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LEBOMBO INITIATIVE
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MALARIA-“ THE LEBOMBO SPATIAL INITIATIVE”

by

Mr.D.J Mthembu-Assistant Director, KwaZulu-Natal Province 

·        Malaria in KZN was counted in tens in the malaria eradication era. During the 1970’s, DDT was used for indoor spraying. The situation has been worsening since 1996 partly due to increased rainfall and cross border movement which keeps introducing the disease. 

·        Malaria is a disease of the poor-due to housing, affordability of repellants and personal protective equipment such as beds nets. 

·        “Country A is bound to fail if country B is not committed” 

·        Collaboration in malaria has:-Improved and officiated referrals

-Knowledge of what happens across borders

-Regional cooperation

-Uniform approach to health problems

-Made health a community asset  

·        How Serious is the Malaria Problem?

o       Malaria is a disease of the poor;

o       KZN notified 27 238 Cases in 1999;

o       Income per capita growth = 0,4% as opposed

to 2,3% in malaria free Countries;

 

·        Who is Affected?

o       People living along Mozambique border;

o       Children < 14 yrs. and pregnant women;

o       Low economic status.

·        The Disease Burden

o       Malaria death incidence 8,0/1000;

o       % hospital OPD attendance is 18,3%

o       Vulnerable age group: 10-14 yrs;

o       Highest age specific death rate: 21-30 yrs.

 

·        Baseline Surveys

o       Comparative parasite prevalence

§        Dec 1999 (40% prevalence);

§        June 2000 (19% prevalence).

 

·        Proposed Action of the SA MCP:

o       Inclusion of water resource projects;

o       Providing tourist information booklets;

o       Extending malaria control to Mozambique.

 

·        Innovative Aspects:

o       Building a GIS Platform;

o       Laxing foundation for Regional co-operation;

o       Measuring cost benefits of interventions;

o       Integrate major childhood illnesses;

o       Include women in the project.

 

·        Economic Benefits:

o       Positive spin-offs in Agriculture and Tourism;

o       Consolidation of existing SD, ZA and MOZ Programme.

 

 

·        LSDI Advancement:

o       Signing by three County Presidents in September 1999;

o       Launch by three Country Health Ministers in Nov 1999;

o       Protocols have been produced and implemented;

o       Funding secured for Zones 1, 1A & 2;

o       Implementation progressing.

 

·        Conclusion:

o       Collaboration in Malaria has:-

·        Improved & officiated referrals (15% from Moz.)

·        Knowledge of what happens across the borders;

·        Regional co-operation;

·        Uniform approach to health problems;

·        Make Health a Community asset.

 

             

 

 

 

 

 

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