Tanzania launches anti-malaria campaign

Tanzania’s government has introduced a nationwide anti-malaria  awareness campaign titled “Malaria Haikubaliki: Tushirikiane Kuitokomeza” (Malaria is unacceptable: Working together, we can eliminate malaria).  As reported on September 25, 2010 in Tanzania’s This Day newspaper:

The country, arguably one of the leaders in the global fight against malaria, recently introduced an anti malaria campaign – Malaria Haikubaliki -  which involves all sectors of the society including entertainment, business, sport and religion sectors in the battle against malaria across the country.

In spearheading the campaign, the Ministry of Health and Social Welfare joined hands with prominent Tanzanian musicians, international partners, senior government officials and  the business sector to stage the Zinduka! (“Wake Up!”) Concert scheduled to take place on February 13, this year at the Leaders’ Club in Dar es Salaam …

The objective of the effort is to increase practices to prevent malaria such as consistently sleeping under an insecticide treated mosquito net, detecting and treating malaria early; and ensuring antenatal care for pregnant women…

The national campaign is anchored at the community and household level by community mobilization activities implemented by Population Services International (PSI) and Johns Hopkins University and district advocacy activities led by Voices II.

At the same time, Tanzania Red Cross is conducting Hang Up and Keep Up campaigns across the country. From the faith community, Malaria Haikubaliki is joined by the Christian Social Services Commission and Bakwata (the National Muslim Council) to engage faith leaders and their congregations in the effort to combat malaria nationwide.

On September 23, 2009, Tanzania’s President Jakaya Kikwete became the head of the African Leaders Malaria Alliance (ALMA) which was launched at the 64th Session of the United Nations General Assembly. The alliance is comprised of seventeen African Heads of State working to end malaria-related deaths. Angola is not a member of ALMA.

Africa Cup football teams join to fight malaria

The United Against Malaria Partnership (UAM) has launched a major media campaign to fight malaria during the 27th edition of the African Nations Cup in Angola, which kicked off on January 10. The campaign includes a series of television spots featuring African football stars and United Against Malaria youth ambassador Charles Ssali. The spots are airing during broadcasts of the Cup which runs until  January 31 in the cities of Luanda, Lubango, Cabinda and Benguela.

A spokesman for the Roll Back Malaria Partnership, Herve Verhoosel, told media “We will use the power of football to communicate on malaria prevention. When a player speaks on TV or on the radio or in the press, when the player says to the young children, ‘Sleep under a bed net,’ people are listening.”

According to VOANEWS, “Angola’s national football association this week joined similar associations from Ivory Coast, Ghana, Uganda, Zambia and the United States in the anti-malaria group. Other members include the national teams of Mali and Tanzania and European Champions Barcelona of Spain.”

The partnership, which is supported by international donors and corporate sponsors including ExxonMobil and Sumitomo Chemical, will extend the media campaign to the football World Cup which kicks off in June in South Africa.

Livingstone got it right

In 1958, anthropologist Frank Livingstone predicted that malaria originated in chimpanzees. Now scientists are proving him right…

Ague, tertian fever, quartan fever, paludism. Malaria has been known about since ancient times and has gone under many names. Today, it kills over a million people a year, most of them young children. Where it originally came from, though, has been a matter of scientific debate for half a century. In 1958 Frank Livingstone, a noted anthropologist, suggested that Plasmodium falciparum (which is by far the deadliest of the several parasites that cause human malaria) had jumped into Homo sapiens from chimpanzees. He speculated that the rise of agriculture had led to human encroachment on wild forests, giving the chimp version of the bug, P. reichenowi, the chance to find a new host. A rival camp, however, argued that P. falciparum was a variant of P. gallinaceum, a parasite found in chickens. A paper just published in the Proceedings of the National Academies of Sciences shows that Livingstone got it right.

Read more in “Human malaria started in chimpanzees” – an article published on August 4, 2009 in The Economist print edition and online at http://www.economist.com/daily/news/displaystory.cfm?story_id=14162364

Angola Mosquito Net Project featured in Vida magazine

The Angola Mosquito Net Project’s Committe Chairman Tako Koning was interviewed by Angola’s Vida mgazine, as part of their coverage of World Malaria Day on April 25. Click to download a PDF of the article, published on April 21. Vida is Angola’s popular arts, culture and business magazine that is printed weekly in Luanda. In the article, Tako discusses the project’s history, donors and partners, and highlights some of the Project’s net recipients, such as the Mobile Clinic outside of Luanda and the clinic in M’Banza Congo, Zaire province.

World Malaria Day 2009

Today is World Malaria Day and Angola has reason to celebrate. On Tuesday, Angola’s National Malaria Control Programme (PNCM) announced that “the death rate has been decreasing for the past two years due to the epidemiological coverage being implemented nationwide”. In 2008, there were about three million simple cases and 200,000 of serious cases with 9,000 deaths were registered in Angola. Read the story on AllAfrica.com.

To mark World Malaria Day in Angola, the inaugeration of the country’s first health research centre took place this afternoon in Caxito (a city north of Luanda). Researchers at the centre will study diseases including malaria, tuberculosis and HIV/AID. The research centre was created as an initiative between the governments of Angola, Portugual and the Colouste Gulbenkian Foundation. Read ANGOP’s full article.

Nets donated to the Mobile Clinic

Happy to be receiving a mosquito net.

Happy to be receiving a mosquito net. Mobile Clinic Volunteer Viveca Chan, a nurse and their young patient.

The Angola Mosquitonet Project donated 700 nets in January to the Mobile Clinic, a small team of women who work with some of the 350 patients at the Tuberculosis Hospital in Luanda. Headed up by Bernie Nicholson, a registered nurse who formed the group six years ago, the women get donations to buy food and medicine and other necessities such as drinking water for some of the patients there whose families cannot afford to support them.

All tucked in and protected from mosquitoes.

All tucked in and protected from mosquitoes.

The patients that the team works with, each receive a mosquito net which they take home with them upon discharge. Viveca Chan, who has been working with tuberculosis patients in the hospital for four years, says, “Thank you, we have been able to give out more mosquito nets recently. The problem is just how to use them. It is high to the ceiling and not possible to attach them there. Mostly they try and get sticks to extend the posts of the bed. But many of the patients are too weak to walk, and many have no family to help either. “

Mounting a net on a hospital bed is a challenge.  Without leave to drill holes in walls or the ceiling, sticks are tied to bed posts and the net is tied to the sticks.

Mounting a net on a hospital bed is a challenge. Without leave to drill holes in walls or the ceiling, sticks are tied to bed posts and the net is tied to the sticks.

The Mosquitonet Project is happy to support the Mobile Clinic and thanks them for helping TB patients.

New findings about malaria in Luanda

Read some recently published information about malaria in urban Luanda:

  • Download a PDF of the five page report published in March 2009 in The American Society of Tropical Medicine and Hygiene journal, titled: “How Much Malaria Occurs in Urban Luanda, Angola? A Health Facility-Based Assessment”
  • Download a PDF  of the ‘Health facility-based evaluation of malaria in Luanda, Angola March 17-31, 2008′ poster

Thank you to USAID in Angola’s malaria experts Dr. Mihigo and Dr. Saute for providing the Angola MosquitoNet Project with this material .

E8 initiative aims to eliminate malaria in the SADC

Earlier this month in Windhoek, Namibia, Ministers of Health in the SADC (Southern Africa Development Community) countries launched “E8″ a cross-border partnership to eliminate malaria.

According to the Roll Back Malaria website, the E8 -Elimination 8 – initiative “brings together Ministers from Botswana, Namibia, South Africa and Swaziland, four low-burden countries which have been targeted for elimination by the Southern Africa Development Community (SADC), to work closely with their counterparts in neighbouring Angola, Mozambique, Zambia, and Zimbabwe, where malaria still has a serious impact on health and livelihoods.”

The RBM website’s Angola page also contains a detailed English language map that can be downloaded as a PDF which shows a province by province breakdown of malaria distribution in Angola. Although the page is in french, the map is in English.

Good things come in small packages

Although the MosquitoNet Project is small, for eight years we’ve been operating as volunteers with zero spent on overhead. We have managed to raise over $100,000 which translates into about 12,500 nets. Assuming that three or four people sleep under one family size net, this is equivalent to protection for at least 30,000 individuals.

Portrait

A young mother carries a baby and a mosquito net package on her head.

The old expression “Good things come in small packages” could well be said about the Angola MosquitoNet Project. Firstly, the mosquito nets themselves are good things distributed in nice compact blue packages and secondly is the fact that compared to ambitious Africa-wide anti-malaria programs such as those sponsored by the United Nations, our initiative is tiny but good. Good because we catch the groups that fall in the cracks. These are groups or organizations headed by responsible people whom we know personally who are working in the hinterland of Angola as well as the ghettos inside the sprawling capital of Luanda but don’t qualify for or don’t have the logistical back-up or time to apply for mosquito nets from the big agencies.

Take for example Joan Woodyer, a British registered nurse working in the province of Zaire. Joan works in a clinic run by the Baptist Church in the province’s capital city, M’banza Conga. When she heard of the MosquitoNet Project she contacted us. We gave her church in Luanda 400 nets which they promptly shipped up to Joan.

Receiving nets is the easy part. Distributing nets however is a complicated and sometimes even political process. Everybody wants a mosquito net and when one village or neighborhood hears that their neighbors received nets, they want to receive the same gift. Joan said in her report to us, “We’ve finally got everything in place for distributing 200 nets in Sumpi. We met with the sobas (traditional rulers) from the town yesterday to make the final arrangements. We’re trying to make sure that every bairro (neighborhood) gets a fair distribution. We’ve arranged 5 dates in July when we’ll be giving out the nets – we’re planning to do two bairros each time. We will be targeting families with children under five and pregnant women.”

Mr. Kuki

Mr. Kuku of the Baptist Church in Zaire Province distributes nets in the town of Sumpi.

Once the distribution area has been designated and approved, the next step is to educate the recipients. Even though families love to receive a net, it is important that they actually use the nets. Everybody in Angola knows malaria and knows people who died because of malaria but not everyone realizes or is convinced of the prevention afforded by a mosquito net. In her report, Joan outlined that her team would do a presentation “on malaria and on using the nets to prevent malaria, before we actually give out the nets.”

The final and biggest hurdle, is translating knowledge into action – that is getting recipients to actually hang up the net. Usually part of the presentation about malaria and the use of nets includes a demonstration on how easy it is to hang a net. Each mosquito net package includes all the necessary strings and hooks. Joan’s team went a step further. She said, “We’ve asked each bairro in Sumpi to appoint two or three men who can help people hang the nets. We’ve said that we will be checking some houses to make sure that the nets are being used!”

The MosquitoNet Project managed to communicate with Joan by email (most of the main provincial centres are now getting internet access) and in our last email we asked her if she needed more mosquito nets. She replied, “Well, we’re only just beginning to scratch the surface. There are so many remote villages up here that could benefit. We visited one yesterday called Ndobo, right up on the border and was an hours drive off the main road down a small dirt track. The distance was only 20 kilometers but it took us an hour because the road was in such a poor condition. The village is in the middle of nowhere, it’s certainly the remotest place I’ve been to. We are going to give them the last 100 nets. If there’s any chance of having another 400 next time you have some to give out, we would gladly receive them.”

Our project’s goal is to raise enough funds to purchase 3,300 nets by the end of 2008. We definitely plan to have 400 small but good packages of nets to give to Joan for the villages in Zaire province.

Highlights from the 2008 UN Summit

An increase of $3 billion in funding towards eliminating malaria was announced at the UN Summit held held on September 25 in New York. Here are some links and highlights from the Summit’s key reports:

The UN released the 2008 World Malaria Report. According to a recent article in AllAfrica.com:

The report finds that recent increases in malaria funding were beginning to translate into coverage of key malaria interventions, especially bednets, by 2006… The percentage of children protected by insecticide-treated nets increased almost eightfold, from 3 per cent in 2001 to 23 per cent in 2006 in the 18 African countries where surveys were held…

However, much more work remains to be done; in Africa, only 125 million people were protected by bednets in 2007, while 650 million are still at risk, notes the report. “If the availability of bednets and other key interventions can be increased, lives can be saved,” said Unicef executive director Ann M. Veneman.

The Roll Back Malaria Partnership also released the Global Malaria Action Plan labelled as the first-ever single comprehensive blueprint for global malaria control and elimination. According to the report:

Africa remains the region with the highest burden of malaria cases and deaths in the world. In sub-Saharan Africa, approximately 365 million cases occurred in 2002 and 963 thousand deaths in 2000, equating to 71% of worldwide cases and 85.7% of worldwide deaths. Almost 1 out of 5 deaths of children under 5 in Africa is due to malaria.