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%
• Background on Malaria in Tanzania
• Availability of Services
• Service Readiness
• Malaria Services for Sick Children
© 2007 Bonnie Gillespie, Courtesy of Photoshare
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
• Background on Malaria in Tanzania
• Availability of Services
• Service Readiness
• Malaria Services for Sick Children
© 2007 Bonnie Gillespie, Courtesy of Photoshare
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
Hospital Health centre Dispensary Clinic Total
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
Government Private-for-profit Parastatal Faith-based
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
• Background on Malaria in Tanzania
• Availability of Services
• Service Readiness
• Malaria Services for Sick Children
© 2007 Bonnie Gillespie, Courtesy of Photoshare
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
Hospital Health centre Dispensary Clinic Total
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
Hospital Health centre Dispensary Clinic Total
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
Government Private-for-profit Parastatal Faith-based
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