Dr' Claus Bogh Rotary Club Seminyak Bali, Indonesia

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Dr. Claus BoghRotary Club SeminyakBali,
Indonesia
MG 63074 The joint Rotary Sumba Foundation
Malaria Control ProgramA story from Sumba
island, Indonesia
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Malaria

• Malaria is an infectious parasitic disease
  transmitted by mosquitoes
• If untreated, Malaria can kill or brain damage
• Malaria kills gt2,ooo,ooo people each year
• 80 of the casualties are children and pregnant
  women
• Malaria is 100 curable and preventable
• But ! Malaria is the poor mans disease

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Malaria in Sumba island
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Some details about Sumba

• Sumba is twice the size of Bali
• Has a population of 500,000 people
• The population is 95 Christian
• The economy is based on subsistence farming
• Sumba is financially and politically forgotten by
  Indonesia

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Malaria in Sumba

• Sumba has the highest occurrences of malaria
  outside the African continent
• All 4 species of human malaria are abundant
• Malaria affects all of the population but in
  particular the rural populations
• Malaria is on the increase due to drug resistance
  and lack of general health care

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Typical Sumba village
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Normal sleeping conditions
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Sumba treatment of malaria
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Family mourning 4 months old girl who died from
malaria
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Conclusions from baseline Malaria surveys in
Sumba

• 70 of child mortality (deaths) was caused by
  malaria
• 25 of all mothers had lost at least 1 child to
  malaria (in some villages 45 )
• 62 of the children below age 5 had malaria
• 30 of the total population had malaria
• All four species of malaria parasites were
  present in the project area
• Drug resistance to Chloroquine was very high
  (gt80)

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The Malaria Control ProgramMain Intervention
Components

• Make high quality malaria diagnosis freely
  available
• provide the most effective malaria treatment for
  all malaria species
• Conduct mass screening of the target population
  to wipe out malaria
• Reduce malaria transmission by providing high
  quality impregnated mosquito nets

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Testing for Malaria and anemia
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All sleep under insecticide treated nets
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All receive proper diagnosis and instant treatment
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The Rotary Malaria Control Area

• Areas Lamboya Bawa and Watukarere
• Population (appr.) 4000
• Mosquito net need 3000
• Staff needs (nurses) 6
• Transport needs (MC) 3

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The Rotary Area (green covered)
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The Rotary Malaria Control Area

• Area covered so far Watukarere
• Population tested so far 1303
• People infected with malaria 507
• Nets distributed 864

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Testing of entire population
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Diagnosis in the laboratory
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Population infected
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Malaria species distribution
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Mosquito net distribution
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Happy villagers