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Progress report: t he national LF and STH programme in MALDIVES

Progress report: t he national LF and STH programme in MALDIVES. Mohamed Faisal 2014 RPRG Meeting WHO Region. Background Information. Geography and Population Total population: 371,507 (Census 2006) Ecological zones – next slide Political & Health Administrative Divisions:

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Progress report: t he national LF and STH programme in MALDIVES

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  1. Progress report:the national LF and STH programme in MALDIVES Mohamed Faisal 2014 RPRG Meeting WHO Region

  2. Background Information • Geography and Population • Total population: 371,507 (Census 2006) • Ecological zones – next slide • Political & Health Administrative Divisions: • First level :Central Level - HPA • Second level : Regional (political but not for health sector) - Atoll Level • Third level : Island Level

  3. REPUBLIC OF MALDIVES • Maldives comprises of 1190 Islands • Administrative natural atolls 20 • Total inhabited Islands 197 • Country population (2013 projected) 371,507 • Av. flow of expatriate workers per year 44,845 • Av. flow of visitors (tourist) per year 395,320 • Climate (monsoon) (NW &SW) • Av. temperature 25-31 deg C

  4. History of LF • Filaria was considered as a public health problem in the Maldives, 50 years ago. • First survey was carried in 1951, in southern most 5 atolls. • Seenu • Ghaviyani • GaafAlif • GaafDhaal • Laamu • Disease incidence rate was 24% (1951). • National control programme was launched on 1968 in Male’. • Filaria control programme in atolls was started on 1974 and continued till 1997.

  5. History of LF • 10 known endemic islands by 1998. • National filaria elimination plan was developed. (2002-2007) • A re-assessment survey of the 10 islands were conducted in 2003. • Only LaamFonadhoo(island) was found to be endemic. • MDA 5 rounds completed • First round of MDA in LaamFonadhoo started in 2004. • Fifth round of MDA in LaamFonadhoo completed on 23rd June 2008.

  6. History of LF • Disease under elimination since 2008 • No local cases since 2008 • Imported cases: (2011-13) nil • Vector – CulexQuinquefasciatus still exists • Surveillance rounds ongoing since 2008 • Treatment provided free for any new cases

  7. PC programme achievements 2013

  8. Monitoring and Evaluation • Describe how coverage is monitored • Surveys conducted every year ~4 atolls • SAE protocol

  9. Progress Towards LF Elimination

  10. Integrated Vector Management(LF) • Conducting awareness programmes about LF and vector control methods • Reporting through health facilities to HPA on vector control programmes conducted by atoll level.

  11. LF MMDP – Strategy

  12. Best Practices • Describe interventions and/or M&E activities that worked well • Integrated activities • Elimination activities • Disease-specific activities: ICT surveys every year for 4 atolls • At present, activities (surveys) are low.

  13. Challenges and “Issues” • For each disease, list the specific challenges/issues that need advice from RPRG • For LF, • Now low priority as it is under elimination, so less resources for continuing activities • Need programs for preventing re-entry of the disease as vector is still present. e.g. Testing migrants, vector surveillance and IVM

  14. History of STH • MNS (Micro nutrient survey) 2007:4% of children 6 months to 5 years of age were found having any kind of worm infestation.(stool examination) • Prevalence in all age groups: 6.1%

  15. History of STH • Government provides deworming syrups to all children under the age of 2-5 years • Government provides deworming tablets (albendazole) to all children under the age of thirteen years.(6-13 years) • Public health awareness programs are conducted in all the schools • Public awareness programs are conducted through media • IEC materials are developed and distributed in all health centers and schools • Conduct awareness programs on personal hygiene

  16. National programme overview

  17. PC programme achievements 2013

  18. Progress Towards STH scale up

  19. Progress Towards STH scale up

  20. Progress Towards STH scale up

  21. PC coverage, 2013 *65% for LF and 75% for STH **reported coverage was verified by coverage survey or similar independent activity

  22. Monitoring and Evaluation • Patients detected through health facilities • Management • Treatment provided free of charge from Nutrition programme • Reporting – • through health facilities to HPA (Central Level)

  23. Challenges and “Issues” • For each disease, list the specific challenges/issues that need advice from RPRG • STH: • Since the programme started in 2000, there is an need to review and strengthen the deworming programme.

  24. Programme Plan

  25. PC medicine request for 2015

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