|
Total financing for malaria in 2010 was approximately US$
6.60 million, the main sources being the Global Fund (US$ 5.37 million) and the Government (US$ 1.09 million), and WHO (US$ 135790) (Fig.
4). Fig. 4
: Availability of Funds by Source in Bangladesh, 2002-2010 
Pogramme 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 provide early
diagnosis and prompt treatment (EDPT) with effective drugs to 80% of
malaria patients
|
40%
|
80%
|
|
To provide effective
malaria prevention to 80% of population at risk
|
24%
|
80%
|
|
To strengthen malaria
epidemiological surveillance system
|
60%
|
100%
|
|
|
|
|
|
To establish Rapid
Response Team (RRT) at national and district levels and increase
preparedness and response capacity for containment of outbreaks
|
80%
|
100%
|
|
To promote community
participation, and strengthen partnership with private sector and NGOs for
malaria control
|
25%
|
80%
|
Control strategy:
 Malaria
control activities are integrated with the general health services
Active
Case Detection (ACD) and Passive Case Detection (PCD) with laboratory
diagnosis Prompt treatment
Case
management of severe malaria and complicated cases in hospital.
Vector
control minimal, no IRS with DDT since 1993.
SEAR
working group recommendation on revised control strategy has been adopted
Due
to spread of chloroquine resistance, drug regimen
has been revised and COARTEM has been introduced by programme
Strengthening
programme management is of high priority
Best practices and success stories
Establishment
of partnership with NGO
consortium.
Promotion
and use of ITNs/LLINs
Quality
diagnosis using RDT and effective treatment using ACTs
Issues and Challenges:
Inadequate
access to treatment and diagnostic facilities especially in the remote areas
Inadequate
programme management capacity at various level and
management of severe malaria in hospitals
Poor
coverage of prevention and control methods (IRS, ITN/LLIN coverage still low)
in the community
Referral
system is weak and pre-referral treatment provisions are limited;
Optimum
treatment of cases of severe malaria in different categories of hospitals are
inadequate
Cross-border
malaria at the Bangladesh India and Ban-
Myanmar
border
Partners and donors
WHO
World Bank
Global fund
BRAC with 21 member NGO Consortium
4 Local NGOs in Chittagong Hill Tract (CHT)
|
