The Malaria Challenge: Scaling up the Response to one of Sudan’s Biggest Killers

About the project

Scaling up Malaria Intervention in SudanSpraying of insecticides to fight malaria (UNDP: Sudan)

Malaria is one of the major public health problem in Sudan Sudan shoulder the highest percentage of malaria morbidity and mortality in Eastern and Mediterranean Region, but during the last 8 years Sudan  has made great   progress in the fight  against malaria as results of strong harmonized partnership between malaria partners ,the malaria prevalence reduced from 6.8 in 2005 to 1.8 as revealed  by  Malaria Indicators Surveys.

As part of its role as the Principal Recipients (PR). for the Global Fund to fight AIDS, Tuberculosis and Malaria, UNDP Is working closely within partners to scale up malaria intervention in Sudan.
Since April 2006 UNDP has spearheaded a campaign to control malaria and in 2009 the response escalated to scale up malaria intervention in the the country’s.  The  main objectives  of the Scaling-up Malaria Interventions (SMI) in Sudan Project is to increase  percentage of malaria patients receiving prompt and effective treatment and to reach 85% coverage by Long Lasting Insecticide treated bed nets , while the main intervations are to provide first line of treatment free of charges ,expand upon previous efforts to support home based management; improve clinical and laboratory diagnosis;; strengtheing of  Malaria Early Warning System (MEWS) to ensure a rapid response to the epidemic and capacity building of programmes managers and care providers.
The other aspects of malaria case management in this project are a gradual shift from clinical, symptom–based, treatment to test-based treatment. This involves improvement of quality of microscopy diagnosis and expantion the use of rapid diagnosis test kits, preventing malaria during pregnancy, distribution of bed nets free of charges to reach universal coverages , community out reach  through school pupils as well as mass media and the capacity building of national institutions. Another aspect of this project is to unify and standardize the framework of all NGOs working in the field of malaria control in Sudan with the national framework.

Achievements to date

Scaling up Malaria Intervention in SudanBednets in Kassala state (Photo: UNDP Sudan)

Since this project began in 2009, almost 5 million cases of uncomplicated and severe malaria received anti-malarial treatment.  In addition, over seven million bed nets were distributed to protect the population from getting malaria.  Over 4,300 health facilities continued to proved free anti-malarial drugs while 2,200 dispensaries in rural and remote areas continued to provide free rapid diagnostic tests for malaria. Almost 92,378 houses were sprayed with Indoor Residual Spraying (IRS) in Sinnar state. In addition 92% of localities’ warehouses reporting no stock out of ACTs for more than one week during 2013.
Regarding malaria R7 and R10 Global Funds grants /project financial delivery rate ,approximetly 39.7 million dollars spent in 2012 to support malaria prevention , diagnosis, treatment and  capacity buiding activities.

Finance



Malaria R7 GFATM $77,156,461
Malaria R 10 phase 1 GFATM $53,673,711

Delivery

Malaria R7 2012 $18,584,258
2011 $5,914,446
2010 $14,788,695
2009 $10,249,166
Malaria R10 2012 $19,913,874

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