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In 2010, reported cases were 3 115 confirmed cases were with 24.6% P. falciparum cases (Fig. 1). As compared to 2000, the confirmed cases
decreased from 7616 to 3115 in 2010 showing a decline of 59.1% while the case
detection rate was at the same level at 0.6%.
During the last three years, the country has distributed around 1.09 million LLINs in high-risk areas (Fig. 2) whereas around
0.8 million people were protected under IRS during the same period. ACT was
adopted as a policy for treatment of malaria in
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Click on the image to enlarge
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| Fig.
2 :Cumulative Availability of ITNs /LLINs in Nepal, 2005-2010
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Fig.
3 : Availability of Funds by Source in Nepal, 2004-2010
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2007 and around 3 200 courses of ACTs were distributed in
2010. Regarding finance, besides the
government’s budget, NMCP is getting assistance from the Global Fund and
other UN Agencies. In 2010, total USD 3.73 million were made available for malaria control (Fig .3).. The highest amount was of 2.75 million was
contributed by Global fund followed by government. The expenditure figures
were not available for 2010. However,
in absence of 2010 expenditure data , 2009 data can provide some glimpse of
expenditure pattern. During 2009, the
highest amount was spent on
ani-malarials (35.3%) followed by LLINs / ITNs (18.7% ) and training
(10.2%) and the lowest amount was spent on communication and advocacy (0.8%)
followed by planning, administration and overhead (1.7%) and procurement and supply management (1.8%; Fig. 4).
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Click on the image to enlarge
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| Fig.4
: Expenditure Details by Type in Nepal, 2009 
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Goals &
Objectives:
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Program goals
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By 2016 number of
VDCs having indigenous malaria cases
will be reduced by 75% of current level (2010)
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By 2016 incidence of
locally transmitted malaria will be reduced by 90% of current levels
(2010).
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Objectives:
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To update the
stratification of malaria endemic areas and align activities outlined in
the strategic plan accordingly in different strata by 2012.
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To achieve at least
90% vector control coverage in malaria risk population residing in high and
moderate risk areas by 2016.
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To achieve 90 %
screening of all suspected malaria cases for parasitological diagnosis and
100 % effective treatment of all confirmed malaria cases according to the
national guidelines by 2016.
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To intensify passive
malaria surveillance, introduce weekly reporting including mandatory zero
reporting system, case notification and case based active malaria
surveillance and initiate early response to focal outbreaks by 2016.
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To ensure that 90% of
population at malaria risk adopt at least one malaria preventive measure by
combination of BCC approaches by 2015.
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To develop and
sustain the required program management capacity and structures at all
levels to effectively deliver a combination of targeted interventions by
2014.
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Control Strategy
 Malaria
control has been integrated at all levels.
PCD,
ACD and treatment, drug administration at border check-posts and MDA.
Vector
control by LLIN and IRS in high risk areas.
Selective IRS is conducted in areas with API > 5o/oo and in
outbreak areas. DDT has been replaced by carbamate, synthetic pyrethroid and
OP.
SEAR
working group recommendation on revised control strategy has been adopted.
Joint
plan of action with India
for cross-border interventions in selected and selected three districts namely Kailali, Bara and Rautahat.
Achievement and
initiatives
Round 7 Proposal with GFATM granted.
LLINs coverage has been intencified.
5 New sentinel sites established for outbreak
detection.
2 Drug resistance monitoring studies done for
ACT.
Issues and
challenges
Drug resistant falciparum.
Lack of resources, intersectoral collaboration
and trained manpower.
Weak surveillance, programme management and
inadequate health infrastructure.
Uncontrolled population movement.
Difficulty in establishing institutional
linkage for enabling malaria – specific operational research activities.
Best practices and
success stories
Establishment of LLINs distribution
“monitoring team” and usage of GIS in
net distribution.
Significant decrease in confirmed malaria
cases due to successful intervention.
Piloting of treatment of Complicated and
Severe Malaria by Volunteers at the VDCs level.
Re-stratification of malaria transmission
areas.
Partners and donors
WHO
The Global Fund
World bank
DFID
PSI
Other related information :
Country
profile – World Malaria report 2011 [PDF 417 KB]
Malaria
Situation in Nepal, 2010 [PDF 1.3 MB]
Malaria Situation
in Nepal, 2007-2009 [PDF 1.2 MB]
Country profile – World Malaria report 2008
Reported
Malaria Morbidity (/1000) and Mortality Rate (/100000) in Nepal, 2000-2008 [PDF 62 KB]
Malaria
Situation in Nepal, 2007-2009 [PDF 1.4 MB]
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