235326 Sierra Leone Home management of malaria with Artemisin Combination Therapy reduces child mortality

Wednesday, November 2, 2011: 10:30 AM

Lamin Kamara, CHO, CTCM&H, DCM&H , International Program, Plan International, Washington, DC
Jillian Scott, MPH , Field Support Unit, Plan International USA, Washington, DC
BACKGROUND - Malaria is the leading cause of morbidity and mortality among under-five children in Sierra Leone. PROGRAM Plan International, a child-centered community development organization, in partnership with the government and with funding from the Global Fund, is implementing a five-year project to combat malaria. A key project intervention is the Home Management of Malaria using Artemisinin Combination Therapy (HMM/ACT). While ACT drugs are available in most public health facilities, their utilization at the community level is as low as 10% of suspected cases. Possible reasons for this low community use are inability of pregnant women and their children to access these new drugs within 24 hours due to long travel time and little/no knowledge about these drugs and their free distribution at health facilities and communities. In response, Plan and the Ministry of Health identified and trained volunteer community-based providers (CBPs) on the HMM/ACT. The project also implemented community education and radio programming to announce the beginning of HMM/ACT. RESULTS - 724 CBPs were trained in four districts to cover 3,620 communities with HMM/ACT. The number of malaria cases treated by CBPs has increased by four times, while malaria mortality has decreased by the same range and in the same geographical areas. Less severe cases are seen by CBPs and front-line health workers. For example, convulsion rates have significantly reduced among under-five children. CONCLUSION HMM/ACT by CBP decrease severity and mortality due to malaria. With funding from the Global Fund, the government is beginning its nationwide implementation.

Learning Areas:
Administer health education strategies, interventions and programs
Implementation of health education strategies, interventions and programs
Planning of health education strategies, interventions, and programs

Learning Objectives:
Demonstrate the effectiveness of home-based management of malaria in reducing child mortality.

Keywords: Home Based, Infectious Diseases

Presenting author's disclosure statement:

Qualified on the content I am responsible for because: I am in charge of planning for and managing this project.
Any relevant financial relationships? No

I agree to comply with the American Public Health Association Conflict of Interest and Commercial Support Guidelines, and to disclose to the participants any off-label or experimental uses of a commercial product or service discussed in my presentation.