Перейти к основному содержанию

PRESIDENT'S MALARIA INITIATIVE, Malaria Operational Plan - FY2011 TANZANIA

Страны
Танзания
Источники
CDC
+ 2
Дата публикации
Происхождение
Просмотреть оригинал

EXECUTIVE SUMMARY

Malaria prevention and control are major foreign assistance objectives of the U.S. Government (USG). In May 2009, President Barack Obama announced the Global Health Initiative (GHI), a six-year, comprehensive effort to reduce the burden of disease and promote healthy communities and families around the world. Through the GHI, the United States will invest $63 billion over the next six years to help partner countries improve health outcomes, with a particular focus on improving the health of women, newborns, and children.

The President's Malaria Initiative (PMI) is a core component of the GHI, along with HIV/AIDS and tuberculosis. The PMI was launched in June 2005 as a 5-year, $1.2 billion initiative to rapidly scale up malaria prevention and treatment interventions and reduce malaria-related mortality by 50% in 15 high-burden countries in sub-Saharan Africa. With passage of the 2008 Lantos-Hyde Act, funding for PMI has now been extended through FY2014. Programming of PMI activities follows the core principles of GHI: encouraging country ownership and investing in country-led plans and health systems; increasing impact and efficiency through strategic coordination and programmatic integration; strengthening and leveraging key partnerships, multilateral organizations, and private contributions; implementing a woman- and girl-centered approach; improving monitoring and evaluation; and promoting research and innovation.

In June 2005, the United States Government (USG) selected the United Republic of Tanzania (including the Mainland1 and Zanzibar) as one of the first of three countries to be included in the President's Malaria Initiative (PMI). Malaria is a major public health problem in Tanzania. Nearly all 41 million residents on the Mainland and all 1.2 million persons in Zanzibar are at risk of malaria. Annual malaria deaths in Tanzania are estimated to be 60,000, with 80% of these deaths among children under five years of age. Approximately 1418 million clinical malaria cases are reported annually by public health services and more than 40% of all outpatient attendances are attributed to malaria.

The most recent national-level data for malaria interventions in Tanzania comes from the 2007-08 Tanzania HIV/AIDS and Malaria Indicator Survey In this survey, 38% of Mainland households owned at least one insecticide-treated net (ITN), with 25% of children under five and 26% of pregnant women sleeping under an ITN. The prevalence of malaria parasitemia among children under five years of age on the Mainland was 18%. In Zanzibar, ITN ownership and use have shown dramatic improvement: 72% of households own at least one ITN and estimates of use among children under five and pregnant women were 59% and 51%, respectively. Malaria prevalence in Zanzibar was 0.8% in the 2007-08 survey.

Tanzania has multiple grants from the Global Fund to Fight AIDS, Tuberculosis and Malaria (Global Fund) (Round 1, Rolling Continuation Channel, 4, 7, and 9,). These awards have provided most of the funding for artemisinin-based combination therapies (ACTs) and the ITN distribution on the Mainland. The National Malaria Control Program (NMCP) has recently completed a campaign to provide free long-lasting ITNs (LLINs) distribution to all children under five years of age. The Global Fund Round 8-funded effort to expand LLIN coverage to all remaining sleeping spaces on the Mainland will commence by late 2010. PMI is working with all donors and the NMCP to ensure that funding and activities are aligned with and complement the national strategy.