health and other distinguished guests, helped to officially kick off the start of our on-the-ground project execution. The project has now completed household by household survey and mapping, malaria testing and treatment in the two communities to establish a baseline prevalence, and spraying is now in process. Simultaneously, field entomologists are quietly collecting mosquitos every night to monitor the population and parasite load.
Beacon of Hope School in Soroti, Uganda
The Beacon of Hope School is a boarding school in Soroti, Uganda. It houses 700 secondary students between the ages of 12 and 18, 350 of whom receive full scholarships. Many of the students who come to this school do not have funds to purchase nets, yet malaria prevalence in Soroti is as high as 50%.
Rotarian Malaria Partners, in collaboration with the Rotary Club of Vineland New Jersey and the Rotary Club of Bar Harbour, purchased $1,000 worth of bed nets, or 200 nets for the Beacon of Hope School. This was enough to provide nets for all students in 7th and 8th grade.
The Rotary Club of Kalulushi, the Zambia Rotary Malaria Steering Committee, and supporting Rotary clubs in the Seattle region created a partnership with Zambia’s National Malaria Control Center, the Malaria Control and Evaluation Partnership in Africa (MACEPA), World Vision and the President’s Malaria Initiative to successfully implement bednet distributions at the household level in Kalulushi and Lufwanyama Districts. In this $945,000 project, a total of 146,100 bednets were distributed to households, boarding schools, and health facilities benefiting more than 217,000 people, achieving a coverage rate of over 90%. With the direct assistance of World Vision, more than 1,250 volunteers were mobilized to implement the project. In addition, 11,500 rapid diagnostic test kits for malaria were distributed, pregnant women received preventative treatment, and public education was carried out via news reports, radio and TV spots lasting for more than three months. Kalulushi 2 was the largest anti-malaria project ever undertaken by Rotarians.
Malaria Prevention in Chipata, Zambia
The Rotary clubs of Chipata and San Francisco (#2) led this $53,070 matching grant project, designed to prevent malaria among 11,000 inhabitants of five malaria endemic rural communities in Chipata District. The project was launched in early July 2013 during the visit of seven San Francisco Rotarians. It involved close cooperation from local tribal chiefs and the District Health Management Team staff. 6,000 bednets were distributed over a six month period, combined with a test and treat campaign by district health workers. In addition, malaria awareness workshops were held for community health workers, school teachers and neighborhood leaders; roadshows on malaria prevention and treatment traveled to the target communities; and posters and media presentations were made available to educate the public about malaria. Monitoring is underway to assure proper use of bednets and measure impact on disease incidence.
Medical Camp – Bagamoyo, Tanzania
In 2013 and 2014, Rotarian Malaria Partners and the Rotary Club of Seattle joined with the Rotary Club of Oyster Bay for a one-day medical camp organized by the Oyster Bay club in distributing over 1,500 bed nets to needy households in this township located just north of Dar es Salaam.
Mufulira 2 followed the partnership model established in Mufulira I with a $51,700 Rotary Matching Grant project designed to prevent and treat disease among 18,000 in village and town areas of Mufulira District. Launched in July 2013, the project combined the distribution of long-lasting insecticide-treated bednets, test and treat interventions, purchase of chemicals, and support for indoor residual spraying by Mufulira District health staff. In addition, the project provided training for community health and clinic workers in malaria case management through media, village and school presentations, and in environmental management via drainage ditch cleaning. The Rotary Clubs of Seattle (#4 ) and Mufulira were the lead clubs for this project, with financial support from six additional clubs plus Rotary districts 5030 and 5100. Mufulira 2 is closely coordinated with the Mufulira District Health Management Team’s malaria prevention and control action plan.
The Rotary Club of Kalulushi in Zambia’s Copperbelt Province partnered with the Rotary Club of Federal Way (D5030) in a $53,250 Rotary Matching Grant Project providing 100% bednet coverage for nearly 2,000 households in 10 rural communities within Kalulushi District. The objectives of the project were to reduce the incidence of malaria by 50% – 70% in the target communities through the distribution of 5,400 long-lasting, insecticide treated nets and education of villagers in malaria prevention.
At least 25 lives will be saved each year due to project beneficiaries sleeping under bednets. Rotarians from RC Seattle and RC Federal Way helped distribute bednets in 2011 and 2012 during project visits that featured homestays and fun fellowship events with their Kalulushi counterparts. Also providing financial support for this project were 5 other D5030 Rotary Clubs, District 5030 and The Rotary Foundation.
Town Health Center – Bukoba, Tanzania
In July 2012, several members of the Rotary Club of Seattle visited Bukoba, Tanzania. It is town of 100,000 on the western shore of Lake Victoria. It lies in the country’s most endemic malarial region. There, a relationship was forged. The Rotary Clubs of Seattle, Sammamish, Lake Forest Park, and the Hokkaido International School (Japan) joined Rotarian Malaria Partners in supporting the Bukoba Town Health Clinic anti-malaria treatment campaign between 2013 and 2015. The project provided subsidized ACT (Artimisinin-based Combination Therapy) dosages for young children and pregnant mothers. Over 4,000 young lives were spared the ravages and often-grave consequences of malarial infection without enduring a crippling financial burden.
The Rotary Club of Mufulira in Zambia’s Copperbelt attacked locations of high malaria incidence with this project. The multifaceted project included the distribution of 1,000 bednets to the communities of Twatasha and Murundu, the testing of 2,500 villagers by rapid diagnostic test kits and treating those positive for malaria, public education in the prevention of malaria, chemicals for indoor residual spraying by DHMT staff, and training health workers in best case management practices. The project objectives were to reduce malaria cases in the district by 7%, save 20 – 25 lives, and educate villagers in sustainable malaria prevention practices. Project partners included PATH/MACEPA, the Mufulira District Health Management Team (DHMT) and 5 Rotary Clubs from District 5030 (USA). The project was completed in 2012 with the participation of visiting Rotarians from RC Seattle. Monitoring of project impacts is ongoing via annual malaria reports provided by the DHMT.