Progress of RBM Implementation in DJIBOUTI

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Progress of RBM Implementation in DJIBOUTI

• Ms Mouna Osman
• Focal Point for Malaria Program

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INTRODUCTION

• As the other developing countries, the
  epidemiological situation of Djibouti is
  dominated by the transferable illnesses.
  
• The piecemeal data available to the level of the
  health Ministry indicate a predominance among the
  reasons of morbidity and mortality in Republic of
  Djibouti of the transferable illnesses of which
  malaria, TB and HIV.

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Updates on Malaria Burden
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Updates on Malaria Burden
We have on this card the different homes of the
Malaria in the territory.
Nous
The geographical distribution of the main homes
of the malaria is shown on this card,
In term we estimate population to risk that for
close to 65 of the population is exposed to the
risk too much.
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Updates on vector control interventions and
inter-sectoral coordination for vector control at
country level(I)

• Of this fact, have been achieved during this
  year, the activities suivantes 
  
• Anti-larvaire  struggle the chemical treatment
  of the larval lodgings, mechanical destruction of
  the site in collaboration with the Community, use
  of the fish larvivores in the " agricoles zones.
  
• Indoor residual spraying
• Distribution of the ITN

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Updates on vector control interventions and
inter-sectoral coordination for vector control at
country level (II)

• Among the strategies of the program, the
  promotion of the ITN is an essential point for a
  better prevention against the epidemic.
  
• To this effect, one kept a distribution by the
  associations, by the mobile team of every
  district, in the PCIME services, in the health of
  reproduction, in the sites of the BDN project and
  by EPI.
• For the execution of the proximity activities,
  the associations have bee identifed by the
  malaria program. However, a information workshop
  on malaria for NGOs was held and from this
  workshop the NGOs refined their activities in
  struggle against the malaria.

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Updates on vector control interventions and
inter-sectoral coordination for vector control at
country level (III)

• These associations elaborated plans of action
  with their essential activities and for the
  distribution of ITN they should achieve a
  cartography of their zone to know the number of
  household, of pregnant women, of under five
  children, the number of well, of agricultural
  zones
• The distribution of ITN started with the certain
  village.The other zones to identified risk go on
  their turn to benefit from the ITN.
  
• The program also follows the activities of
  pulverization that are held country-wide while
  giving the priority in the endemic zone.
  

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Partnerships, ressources mobilization and advocacy

• USAID, JSI
• Development of the social mobilization
• Trainning of community health workers
• World bank
• Purchases of the ITN and insecticides
• Improvement of the human resources for the
  Malaria program
  

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Updates on strengthening malaria ME and
surveillance system

• Setting up of the sentinel sites
• Early detection and prevention of malaria
  epidemics
  
• Rapid and adequate malaria case management
• Strengthening of routine malaria surveillance

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Conclusion , Challenges

• Operational research on malaria resistant to
  antimalaria drugs and anopheles to insecticides.
  
• Training of health personnel
• Training of community health workers

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THANK YOU