Situational Analysis

As  demonstrated  in the above photography, Malaria in the Ugandan tropical rural Wakiso district  is the  number one cause  of  morbidity and mortality  (MOH 2005) with catastrophic socioeconomic consequences in terms of  the exorbitant treatment  costs (related to travel,waiting ,consultancy, & drugs) and absenteeism  from work or school. In this rural society, while an average family size is 6 members, with the majority (75%) thriving on one US dollar or less per day, Insecticide Treated Nets( ITN) use coverage per household head is only 11% (WIRDA 2006). It is fairly clear that the opportunity cost of a-one-time-ITN commercial purchase for 6 household members, means foregoing a cost of 30 days household meals. MOH currently provides ITNs to only pregnant mothers. Since the home is “the first hospital” in the majority of malaria cases, at community level our plan is to improve family and community practices such as early detection and rapid treatment of severe malaria and use of personnel and community prevention strategies like bed nets.  

By the end of 2009/10 , WIRDA will

1. Have mobilized  resources  and thereafter  refined and repackaged content rich educational materials and teaching tools for use by community health workers.

2. Have enhanced knowledge of 500 home based care (HBC) givers on appropriate drug prescription for multiple prevention and to strengthen their ability to provide medication within the national policy frame work in each sub county in 16 sub counties of   Wakiso district

3. Reached 500 households of six members each per Sub County in 16 sub counties with content rich community messages and education on recognition of malaria, early detection, and multiple prevention. 

4. Have promoted and distributed 100,000 ITNs on a lease basis in the 16 sub counties of Wakiso district.

5. Have monitored, diagnosed 100,000 malaria cases and offered Home Packs for uncomplicated malaria, and referred cases of severe malaria in each sub county in 16 sub counties of Wakiso district.

Planned Activities

Resource mobilization
IEC development and dissemination 
Capacity building for community health workers
Community mobilization
Community education outreaches
School competitions
Community Malaria monitoring and diagnosis
Provide home Packs for uncomplicated malaria
Referral of severe to Government Health centers
Distribute ITNs
Monitoring, Support Supervision and Evaluation.