Prompt and effective treatment of malaria with Artemisinin-based Combination Therapy (ACT); Use of Sulphadoxine-Pyrimethamine (SP) for Intermittent Preventive Treatment (IPT) of malaria in pregnancy and Integrated Vector Management including use of Long Lasting Insecticidal Nets (LLINs) are the bane of malaria control in Nigeria.
Other interventions include behavioural change communication and community mobilization, capacity building, partnership as well as monitoring and evaluation.
The Global Fund to Fight AIDS, Tuberculosis and Malaria (GFATM) was set up to provide additional source of assistance to countries in their fight against these three killer diseases.
Nigeria, through an existing and functional country coordinating mechanism (CCM) made proposals to the GFATM. The acceptance of these proposals led to the signing of two grants for malaria:
- Round two grant
- Round four grant
- The Principal recipient of the grant is Yakubu Gowon center while the Federal ministry of Health is the Sub-recipient.
ROUND 2 PHASE 1 GRANT
Round 2 grant was signed on October 22nd, 2004. The amount is $20.9 million for the first two years. The programme started on November 1, 2004 was to end on October 31st, 2006.
It aimed at scaling up already existing RBM activities in the country. The Round 2 grant was to support 12 states namely: Yobe, Taraba, Plateau, Kwara, Zamfara, Kaduna, Ekiti, Lagos, Ebonyi, Imo, Cross River and Delta States and to strengthen programme management at Federal level.
The key objectives were:
Procuring and distributing 3 million ITNs to 2 million under five children and 1 million pregnant women within 2 years and ensuring retreatment.
Procuring and distributing 4 million doses of Artemisinin Based Combination Therapy (ACTs) to under five children for treatment of malaria within 2 years.
Providing 1 million doses of IPT to 500,000 pregnant women using SP through public and private sectors.
To achieve the above objectives, broad activities have been planned which included:
Implementation of appropriate advocacy, media and IEC/BCC activities in the selected states on ITNs usage, disease management using ACTs and IPT. These include posters, billboards, radio/ TV jingles etc.
Procurement and installation of office equipment in the RBM office of the selected states to aid appropriate communication/reporting of activities. These include purchasing and distribution of 224 motorcycles to all the LGAs of the benefiting states and computers with accessories to the States RBM offices.
Training of 2,220 health care workers (Tertiary, Secondary, Primary and Private Sector) in all the selected states on correct ITNs use and Re-treatment, Intermittent Preventive Treatment, and Case management using ACT.
Training of 444 store officers on correct drug management especially as ACT is a relatively new drug.
Community mobilization and training of role model mothers in the selected LGAs of 12 selected states in effective symptom identification and home management of malaria.
Supervision and data gathering to ensure that activity reports are received from the 12 states.