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AMREF Afar Malaria Prevention Project

Malaria is a major public health uncomplicated malaria, and to AMREF's interventions have
problem in the Afar region of prompt treatment-seeking resulted in a significant
north-eastern Ethiopia. behaviour. improvement in ITN ownership and
The region is almost entirely knowledge on the transmission of
malarious and, as in the rest of AMREF supported the distribution malaria, as well as an increase in
Ethiopia, malaria is highly seasonal of 145,000 ITNs in the region, the proportion of people sleeping
with great variation from year to targeting the most vulnerable under nets each night. Treatment-
year, leaving the population with groups -pregnant women and seeking behaviour for children
little protective immunity. Malaria is children- in particular, along with under five has also improved with
the leading cause of morbidity and training on the proper use of bed the percentage of sick children
mortality in the country, and has the nets to prevent malaria. The project taking anti-malaria drugs rising from
largest economic impact of all developed innovative approaches
communicable diseases in the to bring about behavioural changes Results
region. in the community, including the use
reduced morbidity by 62%
of “mother coordinators” as
AMREF launched a 5-year malaria community-based health promoters
reduced mortality by 41%
intervention project in the Afar who educate community members beneficiaries reached 350,000

region in 2005, funded by CIDA, on the importance of prevention


9% to 53% over the course of the
Addax Petroleum Foundation and and control by visiting households
project.
AMREF Netherlands, for malaria door-to-door. Along with this
prevention, control and elimination. widespread education campaign,
In total, AMREF was able to reach
The primary objectives of the the quality of case management
more than 27% of the total
project were to increase coverage was improved in the health facilities
population of Afar (350,000 people)
of insecticide-treated nets (ITNs), by introducing microscope use for a
and decrease morbidity and
develop and utilize participatory more accurate diagnosis of malaria
mortality due to malaria by over
communication tools to ensure high than the previous clinical
20% (morbidity from 62% in
ITN retention and utilization rates, observation methods.
2004/05 to 41% in 2009/10 and
improve the ability to recognize the
mortality from 24.7% in 2004/05 to
signs and symptoms of severe and
2% in 2009/10).
Training Sessions:

Participants of Health Extension Worker


training in Awash

Beneficiary demonstrating proper ITN use

Refresher course for Mother

Coordinators, March, 2010


Mother Coordinators rehearsing how to teach mothers
using PMPT toolkit