MALARIA SHOULD BE A POLITICAL AGENDA IN 2020 GENERAL ELECTION ?



📌DANIEL MSANGYA

AN estimated 219 million cases of Malaria occur worldwide each year and of these cases, 660,000 people will die. Sub-Sahara Africa is the region with the heaviest malaria burden where pregnant women and children under age five are the most vulnerable.  It is in this region where data indicated that a child dies of Malaria every minute entailing that the illness and burden is felt most severely than everywhere in the world. 
Our Correspondent Fellow for RBM Partnership to End Malaria Daniel Benno Msangya elucidates the challenges, opportunities, efforts and recommends Malaria to take an agenda in the political campaign for the forthcoming elections in Tanzania in a bid to zero Malaria.

Malaria in Tanzania is the leading cause of morbidity and mortality, especially in children under 5 years and pregnant women. The disease ranks number one in both outpatient and inpatient statistics.

 

A resident of Makole Street in Dodoma City James Madule expresses his family’s experience with Malaria, “There are many ways in which malaria has affected my life. I lost my closer and lovely relatives including both my parents – mother and father, my two daughters and a son due to Malaria. I have lost many friends and my neighbours, hence it is a dangerous disease that should be addressed as a special agenda in the manifesto of each political party.”

 

Madule says it is very sad that he had not heard any single candidate speaking how Malaria will be reduced. Very sad indeed to mention a list of the people died from this type of epidemic, while politicians are silent as they campaign to be voted in, “Everyday people get affected,” he noted adding that the children under five-year-old and pregnant women are the most affected.

Most obviously, malaria has a huge burden on health services, as sick people require diagnosis, treatment and sometimes hospital care which have cost-effective.

Being a pregnant woman, Maria Maembe agrees that Malaria has affected many families. She makes clear that the days of illness prevent people from going to work or children from going to school, and this can have a tremendous knock-on effect on a society’s economy. “In fact, malaria is one out of many alarming diseases that are the key factor “trapping” our families into extreme poverty,” She has been offered with a mosquito net and diagnosed every time she attends the clinic.   

Sub-Sahara Africa reports 90 % of the total Malaria related deaths worldwide and foreshadows what is happening globally. Mosquito resistance to insecticides and patient resistance to current pharmaceutical treatment are emerging as serious potential threats to effective and affordable Malaria control.

Despite this heavy burden,  there are concerted efforts geared towards Malaria elimination, which have prompted committed researchers, journalists, health experts and decision makers to start informal forums to discuss how to eradicate Malaria not only from the African region, but worldwide. 

Zanzibar represents the United Republic of Tanzania with a special case and an estimate considered low (1%). This is a starting point to eradicate the disease.  

However, Zanzibar does fear the potential of Malaria to bounce back quickly as the parasites develop resistance to available drugs and current treatments. Health experts report mosquitoes building resistance to insecticides, this representing a significant challenge because Malaria-carrying mosquitoes lead to continued spread of the disease.

For Tanzania Mainland, we have an audacity to express achievements to reduce Malaria by 50 % while the infection of malaria vectors continues to decrease from 15 percent in 2015 to 7% in the year 2018.

The Malaria Control Coordinator from the President’s Office, Ministry of Local Government and Regional Administration (LGRA) Ms Stella Kajange commended the Institution of Johns Hopkins Centre for Communication for extending supporting through Vector Works in collaboration with USAID  and the American’s Presidential Fund to Control Malaria (PMI) as she told the health stakeholders in Dodoma.

According to Kajange the decrease in malaria infection  was due to concerted efforts from stakeholders including government contribution and partners being a sign of success.

We expect more success  and while more efforts will be geared towards the fighting against malaria which is the killer number one diseases in Tanzania

 explains Kajange adding that despite the tremendous decrease it is still a threat for the communities, and that is a reason the government continues to invest in implementing various interventions to ensure the disease is totally eliminated in the country.                                                                                                                                                                                                     

The policy adopted in 2007 elaborate the vision of the people in ensuring they become, healthy in order to continue developing production activities for their benefit. “The government in collaboration with stakeholders will enhance the fighting against malaria,” she said thanking USAID and PMI and others for their kindness in implementing various projects in different regions.

The Vector Works Director Waziri Nyoni said the implementation of the project had completed last August, “it took a period of five years and our expectation was that it has impacted on the development by ensuring the people continue to use the mosquito bed nets effectively. 

The project was focused in three interventions, policy, distributions of bed nets, survey and result evaluation. According to the Manager for Malaria Control (NMCP) Winfred Mwafongo malaria disease affects most of the group of pregnant women and children under five year- year and the government has a plan in place to combat malaria through various interventions designed and related to malaria control. Among the interventions is to ensure the use of Insecticide Treated Mosquito Nets and other preventive measures.


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