Malaria Control Program (MCP)

Malaria is a very common public health problem caused by mosquito biting in Bangladesh, more particularly in the hilly areas of the country. Considering its severity HEED Bangladesh launched malaria control projects in different parts of the country basically in Sylhet divisions in 2006. It has already implemented a good number of such projects in partnership with GFATM, BRAC and BD govt. However, it is a continuous program of HEED Bangladesh.

Goal:   To reduce malaria mobility and mortality until the disease is no longer health problem in the country

Objectives:

  1. To achieve 100% coverage of the people living in endemic areas of 13 districts with effective preventive (LLIN) by 2018
  2. To have 100% malaria patients received early and quality diagnosis (RDT or Microscopy)and effective treatment in 13 endemic districts by 2018
  3. To continue strengthening of programme management ,disease and vector surveillance, M&E ,coordination & partnership
  4. To prevent and contain malaria epidemics through community empowerment.

Implementation Process
Diagnosis:

  • Community level diagnosis by Rapid Diagnosis Test (RDT).
  • Blood slide examination in one lab and 4(four) sub lab in different strategic location.
  • Community Health workers: 10

Treatment:

  • Community level treatment by Artemisinin-based Combination Therapy (ACT) and PQ (for PF) and CQ and PQ (for PV)
  • Referral
  • Follow up ( PF: Day-3, PV: Day - 3 and Day – 14 )

Prevention:

  • Long Lasting Insecticide Net (LLIN) distributed : 56000 (2008-2015)
  • Insecticide Treated Net (ITN) done by KO Tab. 1,2,3 : 51137 (2008-2015)
  • House-to-house education for promotion and use of LLINs/ITNs

Community Awareness:

  • Household visit
  • Courtyard Meeting
  • BCC, Advocacy Workshop, Village Doctor Orientation, World Malaria Day, Folk Song and Popular Theatres
  • Leaflet, Poster, Flip Chart, Bill board etc.

Achievement May 2008 to June 2015:
Malaria Control Program is covering 148964 populations in 25,525 households. Achievements of the project from May 2008 to June 2015 are following:
 

Activities Achievement
No. of blood slides & RDT taken for malaria diagnosis 20320
No. of malaria cases diagnosed 426
No. of P. falciparum cases receiving ACT 24
No. of P. vivax case receiving CQ+PQ 402
No. of popular theatre shows held 18
No. of folk song events organized 18
No. of orientation sessions on BCC held 33
No. of village doctor orientation sessions held 4
No. of advocacy workshops organized 10
No. of Long Lasting Insecticide (LLIN) distribution 56000
No. of Insecticide Treated Net (ITN) done by KO Tab. 1,2,3 51137

Basic Activities of the Project:

  • LLIN/ITN Distribution in this area.
  • Blood slide from 4 sub-centres and one Lab Centre.
  • RDT taken by the health worker.
  • vBCC orientation with chairman, member, teacher and other elite’s person.
  • Health education services to the beneficiaries by the health worker.
  • Regular monitoring with villagers and health worker.
  • Monthly staff meeting.
  • Monthly and quarterly reporting to HEED Bangladesh, BRAC and Government.

Future Vision: Malaria free Bangladesh by 2020

Malaria patient history of Niloy
Niloy Das is a malaria patient age 1 .5 year S/O Nikhil Das, M/O Shipra Rani Das, Village: Khan Tea state, Union: Chiknagul, Upazila: Jaintapur District: Sylhet. Nikhil Das have one son and one daughter. HEED Bangladesh laboratory technician. Goura Babu Singha gone to Habibnagar and Khan Tea state for Malaria suspected blood collection on date 05 June 2011. Khan tea state compounder Mr. Rishikesh Dey with his discussing and 4 sample blood collection for Malaria testing. Among them one sample Niloy Das. Niloy Das’s blood examined and confirmed Malaria patient. Patient of Niloy Das know to suffering from fiver long time. At first he took treatment from Imam of Haripur Madrasha. Imam said to him never think but not increases of Niloy. Next time he gone to Khan Tea state compounder Mr. Rishikesh Dey he given general treatment but not increase after referred to Osmani medical college and hospital. Hospital responsibility doctor treatment meningitis disease and some improved then patient come back to home. Some days after again fiver and khan tea state compounder discussion to HEED Bangladesh Laboratory technician about case of Niloy laboratory technician suspected to him as malaria and taken blood sample. After micros coping Niloy diagnosed confirmed malaria (plasmodium vivex) patients. At present patients was fully cure after 17 day’s treatment.