1. MALARIA Update for District Dadu Jan- March 2013 By Dr. Ghulam Siddique Panhwar District Health Office Dadu

2. DATA RECORDING AND REPORTING FM 2 Records available or not at EDO Health Office for Jan, Feb, March 2013 FM 3 Records available or not at EDO Health Office for Jan, Feb, March 2013. (Please bring hard copies) FM 2 Record Is available at District Health Office Dadu. FM 3 Record Is available at District Health Office Dadu.

3. Malaria Microscopy Centers Sr. No. Name of CentreFunctional / Non Functional Reason for Non Functional 1DHQ Hospital DaduFunctional 2THQ MeharFunctional 3THQ K.N.ShahFunctional 4THQ JohiFunctional 5HC RadhanFunctional 6HC Sita RoadFunctional 7HC Drigh BalaFunctional 8BHU MounderFunctional 9BHU PhuljiFunctional

4. Malaria Microscopy Centers Sr. No. Name of CentreFunctional / Non Functional Reason for Non Functional 10BHU M. BilawalFunctional 11BUU SamtianiFunctional 12BHU Piyaro GothFunctional 13BHU PipriFunctional 14BHU AminaniFunctional 15BHU BettoFunctional 16BHU Qazi ArifFunctional 17BHU Saeed PurFunctional 18BHU Allah YaraniN FTrained staff transferred

5. Malaria Microscopy Centers Sr. No. Name of CentreFunctional / Non Functional Reason for Non Functional 19BHU Essa Khan TheboN FTrained staff transferred 20BUU Khan PurN FTrained staff transferred

6. Malaria RDT Centers Sr. No. Name of CentreFunctional / Non Functional Reason for Non Functional 1BHU Wahi PandhiFunctional 2BHU ThalhoFunctional 3BHU Dhani Bux BughioFunctional 4BHU KolachiFunctional 5BHU Thariri MuhabbatFunctional 6BHU Ibrahim PanhwarFunctional 7BHU JhalloFunctional 8BHU PhakkaFunctional 9Railway HospitalFunctional

7. Malaria RDT Centres Sr. No. Name of CentreFunctional / Non Functional Reason for Non Functional 10Police Line DispensaryFunctional 11BHU Rawat Khan LaghariFunctional 12DCD Darro Waleed ShaikhFunctional 13BHU Jat ShahdadFunctional 14Ex: Disp: Shah N MastouiFunctional 15Bhu Butt SiraiFunctional 16BHU Purano DeroN FMalaria Facilitator Retired 17BHU BahalpurN FMalaria Facilitator Retired 18DCD Sher M SolangiN FTrained Facilitator Transferred

8. Trained Staff at Malaria Microscopy Centres Sr. N o. Name of CentreStaff Trained in Malaria Case Management Staff Trained Microscopy Staff Trained MIS 1DHQ Hospital DaduTrained 2THQ MeharTrained 3THQ K.N.ShahTrained 4THQ JohiTrained 5HC RadhanTrained 6HC Sita RoadTrained 7HC Drigh BalaTrained 8BHU MounderTrained 9BHU PhuljiTrained

9. Trained Staff at Malaria Microscopy Centres Sr. N o. Name of CentreStaff Trained in Malaria Case Management Staff Trained Microscopy Staff Trained MIS 10BHU M. BilawalTrained 11BUU SamtianiTrained 12BHU Piyaro GothTrained 13BHU PipriTrained 14BHU AminaniTrained 15BHU BettoTrained 16BHU Qazi ArifTrained 17BHU Saeed PurTrained 18BHU Allah YaraniTrainedTransferred

10. Trained Staff at Malaria Microscopy Centres Sr. N o. Name of CentreStaff Trained in Malaria Case Management Staff Trained Microscopy Staff Trained MIS 19BHU Essa Khan TheboTrainedTransferred 20BUU Khan PurTrainedTransferred

11. Trained Staff at Malaria RDT Centres Sr. N o. Name of CentreStaff Trained in Malaria Case Management Staff Trained RDT Staff Trained MIS 1BHU Wahi PandhiTrained 2BHU ThalhoTrained 3BHU Dhani Bux BughioTrained 4BHU KolachiTrained 5BHU Thariri MuhabbatTrained 6BHU Ibrahim PanhwarTrainedNA 7BHU JhalloTrained 8BHU PhakkaTrained 9Railway HospitalTrained

12. Trained Staff at Malaria RDT Centres Sr. N o. Name of CentreStaff Trained in Malaria Case Management Staff Trained RDT Staff Trained MIS 10Police Line DispensaryTrained 11BHU Rawat Khan LaghariTrained 12DCD Darro Waleed ShaikhTrained 13BHU Jat ShahdadTrained 14Ex: Disp: Shah N MastouiTrained 15Bhu Butt SiraiTrained 16BHU Purano DeroTrainedRetired 17BHU BahalpurTrainedRetired 18DCD Sher M SolangiTransferred

13. Stock Situation at Malaria Microscopy Centers Sr. N o. Name of CentreChemicals/ reagents Slides /prickers Anti malarial Drugs 1DHQ Hospital DaduMCP ASD 2THQ MeharMCP ASD 3THQ K.N.ShahMCP ASD 4THQ JohiMCP ASD 5HC RadhanMCP ASD 6HC Sita RoadMCP ASD 7HC Drigh BalaMCP ASD 8BHU MounderMCP ASD 9BHU PhuljiMCP ASD

14. Stock Situation at Malaria Microscopy Centres Sr. N o. Name of CentreChemicals/ reagents Slides /prickers Antimalarial Drugs 10BHU M. BilawalMCP ASD 11BUU SamtianiMCP ASD 12BHU Piyaro GothMCP ASD 13BHU PipriMCP ASD 14BHU AminaniMCP ASD 15BHU BettoMCP ASD 16BHU Qazi ArifMCP ASD 17BHU Saeed PurMCP ASD 18BHU Allah YaraniMCP NA

15. Stock Situation at Malaria Microscopy Centres Sr. N o. Name of CentreChemicals/ reagents Slides /prickers Antimalarial Drugs 19BHU Essa Khan TheboMCP NA 20BUU Khan PurMCP NA

16. Stock Situation at Malaria RDT Centres Sr. N o. Name of CentreRDTsAntimalarial Drugs 1BHU Wahi PandhiASD 2BHU ThalhoASD 3BHU Dhani Bux BughioASD 4BHU KolachiASD 5BHU Thariri MuhabbatASD 6BHU Ibrahim PanhwarASDASD ( DR. performs RDT Test) 7BHU JhalloASD 8BHU PhakkaASD 9Railway HospitalASD

17. Stock Situation at Malaria RDT Centres Sr. N o. Name of CentreRDTsAntimalarial Drugs 10Police Line DispensaryASD 11BHU Rawat Khan LaghariASD 12DCD Darro Waleed ShaikhASD 13BHU Jat ShahdadASD 14Ex: Disp: Shah N MastouiASD 15Bhu Butt SiraiASD 16BHU Purano DeroASD 17BHU BahalpurASD 18DCD Sher M SolangiNANA ( Due to non availability of staff)

18. Microscopy Quality assurance measures in the District Refresher Training of 18 Microscospist at MCP Directorate Hyderabad. During March, 2013. Uninterrupted provision of slides pickers & Reagents by MCP Availability of Functional Microscopes (Olympus) by ASD. Regular visits of DHMT

19. Malaria Caseload in District Comparison between 2012&2013 PFPVMixed 201220132012201320122013 Jan 2412 50 43 00 Feb 21 13 6551 00 March29 09 70 53 00 Total for Qtr 74 34185 147 00

20. Update on Monthly Malaria Coordination Meetings Record of Minutes of meetings ( Jan, Feb, March 2013) Compliance with decisions of Meetings ( Jan, Feb, March 2013) Regular Monthly Cluster Meeting of Microscopy / RDT Centers Minutes Available with Regional Coordinator ASD Implementation of all the decisions taken in previous meeting

21. Involvement of DHMT in Distribution and Verification of LLINs Distribution is done directly by ASD without consulting DHMT, for proper & need based distribution.

22. Involvement of DHMT in Indoor Residual Spray No Internal Residual spray carried out during Jan, Feb & March 2013 ASD has planned for IRS 20’000 rooms in 2 nd Quarter. DHMT should be consulted to prioritize the most vulnerable areas.

23. Main Issues & Solutions Lack of proper coordination between ASD & DHMT Private Health Care provider may be trained for Malaria case Management for proper elimination of Malaria. Availability of Quality assured RDT Kits at Private sector Pharmaceutical Companies should be restricted to promote ACT for P Vivax Availability of Quality assured / GMP Certified anti Malarial Drugs in Private Sector