Malaria remains one of Uganda’s biggest public health problems. PACE has for the last five years, worked with the Ministry of Health (MoH) to reduce the incidence of malaria in Uganda through the distribution of long lasting insecticide treated nets as well as integrated community case management of malaria (iCCM).
Distribution of Long lasting Insecticide treated nets (LLINs)
In 2015, PACE, in partnership with MoH, The AIDS Support Organization (TASO) and with support from the Global Fund to Fight AIDS, Tuberculosis and Malaria, distributed over 340,000 long-lasting insecticide-treated nets (LLINs) to pregnant women. This was done during antenatal care visits in public and private not for profit health facilities. PACE conducts community social mobilization of pregnant women and their families and training of health workers on malaria case management, use of rapid diagnostic tests and LLINs in 31 districts in the Northern, Eastern and Central regions.
In addition, PACE trained VHTs to improve their knowledge and ability to communicate with their communities on malaria, TB and HIV/AIDS and supports awareness activities within communities and schools to ensure that the final beneficiaries of these treated mosquito nets know how to use them and repair them to last longer.
These awareness activities were also geared towards increasing knowledge on prevention and treatment of malaria, TB and HIV/AIDS amongst these target populations.
iCCM Project under the Global Fund
Also with funding from the Global Fund, PACE is undertaking Integrated Community Case Management of Malaria (iCCM) in 17 districts mainly in Northern Uganda. Under this project, PACE will be supporting the districts to train Village Health Teams (VHTs) trainers, as well as VHTs in community case management of malaria.
The VHTs will conduct household visits in their catchment area, reaching each household with information on how to prevent malaria, and protocols should one present with signs and symptoms of malaria. This project will run through 2017.
iCCM to treat malaria, pneumonia and diarrhoea
With funding from UKAID, PACE continued the implementation of iCCM in the Acholi sub-region (Gulu Amuru Kitgum and Pader). In 2015, PACE worked to improve communities’ access and uptake of low cost quality maternal and child health services and commodities, especially for children under 5 years at private health facilities.
A total of selected 20 eligible private clinics and 140 village drug shops were a part of this project. 123 private sector providers were trained in the provision of correct diarrhoea, malaria & pneumonia treatment.
To strengthen the supply chain, PACE, in 2015, increased stocking levels of ACTm treatment, ORS, zinc and amoxicillin within partner clinics which originally did not stock adequately to over 85 percent. As part of this intervention, owners of drug shops and private clinics were equipped with basic skills of supply chain management. This led to elimination of stock outs of essential medicines and supplies.
Community awareness on the prevalence and impact of malaria and diarrhoea diseases was enhanced in meetings held with opinion leaders, local council leaders and elders. In addition, PACE supported health days and outreaches leading to improved case management of malaria, pneumonia and diarrhoea.