In the Name of Allah, The Most Merciful and Compassionate

the Most Gracious and Beneficent

BAJAUR AGENCYBAJAUR AGENCY Review Review

( May , 2013)( May , 2013)

Mr Altafur Rehman Mr Altafur Rehman AFO Bajaur Agency AFO Bajaur Agency

2121thth May, 2013 May, 2013

Map of Bajaur

Loe-Mamound

Wara-

Mam

ound

Khar

Barang

Utmankhe

l

Salarzai

NawgaiChamrkand

Border length with Afghanistan = 65 Kilometers

Shares borders with Mohmand Agency, Malakand , Lower Dir & Afghanistan

Demography AFG

HANIS

TAN

DIR LOWER

MOHMANDM

ALAKA

ND

Name of Tehsil

Target Population <5 Years

Nawagai 19043

Wara Ko Mamound 29176

Khar 46956

Utmankhel 21200

Barang 18405

Loe Mamound 29930

Salarzai44623

Chamarkand 1522

Border Length

KM

Afghanistan 65 km

Malakand 30 km

Dir 60 km

Mohmand 55 km

Shares borders with Mohmand Agency, Malakand , Lower Dir & Afghanistan

< 5 Year Population 2,23570

Salarzo

Utmankhel

Barang

Khar

Inaccessible Areas

AFGHANIS

TAN

MALA

KAND

MOHMAND

Nawagai

Chamarkand

Loe-M

amound

Wara -Mamoond

Accessible Areas

Current Status of AccessibilityDIR LOWER

Utmankhel

Barang

Salarzai Utmankhel

Tribe wise map

DIR LOWER

MOHMAND

MALA

KAND

AFGHANIS

TAN

Mamound Mixed

Agency Profile

Total Population 13,0000

< 5 Year Population 223,570

Number of Tehsil 8

No of Facilities 39

No of High Risk UCs 10

No of RDT Centers 19

No of Microscopy Centers 17

Total No of Sub Tehsil/ Division

2

Trend of Microscopy & RDTs Centers 2008-2013

Trend of microscopy & RDTs Centers 2008-2013

Year M C RDT

2008 07 0

2009 07 04

2010 16 05

2011 16 15

2012 17 19

2013 17 19

Trend of Positive cases 2008-2013

Year PF PV Max Total Slide

2008 100 2249 0 10104

2009 2530 2091 29 20088

2010 2416 2149 42 19962

2011 2443 4420 07 33502

2012 643 3833 66 26204

2013 101 413 12 7538

Trend of Positive cases 2008-2013

Malaria Microscopy Centers

Sr. No.

Name of Centre Functional / Non Functional

Reason for Non Functional

1 AHQH Khar Yes No

2 CH Nawagai Yes No

3 CHC Zoor Bander Yes No

4 CHC Mnadal No Transfer of M/S

5 CHC Qazafi Yes No

6 CHC Jar No Transfer of M/S

7 CHC Ragagan Yes No

8 CHC Kotki Lar sadin Yes No

9 CHC Derakai Yes No

10 RHC Pashat Yes No

Malaria Microscopy Centers

Sr. No.

Name of Centre Functional / Non Functional

Reason for Non Functional

11 CHC Lagarie Yes No

12 CHC Bilot Yes No

13 CHC Khari Kamar Yes No

14 Bajaour Scout Hospital Yes No

15 RHC Barang Yes No

16 CHC Arang Yes No

17 CHC Gani Ada Yes No

Malaria RDT Centers

Sr. No.

Name of Centre Functional / Non Functional

Reason for Non Functional

1 CD Gardai Yes NO

2 CHC Kolala 1 Yes NO

3 CHC Kolala 2 Yes NO

4 CHC Debdabu Yes NO

5 CHC Malangai Yes NO

6 CHC Mena Yes NO

7 CHC Inayat kalli Yes NO

8 CHC Loesam Yes NO

9 CHC Halki charmang Yes NO

10 CHC Hilal Khil Yes NO

Malaria RDT Centers

Sr. No.

Name of Centre Functional / Non Functional

Reason for Non Functional

11 CHC Sarkari Qila Yes NO

12 CHC Kokti Charmang Yes NO

13 CHC Landie Yes NO

14 CHC Dabar Yes NO

15 CHC Safari Gadamar Yes NO

16 CHC Tarie Yes NO

17 CHC Lakian Yes NO

18 CHC Tali Yes NO

19 CHC Ghakhai Yes NO

Trained Staff at Malaria Microscopy Centers

Sr. No.

Name of Centre Staff Trained in Malaria Case Management

Staff Trained Microscopy

Staff Trained MIS

1 AHQH Khar Yes Yes Yes

2 CH Nawagai Yes Yes Yes

3 CHC Zoor Bander Yes Yes Yes

4 CHC Mnadal Yes Yes Yes

5 CHC Qazafi Yes Yes Yes

6 CHC Jar Yes Yes Yes

7 CHC Ragagan Yes Yes Yes

8 CHC Kotki Lar sadin Yes Yes Yes

9 CHC Derakai Yes Yes Yes

10 RHC Pashat Yes Yes Yes

Trained Staff at Malaria Microscopy Centers

Sr. No.

Name of Centre Staff Trained in Malaria Case Management

Staff Trained Microscopy

Staff Trained MIS

11 CHC Lagarie Yes Yes Yes

12 CHC Bilot Yes Yes Yes

13 CHC Khari Kamar Yes Yes Yes

14 Bajaour Scout Hospital Yes Yes Yes

15 RHC Barang Yes Yes Yes

16 CHC Arang Yes Yes Yes

17 CHC Gani Ada Yes Yes Yes

Trained Staff at Malaria RDT Centers

Sr. No.

Name of Centre Staff Trained in Malaria Case Management

Staff Trained RDT

Staff Trained MIS

1 CD Gardai Yes Yes Yes

2 CHC Kolala 1 Yes Yes Yes

3 CHC Kolala 2 Yes Yes Yes

4 CHC Debdabu Yes Yes Yes

5 CHC Malangai Yes Yes Yes

6 CHC Mena Yes Yes Yes

7 CHC Inayat kalli Yes Yes Yes

8 CHC Loesam Yes Yes Yes

9 CHC Halki charmang Yes Yes Yes

10 CHC Hilal Khil Yes Yes Yes

Trained Staff at Malaria RDT Centers

Sr. No.

Name of Centre Staff Trained in Malaria Case Management

Staff Trained RDT

Staff Trained MIS

11 CHC Sarkari Qila Yes Yes Yes

12 CHC Kokti Charmang Yes Yes Yes

13 CHC Landie Yes Yes Yes

14 CHC Dabar Yes Yes Yes

15 CHC Safari Gadamar Yes Yes Yes

16 CHC Tarie Yes Yes Yes

17 CHC Lakian Yes Yes Yes

18 CHC Tali Yes Yes Yes

19 CHC Ghakhai Yes Yes Yes

Stock Situation at Malaria Microscopy Centers

Sr. No.

Name of Centre Chemicals/reagents

Slides /pickers

Antimalarial Drugs

1 CHC Lagarie Supplied by ACD Supplied by ACD Tab Chloroquin,premaquin,ACT,inj Quinin,ETC

2 CHC Bilot Supplied by ACD Supplied by ACD Tab Chloroquin,premaquin,ACT,inj Quinin,ETC

3 CHC Khari Kamar Supplied by ACD Supplied by ACD Tab Chloroquin,premaquin,ACT,inj Quinin,ETC

4 Bajaour Scout Hospital Supplied by ACD Supplied by ACD Tab Chloroquin,premaquin,ACT,inj Quinin,ETC

5 RHC Barang Supplied by ACD Supplied by ACD Tab Chloroquin,premaquin,ACT,inj Quinin,ETC

6 CHC Arang Supplied by ACD Supplied by ACD Tab Chloroquin,premaquin,ACT,inj Quinin,ETC

7 CHC Gani Ada Supplied by ACD Supplied by ACD Tab Chloroquin,premaquin,ACT,inj Quinin,ETC

Stock Situation at Malaria Microscopy CentersSr. No.

Name of Centre Chemicals/reagents

Slides /pickers

Antimalarial Drugs

11 AHQ Khar Supplied by ACD Supplied by ACD Tab Chloroquin,premaquin,ACT,inj Quinin,ETC

12 CHC Nawagai Supplied by ACD Supplied by ACD Tab Chloroquin,premaquin,ACT,inj Quinin,ETC

13 CHC Zorbander Supplied by ACD Supplied by ACD Tab Chloroquin,premaquin,ACT,inj Quinin,ETC

14 CHC Mandal Supplied by ACD Supplied by ACD Tab Chloroquin,premaquin,ACT,inj Quinin,ETC

15 RHC Pashat Supplied by ACD Supplied by ACD Tab Chloroquin,premaquin,ACT,inj Quinin,ETC

16 CHC Derakai Supplied by ACD Supplied by ACD Tab Chloroquin,premaquin,ACT,inj Quinin,ETC

17 CHC Kotki Larsadin Supplied by ACD Supplied by ACD Tab Chloroquin,premaquin,ACT,inj Quinin,ETC

18 CHC Raghagan Supplied by ACD Supplied by ACD Tab Chloroquin,premaquin,ACT,inj Quinin,ETC

19 CHC Jar Supplied by ACD Supplied by ACD Tab Chloroquin,premaquin,ACT,inj Quinin,ETC

Stock Situation at Malaria RDT Centers

Sr. No.

Name of Centre RDTs Antimalarial Drugs

1 CD Gardai Yes Tab primaqen,ACTs,chloroquine,Inj Quinin ETC

2 CHC Kolala 1 Yes Tab primaqen,ACTs,chloroquine,Inj Quinin ETC

3 CHC Kolala 2 Yes Tab primaqen,ACTs,chloroquine,Inj Quinin ETC

4 CHC Debdabu Yes Tab primaqen,ACTs,chloroquine,Inj Quinin ETC

5 CHC Malangai Yes Tab primaqen,ACTs,chloroquine,Inj Quinin ETC

6 CHC Mena Yes Tab primaqen,ACTs,chloroquine,Inj Quinin ETC

7 CHC Inayat kalli Yes Tab primaqen,ACTs,chloroquine,Inj Quinin ETC

8 CHC Loesam Yes Tab primaqen,ACTs,chloroquine,Inj Quinin ETC

9 CHC Halki charmang Yes Tab primaqen,ACTs,chloroquine,Inj Quinin ETC

Stock Situation at Malaria RDT Centers

Sr. No.

Name of Centre RDTs Antimalarial Drugs

11 CHC Sarkari Qila Yes Tab primaqen,ACTs,chloroquine,Inj Quinin ETC

12 CHC Kokti Charmang Yes Tab primaqen,ACTs,chloroquine,Inj Quinin ETC

13 CHC Landie Yes Tab primaqen,ACTs,chloroquine,Inj Quinin ETC

14 CHC Dabar Yes Tab primaqen,ACTs,chloroquine,Inj Quinin ETC

15 CHC Safari Gadamar Yes Tab primaqen,ACTs,chloroquine,Inj Quinin ETC

16 CHC Tarie Yes Tab primaqen,ACTs,chloroquine,Inj Quinin ETC

17 CHC Lakian Yes Tab primaqen,ACTs,chloroquine,Inj Quinin ETC

18 CHC Tali Yes Tab primaqen,ACTs,chloroquine,Inj Quinin ETC

19 CHC Ghakhai Yes Tab primaqen,ACTs,chloroquine,Inj Quinin ETC

Microscopy quality assurance measures in the district

• All centers Functional

• All Microscopies were Trained

• All stock were quarterly supplied ACD

Malaria Caseload in DistrictComparison between 2012&2013

  PF PV Mixed

  2012 2013 2012 2013 2012 2013

Jan 138  44  58  110  2  8 

Feb 52  31   104 128   2  1

March  22 26  170  175   0  3

Total for Qtr  212  101 332  413   8  12

Update on Monthly Malaria Coordination Meetings

Record of Minutes of meetings ( Jan, Feb, March 2013)Compliance with decisions of Meetings ( Jan, Feb, March 2013)

• Monthly Co Ordination Meeting were Regularly Conducting

• Record the minutes of Meeting • Discussing the issue in its possible solution • Record were updating and cross checking were regularly

don

Involvement of DHMT in Distribution and Verification of

LLINs• Active involvement of DHMT in distribution

and verification of LLINs By ACD

Involvement of DHMT in Indoor Residual Spray

• Active involvement of DHMT in indoor Residual Spray by ACD

• TWO FOG MACHINE MOTER CYCLE.

• MOTER CYCLE TEN.

• SUZUKI FOG ONE.

• HAND PUMP THIRTY TWO(out work)

Vector control

• 2009 LLIN 26621• 2010 LLIN 26622• 2012 LLIN 26600• 2013 LLIN 32700 DISTRIBUTION ON PROCESS• SPRAY DETAILE

. 2006, 7735 HOUSES SPRAYED.

.2009, PAK ARMAY IN ALL THE AGENCY.

.2010, 28032 HOUSES SPRAYED.

.2011, 3056 HOUSES SPRAYED.

.2012,ALL AGENCY BY ROAD FOG SRAYED.

.2013, TRAINIG WAS GIVEN BY ACD FOUR TEAM WAS NOMINATED.

Main Issues & Solutions

• Transfer of Microscopiest from Centers

•

Let no family suffer the loss of a mother or a child due to preventable or treatable causes in Pakistan