An increase in malaria prevention interventions, including universal coverage with insecticide- treated bed nets and indoor residual spraying (in 2. Zanzibar. However, the persistence of endemic malaria transmission in surrounding areas (Tanzania Mainland and Kenya) leaves Zanzibar vulnerable to sudden outbreaks and re- establishment of ongoing, perennial malaria transmission. Improved surveillance and epidemic response capacity are essential to maintain control, prevent the resurgence of the disease. Early epidemic detection systems are an essential way for timely detection of sudden increases in malaria transmission, and mobile health (m. Health) is an innovative way to combat malaria increases. Active Case Detection. The Zanzibar Malaria Control Program (ZMCP), in collaboration with the President’s Malaria Initiative (PMI), the U. S. Centers for Disease Control and Prevention (CDC), and RTI International (RTI), developed and implemented the Malaria Epidemic Early Detection System (MEEDS). This real- time surveillance data allows ZMCP to make data- driven decisions regarding when and where to investigate sudden increases in transmission, initiate active case detection, and apply more comprehensive coverage of malaria interventions. In 2. 00. 8 MEEDS broke ground in m. Health systems by enabling facilities to report new malaria cases via simple feature phone handsets, and enabling the ZMCP to detect new epidemic outbreaks within two weeks of onset. With MEEDS, health facility officers in clinics use simple cell phone handsets to submit essential case data. 3 ACKNOWLEDGEMENTS The feasibility assessment described in this report was made possible with the advice and contributions of many people both within and outside the Zanzibar Malaria Control Program. Special thanks to the. MALARIA CONTROL IN ZANZIBAR. Highlights from 2008-09 Spray Campaign: . PROJECT NAME Support to Malaria Control in Tanzania Programme IMPACT Impact Indicator 1. Reduction in morbidity and mortality from malaria in Tanzania mainland and Zanzibar Child (under 5) mortality rate (per 1,000 live. The data are transmitted to a gateway via Unstructured Supplementary Service Data (USSD). The data are then stored on a remote server accessible through secure website for data management and analysis. The server and data relay are managed through SELCOM. MEEDS was initially implemented at 1. In late 2. 00. 8, 4. The number was increased again by 1. MEEDS is currently used by all public health facilities in Zanzibar. In 2. 01. 3 ZMCP was renamed the Zanzibar Malaria Elimination Programme (ZAMEP) RTI has worked closely with the ZAMEP since 2. MEEDS. Support has included technical assistance with data analysis, hotspot mapping, management, and supervision. As part of the US President’s Malaria Initiative (PMI) and with significant collaboration with the National Malaria Control Program and the Zanzibar Malaria Control Program, CDC began effective malaria programs with an. United Republic of TANZANIA ZANZIBAR I. EPIDEMIOLOGICAL PROFILE. IRS is recommended by malaria control programme YES 2006 IRS is only used to prevent and control epidemics. FINANCING MALARIA CONTROL. USAID SUPPORT TO ZANZIBAR Continued Funding Level: An estimated $15 million in FY 2013. Key Sectors: Education, Health. Zanzibar Malaria Control Program; Zanzibar Aids Commission; Fintrac; Creative Associates; Global Deaf. Malaria Journal main menu. About; Articles; Submission Guidelines; Research. Zanzibar Malaria Control Programme: Zanzibar malaria early epidemic detection system biannual report. 2009, 1 (No.2); March 2010. Active Response. Building on the success of MEEDS, the ZAMEP, in collaboration with the PMI, USAID, CDC, and RTI, have developed Coconut Surveillance. Coconut Surveillance enables district malaria officers to actively monitor and respond to new case reports received via MEEDS. MEEDS and Coconut Surveillance are helping Zanzibar to identify and treat many otherwise undiagnosed malaria cases, identify hot spots and transmission patterns, and respond rapidly to new outbreaks. These m. Health applications are helping Zanzibar to sustain the remarkable gains it has made against this dangerous and debilitating disease. From July- December 2. Zanzibar used MEEDS to report 9. District malaria officers using Coconut Surveillance responded actively to each new case, testing 3,2. ZMCP’s sustained campaign has reduced malaria incidence rates in Zanzibar significantly and has sustained this reduction. An aggressive location- based case response and management system, such as Coconut Surveillance, could potentially eliminate the disease.
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