Malaria situation in Kenya
Malaria remains a major public health problem in Kenya accounting for about 31 per cent of outpatient consultations and 5 per cent of hospital admissions (KMIS 2015). The risk of malaria transmission and infection is largely determined by altitude, rainfall patterns and temperature. Kenya has three geographic regions where malaria is significantly endemic. These are the lake, coastal and highland regions.
Background of CHAK in Global Fund Malaria implementation
CHAK’s experience in Global Fund Malaria dates to the 2006 Global Fund Round 4 Malaria Project in which a total of 32,000 LLINs were distributed, 631 health workers trained in Case Management, 466 laboratory diagnostic kits and supplies distributed through MEDS and ACSM conducted reaching 92,778 people. All CHAK member health units played a key role as malaria treatment centers while some were sentinel surveillance sites.
Global Fund Malaria New Funding Model
In 2017, CHAK received the Global Fund Malaria NFM grant, with the view to contributing to the national goal of reducing the morbidity and mortality attributable to malaria by two thirds of the 2007-2008 levels.
The project was implemented with support from AMREF. Equally, CHAK worked very closely with the county health systems in the project county of Vihiga.
The project objective of “Scaling up malaria intervention for impact” was to be achieved through community-based interventions to contribute to:
- Strengthening community systems by the increasing the number of established Community Units (“CUs”) from 37 per cent to 80 per cent of the required 711 CUs in Western and Nyanza Regions by 2017
- Supporting at least 80 per cent of people in malaria risk areas to use appropriate malaria preventive interventions by 2018
- Ensuring that 100 per cent of suspected malaria cases presenting to a health provider are managed according to the National Malaria Treatment Guidelines by 2018
- Ensuring that 100 per cent of the malaria epidemic prone and seasonal transmission sub-counties have the capacity to detect and timely respond to malaria epidemics by 2018
- Increase utilization of recommended malaria control interventions by communities to at least 80 per cent by 2018
- Ensure that all malaria indicators are routinely monitored, reported and evaluated in all counties by 2018
- Improve capacity in coordination, leadership, governance and resource mobilization at all levels towards achievement of the malaria program objectives by 2018
The project strategies are as follows:
- Community social mobilization to create demand for increased uptake of key malaria control interventions
- Strengthening community case management of malaria in Vihiga County in collaboration with the SCHMTs and other stakeholders at the community level
- Supporting establishment of additional functional community health units in Vihiga County
- Training of CHVs on malaria case management
- Supporting health management teams at the counties, sub-counties and facilities to effectively carry out core interventions that address programme indicators in malaria control, prevention and treatment
- Ongoing verification of the quality of case management malaria indicators and the effectiveness of the data management systems to collect, manage and report quality MCCM and laboratory data in selected sites.
- Identification of corrective measures and development of action plans for strengthening data management, reporting system and data quality.