Community

health

CCEDUC Malaria screening & treatment Program

According to the 2016 Uganda DHS survey, malaria was found in about 25.6% of the under-five children in Yumbe on the days of the survey. Some challenges include shortage of supplies of ACTs to treat all malaria cases in the health facilities’ catchment areas.

In the community of Odropi, the VHTs report that they also do not receive enough supplies to treat all cases. Consequently, there are people with malaria who are not treated and serve as malaria reservoirs for the mosquitoes and therefore a continued burden of malaria.

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CCEDUC intervention for malaria 

CCEDUC/P2P Inc. have collaborated with the district leadership to ensure access to testing with RDTs at household level, treatment, or referral of diagnosed malaria, and raising community awareness of and access to preventive services and interventions such as LLITNs.

CCEDUC support the VHTs and leverages its network of beneficiaries to increase turnout for community RDT at the start of the malaria season to identify and treat events, to increase LLITN usage, and to increase malaria case “quarantining” with people using nets when sick.

Follow up massive testing and treatment is also conducted later because the RDT only identifies cases after the person has been infected for 5 days.

This double strategy results in identification and treatment of all cases early in the season. For the rest of the season, the VHTs test all suspected cases in the village and immediately treat them.

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CCEDUC intervention for hygiene and sanitation

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water situation in Yumbe Uganda

Phase 1 Results (February 2020): 

Of household members screened for malaria, 1,393 received a malaria test (4% of testing beneficiaries < 2 years of ages, 27% > 2 years to < 5 years, 50% > 5 years to 15 years, and 29% above 15 years if age). Key summary findings are depicted in the Figure 1 and Figure 2 below.

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Figure 1: Diagnostic yield by age clusters

(February 2020)

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Figure 2: Proportion of positive RDT tests by age

(February 2020)

100% of RDT positive cases received antimalarial treatment from the VHT members who conducted the campaign, with none requiring referral to health facility.

LLITNs and educational messages on malaria prevention were issued. Major challenges/impediments to the program majorly include inevitable movement by migrant members of the communities, and a shortage of LLITNs.


Moving forward

Subsequent mass RDT screening, testing and treatment is planned for late 2020. We do not expect full malaria elimination due to outsiders with malaria coming into Odropi and members of the village traveling to infected villages and re-introducing malaria, but expect significant reduction in malaria burden in the community of Odropi in subsequent evaluations.