Defeat Malaria Activity

Overview

URC manages the Defeat Malaria Activity, funded by USAID, for the prevention and control of malaria.  URC is implementing the project in partnership with American Refugee Committee, Jhpiego, UMD-Institute of Global Health, the Myanmar Health Assistant Association (MHAA),  and the Myanmar Nurse and Midwife Association (MNMA).  URC is also working with the National Malaria Control Program and various government and non-government organizations to support policies that enable the development and implementation of malaria prevention and control models at the community level.

The Defeat Malaria Activity draws on USAID’s investments in the Greater Mekong Sub Region (through the CAP Malaria Project, also managed by URC) as well as globally in malaria prevention and control, and ultimately elimination.

The Defeat Malaria Activity works in priority regions of the country with high malaria incidence and hard-to-reach migrant groups. The project scales up proven interventions to ensure treatment compliance and identify cases of drug-resistant malaria using the public health system, village-based malaria workers, and private providers. 

The project uses innovative approaches to build capacity in early diagnosis and treatment, program management, and logistics, and will provide policy support to ensure an enabling environment to develop a model for eliminating malaria completely.  The Defeat Malaria Activity is also introducing innovations to accelerate successful treatment of drug-resistant malaria cases, integrated community case management, and real-time data reporting.

 

The Challenge

Strategically reduce the malaria burden and control artemisinin-resistant malaria in the targeted areas, contributing to the long-term national goal of eliminating malaria in Burma. Build on the achievements of the USAID PMI Control and Prevention of Malaria Project, also implemented by URC.

 

Objectives

Defeat Malaria objectives are to:

  1. Achieve and maintain universal coverage of at-risk populations with proven vector control and case management interventions, while promoting the testing of new tools and approaches
  2. Strengthen the malaria surveillance system to comprehensively monitor progress and inform the deployment and targeting of appropriate responses and strategies
  3. Enhance technical and operational capacity of the National Malaria Control Program (NMCP) and other health service providers at all levels of service provision
  4. Promote the involvement of communities, private healthcare providers, private companies and state-owned enterprises in malaria control and elimination initiatives

 

Achievements

Key results as of September 2020,

  • Case detection: 849,983 people were tested for malaria by VMWs, PPs, Mobile Migrant Workers (MMWs), and mobile outreach teams.
  • Rapid response: 13,448 positive cases were detected in which 13,297 were treated. 13,143 out of 13,297 treated cases (99%) were in line with the National Treatment Guidelines.
  • Pilot elimination targeted areas: A total of 90 (89%) malaria cases detected were notified within 24 hours, and 87 (97%) notified were investigated and responded to within 3-7 days in FY19 to FY20.
  • Treatment adherence under the Directly Observed Therapy (DOT):
    • 9,263 (76%) out of 12,169 who were enrolled in DOT completed the treatment course
    • 3,955 (81%) out of 4,911 P.f. positive cases enrolled in DOT completed the treatment course
    • 4,814 (77%) out of 6,212 P.v. positive cases enrolled in DOT completed the treatment course
    • 128 (71%) out of 180 mixed positive cases enrolled in DOT completed the treatment course
  • Interpersonal communication (IPC): Defeat Malaria reached a total of 762,596 people (142%) through IPC and health talk sessions (312,993 males and 338,451 females).
  • LLINs: A total of 958,079 (99%) LLINs were distributed through mass and top-up distribution in villages and worksites and through antenatal clinics, Ethnic Health Organizations, and mobile and migrant populations.
  • Private Sector Engagement: A total of 189 (114%) private companies were involved in malaria prevention, control, and elimination activities.

 

Duration
2016 to 2022
Funders 
US Agency for International Development (USAID)
Partners 
Jhpiego
American Refugee Committee
UMD-Institute of Global Health
Myanmar Health Assistant Association (MHAA)
Myanmar Nurse and Midwife Association (MNMA)
Regions/ Countries 
Geographic Scope 
Tanintharyi, Rakhine, and Kayin