Tuesday, April 26, 2016

Malaria treatment, drugs free in public hospitals

FAUSTINE KAPAMA in Dodoma
THE government has scrapped off all charges for treatment and medicine provided to malaria patients in government hospitals in the country.

Health, Community Development, Gender, Elderly and Children Minister Ummy Mwalimu told a news conference here that patients would be required to pay consultation fees only. “Other charges like malaria diagnosis and medication will be free of charge effective from now in all government hospitals.
I direct all regional and district medical officers to supervise this new government policy effectively,” the minister stressed. She was giving a government statement on the World Malaria Day 2016 when she declared further that the efforts to eliminate the deadly disease have started showing positive results as there is a significant decrease of malaria cases.
The analytical report on HIV and Malaria indicators, the minister said, has shown that transmission of the disease has decreased by 50 per cent from 18pc in the 2007/2008 year to 10 pc for 2011/2012 financial year.
Ms Mwalimu said, however, that despite such decline of transmission cases, statistics show that malaria was still a big problem especially in villages as compared to urban centres. According to the minister, the transmission rate in rural areas was 10.7 per cent as opposed to 3.4pc in urban areas. She pointed out further that there was a hard task ahead despite such positive steps in fighting the disease.
The minister noted that the statistics also show that 12 million people get malaria each year in the country with pregnant women and children under the age of five years being the most vulnerable.
“Our aim is to reduce transmission of the malaria by 5pc in 2016 and 1pc by 2020. This is possible. Each one of us has a duty of taking part in the war against malaria,” the minister emphasised.
Ms Mwalimu took the opportunity to congratulate retired President Jakaya Kikwete for his efforts to combat the deadly disease both inside and outside the country, which led him to be awarded a “White House Summit Award,” in April, this year.
She pledged that her ministry would continue with other stakeholders to implement other strategies to reduce the transmission of the disease and later eradicate the same in the country.
She named the strategies as preventing the mosquitoes using different methods, notably using long term treated bed-nets, indoor residual spraying, cleaning of environments and destroying insecticides.
According to the minister, there would be speedy malaria diagnosis using Malaria Rapid Diagnostic Tests (RDTs) and using Artemether/Lumefantrine (ALu) as the first line drug for treatment for patient proved to have diseases’ parasites.
She said that Sulfadoxine/ Pyrimethamine (SP) would be provided to pregnant women in special periods. The minister further encouraged the people to continue using treated bed nets to contain the disease.
Ms Mwalimu further pointed out that the exercise of distribution of the nets countrywide was going on well as 18 regions in Tanzania Mainland have been covered with over 20 million nets have already been distributed at a ratio of one net per two persons.
According to the World Health Organisation (WHO), since 2000, malaria mortality rates have declined by 60 per cent globally. In the WHO African Region, malaria mortality rates fell by 66pc among all age groups and by 71pc among children under 5 years.
The advances came through the use of core malaria control tools that have been widely deployed over the last decade: insecticidetreated bed-nets, indoor residual spraying, rapid diagnostic testing and artemisinin-based combination therapies.
In 2015, all countries in the WHO European Region reported, for the first time, zero indigenous cases of malaria, down from 90,000 cases in 1995.
The Global Technical Strategy for Malaria 2016- 2030, approved by the World Health Assembly in 2015, calls for the elimination of local transmission of malaria in at least 10 countries by 2020. WHO estimates that 21 countries are in a position to achieve this goal, including six countries in the African Region, where the burden of the disease is heaviest.

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