#Malaria

Digital Health Innovations Will Revolutionize Anti-malaria Fight - Expert

Dr Dennis H. Marke speaks on how digital health innovations will revolutionize anti-malaria fight

By Moshood Isah

As part of effort and advocacy to achieve Zero Malaria by 2030, experts have continued to call stakeholders in the health sector to intensify the adoption and deployment of digital health innovations for the fight against malaria especially in the African region. This is in line with the 2023 Malaria Day theme; time to deliver Zero Malaria: invest, innovate, implement. 

To commemorate World Malaria Day 2023, the World Health Organisation (WHO) had urged countries affected by malaria globally to accelerate the reach of high-impact tools and strategies to prevent, detect and treat malaria, with a focus on reaching the most vulnerable, ensuring that no one is left behind. 

According to the World Health Organisation, there were an estimated 247 million cases of malaria worldwide in 2021 with over 600,000 malaria deaths yearly. Unfortunately, the  African Region is reportedly home to 95% of malaria cases and 96% of malaria deaths with  Children under 5 accounting for about 80% of all malaria deaths in the Region.

Despite continued effort to eradicate malaria, the parasite remains a challenge especially amongst children. This is largely due to rising resistance to insecticide-treated nets and to antimalarial drugs particularly in Africa according to the World Health Organisation. It is more than ever imperative to deploy innovative ways  to combat the parasite which is why stakeholders are now turning towards the use of digital tools. Adoption and deployment of innovative digital tools have helped in early detection, improved diagnosis and potentially better treatment of Malaria parasites in the predominantly affected locations.  

For instance, Lomis, an offline logistic management tool was custom-built by eHealth Africa for the Seasonal Malaria Campaign (SMC)  in Borno, Nigeria. The platform was used to support the distribution of malaria commodities, including insecticide treated nets (ITNs), malaria diagnostic kits, and antimalarial drugs. Through the  platform,  government and development partners were able to track the distribution of malaria commodities from the national level down to the health facility level.  Plainfield is another eHealth Africa's digital solution- a mobile and web-based application that helps you plan field logistics for public health interventions. It is deployed for malaria campaigns to ensure better planning, tracking of teams, data collection, and coverage with geospatial tools. Other tools proving to be important in fighting malaria especially in the area of logistics management and distributon, include CommCare, Redrose, Reveal  amongst others.

Speaking during Insights- a public health webinar hosted by eHealth Africa, medical expert, Dr Dennis Marke, a clinician and program manager, Systems strengthening  in the ministry of Health and Science and  National Malaria control program in  Sierra Leone reiterated the need to strengthen public private partnership to improve the fight against malaria through improved access to medical information, communication and health application in issues around malaria control. 

The webinar series tagged; insight titled “Time to Deliver Zero Malaria: Investing in Sustainable Digital Health Innovations," fosters conversations with professionals within the public health space. During the discussion, Dr Dennis said digital health tools have proven instrumental in the seemingly unending antimalaria fight in the region. 

According to him, mobile based innovations through SMS messages have between 70-80% penetration in Sierra Leone and have been effective in reaching out to the population about the symptoms of Malaria and need for testing. He gave an instance saying, "in the 2017 mass campaign, we used rocket pro mobile applications to track the supply of medical equipment and drugs at our peripheral health units".

Dr Dennis also mentioned other forms of digital tools like Solar Power Mosquito Trap; District Health Information System(DHIS) amongst others,  that have been instrumental in laboratory analysis, research, surveillance and  tracking of health interventions even in remote communities.

While admitting the existing challenge of Internet connectivity in some hard to reach communities he said, "you can have this technology sitting out there and if the cell phone penetration is the hardest to reach, the marginalized communities are not covered, that's a huge challenge". He called for proper coordination in delivering digital health interventions, through effective mapping of digital health partners to identify their areas of  strength. This according to him will ensure unity of purpose and to ensure all partners work towards achieving the overall goal of fighting against malaria.

Insights is a Public Health webinar series hosted by eHealth Africa. The webinar series enables conversation with public health professionals to establish eHealth Africa as a thought leader in the Public Health space, create visibility for the organization and create new opportunities for business opportunities for the organization within the public health space. 

In Nigeria, eHealth Africa uses GIS Tracking to Prevent Seasonal Malaria

By Mohammed Bello, Victoria Onyilokwu and Zakariyau Aliyu

In March 2012, the World Health Organization (WHO) issued a policy recommendation on Seasonal Malaria Chemoprevention (SMC), a new intervention against plasmodium falciparum malaria. This intervention has proved efficient, cost-effective, safe, and workable for prevention of malaria among children under 5 years of age in highly susceptible areas with intense seasonal malaria transmission.

The malaria parasite is still the leading cause of morbidity and mortality, causing an estimated 228 million cases of clinical malaria and at least 602,000 deaths in Africa, as of 2021 according to WHO. About 80% of these cases and deaths occur in children under five years old.

In Northeast Nigeria, malaria is endemic, with perennial transmission: the marked seasonal peak runs from July to November each year. This coincides with the onset of the rainy season (June through October) which limits humanitarian relief access and exacerbates the shelter, food, and health situation with direct risks related to sanitation, nutrition, and malaria.

SMC is designed to protect children by clearing existing infections and preventing malaria during the season of greatest risk. This is achieved through the monthly administration of antimalarial medicines, usually sulfadoxine-pyrimethamine plus amodiaquine (SP+AQ), for as long as the rainy season lasts. WHO recommends the SMC as a highly effective, community-based intervention among vulnerable populations.

Following the successful implementation of the pilot cycle of the SMC GIS Tracking Support in October 2021, eHealth Africa (eHA) worked with support from WHO in July 2022, for a state-wide administration of SMC. This time, the exercise covered all 21 Local Government Areas (LGAs) of Adamawa State, and 4 selected LGAs of Yobe State. During the campaign, eHA sought to improve the monitoring of the campaign using GIS Tracking of Community Drugs Distributors (CDD). In addition, they worked to improve accountability during commodity distribution and utilization across the campaign locations.

Training of field staff on the use of the MISTA Tool in Yola, Adamawa state. Photo Credit: eHA

Training of field staff on the use of the MISTA Tool in Yola, Adamawa state.

Photo Credit: eHA

How did we do this?

eHA has in-depth knowledge of the Nigerian terrain, strong partnerships and extensive experience in collaboratively implementing projects across the country including in security-compromised locations. They use this experience in field operations, data management, project logistics, and project management to conduct GIS micro-planning activities, geospatial data analysis and visualization.

To access the hard-to-reach settlements and effectively monitor the campaign and coverage of commodities distributed and utilized, they deployed GIS Tracking throughout the SMC campaign in both states to aid effective and timely monitoring of the movement of over 2,000 teams of Community Drugs Distributors. This enabled real-time information on coverage of households and settlements. The tracking system identified omitted households and provided insight into the areas eligible for mop-up. This also enhanced accountability and transparency during the implementation.

The tracker analyzed and produced daily settlement visitation status and settlement coverage (visited/not visited). In addition, a dashboard was created for both Adamawa and Yobe to monitor drug distribution and utilization during the campaign. 

GIS Tracking proved effective in monitoring SMC campaign activities. It helped to improve accountability during commodity distribution/utilization. eHA remains committed to harnessing technology-driven approaches to eradicate the burden of malaria and other diseases.

CDD Team supervisor, Buhari Bello marks a house after administering SMC in Kofar Arewa Yusufari LGA, Yobe state.

Photo Credit: eHA

eHA Field Officer, Aisha Hussaini (right), retrieving trackers from Ward Focal Persons after SMC field activities in Yola North, Adamawa State.

Photo Credit: eHA

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