| Fig. 2
: Cumulative Availability of Effective
ITNs& LLINs in
Sri Lanka, 2005-2010
and provision of appropriate
treatment coupled with good surveillance system. Use of ITNs/ LLINs have also
been increasingly applied as supplementary vector control measure for
population in the high risk areas.
During 2010, the cumulative availability of bednets
were around 1.33 million covering 2.66 people and total 2.0 million people protected by
IRS. The programme
has adopted ACT
since 2008 for treatment of P. falciprum. Further, to get hold of out reach
population, country has initiated mobile clinics. The total financing for
malaria control, since 2003, was on average US$ 4.2 million, peaking in 2004
to US$ 10 million, mainly financed by the government, World Bank and the
Global Fund. The total contribution of the government (local resources) has
increased in recent years and exceeded 70% which is one of the critical conditions to sustain the achievements (Fig. 3).
In 2009, the highest proportion was spent on insecticides
and spraying materials (52.8%) followed by human resources and technical
assistance (29.1%) and Others (7.5%) and lowest amount was spent on
communication and advocacy (0.3%) followed by procurement and supply management (0.86%) and training (0.9%) ( Fig; 4).
|
Click on the image to enlarge
|
| Fig.
3 : Availability of Funds by Source in Sri Lanka, 2001-2010
|
Fig.
4 : Expenditure detail by expense Type in Sri Lanka, 2009
|
| 
|
|
Programme goals and targets
To reduce malaria morbidity and mortality until the
disease is no longer a public health problem in the country.
|
Targets
|
Baseline data in
2005
|
2010
|
|
To reduce the API among at risk population
|
0.4
|
<0.1
|
|
To sustain zero mortality from malaria
|
00
|
00
|
|
Reported cases of uncomplicated malaria cases
|
1640
|
300
|
|
Percentage of children under 5 years who slept under an
ITN the previous night in risk areas
|
N.A.
|
70%
|
|
Percentage of pregnant
women who slept under an ITN the previous night in risk areas
|
N.A.
|
70%
|
|
Percentage of houses using at least one ITN
|
N.A.
|
70%
|
Control strategy:
 Early
detection and prompt treatment is the mainstay of parasite control with
support from health infrastructure.
Usage
of Rapid diagnostic kits for the
early detection of malaria in the population living in areas of conflict and
the border villages.
Strengthen
the entomological units in the regional offices and establish computer-based
surveillance.
IRS
with Malathion used as the major vector control
measures on selective basis.
Other
control methods used are insecticide-treated nets for personal protection and
community awareness through health education
Achievement and
initiatives
Introduction of new Monitoring &
Evaluation system targeting elimination – reorienting the control programme.
Scaling up of the distribution of LLINs at risk population.
Containment of northern outbreak in 2007 (in
conflict areas) and prevention of spread to other areas.
Introduction of artemisinin
based combination therapy for treatment of uncomplicated falciparum
infections.
Issues and
challenges
Present epidemiological and entomological
surveillance system has failed to warn about
malaria outbreaks early enough for timely intervention.
Lapses in the existing epidemiological
surveillance system e.g. not reporting clinically treated patients and patients
treated at private institutions.
Lapses in the existing quality control systems
have failed to deliver the expected results.
Lack of research-based information has created
problems in planning malaria control activities.
Inadequate training opportunities have slowed
incorporation of recent advances in the field of malariology.
Lack of laboratory facilities at central and
district level.
Lack of management skills at all levels
Best practices and
success stories
Surveillance through mobile malaria clinics in
remote places.
Implementation of Integrated vector (IVM).
Establishment of elimination database
Partners and donors
WHO
World Bank
Global Fund
|
