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The Soul Beat 239 - Communicating for Malaria Prevention and Control in Africa

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Issue #
239
The Soul Beat

Soul Beat Africa

The Soul Beat 239 - Communicating for Malaria Prevention and Control in Africa
April 23, 2014
From SOUL BEAT AFRICA - where communication and media are central to AFRICA's social and economic development

April 25 is World Malaria day. Established by the World Health Organisation in 2007, the day intends to promote "education and understanding of malaria" and spread information on "year-long intensified implementation of national malaria-control strategies, including community-based activities for malaria prevention and treatment in endemic areas." To commemorate World Malaria Day, this issue of The Soul Beat includes a selection of programme experiences, research reports, and resource materials that highlight how communication and media are being used in malaria prevention, control, and treatment interventions.



MALARIA PROJECTS AND PROGRAMMES

  • 1. No More Malaria Village Drama Outreaches, Podcasting and Programming Project - UgandaDuring World Malaria Month 2013, Peace Corps volunteers in Uganda implemented the Village Drama Outreaches, Podcasting, and Programming Project to provide people in the West Nile region with information about malaria prevention and control. Over the course of the month, the project included training for radio presenters on producing malaria programming, community drama performances, the production of a radio toolkit, and community and school-based discussions. The project was led and implemented by Peace Corps volunteers (PCV) in partnership with Radio Pacis, as part of the ongoing Stomping Out Malaria programme.

  • 2. Rapid Access Expansion 2015 (RAcE 2015) - Malawi, Mozambique, Democratic Republic of Congo (DRC), Niger, and NigeriaLaunched April 2012, the World Health Organization (WHO)'s 5-year Rapid Access Expansion 2015 (RAcE 2015) Programme is working to strengthen integrated community case management (iCCM) of malaria, pneumonia, and diarrhoea, as well as increase coverage of diagnostic, treatment, and referral services. With funding from the Government of Canada, the World Health Organisation has awarded grants to organisations working to use interpersonal, face-to-face communication to build capacity and equip community volunteers to recognise, diagnose, and treat diseases that can kill children. Specifically, community volunteers are being trained to recognise the symptoms of malaria in children under the age of 5 years, diagnose them with a rapid test, and treat those affected with an artemisinin-based combination therapy.

  • 3. Africa Indoor Residual Spraying (AIRS) Project - Democratic Republic of the Congo The Africa Indoor Residual Spraying (AIRS) project, running from August 2011 to August 2014, is working to protect millions of people in 13 African countries from malaria by spraying insecticide on the walls, ceilings, and other indoor resting places of mosquitoes that transmit malaria. Working with families and communities, the project uses information, education and communication and behaviour change communication methodologies to ensure proper vacating of premises, adherence to safety precautions, and post-spray maintenance of house walls. The project has developed a mobile phone application to facilitate communication. It is using mass text messages to spray staff to send reminders, reinforce training, and motivate staff.

  • 4. Pioneer Project - UgandaRunning from 2009 to 2013, the Pioneer Project was designed to reduce malaria related morbidity and mortality in four districts in mid-Western Uganda, as well as gain a deeper understanding of the most effective approaches in achieving this objective. The project focused on supporting systemic malaria control by increasing both supply and demand for malaria control tools, such as long lasting insecticide treated net (LLIN) and diagnostic-based treatment, in the region. In order to increase the demand as well as use for malaria control tools, the project included behaviour change communication (BCC) activities, which included radio and community-based activities, that sought to increase families' knowledge about malaria prevention, and encourage them to act on this knowledge. Pioneer was implemented by the Malaria Consortium Uganda and funded by Comic Relief UK.



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RESEARCH AND STRATEGIES - SPRAYING, TREATMENT, BEDNETS

  • 5. Learning Brief: Successful roll out of RDTs in Uganda [2012]This learning brief shares Malaria ConsortiumÂ’s lessons learned over three years of implementation and research on scaling up the use of Rapid Diagnostic Tests (RDTs) for malaria, at community and health facility level. It contains recommendations for stakeholders to ensure the successful roll-out of RDTs in Uganda. One of the observations is that behaviour change communication campaigns are necessary when moving to diagnosis-based treatment so that community members can understand and accept changing practices in case management.

  • 6. Case Study: Essential Malaria Actions in Ethiopia [December, 2012]By Thaddeus Pennas and Shoa GirmaThis report shares the experience and lessons learned from C-Change initiatives in Ethiopia designed to address and reduce malaria morbidity and mortality by scaling up coverage of proven malaria prevention and control interventions. This includes LLIN, indoor residual spraying (IRS) in households, and improved case management. As stated in the report, C-Change's goal in Ethiopia is to integrate mass media, interpersonal communication, and community engagement to help empower Ethiopian families to take preventive and treatment-seeking actions related to malaria and antenatal care/maternal, newborn, and child health, so that families' health status is improved.

  • 7. Building National Capacity for Universal Coverage: Malaria Control in Nigeria [January, 2013]By Sue GeorgeThis learning paper shares the experience of the Support to National Malaria Program (SuNMaP) in Nigeria, which focused on improving the capacity of the Nigerian government to lead the fight against malaria, strengthening public-private partnerships, and reaching the economically poor and vulnerable with interventions such as LLINs. According to the learning paper, while capacity building has been consolidated in the states where SuNMaP works, there is plenty that remains to be done. Capacity building is considered crucial to all six of the core elements, or outputs, that make up the SuNMaP programme: capacity building; harmonisation; prevention of malaria; treatment of malaria; awareness and demand creation; and operations research.

  • 8. Multisectoral Action Framework for Malaria [2013]By Dr Erik BlasThis publication outlines a framework for re-structuring the way countries address malaria. It presents a menu of concrete, implementable processes and actions to transform malaria responses from being a concern of the health sector only, towards a coordinated multi-pronged effort that harnesses expertise across a range of sectors and institutions. It is intended as a guide for policymakers and practitioners and a stimulus for innovation. According to the publication, bed nets and better medicine are essential for countering malaria, but alone they are not enough. A development approach to malaria that harnesses multiple sectors is needed.



WORLD MALARIA DAY
Looking for World Malaria Day resources? Click here to visit the Roll Back Malaria World Malaria Day website.



RESEARCH AND STRATEGIES ON COMMUNITY-BASED APPROACHES

  • 9. It's All in the Detail: Developing Effective Health-related Job Aids [March, 2014]This learning paper discusses the Malaria Consortium's experience in developing, implementing, and evaluating job aids for community health workers (CHWs) and health facility workers in Mozambique, Nigeria, South Sudan, and Uganda. The paper notes that job aids are commonly accepted ways to enhance health worker performance, yet little assessment or guidance is available related to their development. This paper was produced to share lessons learned about what has worked, and to provide tips for developing effective job aids.

  • 10. Malaria Communities Program: Building Community Capacity in Malaria Control [November, 2013]This document, published by the Maternal and Child Health Integrated Program (MCHIP), shares the experience of The Malaria Communities Program (MCP), which involved the President's Malaria Initiative (PMI) funding 20 projects in 12 countries to support efforts of communities and non-governmental organisations to combat malaria at the local level. This document shares case studies highlighting programme results, and describes how MCP grantees built community capacity for malaria control. According to the brief, interventions implemented without community partnership risk being culturally insensitive and contextually inappropriate, and may ultimately fail to achieve reductions in malaria morbidity and mortality.

  • 11. Developing Intervention Strategies to Improve Community Health Worker Motivation and Performance [January, 2012]By Tine Frank and Karin KällanderThis learning paper describes Malaria Consortium's experience with Integrated Community Case Management (ICCM) in malaria prevention and treatment in Mozambique and Uganda. ICCM is an approach where community-based health workers are trained to identify, treat, and refer complex cases of malaria (and other diseases) in children. The Innovations at Scale for Supporting Community Access and Lasting Effects (inSCALE) project was designed to identify and test innovative solutions that can facilitate sustainable scale up of ICCM in African countries. This paper summarises the process adopted by inSCALE for identifying the barriers to CHW motivation and performance in Uganda and Mozambique and documents identified solutions to these challenges.

  • 12. Using Mobile Awareness-raising Units to Fight Malaria in Niger [2010]This brief shares lessons learned and perspectives from Catholic Relief Services (CRS) related to using mobile health communication caravans to strengthen the access and use of LLINs by pregnant women and children under five years of age in order reduce malaria prevalence in Niger. The brief explains that people living in remote areas often do not have access to television, radio, local health centres, or even community health workers. In response, CRS partnered with the Ministry of Public Health to use government employees and infrastructure to run the mobile caravans, and to show educational videos and host discussions.

  • 13. Community-Based Distribution: Pulling It Off in South Sudan [2013]This brief shares information about a programme in South Sudan that is designed to encourage families to request for LLINs when they need them, even after distribution campaigns are complete. The programme focused on creating a community-based continuous distribution channel with the use of coupons, which are distributed by a designated person in the community to families that request them. In order to create the "pull" in the system, the programme involved social mobilisers, clergymen, and health facility staff who sensitise households about the importance of using nets and the process for obtaining and redeeming net coupons.



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MALARIA RESOURCES

  • 14. Malaria Behavior Change Communication Indicator Reference Guide [February, 2014]According to this guide, published by the The Roll Back Malaria Partnership, "behaviour change communication (BCC) has been a critical component of malaria prevention and control strategies. Most programmes, however, have not been rigorously evaluated, either due to a lack of funding for such evaluations and/or due to lack of clarity about best practices for measuring the contribution of BCC for malaria prevention and control." This reference guide was produced to help support Ministries of Health, donor agencies, and implementing partners involved in malaria prevention and control to evaluate the effectiveness of malaria BCC interventions in a rigorous and standardised way.

  • 15. Malaria Consortium Field Communications Toolkit [May, 2013]Edited by Michelle DavisPublished by the Malaria Consortium, this Communications Toolkit is intended to provide practical guidance and support to staff and partners who are looking to increase their communications capacity. It was developed as a resource for project staff who work at field-level, to help them communicate responsibly, creatively, and effectively about their work. According to the publishers, this toolkit will help field-level staff to illustrate through real life stories the successful impact of projects with both donors and partners. The toolkit shows how real life stories and pictures can be used in public information posters and leaflets, provide valuable examples to use in national workshops, and support a project's advocacy activities.

  • 16. Care and Repair of Mosquito Nets Toolkit [Ongoing]This online toolkit, developed by the Knowledge for Health (K4Health) Project, is a collection of digital resources for promoting mosquito net repair and care behaviours for malaria and dengue prevention and for evaluating programmes for social and behaviour change communication (SBCC) effectiveness. It includes: formative research tools, protocols, and reports; materials developed for BCC campaigns around care and repair; and tools and questionnaires for evaluating net care and repair behaviours, as well as a call for further resources.

  • 17. Continuous Distribution of LLINs for Malaria Control Toolkit [Ongoing]This online toolkit, developed by the Knowledge for Health (K4Health) Project, brings together resources from recent experiences and research of LLIN systems of continuous distribution, including such mechanisms as school-based distribution, community volunteers, antenatal visits, and more. It is intended for programme planners and officials who work in continuous distribution of mosquito nets and includes: research tools, protocols, reports, materials developed for continuous distribution activities, training materials, implementation plans, and tools and questionnaires for monitoring and evaluating the continuous distribution programmes.



SOUL BEAT AFRICA MALARIA THEME SITE
For more information about using communication and media to support malaria prevention and response, visit the Soul Beat Africa Malaria Theme Site


THE SOUL BEAT ARCHIVES
See these previous e-newsletters related to malaria:Click here to view ALL past editions of The Soul Beat e-newsletter.



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