malaria - nbs.go.tz · malaria rdt protocol staff trained in rdt or microscopy staff trained in...

2014-15 Tanzania Service Provision Assessment (TSPA)

Malaria

• Background on Malaria in Tanzania

• Availability of Services

• Service Readiness

• Malaria Services for Sick Children

© 2007 Bonnie Gillespie, Courtesy of Photoshare

Trends in ITN Ownership by ResidencePercent of households with at least one ITN

ITN Ownership by Region (2011-12 THMIS)

Tanzania91%

Percent of households with at least one insecticide-treated net

Kagera92%

Mjini Magharibi

67%

Kaskazini Unguja 77%Kusini Unguja

79%

Kaskazini Pemba 84%

Kusini Pemba83%

Njombe96%

Mtwara93%

Lindi96%

Pwani95%

Dar es Salaam

79%

Tanga91%

Morogoro91%

Ruvuma95%

Iringa92%

Mbeya91%

Rukwa86%

Katavi88%

Kigoma95% Tabora

95% Singida95% Dodoma

93%

Manyara89%

Kilimanjaro95%

Arusha85%

Mara96%

Simiyu95%

Mwanza96%

Geita91%

Shinyanga94%

Trends in Use of ITNsPercent who slept under an ITN the night before the survey

Trends in Intermittent Preventive Treatment during Pregnancy

Intermittent Preventive Treatment

Percent of women age 15-49 with a live birth in the two years before the survey, who:

Fever in Children by Mother’s Level of Education (2011-12 THMIS)

Among children under age five with fever in the two weeks before the survey, percent who

Type of Antimalarial Drug taken by Children (2011-12 THMIS)

Among children under age 5 with fever in the 2 weeks before the survey who took an antimalarial, type of antimalarial drug taken

Prevalence of Malaria by Residence and Wealth (2011-12 THMIS)

Percent children age 6-59 months testing positive for malaria by RDT

Malaria Prevalence by Region

Tanzania9%

Percent children age 6-59 months testing positive for malaria by RDT

Kagera8%

Mjini Magharibi

1%

Kaskazini Unguja <1%Kusini Unguja

<1%

Kaskazini Pemba <1%

Kusini Pemba<1%

Njombe2%

Mtwara17%

Lindi26%

Pwani10%

Dar es Salaam

4%

Tanga6%

Morogoro13%

Ruvuma12%

Iringa<1%

Mbeya1%

Rukwa5%

Katavi5%

Kigoma26% Tabora

9% Singida<1% Dodoma

3%

Manyara1%

Kilimanjaro<1%

Arusha<1%

Mara25%

Simiyu3%

Mwanza19%

Geita32%

Shinyanga7%

Availability of Malaria Services by Facility Type

Among all facilities (N=1,188), percent offering malaria diagnosis and/or treatment services

99 100 100

72

99

Hospital Health centre Dispensary Clinic Total

Availability of Malaria Services by Managing Authority

Among all facilities (N=1,188), percent offering malaria diagnosis and/or treatment services

10096

85

100

Government Private-for-profit Parastatal Faith-based

33

57

30

72

71

Staff trained in IPTp

Staff trained in malaria diagnosisand/or treatment

Guidelines for IPTp

Guidelines for treatment of malaria

Guidelines for diagnosis of malaria

Guidelines and Trained Staff for Malaria Services

Percent of facilities offering malaria diagnosis and/or treatment services (N=1,177)

Diagnostic Capacity for Malaria by Facility Type

93

56

97

89

45

94

79

12

82

69

28

8281

18

84

Malaria RDT Malaria microscopy Any malaria diagnostics


Percent of facilities offering malaria diagnosis and/or treatment services (N=1,177) that have the capacity to conduct the indicated tests in the facility

Diagnostic Capacity for Malaria by Managing Authority

86

10

86

63

38

74

60

21

60

72

38

82

Malaria RDT Malaria microscopy Any malaria diagnostics


Percent of facilities offering malaria diagnosis and/or treatment services (N=1,177) that have the capacity to conduct the indicated tests in the facility

9

84

52

81

67

2

27

9

90

ITN

Paracetamol tablet

SP

Injectable quinine

Oral quinine

Artesunate suppository

Injectable artesunate

Non-artemisinin monotherapy

1st line ACT

Availability of Antimalarial Medicines and Commodities

Among facilities offering malaria diagnosis and/or treatment (N=1,177), percent that have essential medicines observed on the day of the survey

Diagnostic Capacity in Facilities Offering Curative Care for Sick Children

Percent of facilities offering curative care for sick children (N=1,160) that have the capacity to test for malaria

63

52

24 2329


64

46

37

41

Malaria RDT protocol

Staff trained in RDT or microscopy

Staff trained in microscopy

Staff trained in RDT

Trained Staff and Protocols for Malaria in Facilities for Sick Children

Percent of facilities offering curative care for sick children (N=1,160) that have:

Malaria Service Readiness Index by Facility Type

Percent of facilities offering curative care for sick children (N=1,160) that have malaria diagnostic capacity, malaria treatment guidelines, 1st line medicine, and trained personnel:

46 44

21

10

24


Malaria Service Readiness Index by Managing Authority

Percent of facilities offering curative care for sick children (N=1,160) that have malaria diagnostic capacity, malaria treatment guidelines, 1st line medicine, and trained personnel:

28

15

6

17


Treatment of Malaria in ChildrenAmong sick children whose consultations were observed,

percent diagnosed and treated with ACT

33

7

3732

5

29

Malaria (N=1,641) Fever (N=332) Malaria or fever (N=1,856)

Diagnosed ACT was prescribed or provided

Key Findings

• Almost all (99%) of facilities offer malaria diagnosis and/or treatment

• 81% of facilities can test for malaria by RDT; less (18%) can test for malaria by microscopy

• 90% of facilities have first-line ACT antimalarial available

• 24% of facilities that treat sick children can be considered fully ready to treat malaria

• Of children diagnosed with malaria, 32% received ACT

malaria - nbs.go.tz · malaria rdt protocol staff trained in rdt or microscopy staff trained in...

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