Malaria continues to place a heavy burden of disease in southern Malawi. Effective tools for malaria control, however, are currently available and, if applied properly, can lower the burden of disease considerably. The Hunger Project – Malawi (THP), jointly with the African Villages Foundation and African Parks, aims for poverty alleviation through the empowerment of the population of the Majete Perimeter, people living around Majete Wildlife Reserve.
It is proposed to conduct a malaria control programme, in close collaboration with THP, covering the population living in the Majete Perimeter. The interventions will consist of early diagnosis and treatment, mass coverage of insecticide-treated bed nets, house improvement and larval source management. The programme will use a stepped-wedged design, starting from three sides of the area, and gradually cover the entire Majete Perimeter in a 5-year programme. A monitoring & evaluation (M&E) tool will be applied to assess the impact of the interventions both clinically and biologically. Special attention is reserved for community involvement, to ensure a lasting and sustainable effect of the malaria control interventions, through the creation of malaria animators and community-based malaria action teams.
The project goal is an 80% reduction in incidence of clinical malaria and 50% reduction in prevalence of malaria in epicentre zones in the Majete Perimeter within 4 years of interventions.The project purpose is that through improved health and socio-economic conditions the community will become a better partner in natural resource management.
The main objectives for the project are to:
• Build capacity for implementation and evaluation of malaria control through the epicentre approach
• Increase community participation in malaria control
• Implement locally-appropriate malaria vector control strategies
• Measure impact on malaria