Overview of Progress in Malaria Control in Kenya Dr. Waqo Ejersa Head, National Malaria Control Programme WMD – Media Briefing breakfast 2015

National Malaria Control Programme Malaria control in Kenya is guided by a policy document. The Policy is implemented through a strategic plan 2009 – 2017 and its monitoring and evaluation component Key tenets in these documents is Health sector leadership Priority investment in high impact, quick win measures Adherence to the 3-ones (One-strategy; One-coordinating Mechanism; One monitoring and evaluation framework)

Progress of the Malaria Control in Kenya

Total Malaria cases as a proportion of new OPD cases 2011-2015 Malaria cases have been decreasing over the last 5 years, Malaria cases between January 2011 38% to Feb 2015 Dec 2014 15%

Confirmed OPD Malaria cases per 1000 population 2012-2014 Kenya This for the whole country. N=confirmed cases D=population of Kenya. The peaks of transmission are in June July after the rains

Availability of Malaria diagnostics between 2010-2014 Please show the increase of the availability of diagnostics

Performance of health workers form the quality of Care Survey 2010-2014 Composite performance means that the clinician tested before treating, only prescribed anti-malarials for test positive cases and did not treat test negatives with anti- malarials. The composite performance has increased steadily form 2010.

Achievements Distribution of 3.3 m LLINS in Migori, Kisumu, Siaya, Vihiga, Homa Bay and West Pokot Counties Training of lake endemic CHMT’s on Malaria SBCC Planning of mass net distribution with county teams in Western, Rift Valley, Coast and Parts of Nyanza region Training of County TOTs on malaria surveillance Training of health workers on malaria surveillance

Key malaria control ongoing activities Finalization of Kenya Malaria strategy (2014-2018) Capacity-building for surveillance and Integrated vector management Strengthening Case management through scaling up of diagnostics- microscopy and RDTs in counties Training of County Malaria coordinators on malaria programming Quality of care 8 survey to measure success of malaria care services delivery This activities are currently ongoing

Key malaria control planned activities Distribution of 10.6 m LLINs across Rift valley, Coast, Western and parts of Nyanza National level Malaria indicator survey (MIS) in 2015 to further assess progress towards targets Training of public and private sector workers on malaria case management In the next one-year these are some of the key activities that we will be undertaking.

Challenges Overreliance on external support for the implementation of the strategic plan Low uptake and utilization of Interventions and tools Insecticides resistance Continued high prevalence in Lake region Capacity of the counties and sub-counties in effective program management

Challenges Exploiting the opportunity to the use of community health structures for increasing access to care Sub-optimal routine data from HIS and IDSR coupled with paucity of inpatient and laboratory data Gaps in funding for procurement of 2nd line Dihydroartemesininpiperaquin (DHAP)

Way forward Consolidating the gains and expanding access to priority interventions Strengthening access to quality case management at all levels Strengthening acquisition and use of quality surveillance and routine data Intensifying advocacy for mobilization and equitable allocation of local resources (National and County kitty) Strengthening management and leadership for malaria programming and implementation at County and sub-county level Strengthening programing advocacy , and behavour change communication

Thank You