PSI provides malaria control support to national Ministries of Health in over 30 countries worldwide, including 25 in sub-Saharan Africa. PSI tailors its malaria control programs to the unique environment in each country and the needs of the Ministry of Health in line with achieving the Abuja Targets and Millennium Development Goals. PSI’s malaria control programs include delivery of insecticide treated mosquito nets, pre-packaged malaria treatment, behavior change communications, and operational research.
Historically, a "one size fits all" product delivery model has consistently failed to deliver sustained malaria control. PSI believes the key to rapid scale up and sustained coverage is through a combination of public and private sector delivery strategies which include free distribution through campaigns and health facilities as well as subsidized distribution through private sector channels. For example, in Mali PSI assisted the Ministry of Health in the delivery of over 2 million ITNs through a mass distribution campaign in 2007. The goal was to rapidly scale up coverage while continuing to distribute highly subsidized ITNs to pregnant women and children through ante-natal clinic services for sustained access. Similarly, PSI is working with the Department of Malaria Control in Kenya to distribute ITNs free of charge to pregnant women and children through over 3,000 ante-natal clinics across the country while continuing to support a robust subsidized distribution program through Kenya’s thriving commercial sector.
PSI utilizes a similar public and private sector partnership approach to the delivery of malaria treatment products and services. PSI is supporting ministries of health and partners to scale up home based management of malaria by ensuring a consistent supply of affordable quality pre-packaged malaria treatment (PPT) through the public and private sector. Interventions include improving providers’ knowledge of key issues in malaria treatment and compliance with national treatment guidelines, implementing communications campaigns designed to improve treatment seeking behavior and adherence to recommended drug regimens.
PSI has been a leader in Malaria Control since the early 1990's. PSI's approach to malaria prevention and treatment has evolved from over 15 years of experience implementing innovative ITN delivery and behavior change communications programs around the world. Since engaging in the fight against malaria, PSI has delivered over 60 million ITNs/LLINs and 21 million malaria treatments through the public and private sector in more than 32 countries worldwide.
In 1994, PSI pioneered one of the world's first operational ITN programs in the Central African Republic. PSI built upon lessons learned through this successful, first of its kind program to launch similar ITN delivery programs across Africa and Southeast Asia. Over a decade of innovative ITN delivery programs supported by ground-breaking communications campaigns have helped shape national and international strategies for malaria prevention and contributed to the development of a culture of ITN-use in many countries. Pioneering programs include PSI's ante-natal clinic delivery program in Malawi, public-private partnership approach through the distribution of ITN vouchers to pregnant women and children under 5 in Tanzania, and engagement of an extensive network of community based health workers and NGO partners to increase access to ITNs among rural populations in Madagascar and DR Congo.
In 2003, PSI engaged in the global effort to increase access to effective malaria treatment through the private and public sector. In Nigeria, PSI's local affiliate, the Society for Family Health, launched the first-ever program delivering subsidized pre-packaged treatment through the private sector in close collaboration with the Ministry of Health. Comprehensive communications encouraging care-givers to seek early and appropriate treatment for fever in children under five supported the distribution of a highly visible malaria treatment product, KidCare, recommended by the National Malaria Control Program. Similar initiatives were launched in Myanmar and Cambodia and included targeted training of service providers to improve the quality of malaria treatment through the private sector. At present, country specific initiatives to provide subsidised ACTs through private and/or public sector outlets are underway in Rwanda, Madagascar, Nigeria, DRC, Sudan, Tanzania, Kenya, Cambodia and Myanmar.
To serve Ministries of Health and donors as a key partner in implementing ITN and ACT delivery programs in malaria endemic countries through the provision of technical and operational support for policy development, planning and implementation. In partnership with others, PSI distributes appropriately packaged products through multiple channels at national scale and promotes appropriate malaria prevention and treatment behavior amongst vulnerable groups.
PSI believes international collaboration is essential for the success of global malaria control efforts. PSI works in close coordination with the Roll Back Malaria Partnership, Global Fund to Fight AIDS, TB and Malaria (GFATM), Bill and Melinda Gates Foundation, World Bank, and USAID President’s Malaria Initiative (PMI) to share lessons learned through research and implementation and ensure programs are in line with global best practices.
PSI is represented on the Technical Research and Advisory Committee of WHO’s Malaria Control Program as well as five Roll Back Malaria (RBM) technical working groups and three RBM Regional Networks which meet several times per year to shape international malaria policy and share lessons learned through field experience. PSI’s Malaria Department is also represented on the GFATM Technical Review Panel’s Special Committee and the Independent Review Panel.
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Health Areas: Malaria