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The President’s Malaria Initiative (PMI) was launched in June 2005 as a five-year, $1.2 billion initiative to rapidly scale-up malaria prevention and treatment interventions and reduce malaria-related mortality by 50 percent in 15 high-burden countries in sub-Saharan Africa. In 2007, Ethiopia became one of the PMI focus countries.
The President’s Malaria Initiative (PMI), aims to reduce malaria morbidity and mortality by 70 percent by 2015. USAID support for malaria prevention and control is primarily focused on the Oromia Regional State, the largest of Ethiopia’s nine regional states and which encompasses a third of the country. Since 2011, PMI has also provided national level support by filling commodity gaps and supporting planning, training, and use of strategic information. In addition to strengthening national level malaria prevention and control efforts, PMI has also supported the Ministry of Health to rollout integrated community case management of fevers in target districts throughout the country.Malaria is one of the most important health issues in Ethiopia. Approximately 68 percent of Ethiopia’s total population lives in malaria-endemic areas. In 2009, according to the Ministry of Health, malaria was the leading cause of outpatient visits, health facility admissions and inpatient deaths, accounting for 15 percent of reported outpatient visits and nearly 15 percent of admissions.
All malaria activities under PMI are planned and implemented in close collaboration with the Ministry of Health and the Regional Health Bureaus. USAID collaborates closely with the Government of Ethiopia to reach its health development goal of 85 percent coverage of at-risk populations with proven preventive and therapeutic interventions, including long-lasting insecticide nets (LLINs), indoor residual spraying of households with insecticide (IRS), rapid diagnostic tests (RDTs), Artemisinin-based combination therapies (ACTs), and complemented by malaria-focused social behavioral change communications and other health systems strengthening activities.
PMI contributes to the improvement of malaria diagnostics and quality assurance in Ethiopia. In addition, PMI collaborates with PEPFAR’s support to the Government of Ethiopia’s pharmaceutical and logistics management—enabling the tracking of anti-malaria drugs within the existing commodity supply chain system and quality control of anti-malaria drugs.
Indoor Residual Spraying for Malaria Control: Implement ‘best practice’, environmentally-compliant IRS operations to reduce malaria transmission in selected malaria zones and districts of Oromia. Conduct comprehensive entomological surveillance to monitor the biological and physiological impact of IRS on malaria vectors.
Sustaining Malaria Reduction Interventions in Ethiopia: Procure and distribute LLINS, ACTs and other anti-malarial drugs, as well as RDTs to health facilities and households nationally.
Integrated Family Health Project (IFHP): Provide support in case management supervision and epidemic surveillance at the community level.
Malaria Laboratory Diagnosis and Monitoring (MLDM): Strengthen malaria laboratory diagnosis. Implement operational research to assess the therapeutic efficacy of and adherence to anti-malarial drugs.
Malaria Rapid Diagnostic Tests and Laboratory Equipment: Increase Oromia Region’s capacity to implement quality malaria laboratory services by provision of malaria RDTs, laboratory equipment and reagents.
Systems for Improved Access to Pharmaceuticals and Services: Provide technical, strategic, managerial and operational support to implement and strengthen anti-malarial drug management activities in Oromia.
MONITORING AND EVALUATION
- Monitoring and Evaluation Activities for Malaria Prevention and Control in Ethiopia: Ensure coordination of monitoring and evaluation (M&E) and malaria surveillance activities. Developed National Malaria M&E strategy.
Malaria Operational Research: Undertake operational research studies to support PMI program activities in Ethiopia.
Communication for Change, [video, 5:49]
Piloting community-based IRS in Ethiopia, [video, 4:25]
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Last updated: September 30, 2014