kzn malaria crisis progress report - department of health · parasite prevalence maps swaziland...
TRANSCRIPT
PRESENTATION OUTLINE• SITAUTIONAL ANALYSIS• LOBBYING FOR ADDITIONAL FUNDING• ITEMS PURCHASED• INTERVENTION • IMPACT• LUBOMBO SPATIAL DEVELOPMENT
INITIATIVE• SUMMARY• CONCLUSION
SITUATIONAL ANALYSIS IN KZN
• MALARIA ON THE INCREASE SINCE 1996• AFFECTS ALL SECTORS OF THE POPULATION• PREVALENCE VERY HIGH IN NORTHERN KZN• INGWAVUMA DISTRICT AFFECTED MOST• MOSQUITO RESISTANCE DETECTED• DRUG RESISTANCE REPORTERD• SHORTAGE OF FUNDS TO RUN AN
EFFECTIVE PROGRAMME
INCREASING DISEASE TREND
0
5000
10000
15000
20000
25000
30000
35000
40000
96 97 98 99 0 1
INCREASING MORTALITY TREND
0
5 0
10 0
15 0
2 0 0
2 5 0
3 0 0
3 5 0
9 6 9 7 9 8 9 9 0 1
MALARIA BURDEN
• Annual malaria death incidence : 8.2/1000 population
• % hospital OPD attendance : 18.3%• % malaria admissions : 48.8%• Vulnerable age group : 0-9 = 28%• Age specific mortality: 21-30 yrs =
16.2%
PARASITE PREVALENCE MAPS
SwazilandSwazilandSwazilandSwazilandSwazilandSwazilandSwazilandSwazilandSwazilandSwazilandSwazilandSwazilandSwazilandSwazilandSwazilandSwazilandSwazilandSwazilandSwazilandSwazilandSwazilandSwazilandSwazilandSwazilandSwazilandSwazilandSwazilandSwazilandSwazilandSwazilandSwazilandSwazilandSwazilandSwazilandSwazilandSwazilandSwazilandSwazilandSwazilandSwazilandSwazilandSwazilandSwazilandSwazilandSwazilandSwazilandSwazilandSwazilandSwaziland
South AfricaSouth AfricaSouth AfricaSouth AfricaSouth AfricaSouth AfricaSouth AfricaSouth AfricaSouth AfricaSouth AfricaSouth AfricaSouth AfricaSouth AfricaSouth AfricaSouth AfricaSouth AfricaSouth AfricaSouth AfricaSouth AfricaSouth AfricaSouth AfricaSouth AfricaSouth AfricaSouth AfricaSouth AfricaSouth AfricaSouth AfricaSouth AfricaSouth AfricaSouth AfricaSouth AfricaSouth AfricaSouth AfricaSouth AfricaSouth AfricaSouth AfricaSouth AfricaSouth AfricaSouth AfricaSouth AfricaSouth AfricaSouth AfricaSouth AfricaSouth AfricaSouth AfricaSouth AfricaSouth AfricaSouth AfricaSouth Africa
MocambiqueMocambiqueMocambiqueMocambiqueMocambiqueMocambiqueMocambiqueMocambiqueMocambiqueMocambiqueMocambiqueMocambiqueMocambiqueMocambiqueMocambiqueMocambiqueMocambiqueMocambiqueMocambiqueMocambiqueMocambiqueMocambiqueMocambiqueMocambiqueMocambiqueMocambiqueMocambiqueMocambiqueMocambiqueMocambiqueMocambiqueMocambiqueMocambiqueMocambiqueMocambiqueMocambiqueMocambiqueMocambiqueMocambiqueMocambiqueMocambiqueMocambiqueMocambiqueMocambiqueMocambiqueMocambiqueMocambiqueMocambiqueMocambique
0 15
kilometers30
Ponta do OuroPonta do OuroPonta do OuroPonta do OuroPonta do OuroPonta do OuroPonta do OuroPonta do OuroPonta do OuroPonta do OuroPonta do OuroPonta do OuroPonta do OuroPonta do OuroPonta do OuroPonta do OuroPonta do OuroPonta do OuroPonta do OuroPonta do OuroPonta do OuroPonta do OuroPonta do OuroPonta do OuroPonta do OuroPonta do OuroPonta do OuroPonta do OuroPonta do OuroPonta do OuroPonta do OuroPonta do OuroPonta do OuroPonta do OuroPonta do OuroPonta do OuroPonta do OuroPonta do OuroPonta do OuroPonta do OuroPonta do OuroPonta do OuroPonta do OuroPonta do OuroPonta do OuroPonta do OuroPonta do OuroPonta do OuroPonta do Ouro
NamaachaNamaachaNamaachaNamaachaNamaachaNamaachaNamaachaNamaachaNamaachaNamaachaNamaachaNamaachaNamaachaNamaachaNamaachaNamaachaNamaachaNamaachaNamaachaNamaachaNamaachaNamaachaNamaachaNamaachaNamaachaNamaachaNamaachaNamaachaNamaachaNamaachaNamaachaNamaachaNamaachaNamaachaNamaachaNamaachaNamaachaNamaachaNamaachaNamaachaNamaachaNamaachaNamaachaNamaachaNamaachaNamaachaNamaachaNamaachaNamaacha
CatuaneCatuaneCatuaneCatuaneCatuaneCatuaneCatuaneCatuaneCatuaneCatuaneCatuaneCatuaneCatuaneCatuaneCatuaneCatuaneCatuaneCatuaneCatuaneCatuaneCatuaneCatuaneCatuaneCatuaneCatuaneCatuaneCatuaneCatuaneCatuaneCatuaneCatuaneCatuaneCatuaneCatuaneCatuaneCatuaneCatuaneCatuaneCatuaneCatuaneCatuaneCatuaneCatuaneCatuaneCatuaneCatuaneCatuaneCatuaneCatuane
LomahashaLomahashaLomahashaLomahashaLomahashaLomahashaLomahashaLomahashaLomahashaLomahashaLomahashaLomahashaLomahashaLomahashaLomahashaLomahashaLomahashaLomahashaLomahashaLomahashaLomahashaLomahashaLomahashaLomahashaLomahashaLomahashaLomahashaLomahashaLomahashaLomahashaLomahashaLomahashaLomahashaLomahashaLomahashaLomahashaLomahashaLomahashaLomahashaLomahashaLomahashaLomahashaLomahashaLomahashaLomahashaLomahashaLomahashaLomahashaLomahashaShewulaShewulaShewulaShewulaShewulaShewulaShewulaShewulaShewulaShewulaShewulaShewulaShewulaShewulaShewulaShewulaShewulaShewulaShewulaShewulaShewulaShewulaShewulaShewulaShewulaShewulaShewulaShewulaShewulaShewulaShewulaShewulaShewulaShewulaShewulaShewulaShewulaShewulaShewulaShewulaShewulaShewulaShewulaShewulaShewulaShewulaShewulaShewulaShewula
SihangwaneSihangwaneSihangwaneSihangwaneSihangwaneSihangwaneSihangwaneSihangwaneSihangwaneSihangwaneSihangwaneSihangwaneSihangwaneSihangwaneSihangwaneSihangwaneSihangwaneSihangwaneSihangwaneSihangwaneSihangwaneSihangwaneSihangwaneSihangwaneSihangwaneSihangwaneSihangwaneSihangwaneSihangwaneSihangwaneSihangwaneSihangwaneSihangwaneSihangwaneSihangwaneSihangwaneSihangwaneSihangwaneSihangwaneSihangwaneSihangwaneSihangwaneSihangwaneSihangwaneSihangwaneSihangwaneSihangwaneSihangwaneSihangwane
1.61.61.61.61.61.61.61.61.61.61.61.61.61.61.61.61.61.61.61.61.61.61.61.61.61.61.61.61.61.61.61.61.61.61.61.61.61.61.61.61.61.61.61.61.61.61.61.61.60.90.90.90.90.90.90.90.90.90.90.90.90.90.90.90.90.90.90.90.90.90.90.90.90.90.90.90.90.90.90.90.90.90.90.90.90.90.90.90.90.90.90.90.90.90.90.90.90.9
4.44.44.44.44.44.44.44.44.44.44.44.44.44.44.44.44.44.44.44.44.44.44.44.44.44.44.44.44.44.44.44.44.44.44.44.44.44.44.44.44.44.44.44.44.44.44.44.44.4
5555555555555555555555555555555555555555555555555
BoaneBoaneBoaneBoaneBoaneBoaneBoaneBoaneBoaneBoaneBoaneBoaneBoaneBoaneBoaneBoaneBoaneBoaneBoaneBoaneBoaneBoaneBoaneBoaneBoaneBoaneBoaneBoaneBoaneBoaneBoaneBoaneBoaneBoaneBoaneBoaneBoaneBoaneBoaneBoaneBoaneBoaneBoaneBoaneBoaneBoaneBoaneBoaneBoane
ChangalaneChangalaneChangalaneChangalaneChangalaneChangalaneChangalaneChangalaneChangalaneChangalaneChangalaneChangalaneChangalaneChangalaneChangalaneChangalaneChangalaneChangalaneChangalaneChangalaneChangalaneChangalaneChangalaneChangalaneChangalaneChangalaneChangalaneChangalaneChangalaneChangalaneChangalaneChangalaneChangalaneChangalaneChangalaneChangalaneChangalaneChangalaneChangalaneChangalaneChangalaneChangalaneChangalaneChangalaneChangalaneChangalaneChangalaneChangalaneChangalane
MatutuineMatutuineMatutuineMatutuineMatutuineMatutuineMatutuineMatutuineMatutuineMatutuineMatutuineMatutuineMatutuineMatutuineMatutuineMatutuineMatutuineMatutuineMatutuineMatutuineMatutuineMatutuineMatutuineMatutuineMatutuineMatutuineMatutuineMatutuineMatutuineMatutuineMatutuineMatutuineMatutuineMatutuineMatutuineMatutuineMatutuineMatutuineMatutuineMatutuineMatutuineMatutuineMatutuineMatutuineMatutuineMatutuineMatutuineMatutuineMatutuine
ZitundaZitundaZitundaZitundaZitundaZitundaZitundaZitundaZitundaZitundaZitundaZitundaZitundaZitundaZitundaZitundaZitundaZitundaZitundaZitundaZitundaZitundaZitundaZitundaZitundaZitundaZitundaZitundaZitundaZitundaZitundaZitundaZitundaZitundaZitundaZitundaZitundaZitundaZitundaZitundaZitundaZitundaZitundaZitundaZitundaZitundaZitundaZitundaZitunda
SalamangaSalamangaSalamangaSalamangaSalamangaSalamangaSalamangaSalamangaSalamangaSalamangaSalamangaSalamangaSalamangaSalamangaSalamangaSalamangaSalamangaSalamangaSalamangaSalamangaSalamangaSalamangaSalamangaSalamangaSalamangaSalamangaSalamangaSalamangaSalamangaSalamangaSalamangaSalamangaSalamangaSalamangaSalamangaSalamangaSalamangaSalamangaSalamangaSalamangaSalamangaSalamangaSalamangaSalamangaSalamangaSalamangaSalamangaSalamangaSalamanga
MhlumeniMhlumeniMhlumeniMhlumeniMhlumeniMhlumeniMhlumeniMhlumeniMhlumeniMhlumeniMhlumeniMhlumeniMhlumeniMhlumeniMhlumeniMhlumeniMhlumeniMhlumeniMhlumeniMhlumeniMhlumeniMhlumeniMhlumeniMhlumeniMhlumeniMhlumeniMhlumeniMhlumeniMhlumeniMhlumeniMhlumeniMhlumeniMhlumeniMhlumeniMhlumeniMhlumeniMhlumeniMhlumeniMhlumeniMhlumeniMhlumeniMhlumeniMhlumeniMhlumeniMhlumeniMhlumeniMhlumeniMhlumeniMhlumeni
MambaneMambaneMambaneMambaneMambaneMambaneMambaneMambaneMambaneMambaneMambaneMambaneMambaneMambaneMambaneMambaneMambaneMambaneMambaneMambaneMambaneMambaneMambaneMambaneMambaneMambaneMambaneMambaneMambaneMambaneMambaneMambaneMambaneMambaneMambaneMambaneMambaneMambaneMambaneMambaneMambaneMambaneMambaneMambaneMambaneMambaneMambaneMambaneMambane
BoaneBoaneBoaneBoaneBoaneBoaneBoaneBoaneBoaneBoaneBoaneBoaneBoaneBoaneBoaneBoaneBoaneBoaneBoaneBoaneBoaneBoaneBoaneBoaneBoaneBoaneBoaneBoaneBoaneBoaneBoaneBoaneBoaneBoaneBoaneBoaneBoaneBoaneBoaneBoaneBoaneBoaneBoaneBoaneBoaneBoaneBoaneBoaneBoane
MakanisMakanisMakanisMakanisMakanisMakanisMakanisMakanisMakanisMakanisMakanisMakanisMakanisMakanisMakanisMakanisMakanisMakanisMakanisMakanisMakanisMakanisMakanisMakanisMakanisMakanisMakanisMakanisMakanisMakanisMakanisMakanisMakanisMakanisMakanisMakanisMakanisMakanisMakanisMakanisMakanisMakanisMakanisMakanisMakanisMakanisMakanisMakanisMakanisNdumuNdumuNdumuNdumuNdumuNdumuNdumuNdumuNdumuNdumuNdumuNdumuNdumuNdumuNdumuNdumuNdumuNdumuNdumuNdumuNdumuNdumuNdumuNdumuNdumuNdumuNdumuNdumuNdumuNdumuNdumuNdumuNdumuNdumuNdumuNdumuNdumuNdumuNdumuNdumuNdumuNdumuNdumuNdumuNdumuNdumuNdumuNdumuNdumu16.316.316.316.316.316.316.316.316.316.316.316.316.316.316.316.316.316.316.316.316.316.316.316.316.316.316.316.316.316.316.316.316.316.316.316.316.316.316.316.316.316.316.316.316.316.316.316.316.3
41.841.841.841.841.841.841.841.841.841.841.841.841.841.841.841.841.841.841.841.841.841.841.841.841.841.841.841.841.841.841.841.841.841.841.841.841.841.841.841.841.841.841.841.841.841.841.841.841.88.98.98.98.98.98.98.98.98.98.98.98.98.98.98.98.98.98.98.98.98.98.98.98.98.98.98.98.98.98.98.98.98.98.98.98.98.98.98.98.98.98.98.98.98.98.98.98.98.9
72.772.772.772.772.772.772.772.772.772.772.772.772.772.772.772.772.772.772.772.772.772.772.772.772.772.772.772.772.772.772.772.772.772.772.772.772.772.772.772.772.772.772.772.772.772.772.772.772.7
76.676.676.676.676.676.676.676.676.676.676.676.676.676.676.676.676.676.676.676.676.676.676.676.676.676.676.676.676.676.676.676.676.676.676.676.676.676.676.676.676.676.676.676.676.676.676.676.676.672.372.372.372.372.372.372.372.372.372.372.372.372.372.372.372.372.372.372.372.372.372.372.372.372.372.372.372.372.372.372.372.372.372.372.372.372.372.372.372.372.372.372.372.372.372.372.372.372.3
90.490.490.490.490.490.490.490.490.490.490.490.490.490.490.490.490.490.490.490.490.490.490.490.490.490.490.490.490.490.490.490.490.490.490.490.490.490.490.490.490.490.490.490.490.490.490.490.490.4 22.122.122.122.122.122.122.122.122.122.122.122.122.122.122.122.122.122.122.122.122.122.122.122.122.122.122.122.122.122.122.122.122.122.122.122.122.122.122.122.122.122.122.122.122.122.122.122.122.1
63.663.663.663.663.663.663.663.663.663.663.663.663.663.663.663.663.663.663.663.663.663.663.663.663.663.663.663.663.663.663.663.663.663.663.663.663.663.663.663.663.663.663.663.663.663.663.663.663.6
85.385.385.385.385.385.385.385.385.385.385.385.385.385.385.385.385.385.385.385.385.385.385.385.385.385.385.385.385.385.385.385.385.385.385.385.385.385.385.385.385.385.385.385.385.385.385.385.385.3
36.836.836.836.836.836.836.836.836.836.836.836.836.836.836.836.836.836.836.836.836.836.836.836.836.836.836.836.836.836.836.836.836.836.836.836.836.836.836.836.836.836.836.836.836.836.836.836.836.8
SwazilandSwazilandSwazilandSwazilandSwazilandSwazilandSwazilandSwazilandSwazilandSwazilandSwazilandSwazilandSwazilandSwazilandSwazilandSwazilandSwazilandSwazilandSwazilandSwazilandSwazilandSwazilandSwazilandSwazilandSwazilandSwazilandSwazilandSwazilandSwazilandSwazilandSwazilandSwazilandSwazilandSwazilandSwazilandSwazilandSwazilandSwazilandSwazilandSwazilandSwazilandSwazilandSwazilandSwazilandSwazilandSwazilandSwazilandSwazilandSwaziland
MocambiqueMocambiqueMocambiqueMocambiqueMocambiqueMocambiqueMocambiqueMocambiqueMocambiqueMocambiqueMocambiqueMocambiqueMocambiqueMocambiqueMocambiqueMocambiqueMocambiqueMocambiqueMocambiqueMocambiqueMocambiqueMocambiqueMocambiqueMocambiqueMocambiqueMocambiqueMocambiqueMocambiqueMocambiqueMocambiqueMocambiqueMocambiqueMocambiqueMocambiqueMocambiqueMocambiqueMocambiqueMocambiqueMocambiqueMocambiqueMocambiqueMocambiqueMocambiqueMocambiqueMocambiqueMocambiqueMocambiqueMocambiqueMocambique
South AfricaSouth AfricaSouth AfricaSouth AfricaSouth AfricaSouth AfricaSouth AfricaSouth AfricaSouth AfricaSouth AfricaSouth AfricaSouth AfricaSouth AfricaSouth AfricaSouth AfricaSouth AfricaSouth AfricaSouth AfricaSouth AfricaSouth AfricaSouth AfricaSouth AfricaSouth AfricaSouth AfricaSouth AfricaSouth AfricaSouth AfricaSouth AfricaSouth AfricaSouth AfricaSouth AfricaSouth AfricaSouth AfricaSouth AfricaSouth AfricaSouth AfricaSouth AfricaSouth AfricaSouth AfricaSouth AfricaSouth AfricaSouth AfricaSouth AfricaSouth AfricaSouth AfricaSouth AfricaSouth AfricaSouth AfricaSouth Africa
ZitundaZitundaZitundaZitundaZitundaZitundaZitundaZitundaZitundaZitundaZitundaZitundaZitundaZitundaZitundaZitundaZitundaZitundaZitundaZitundaZitundaZitundaZitundaZitundaZitundaZitundaZitundaZitundaZitundaZitundaZitundaZitundaZitundaZitundaZitundaZitundaZitundaZitundaZitundaZitundaZitundaZitundaZitundaZitundaZitundaZitundaZitundaZitundaZitunda
Ponta do OuroPonta do OuroPonta do OuroPonta do OuroPonta do OuroPonta do OuroPonta do OuroPonta do OuroPonta do OuroPonta do OuroPonta do OuroPonta do OuroPonta do OuroPonta do OuroPonta do OuroPonta do OuroPonta do OuroPonta do OuroPonta do OuroPonta do OuroPonta do OuroPonta do OuroPonta do OuroPonta do OuroPonta do OuroPonta do OuroPonta do OuroPonta do OuroPonta do OuroPonta do OuroPonta do OuroPonta do OuroPonta do OuroPonta do OuroPonta do OuroPonta do OuroPonta do OuroPonta do OuroPonta do OuroPonta do OuroPonta do OuroPonta do OuroPonta do OuroPonta do OuroPonta do OuroPonta do OuroPonta do OuroPonta do OuroPonta do Ouro
CatuaneCatuaneCatuaneCatuaneCatuaneCatuaneCatuaneCatuaneCatuaneCatuaneCatuaneCatuaneCatuaneCatuaneCatuaneCatuaneCatuaneCatuaneCatuaneCatuaneCatuaneCatuaneCatuaneCatuaneCatuaneCatuaneCatuaneCatuaneCatuaneCatuaneCatuaneCatuaneCatuaneCatuaneCatuaneCatuaneCatuaneCatuaneCatuaneCatuaneCatuaneCatuaneCatuaneCatuaneCatuaneCatuaneCatuaneCatuaneCatuane
ShewulaShewulaShewulaShewulaShewulaShewulaShewulaShewulaShewulaShewulaShewulaShewulaShewulaShewulaShewulaShewulaShewulaShewulaShewulaShewulaShewulaShewulaShewulaShewulaShewulaShewulaShewulaShewulaShewulaShewulaShewulaShewulaShewulaShewulaShewulaShewulaShewulaShewulaShewulaShewulaShewulaShewulaShewulaShewulaShewulaShewulaShewulaShewulaShewulaLomahashaLomahashaLomahashaLomahashaLomahashaLomahashaLomahashaLomahashaLomahashaLomahashaLomahashaLomahashaLomahashaLomahashaLomahashaLomahashaLomahashaLomahashaLomahashaLomahashaLomahashaLomahashaLomahashaLomahashaLomahashaLomahashaLomahashaLomahashaLomahashaLomahashaLomahashaLomahashaLomahashaLomahashaLomahashaLomahashaLomahashaLomahashaLomahashaLomahashaLomahashaLomahashaLomahashaLomahashaLomahashaLomahashaLomahashaLomahashaLomahasha
SihangwaneSihangwaneSihangwaneSihangwaneSihangwaneSihangwaneSihangwaneSihangwaneSihangwaneSihangwaneSihangwaneSihangwaneSihangwaneSihangwaneSihangwaneSihangwaneSihangwaneSihangwaneSihangwaneSihangwaneSihangwaneSihangwaneSihangwaneSihangwaneSihangwaneSihangwaneSihangwaneSihangwaneSihangwaneSihangwaneSihangwaneSihangwaneSihangwaneSihangwaneSihangwaneSihangwaneSihangwaneSihangwaneSihangwaneSihangwaneSihangwaneSihangwaneSihangwaneSihangwaneSihangwaneSihangwaneSihangwaneSihangwaneSihangwane
444444444444444444444444444444444444444444444444410101010101010101010101010101010101010101010101010101010101010101010101010101010101010101010101010
32.632.632.632.632.632.632.632.632.632.632.632.632.632.632.632.632.632.632.632.632.632.632.632.632.632.632.632.632.632.632.632.632.632.632.632.632.632.632.632.632.632.632.632.632.632.632.632.632.6
7.57.57.57.57.57.57.57.57.57.57.57.57.57.57.57.57.57.57.57.57.57.57.57.57.57.57.57.57.57.57.57.57.57.57.57.57.57.57.57.57.57.57.57.57.57.57.57.57.5
71717171717171717171717171717171717171717171717171717171717171717171717171717171717171717171717171
68.968.968.968.968.968.968.968.968.968.968.968.968.968.968.968.968.968.968.968.968.968.968.968.968.968.968.968.968.968.968.968.968.968.968.968.968.968.968.968.968.968.968.968.968.968.968.968.968.92.22.22.22.22.22.22.22.22.22.22.22.22.22.22.22.22.22.22.22.22.22.22.22.22.22.22.22.22.22.22.22.22.22.22.22.22.22.22.22.22.22.22.22.22.22.22.22.22.2
0.50.50.50.50.50.50.50.50.50.50.50.50.50.50.50.50.50.50.50.50.50.50.50.50.50.50.50.50.50.50.50.50.50.50.50.50.50.50.50.50.50.50.50.50.50.50.50.50.5
89.289.289.289.289.289.289.289.289.289.289.289.289.289.289.289.289.289.289.289.289.289.289.289.289.289.289.289.289.289.289.289.289.289.289.289.289.289.289.289.289.289.289.289.289.289.289.289.289.2
82828282828282828282828282828282828282828282828282828282828282828282828282828282828282828282828282
6.66.66.66.66.66.66.66.66.66.66.66.66.66.66.66.66.66.66.66.66.66.66.66.66.66.66.66.66.66.66.66.66.66.66.66.66.66.66.66.66.66.66.66.66.66.66.66.66.6
89.389.389.389.389.389.389.389.389.389.389.389.389.389.389.389.389.389.389.389.389.389.389.389.389.389.389.389.389.389.389.389.389.389.389.389.389.389.389.389.389.389.389.389.389.389.389.389.389.3
15.715.715.715.715.715.715.715.715.715.715.715.715.715.715.715.715.715.715.715.715.715.715.715.715.715.715.715.715.715.715.715.715.715.715.715.715.715.715.715.715.715.715.715.715.715.715.715.715.7 24.824.824.824.824.824.824.824.824.824.824.824.824.824.824.824.824.824.824.824.824.824.824.824.824.824.824.824.824.824.824.824.824.824.824.824.824.824.824.824.824.824.824.824.824.824.824.824.824.8
79.379.379.379.379.379.379.379.379.379.379.379.379.379.379.379.379.379.379.379.379.379.379.379.379.379.379.379.379.379.379.379.379.379.379.379.379.379.379.379.379.379.379.379.379.379.379.379.379.3NamaachaNamaachaNamaachaNamaachaNamaachaNamaachaNamaachaNamaachaNamaachaNamaachaNamaachaNamaachaNamaachaNamaachaNamaachaNamaachaNamaachaNamaachaNamaachaNamaachaNamaachaNamaachaNamaachaNamaachaNamaachaNamaachaNamaachaNamaachaNamaachaNamaachaNamaachaNamaachaNamaachaNamaachaNamaachaNamaachaNamaachaNamaachaNamaachaNamaachaNamaachaNamaachaNamaachaNamaachaNamaachaNamaachaNamaachaNamaachaNamaacha
BoaneBoaneBoaneBoaneBoaneBoaneBoaneBoaneBoaneBoaneBoaneBoaneBoaneBoaneBoaneBoaneBoaneBoaneBoaneBoaneBoaneBoaneBoaneBoaneBoaneBoaneBoaneBoaneBoaneBoaneBoaneBoaneBoaneBoaneBoaneBoaneBoaneBoaneBoaneBoaneBoaneBoaneBoaneBoaneBoaneBoaneBoaneBoaneBoane
ChangalaneChangalaneChangalaneChangalaneChangalaneChangalaneChangalaneChangalaneChangalaneChangalaneChangalaneChangalaneChangalaneChangalaneChangalaneChangalaneChangalaneChangalaneChangalaneChangalaneChangalaneChangalaneChangalaneChangalaneChangalaneChangalaneChangalaneChangalaneChangalaneChangalaneChangalaneChangalaneChangalaneChangalaneChangalaneChangalaneChangalaneChangalaneChangalaneChangalaneChangalaneChangalaneChangalaneChangalaneChangalaneChangalaneChangalaneChangalaneChangalane
MatutuineMatutuineMatutuineMatutuineMatutuineMatutuineMatutuineMatutuineMatutuineMatutuineMatutuineMatutuineMatutuineMatutuineMatutuineMatutuineMatutuineMatutuineMatutuineMatutuineMatutuineMatutuineMatutuineMatutuineMatutuineMatutuineMatutuineMatutuineMatutuineMatutuineMatutuineMatutuineMatutuineMatutuineMatutuineMatutuineMatutuineMatutuineMatutuineMatutuineMatutuineMatutuineMatutuineMatutuineMatutuineMatutuineMatutuineMatutuineMatutuine
SalamangaSalamangaSalamangaSalamangaSalamangaSalamangaSalamangaSalamangaSalamangaSalamangaSalamangaSalamangaSalamangaSalamangaSalamangaSalamangaSalamangaSalamangaSalamangaSalamangaSalamangaSalamangaSalamangaSalamangaSalamangaSalamangaSalamangaSalamangaSalamangaSalamangaSalamangaSalamangaSalamangaSalamangaSalamangaSalamangaSalamangaSalamangaSalamangaSalamangaSalamangaSalamangaSalamangaSalamangaSalamangaSalamangaSalamangaSalamangaSalamanga
MhlumeniMhlumeniMhlumeniMhlumeniMhlumeniMhlumeniMhlumeniMhlumeniMhlumeniMhlumeniMhlumeniMhlumeniMhlumeniMhlumeniMhlumeniMhlumeniMhlumeniMhlumeniMhlumeniMhlumeniMhlumeniMhlumeniMhlumeniMhlumeniMhlumeniMhlumeniMhlumeniMhlumeniMhlumeniMhlumeniMhlumeniMhlumeniMhlumeniMhlumeniMhlumeniMhlumeniMhlumeniMhlumeniMhlumeniMhlumeniMhlumeniMhlumeniMhlumeniMhlumeniMhlumeniMhlumeniMhlumeniMhlumeniMhlumeni
MambaneMambaneMambaneMambaneMambaneMambaneMambaneMambaneMambaneMambaneMambaneMambaneMambaneMambaneMambaneMambaneMambaneMambaneMambaneMambaneMambaneMambaneMambaneMambaneMambaneMambaneMambaneMambaneMambaneMambaneMambaneMambaneMambaneMambaneMambaneMambaneMambaneMambaneMambaneMambaneMambaneMambaneMambaneMambaneMambaneMambaneMambaneMambaneMambane
BoaneBoaneBoaneBoaneBoaneBoaneBoaneBoaneBoaneBoaneBoaneBoaneBoaneBoaneBoaneBoaneBoaneBoaneBoaneBoaneBoaneBoaneBoaneBoaneBoaneBoaneBoaneBoaneBoaneBoaneBoaneBoaneBoaneBoaneBoaneBoaneBoaneBoaneBoaneBoaneBoaneBoaneBoaneBoaneBoaneBoaneBoaneBoaneBoane
MakanisMakanisMakanisMakanisMakanisMakanisMakanisMakanisMakanisMakanisMakanisMakanisMakanisMakanisMakanisMakanisMakanisMakanisMakanisMakanisMakanisMakanisMakanisMakanisMakanisMakanisMakanisMakanisMakanisMakanisMakanisMakanisMakanisMakanisMakanisMakanisMakanisMakanisMakanisMakanisMakanisMakanisMakanisMakanisMakanisMakanisMakanisMakanisMakanisNdumuNdumuNdumuNdumuNdumuNdumuNdumuNdumuNdumuNdumuNdumuNdumuNdumuNdumuNdumuNdumuNdumuNdumuNdumuNdumuNdumuNdumuNdumuNdumuNdumuNdumuNdumuNdumuNdumuNdumuNdumuNdumuNdumuNdumuNdumuNdumuNdumuNdumuNdumuNdumuNdumuNdumuNdumuNdumuNdumuNdumuNdumuNdumuNdumu
Plasmodium falciparumDecember 1999 June 2000
Percentage Positive
> 7550 to 7525 to 505 to 25
< 5
INCIDENCE MAPIngwavumaIngwavumaIngwavumaIngwavumaIngwavumaIngwavumaIngwavumaIngwavumaIngwavumaIngwavumaIngwavumaIngwavumaIngwavumaIngwavumaIngwavumaIngwavumaIngwavumaIngwavumaIngwavumaIngwavumaIngwavumaIngwavumaIngwavumaIngwavumaIngwavumaIngwavumaIngwavumaIngwavumaIngwavumaIngwavumaIngwavumaIngwavumaIngwavumaIngwavumaIngwavumaIngwavumaIngwavumaIngwavumaIngwavumaIngwavumaIngwavumaIngwavumaIngwavumaIngwavumaIngwavumaIngwavumaIngwavumaIngwavumaIngwavuma
TembeTembeTembeTembeTembeTembeTembeTembeTembeTembeTembeTembeTembeTembeTembeTembeTembeTembeTembeTembeTembeTembeTembeTembeTembeTembeTembeTembeTembeTembeTembeTembeTembeTembeTembeTembeTembeTembeTembeTembeTembeTembeTembeTembeTembeTembeTembeTembeTembe
NdumuNdumuNdumuNdumuNdumuNdumuNdumuNdumuNdumuNdumuNdumuNdumuNdumuNdumuNdumuNdumuNdumuNdumuNdumuNdumuNdumuNdumuNdumuNdumuNdumuNdumuNdumuNdumuNdumuNdumuNdumuNdumuNdumuNdumuNdumuNdumuNdumuNdumuNdumuNdumuNdumuNdumuNdumuNdumuNdumuNdumuNdumuNdumuNdumuMOZAMBIQUE
SWA
ZIL
AN
D
Kosi Bay Kosi Bay Kosi Bay Kosi Bay Kosi Bay Kosi Bay Kosi Bay Kosi Bay Kosi Bay Kosi Bay
St LuciaSt LuciaSt LuciaSt LuciaSt LuciaSt LuciaSt LuciaSt LuciaSt LuciaSt Lucia
> 500 (7)101 to 500 (32)51 to 100 (54)20 to 50 (60)
< 20 (59)Produced by: Malaria Research Programme MRC , Durban , August 2000Source: Tourism KwaZulu-Natal and (MIS)
FIGURE 2 : FIGURE 2 : FIGURE 2 : MALARIA CASE INCIDENCE FOR 1999 AND MALARIA CASE INCIDENCE FOR 1999 AND MALARIA CASE INCIDENCE FOR 1999 AND
TOURIST FACILITY DISTRIBUTIONTOURIST FACILITY DISTRIBUTIONTOURIST FACILITY DISTRIBUTION
MRC
0 10
kilometers20
Indian OceanUbomboUbomboUbomboUbomboUbomboUbomboUbomboUbomboUbomboUbomboUbomboUbomboUbomboUbomboUbomboUbomboUbomboUbomboUbomboUbomboUbomboUbomboUbomboUbomboUbomboUbomboUbomboUbomboUbomboUbomboUbomboUbomboUbomboUbomboUbomboUbomboUbomboUbomboUbomboUbomboUbomboUbomboUbomboUbomboUbomboUbomboUbomboUbomboUbombo
MkuzeMkuzeMkuzeMkuzeMkuzeMkuzeMkuzeMkuzeMkuzeMkuzeMkuzeMkuzeMkuzeMkuzeMkuzeMkuzeMkuzeMkuzeMkuzeMkuzeMkuzeMkuzeMkuzeMkuzeMkuzeMkuzeMkuzeMkuzeMkuzeMkuzeMkuzeMkuzeMkuzeMkuzeMkuzeMkuzeMkuzeMkuzeMkuzeMkuzeMkuzeMkuzeMkuzeMkuzeMkuzeMkuzeMkuzeMkuzeMkuze
Sodwana Bay Sodwana Bay Sodwana Bay Sodwana Bay Sodwana Bay Sodwana Bay Sodwana Bay Sodwana Bay Sodwana Bay Sodwana Bay
HlabisaHlabisaHlabisaHlabisaHlabisaHlabisaHlabisaHlabisaHlabisaHlabisa
HluhluweHluhluweHluhluweHluhluweHluhluweHluhluweHluhluweHluhluweHluhluweHluhluwe
MkhuzeMkhuzeMkhuzeMkhuzeMkhuzeMkhuzeMkhuzeMkhuzeMkhuzeMkhuze
JoziniJoziniJoziniJoziniJoziniJoziniJoziniJoziniJoziniJozini
IngwavumaIngwavumaIngwavumaIngwavumaIngwavumaIngwavumaIngwavumaIngwavumaIngwavumaIngwavuma
Malaria Incidenceper 1000 population
Main Towns
Tourist Facilities
Magisterial Districts
Nature Reserves
Sections
Areas
500
LOBBYING FOR ADDITIONAL FUNDS
• THE MEC FOR HEALTH VISITS JOZINI & LISTENS TO PROBLEMS EXARCEBATING THE MALARIA BURDEN
• VISITS THE AFFECTED CLINICS
• VISITS THE HOMESTEADS• LAUNCHES THE R18
MILLION FROM PROVINCIAL GOVT.
NDUMU CLINIC - WORSE AFFECTED
AT A HOMESTEAD IN NDUMUONE OF THE HIGH RISK AREAS
UTILIZATION OF R18 MILLION– SUMMARY OF EXPENDITURE
• PERSONNEL R 310 522• ADMINISTRATION R1 424 878• STORES AND LIVESTOCK R9 906 584• EQUIPMENT R 228 191• PROFESSIONAL & SPEC SERVICES R 54 242• OFFICIAL VEHICLES R2 530 877
R14 455 294
ITEMS PURCHASED WITH R18 MILLION• HIRING OF CASUAL SPRAYMEN• PROTECTIVE
– CLOTHING• SPRAY PUMPS• INSECTICIDE
ITEMS PURCHASED WITH R18 MILLION• Total of 24 vehicles• 13 Malaria• 1 District• 2 Enviro.• 2 Bethesda• 2 Manguzi• 2 Mosvold• 2 Mseleni
TRAILERS IN COMPLIANCE WITH DDT USAGESPRAYMEN IN FULL PROTECTIVE CLOTHING
ITEMS PURCHASED WITH R18 MILLION• Diagnostics and treatments
PROMOTIONAL MESSAGES
BEDNETS
TRAINING ON BEDNET IMPREGNATION
• SELF AND INDIVIDUAL IMPREGNATION
INTERVENTION MEASURESINDOOR SPRAYING WITH DDT
LARVICIDES TO ELIMINATE VECTOR MOSQUITOES
INTERVENTION MEASURES• DDT SPRAYING• HEALTH EDUCATION• ENTOMOLOGICAL
SURVEYS• LARVICIDING• BEDNETS @ R20/NET• FREE FOR PREGNANT
MOTHERS
INTERVENTION MEASURES
• RANDOMISED SCREENING AND TREATMENT OF CONFIRMED CASES
• PROMOTIONAL MASSAGES ON CORRECT TREATMENT-SEEKING BEHAVIOUR
• HOSPITALIZATION OF SEVERE CASES
IMPACT AFTER DDT USE IN KZN
0
1000
2000
3000
4000
5000
6000
7000
J F M A M J J A S O N D
98 99 2000
DUKUDUKUSpraying started in March
050
100150200250300350400450500
J F M A M J J A S O N D
2000 2001
INGWAVUMA DISTRICT
0
500
1000
1500
2000
2500
3000
3500
4000
J F M A M J J A S O N D
98 99 2000
OVERALL IMPACT ON MALARIA• BEFORE INTERVENTION
• Death incidence rate : • 8.2/1000 population• % hospital OPD attendance
18.3%• % malaria admissions :
48.8%• Vulnerable age group
0-9yrs = 28%• Highest age specific mortality:
21-30 yrs = 16.2%
• AFTER INTERVENTION
• 7.08/1000
• 11.5%
• 13.6%
LEBOMBO SPRATIAL DEV. INITIATIVE• CO-OPERATION HAS BEEN GOOD• PARASITE PREVALENCE SURVEYS WILL BE
CONTINUED 6 MONTHLY FOR EVALUATION • SPRAYING WAS COMPLETED IN ZONE 1 AND
DUE FOR COMPLETION IN ZONE 1 A. (MOZAL)
• POSITIVE INTERVENTION IMPACT IS FELT BY NEIGHBOURING COUNTRIES
• POLITICAL PRESSURE NEEDED FOR DDT TO BE INTRODUCED IN MOZAMBIQUE
SUMMARY• CONTINUED COMMITMENT IN HUMAN AND
FINANCIAL RESOURCES BY PROVINCIAL CABINET
• SUPPORT BY ALL STAKEHOLDERS FROM THE DEPARTMENT OF HEALTH
• APPLIED RESEARCH TO DETERMINE IMPEDIMENTS I.E. DRUG AND INSECTICIDE RESISTANCE
• COLLABORATION AT ALL LEVELS• SUCCESS AS HAS BEEN SHOWN
CONCLUSION • GOOD CABINET• GOOD MEC FOR
HEALTH• GOOD HEAD OF
DEPARTMENT• EFFECTIVE
INSECTICIDE (DDT) AND EFFECTIVE DRUG (COARTEM)
• EXCELLENT SUPPORT FROM OTHER ROLE PLAYERS & LSDI
• SUCCEESFUL TEAM