IASC Terrestrial Working Group Presentation at IARPC-IASC Meeting - Skip Walker
1 IASC Weekly meeting Geneva, 14 September 2005 Malaria control in emergency settings Charles...
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Transcript of 1 IASC Weekly meeting Geneva, 14 September 2005 Malaria control in emergency settings Charles...
![Page 1: 1 IASC Weekly meeting Geneva, 14 September 2005 Malaria control in emergency settings Charles Delacollette WHO/Roll Back Malaria Department.](https://reader036.fdocuments.in/reader036/viewer/2022071808/56649ef15503460f94c0330d/html5/thumbnails/1.jpg)
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IASC Weekly meetingGeneva, 14 September 2005
Malaria control in
emergency settings
Charles DelacolletteWHO/Roll Back Malaria Department
![Page 2: 1 IASC Weekly meeting Geneva, 14 September 2005 Malaria control in emergency settings Charles Delacollette WHO/Roll Back Malaria Department.](https://reader036.fdocuments.in/reader036/viewer/2022071808/56649ef15503460f94c0330d/html5/thumbnails/2.jpg)
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Definition of fragile statesDefinition of fragile statesGovernments cannot or will not deliver core functions to the majority of its people, including the poor,
•lack of territorial control,
•lack of safety and security,
•lack of capacity to manage public resources,
•lack of delivery of basic services,
•limited ability to protect and support the ways in which the poorest people sustain themselves.
From World Bank country policy and institutional assessment – GDP per capita income is less than USD 1 per day.
![Page 3: 1 IASC Weekly meeting Geneva, 14 September 2005 Malaria control in emergency settings Charles Delacollette WHO/Roll Back Malaria Department.](https://reader036.fdocuments.in/reader036/viewer/2022071808/56649ef15503460f94c0330d/html5/thumbnails/3.jpg)
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Out of 46 "Fragile States" and countries of humanitarian concern, malaria is endemic in 43
In Africa: Population in countries of humanitarian concern is estimated at around 2/3 of total population at risk.
![Page 4: 1 IASC Weekly meeting Geneva, 14 September 2005 Malaria control in emergency settings Charles Delacollette WHO/Roll Back Malaria Department.](https://reader036.fdocuments.in/reader036/viewer/2022071808/56649ef15503460f94c0330d/html5/thumbnails/4.jpg)
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At least 30% of the malaria burden is in countries of humanitarian concern
![Page 5: 1 IASC Weekly meeting Geneva, 14 September 2005 Malaria control in emergency settings Charles Delacollette WHO/Roll Back Malaria Department.](https://reader036.fdocuments.in/reader036/viewer/2022071808/56649ef15503460f94c0330d/html5/thumbnails/5.jpg)
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Best practices in emergency situations
![Page 6: 1 IASC Weekly meeting Geneva, 14 September 2005 Malaria control in emergency settings Charles Delacollette WHO/Roll Back Malaria Department.](https://reader036.fdocuments.in/reader036/viewer/2022071808/56649ef15503460f94c0330d/html5/thumbnails/6.jpg)
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Major steps (acute phase)• Quick situation analysis
• Malaria diagnosis available (microscopy or Rapid Diagnostic Tests) – Artemisinin Combination Therapy (ACT) free of charge to the users
• Include malaria in EWARN (surveillance)
![Page 7: 1 IASC Weekly meeting Geneva, 14 September 2005 Malaria control in emergency settings Charles Delacollette WHO/Roll Back Malaria Department.](https://reader036.fdocuments.in/reader036/viewer/2022071808/56649ef15503460f94c0330d/html5/thumbnails/7.jpg)
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Major steps (acute phase)Continued
• Active malaria detection (priority ONE: Pregnant Women, Children under 2, HIV+, highly malnourished)
• Impregnated Treated Nets (if available) for the above at risk
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Major steps (chronic phase)
• In addition to previous health items, consider increasing ITNs coverage and / or use of Indoor Residual Spraying to impact on transmission
• Consolidation of Surveillance and Monitoring & Evaluation (addressing lack of documentation on impact)
![Page 9: 1 IASC Weekly meeting Geneva, 14 September 2005 Malaria control in emergency settings Charles Delacollette WHO/Roll Back Malaria Department.](https://reader036.fdocuments.in/reader036/viewer/2022071808/56649ef15503460f94c0330d/html5/thumbnails/9.jpg)
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GTATM in emergency settings
• 37 (out of 43) have GFATM grant
• Poor performance in 13 (35%) versus 12 (21%) out of 55 non fragile countries
• Principal Recipients: UNDP in 9, UNICEF in 1, Int'l NGOs in 3 and Ministry of Health in the remaining
![Page 10: 1 IASC Weekly meeting Geneva, 14 September 2005 Malaria control in emergency settings Charles Delacollette WHO/Roll Back Malaria Department.](https://reader036.fdocuments.in/reader036/viewer/2022071808/56649ef15503460f94c0330d/html5/thumbnails/10.jpg)
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GTATM in emergency settings
Bottlenecks: capacity, logistics(procurement), low disbursement, M&E Response: International Programme
Officers, increasing the capacity of nationals (MOH strategic leadership), focused assistance in procurement, implementation / disbursement plan, M&E, surveillance…