Directorate of Malaria Control

Ministry of National Health Services

Regulations and Coordination

Government of Pakistan

Dr Abdul Majeed

Senior Project Officer

DOMC

Malaria Burden in Pakistan

Punjab0.1

Sindh1.64

Balochistan7.14

KPK4.21

Annual Parasite Incidence (API) (Year 2013)

API is significantly higher in the RURAL areas than in the URBAN areas

Directorate of Malaria Control

National: 1.59

2001 2002 2003 2004 2005 2006 2007 2008 2009 2010 2011 2012 2013

SPR 2.99 3.01 3.00 2.81 2.66 2.78 1.71 2.77 3.49 5.46 6.98 5.92 6.18

API 0.73 0.67 0.81 0.81 0.77 0.75 0.78 0.59 0.74 1.46 1.88 1.7 1.6

BER 2.44 2.28 3.11 2.87 2.88 2.7 2.5 2.15 2.1 2.67 2.69 2.87 3.3

0

1

2

3

4

5

6

7

8

Malaria Indicators

Punjab Sindh KPK FATA Baluchistan AJK TOTAL

2011 19699 93306 75384 46149 84579 475 319592

2012 17522 114651 63494 30948 63733 433 290781

2013 9295 70269 98137 34116 69678 260 281755

0

50000

100000

150000

200000

250000

300000

350000R

epo

rted

cas

es

Province wise & year wise Confirmed Malaria cases

Punjab Sindh KPK FATA Balochistan AJK Total

2011 15.04 46.04 12.19 20.18 58.27 2.74 35.58

2012 6.25 30.65 9.59 13.34 44.50 2.77 25.73

2013 7.64 27.29 7.67 21.99 33.26 1.15 20.62

0.00

10.00

20.00

30.00

40.00

50.00

60.00

70.00

Po

po

rtio

n o

f To

tal c

on

firm

ed

cas

es

Malaria (P.F) Trends

Provincial Distribution of Confirmed

Malaria Cases

Confirmed Malaria cases - 2013

Punjab3%

Sindh25%

KPK35%

FATA12%

Baluchistan25%

Confirmed Malaria cases - 2014

SINDH21%

KPK34%

FATA15%

BALUCHISTAN30%

AJK0%

Punjab has not shared data for year 2014

PF : PV ratio (2014)

18%

82%

PF

PV

Punjab has not shared data for year 2014

BER & SPR (2014)

3.2

8.3

0

1

2

3

4

5

6

7

8

9

BER SPR

Punjab has not shared data for year 2014

Annual Parasite Incidence (2014)

1.1

3.2

8.4

6.9

0.04

2.6

0

1

2

3

4

5

6

7

8

9

SINDH KPK FATA BALUCHISTAN AJK TOTAL

Punjab has not shared data for year 2014

SSF R – 10

Achievements

• All Suspected Case tested for Malaria

• All Confirmed Case treated with Anti-Malarial Drugs

• Targeted Population Provided with Preventive measures

• Capacity of Health care to provide enhanced to ensure rationale use of Malaria treatments

• Knowledge of People about malaria improved

• Un-interrupted supply of pharmaceuticals and health items

• Supply of Quality products

Country wide Malaria Program assessment by international

consultants i.e. MPR (Malaria Programmatic Review)

Malaria Indicator Survey (MIS)

National and Provincial Strategic Plans 2015 – 2020

Resource generation (2014 – 2017): Successful submission of

Concept Note to TGF under New Funding Model

Un-interrupted provision of Services: Ext. of R-10 Phase-1

Establishment of Data Management units at all levels

CCM Oversight visits

OSDV & DQA

Events carried out

Annual Parasite Incidence

7.12

8.59

10.8

8.51 8.67

7.29

0

2

4

6

8

10

12

2009 2010 2011 2012 2013 2014

API

Epidemiological Shift

3645 43

6471.7

78

6354 56

3528

21

0

10

20

30

40

50

60

70

80

90

2009 2010 2011 2012 2013 2014

PV Pf

Annual Vivax Incidence (AVI)

2.57

3.9

4.72

5.4

6.23 5.69

0

1

2

3

4

5

6

7

2009 2010 2011 2012 2013 2014

AVI

4.54 4.68

6.07

3.02

2.44

1.60

0

1

2

3

4

5

6

7

2009 2010 2011 2012 2013 2014

AFI

74% Reduction

Disease (P. Falciparum) trend

Success Stories

Khyber Agency

3.6

1.3

7.9

4.8

0

1

2

3

4

5

6

7

8

9

2011 2012 2013 2014

Courtesy Merlin, Pakistan

Bannu

3.7

1.92.2

0.7

0

0.5

1

1.5

2

2.5

3

3.5

4

2011 2012 2013 2014

Courtesy Merlin, Pakistan

Lakki

1.4

0.7

0.40.3

0

0.2

0.4

0.6

0.8

1

1.2

1.4

1.6

2011 2012 2013 2014

Courtesy Merlin, Pakistan

Sibbi

2.32.1

1.2

0.6

0

0.5

1

1.5

2

2.5

3

2011 2012 2013 2014

Courtesy Merlin, Pakistan

Naseer Abad

14.2

9.3

3.5 3.1

0

2

4

6

8

10

12

14

16

2011 2012 2013 2014

Courtesy Merlin, Pakistan

Harnai

11.7

6.4

4.0 3.9

0

2

4

6

8

10

12

14

2011 2012 2013 2014

Courtesy Merlin, Pakistan

Killa Saifullah

3.7

1.6

0.70.3

0

0.5

1

1.5

2

2.5

3

3.5

4

2011 2012 2013 2014

Courtesy Merlin, Pakistan

Loralai

4.5

2.63.0

1.7

0

0.5

1

1.5

2

2.5

3

3.5

4

4.5

5

2011 2012 2013 2014

Courtesy Merlin, Pakistan

Zhob – Sherani

13.2

3.42.0

3.7

0

2

4

6

8

10

12

14

2011 2012 2013 2014

Courtesy Merlin, Pakistan

Year PV PF Mix Total +ve SPR

2010 1182 685 13 1880 38

2011 2343 433 21 2797 35

2012 1402 115 23 1540 29

2013 283 99 3 385 13

2014 123 16 1 140 6

Nagarparkar, Tharparkar (Sindh)