Promoting Malaria Prevention and Treatment (ProMPT)
Funded by: US Agency for International Development through the President’s Malaria Initiative
Project Duration: 2009-2013
Partners: The Malaria Consortium and the Population Council (sub-recipients)
URC worked with
Ghana’s National Malaria Control Program (NMCP) to strengthen malaria
prevention and control and expand successful malaria interventions nationwide.
ProMPT’s key strategies included:
- Strengthening health systems at the national,
regional, and district level;
- Improving provider competence and quality of care;
- Increasing civil society engagement through community leaders, volunteers,
non-governmental organizations (NGOs), and various types of communication;
- Ensuring country ownership and leadership; and
- Fostering coordination among the NMCP,
partners, and donors supporting the NMCP.
- Preventing malaria through
the distribution of long lasting insecticide-treated bed nets (LLINs);
- Preventing/treating malaria
in pregnancy, including through intermittent preventive treatment (IPTp);
- Managing clinical
cases of malaria, including diagnosis and treatment with appropriate
- Supporting the
malaria component of home-based care (HBC, the term used in Ghana for community
case management of childhood illness) by community-based agents to increase
access to malaria treatment;
- Mobilizing civil society;
- Building the capacity
of the NMCP; and
- Strengthening monitoring
and evaluation systems.
In collaboration with partners, ProMPT helped Ghana move closer to achieving the national goal of
universal coverage of LLINs (one net for every two sleeping places) through an innovative
door-to-door hang-up campaign that resulted in the distribution of more than 12.5 million
LLINs. The project also engaged district and regional health teams and civil society
in support of hang-up campaigns through advocacy, volunteer training and outreach,
mobile van announcements, and traditional and mass media. To read more, see the final
report, which is available in PDF format turn-page format.
- Tested and put in
place strategies to ensure the ongoing distribution of LLINs through primary
schools, antenatal care, and child welfare clinics.
- Trained more than
11,000 health workers on MIP and case management of malaria, likely
contributing to an increase in the percentage of women who received two or more
doses of malaria prevention medication during antenatal care visits; the
percentage rose from 44% in 2008 to 65% in 2011, according to Multiple
Indicator Cluster Survey data.
- Enhanced facilities’ capacity
for improving malaria services through the introduction of quality improvement
tools, techniques, and methods. The project trained 625 district-level
supervisors to provide on-site coaching and to support facility-specific action
plans to address shortcomings. Over 15,000 health worker supervisory visits were
conducted during the project’s period of implementation.
- Trained over 2900 community-based
agents to recognize and treat malaria in their communities. The project
delivered refresher training, HBC guidelines, and checklists to 1557 agents and
308 community health officers.
- Supported a multi-channel
change communication initiative that combined mass media, print,
interpersonal communication, advocacy, and community drama. Over 11,500 radio
spots on IPTp and LLIN use aired in five languages on 21 local radio stations,
and over 4000 community, traditional, and religious leaders were oriented on
- Developed the
capacity of 33 Ghanaian NGOs to expand and support implementation of the
malaria component of HBC and to carry out community mobilization for malaria
prevention and treatment in close collaboration with the Ghana Health Service.
- Collaborated with the
Policy, Planning, Monitoring, and Evaluation Division and the Centre for Health
Information Management of the Ghana Health Service to ensure that Monitoring
and Evaluation Reference Group recommendations were incorporated into revised
consulting room registers. The project also disseminated new registers to approximately
1,900 facilities in four regions, and supported the training of facility-based records
staff in reporting malaria data.
facility-level coaching and supportive supervision to sustain improved malaria
data practices, leading to the identification and the correction of an error in
the calculation of IPTp coverage rates for data generated from the routine
system. The project strengthened the internal capacities and NMCP monitoring
and evaluation systems by posting a dedicated, senior-level monitoring and
evaluation advisor, who provided leadership and technical direction to the
Maternal, Newborn, and Child Health; Malaria
Quality Improvement; Health Systems Strengthening; Health Communication and Behavior Change