Program Areas

Clinical Services

Malaria

Malaria control services supported by NUMAT focused on two broad areas:

  • Strengthening malaria case management

  • Scale-up of malaria control in pregnancy services
NUMAT IEC malaria poster photo

Malaria awareness poster created for NUMAT-supported ANC clinics.

Strengthening Malaria Case Management Services

NUMAT supported malaria case diagnosis and treatment based on national guidelines. One of the gaps realized over initial program years was the weak capacity to provide malaria laboratory diagnosis services at the health facility level. As a result, treatment was provided on the basis of malaria fever suspicion. This situation not only led to over-diagnosis and treatment, but also to wastage of limited malaria drugs, which were often out of stock.


Malaria Rapid Diagnostic Test Services

Support was focused on increasing laboratories' capacity use rapid diagnostics tests for malaria (RDTm). Procurement of RDTm for lab services diagnosis and testing roll-out was undertaken and 30,000 test kits were distributed.

Malaria Services Awareness & Advocacy Programs

Community mobilization for malaria case management at the community and peripheral levels of the health system is undertaken using appropriate information, education, communication, and behavior change strategies. Radio health campaigns remain the most cost-effective medium of community awareness-raising and appropriate behavior change, and NUMAT supported a series of radio spots and talk shows accordingly. In addition, pamphlets and health education sessions on proper use of long-lasting insecticidal nets (LLIN) were given to antenatal care (ANC) clients at visits.


Malaria in Pregnancy Services (MIP)

A pregnant woman receives treatment for malaria.

A pregnant woman receives treatment for malaria.

Initial program support for malaria in pregnancy services was directed at scale-up of intermittent preventive treatment in pregnancy (IPTp) services, integrated into broader reproductive health and HIV/PMTCT services. Through quarterly support supervision exercises, the trained district health teams visited all health units that deliver ANC and maternity services. The purpose of these monitoring visits was to improve the quality of service delivery through regular assessment at the health facility level. Through in-service training and mentoring of health workers, health providers were updated with current policies and practices.

MIP services expanded to include distribution of LLIN to pregnant women through ANC clinics. This service was implemented by the AFFORD project through the malaria consortium. NUMAT received 75,000 LLINs from the President's Malaria Initiative, which were earmarked for distribution to all ANC clinics during one program year.


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