Malaria Control ProgramPhilippines

14th EB ACTMalaria Meeting15 17 March 201015 – 17 March 2010

Luang Prabang, LAO PDR

Philippines

58 of 80 provinces: malaria endemic

Population at risk: 12 Mp

22 provinces: maintain malaria-free* status

2– 4 outbreaks per year

* malaria-free: absence of indigenous malaria case

Morbidity Rate, 2000-2008

50000 60

40000

45000

50000

5254565860

Start of RBM Start of GF Rd2 Start of GF Rd5 Start of GF Rd 6

30000

35000

40000

es 4446485052

opul

atio

n

20000

25000

30000

alar

ia C

ase

3638404244

100,

000

Po

10000

15000

20000Ma

2830323436

Rat

e pe

r 1

0

5000

10000

2022242628

02000 2001 2002 2003 2004 2005 2006 2007 2008

Year

20

Mortality Rate, 2000-2008

500 1

400

450

500

0 8

0.9

1

300

350

400

hs 0 6

0.7

0.8

opul

atio

n

200

250

300

alar

ia D

eath

0 4

0.5

0.6

100,

000

Po

100

150

200

Ma

0 2

0.3

0.4

Rat

e pe

r 1

0

50

100

0

0.1

0.2

02000 2001 2002 2003 2004 2005 2006 2007 2008

Year

0

GEOGRAPHICAL DISTRIBUTION OF MALARIA CASES, PHILIPPINES 6 (2003 2008)

Category of Provinces

PHILIPPINES, 6 – year average (2003 – 2008)

g y

A - 5 provinces

B 27 provincesB - 27 provinces

C - 26 provinces

D - 22 provinces

Contribution to the number of cases based on the 6-year average based on the 6-year average

(2003 – 2008)

LUZON – 60.4% (31 prov)

VISAYAS – 0.1% (3 prov)

MINDANAO – 39.5% (24 prov)

Malaria Control Program & Strategic Framework:Program Direction

from control & moving towards li i ielimination

“Shrinking the malaria endemic map”g p

From malaria control to li i tielimination

Source: World Health Organization

M l i C t l PMalaria Control Program9 Provinces in pre-elimination status (API < 0.1/1000)9 Provinces in pre elimination status (API 0.1/1000)

Province APIAbra 0 01/1000Abra 0.01/1000La Union 0.01/1000Negros Oriental 0.01/1000Camarines Sur 0 02/1000Camarines Sur 0.02/1000Lanao del Norte 0.06/1000Antique 0.07/1000Pangasinan 0 08/1000Pangasinan 0.08/1000Laguna 0.08/1000Camarines Norte 0.09/1000

2009 Highlights of A li h tAccomplishments

Revised Malaria Management GuidelinesRevised Malaria Management Guidelines2009 Malaria Manual of Operation

Capability BuildingIntegrated Microscopy for Med TechsO i t ti th R i d M l i M tOrientation on the Revised Malaria Management Malaria management for Disease free zonesSupport for border malaria operationsSupport for border malaria operations

Logistic Support

P Th t 2010Program Thrust 2010

Malaria Medium Term Plan (2011 2016)Malaria Medium-Term Plan (2011 – 2016)Policies/Guidelines/MOP

R i d M G id li f M l iRevised Management Guidelines of MalariaMOP of Malaria Program

S ifi i f d iStratification of endemic areasLogistic Support (Non – GF)

DrugsVector Control: IRS, LLIN

Program Thrust 2010Capability Building

Program managementg gDiagnosis & Treatment – Integrated MicroscopyVector ControlEpidemic Management

Support to Malaria–free & Pre-elimination ppProvinces

Disease SurveillanceRapid Response

Philhealth Out-patient Packagep gAccreditation of Health facilities

UpdatesDrug Quality Monitoring- pilot sites: Palawan, Isabela, Cagayanpilot sites: Palawan, Isabela, Cagayan - Regional drug regulatory officer & malaria

coordinatorcoordinator - anti-malaria drugs collected from both

licensed & unlicensed drug outlets passedlicensed & unlicensed drug outlets passed the quality testing expansion to other sites GF consolidated- expansion to other sites – GF consolidated project

U d tUpdates

Insecticide Resistance MonitoringInsecticide Resistance MonitoringSubmitted the Workplan on IRM

Training Alumni (MMFO, BITTW, TTT)- resource persons/facilitators of local trainings

Enhanced Diagnosis of Malaria through capacity building

trained volunteer village microscopists and medicaltechnologists in targeted endemic areas

>400 barangay microscopists in areas w/out MedTechs

confirmatory diagnosis has increased significantly

turnaround time for patient treatment reduced to 24 hr

LEVEL 2 LEVEL 1LEVEL 3

CHD/PHO CHD/PHO ValidatorsValidators

RITMRITM--NRLNRLProficiency Assessment

Certification

National/ Regional

Regional Regional Accreditation Accreditation and EQA and EQA ProgramProgram

Feedback, supervisionand remedial intervention

Slides for validation

NationalNational

Regional Slide Bank World Health

Organization (WHO) Regional

ProgramProgram

RHU/CHO/hospitRHU/CHO/hospital/laboratoryal/laboratoryMicroscopistsMicroscopists

National National Core Core GroupGroupof Trainers/ of Trainers/ ValidatorsValidators

Regional Slide Bank

RHU/CHOhospital/laboratory/

Slides for validation

Feedback, supervision and remedial intervention

(NCGT) (NCGT)

((composed of NRL staff and

laboratory/BMMC microscopists

Barangay Barangay MicroscopistsMicroscopists

and CHD/PHO validators)

Basic Malaria Microscopy T i iTraining

U d tUpdates

QAS f MiQAS for Microscopy

External Competency Assessment35 malaria validators assessed by an external expert(AMRI) from Oct 2009 and March 1‐12, 2010.

/26 validators under the Level 1/ExpertMicroscopists

9 lid t d th L l 2/M l i9 validators under the Level 2/MalariaMicroscopists

Maraming Salamat !(Thank You Very Much!)