Malaria is a public health concern as it causes sicknesses and deaths among the communities and workers in hilly and border areas. To reduce the incidences of Malaria, CDA has been implementing the Participatory Prevention and Control of Malaria Among Vulnerable Communities program with 3DF assistance since 2009 with community participation in Hpa-an, Hlaing Bwe and Kawkareik Townships in Kayin State targeting population of 55,636 in 78 villages and additional targeted population of 15,793 in 25 villages with MARC Project from 1 October 2011 to 30 June 2012.
To reduce the incidences of Malaria, 7 clinics have been opened in the area to provide diagnostics and treatment to the communities as well as people living and working in forest or forest fringes especially in the Myanmar-Thailand border. To cover the areas, 95 community health workers (CHWs) have been trained to provide direct service delivery in the villages, paying particular attention to migrant workers.
Community Malaria Prevention Committees
At the villages, Community Malaria Prevention Committees (CMPCs) are selected among the communities to take care of malaria prevention and health care of their villages. They are trained on participatory malaria prevention by the CHWs. The CHWs identify the worksites, provide specific diagnostic and case management and prevention activities in these sites and monitor the village self health care activities of the communities.
Behaviour Change Communications (BCC)
One CHW said, “Some ethnic people used to think that eating bananas or papayas cause Malaria. We advocate them to wear long sleeves, avoid being bitten by mosquitoes, sleep under bed nets and receive proper treatment to reduce malaria.”
Health providers from CDA and Department of Health conduct trainings on awareness of prevention of Malaria for school children so that they can learn to protect themselves from Malaria and share the knowledge to their families.
Distribution of LLINs and treatment of bed nets
A total number of 11,500 Long Lasting Insecticides Nets (LLINs) have been distributed to vulnerable communities and 16,094 bed nets have been treated with Deltamethrim (KO) tablets with the participation of the communities.
Providing IEC Material
IEC materials regarding mitigation of malaria in the form of pamphlets, posters, hand fans with illustrations were distributed in the villages.
Community Feedback Mechanism
CDA exercises Community Feedback Mechanism to obtain responses from the community on the performances of the program. Over 300 letters are received from the communities. One person expressed his thanks for the services, saying that previously they had to go to town to seek medical treatment. Now they receive treatment in their own village without spending time and money.
Dr. Than Htwe, Project Manager of the Program said,” The Program is doing fine and there is less report of Malaria incidences now in the area”.