Malaria Control Program.
Malaria is a major public health problem with about 247 million cases occurring world wide each year as estimated by WHO. Globally it kills one child after every 40 seconds. Malaria is one of the major vector borne disease in Pakistan. Malaria in Pakistan is typically unstable. Epidemics in the past have occurred at six to ten year’s interval. Both Plasmodium falciparum and Plasmodium vivax are widely distributed in Pakistan. Major transmission period is post monsoon i.e. from July through November, but a short spring transmission during April to May has also been observed in many areas. Small proportion of malaria cases however occur throughout the year.
Malaria control has always been a priority in Pakistan. National Malaria Control Program was started in 1950. In 1961, Malaria control Programme was converted into Malaria Eradication Program under the auspices of WHO with the financial and technical support from WHO, UNICEF and USAID. In 1978 Malaria Control Program was integrated into health services as prart of Communicable Disease Control in Punjab Province.
The launching of Roll Back Malaria (RBM) initiative by WHO in partnership with the World Bank, UNICEF & UNDP in 1998 & the incorporation of the RBM goal in MDGs in 2000, revived the world wide efforts for the control of Malaria disease. Pakistan joined RBM partnership in 1999 and since then in endeavoring to strengthen the Malaria control system in the country to achieve the Millennium Development goal of having the number malaria reported cases by the year-2015. In line with RBM strategy, Government of Punjab has approved PC-I, for the period of 2003 to 2008 & 2009 to 2014, amounting to Rs. 93.750 million and Rs. 185.680 million, respectively.
- To reduce the morbidity and mortality by keeping malaria under effective control ( < 2/1000/year ) so that it does not become a major public health /socio-economic problem.
- Have halted by 2015 and begun to reverse the incidence of malaria.
Malaria in Punjab has reached at its ever lowest level where we can proceed for malaria elimination in the province Punjab. (WHO Consultant Report)
- Decentralization of Malaria Diagnostic Services to 5% Selected Basic Health Units.
- Provision of Rapid Diagnostic Test (RDT) kits to the health Facilities where malaria microscopy services are not possible.
- Provision of Radical Treatment to all the confirmed cases of malaria in accordance with National treatment policy within 24-hours after diagnosis.
- Initiation of Malaria Related research on Drug Resistance, Inseticide Resistance and vectorial capacity of mosquitoes.
- Proceed for Elimination of Malaria in the Province of the Punjab.