Bed Nets and Malaria Prevention Education in Mansa, Zambia

In July 2017, the Rotary Club of Mansa launched its project to prevent malaria by providing bed nets and malaria prevention education to five boarding schools and inmates at the Mansa Corrections facility – a total of more than 2,500 beneficiaries. Participating in the week’s activities were RMP’s Jim Moore with Rtns Modestine Kaoma, Charles Chiponda, Gift Chibale and Rachel Chibale of the Mufulira Rotary Club. After being greeted at the gates to the city by Mansa Rotarians, visiting Rotarians joined them in courtesy visits to the Luapula Assistant Provincial Secretary, the Provincial Director of Education, the Mayor of Mansa and the Provincial Medical Office. RMP “Malaria Delenda Est” pins were presented to all of these officials along with direct invitations to join the Mansa Rotary Club. Mansa Rotarians escorted the visiting Rotarians to the beneficiary schools: St. Clements Boys Secondary School, Musonda Girls Technical Secondary School, Mansa Secondary School, Holy Trinity Girls Secondary School, and the Bahati Boys Secondary School as well as to the Mansa Corrections Facility. Formal launch of the project was carried out by Mansa Rotarians on Friday, July 14th, with the Minister of Health in attendance.

Health Care System Strengthening and Malaria Intervention in Katakwi, Uganda

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.

 

Nets for the Beacon of Hope School in Soroti, Uganda

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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.

Diagnostic Testing and Bed Net Distribution in Kalulushi, Zambia

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 bed net distributions at the household level in Kalulushi and Lufwanyama Districts.  In this $945,000 project, a total of 146,100 bed nets 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. This 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 bed nets 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 bed nets and measure impact on disease incidence. 

Medical Camp in 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. Together, this group distributed over 1,500 bed nets to households in this township located just north of Dar es Salaam.

Malaria Prevention and Treatment in Mufulira, Zambia (“Mufulira 2”)

Mufulira 2 was the second phase of the $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 bed nets, 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.

Bed Net Distribution in Kalulushi, Zambia

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% bed net 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. Rotarians from RC Seattle and RC Federal Way helped distribute bed nets 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.

Anti-Malaria Treatment Campaign in Bukoba, Tanzania

In July 2012, several members of the Rotary Club of Seattle visited Bukoba, Tanzania, a town of 100,000 people on the western shore of Lake Victoria. It lies in a region of Tanzania where malaria is endemic. The Rotary Clubs of Seattle, Sammamish, Lake Forest Park, and the Hokkaido International School of Japan joined Rotarian Malaria Partners in supporting the Bukoba Town Health Clinic anti-malaria treatment campaign, which took place from 2013 to 2015. The project provided subsidized ACT (Artimisinin-based Combination Therapy) dosages for young children and pregnant mothers. This project impacted 4,000 people in the region.

Testing, Treatment and Education in Mufulira (“Mufulira 1”)

Led by the Rotary Club of Mufulira in Zambia’s Copperbelt province, this multifaceted project targeted locations of high malaria incidence. The project included the distribution of 1,000 bed nets to the communities of Twatasha and Murundu, testing 2,500 individuals using rapid diagnostic tests, and treating those who tested positive for malaria. The project also provided education on malaria prevention, chemicals for indoor residual spraying by the District Health Management Team staff, and case management training for health workers. 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 five Rotary Clubs from District 5030. The project was completed in 2012 with the participation of visiting Rotarians from Seattle. Monitoring of project impacts is ongoing via annual malaria reports provided by the DHMT.

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