Delivering Insecticide treated mosquito nets to expectant mothers and children under5 years key in Malaria fight.

The theme for this year’s world malaria day is Invest in the future. Defeat malaria, indeed if we are to achieve zero death from Malaria, as a country we must focus our energy and resources in the fight against Malaria. According to the 2011 demographic and health survey malaria remains the leading cause of morbidity and mortality in Uganda with pregnant mothers and children fewer than five most affected. If not treated, malaria can quickly become life-threatening leading death.
Global efforts to control and eliminate malaria have saved an estimated 3.3 million lives since 2000, reducing malaria mortality rates by 42% globally and 49% in Africa.
 Malaria is responsible for more illness and death than any other single disease in Uganda; it remains the biggest killer of children in Uganda mainly because the majority does not sleep under a bed net, while others do not receive the proper treatment for it in good time. An estimated 190,000 children under five die in Uganda every year, and nearly 37% of those deaths are due to malaria because the majority do not sleep under a bed net, while others do not receive the proper treatment for it in good time. Other most at risk population include People living with HIV and pregnant women
Malaria is preventable and curable. The best and effective way to prevent malaria is the use of insecticide-treated net, currently over 45% of Ugandans have access to an insecticide-treated net according to the 2011 Demographic and Health Survey, thanks to government and private sector efforts to ensure availability of nets have been put in place.
If Uganda is to maintain and accelerate progress against malaria, in line with Millennium Development Goal (MDG) 6, and to ensure attainment of MDGs 4 and 5, more funds are urgently required.
Uganda’s response to eliminate malaria has created impact and yielded remarkable returns in the past years. However, these gains are fragile and will be reversed unless the disease continues to be a priority for the, national decision makers and partners
The Ministry of Health is working hand in hand with the private sector   with support from donors, has embarked on a program to achieve and sustain universal coverage with LLINs as a way of preventing ,Malaria.
Reducing malaria burden will not only contribute to the attainment of the Millennium Development Goal (MDG) 4 target of reducing under-five mortality by two-thirds by 2015 but also to MDGs related to poverty reduction, education, and maternal health.
Today,  a number of key  interventions to control malaria have been  conducted such as; prompt and effective treatment with artemisinin-based combination therapies( ACTs); use of insecticidal nets by people at risk; and indoor residual spraying with insecticide to control the vector mosquitoes.
For treatment of Malaria the government recommends use of Affordable medicines accessibility for quality malaria medicine. Around 60% of the people seeking treatment refer to a private provider, most commonly to the nearby drug shop. Therefore training drug shop owners and health facility service providers in basic malaria prevention and treatment will go a long way to save lives. The government should therefore address issues of Accessibility of these affordable medicines (ACTs) and RDTs by ensuring that they are available in the drug shops of health facilities near communities. partners like donors and private sector have made this possible by  increasing  accessibility of nets to  households most at risk.
 Continuously Provision of clear, credible and complete information about malaria prevention to the general public is a key for malaria control and eventually decreasing malaria related illness and death
Lastly Promotion and implementation of Community-Based Interventions in the Malaria Programme is the back born of effective community participation which ensures responsiveness, ownership and sustainability of disease control interventions.
The writer is a Communications Coordinator with PACE
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Mothers and children under 5 years are vulnerable to Malaria

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