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In the Name of Allah, The Most Merciful and Compassionate
the Most Gracious and Beneficent
BAJAUR AGENCYBAJAUR AGENCY Review Review
( May , 2013)( May , 2013)
Mr Altafur Rehman Mr Altafur Rehman AFO Bajaur Agency AFO Bajaur Agency
2121thth May, 2013 May, 2013
Map of Bajaur
Loe-Mamound
Wara-
Mam
ound
Khar
Barang
Utmankhe
l
Salarzai
NawgaiChamrkand
Border length with Afghanistan = 65 Kilometers
Shares borders with Mohmand Agency, Malakand , Lower Dir & Afghanistan
Demography AFG
HANIS
TAN
DIR LOWER
MOHMANDM
ALAKA
ND
Name of Tehsil
Target Population <5 Years
Nawagai 19043
Wara Ko Mamound 29176
Khar 46956
Utmankhel 21200
Barang 18405
Loe Mamound 29930
Salarzai44623
Chamarkand 1522
Border Length
KM
Afghanistan 65 km
Malakand 30 km
Dir 60 km
Mohmand 55 km
Shares borders with Mohmand Agency, Malakand , Lower Dir & Afghanistan
< 5 Year Population 2,23570
Salarzo
Utmankhel
Barang
Khar
Inaccessible Areas
AFGHANIS
TAN
MALA
KAND
MOHMAND
Nawagai
Chamarkand
Loe-M
amound
Wara -Mamoond
Accessible Areas
Current Status of AccessibilityDIR LOWER
Utmankhel
Barang
Salarzai Utmankhel
Tribe wise map
DIR LOWER
MOHMAND
MALA
KAND
AFGHANIS
TAN
Mamound Mixed
Agency Profile
Total Population 13,0000
< 5 Year Population 223,570
Number of Tehsil 8
No of Facilities 39
No of High Risk UCs 10
No of RDT Centers 19
No of Microscopy Centers 17
Total No of Sub Tehsil/ Division
2
Trend of Microscopy & RDTs Centers 2008-2013
Trend of microscopy & RDTs Centers 2008-2013
Year M C RDT
2008 07 0
2009 07 04
2010 16 05
2011 16 15
2012 17 19
2013 17 19
Trend of Positive cases 2008-2013
Year PF PV Max Total Slide
2008 100 2249 0 10104
2009 2530 2091 29 20088
2010 2416 2149 42 19962
2011 2443 4420 07 33502
2012 643 3833 66 26204
2013 101 413 12 7538
Trend of Positive cases 2008-2013
Malaria Microscopy Centers
Sr. No.
Name of Centre Functional / Non Functional
Reason for Non Functional
1 AHQH Khar Yes No
2 CH Nawagai Yes No
3 CHC Zoor Bander Yes No
4 CHC Mnadal No Transfer of M/S
5 CHC Qazafi Yes No
6 CHC Jar No Transfer of M/S
7 CHC Ragagan Yes No
8 CHC Kotki Lar sadin Yes No
9 CHC Derakai Yes No
10 RHC Pashat Yes No
Malaria Microscopy Centers
Sr. No.
Name of Centre Functional / Non Functional
Reason for Non Functional
11 CHC Lagarie Yes No
12 CHC Bilot Yes No
13 CHC Khari Kamar Yes No
14 Bajaour Scout Hospital Yes No
15 RHC Barang Yes No
16 CHC Arang Yes No
17 CHC Gani Ada Yes No
Malaria RDT Centers
Sr. No.
Name of Centre Functional / Non Functional
Reason for Non Functional
1 CD Gardai Yes NO
2 CHC Kolala 1 Yes NO
3 CHC Kolala 2 Yes NO
4 CHC Debdabu Yes NO
5 CHC Malangai Yes NO
6 CHC Mena Yes NO
7 CHC Inayat kalli Yes NO
8 CHC Loesam Yes NO
9 CHC Halki charmang Yes NO
10 CHC Hilal Khil Yes NO
Malaria RDT Centers
Sr. No.
Name of Centre Functional / Non Functional
Reason for Non Functional
11 CHC Sarkari Qila Yes NO
12 CHC Kokti Charmang Yes NO
13 CHC Landie Yes NO
14 CHC Dabar Yes NO
15 CHC Safari Gadamar Yes NO
16 CHC Tarie Yes NO
17 CHC Lakian Yes NO
18 CHC Tali Yes NO
19 CHC Ghakhai Yes NO
Trained Staff at Malaria Microscopy Centers
Sr. No.
Name of Centre Staff Trained in Malaria Case Management
Staff Trained Microscopy
Staff Trained MIS
1 AHQH Khar Yes Yes Yes
2 CH Nawagai Yes Yes Yes
3 CHC Zoor Bander Yes Yes Yes
4 CHC Mnadal Yes Yes Yes
5 CHC Qazafi Yes Yes Yes
6 CHC Jar Yes Yes Yes
7 CHC Ragagan Yes Yes Yes
8 CHC Kotki Lar sadin Yes Yes Yes
9 CHC Derakai Yes Yes Yes
10 RHC Pashat Yes Yes Yes
Trained Staff at Malaria Microscopy Centers
Sr. No.
Name of Centre Staff Trained in Malaria Case Management
Staff Trained Microscopy
Staff Trained MIS
11 CHC Lagarie Yes Yes Yes
12 CHC Bilot Yes Yes Yes
13 CHC Khari Kamar Yes Yes Yes
14 Bajaour Scout Hospital Yes Yes Yes
15 RHC Barang Yes Yes Yes
16 CHC Arang Yes Yes Yes
17 CHC Gani Ada Yes Yes Yes
Trained Staff at Malaria RDT Centers
Sr. No.
Name of Centre Staff Trained in Malaria Case Management
Staff Trained RDT
Staff Trained MIS
1 CD Gardai Yes Yes Yes
2 CHC Kolala 1 Yes Yes Yes
3 CHC Kolala 2 Yes Yes Yes
4 CHC Debdabu Yes Yes Yes
5 CHC Malangai Yes Yes Yes
6 CHC Mena Yes Yes Yes
7 CHC Inayat kalli Yes Yes Yes
8 CHC Loesam Yes Yes Yes
9 CHC Halki charmang Yes Yes Yes
10 CHC Hilal Khil Yes Yes Yes
Trained Staff at Malaria RDT Centers
Sr. No.
Name of Centre Staff Trained in Malaria Case Management
Staff Trained RDT
Staff Trained MIS
11 CHC Sarkari Qila Yes Yes Yes
12 CHC Kokti Charmang Yes Yes Yes
13 CHC Landie Yes Yes Yes
14 CHC Dabar Yes Yes Yes
15 CHC Safari Gadamar Yes Yes Yes
16 CHC Tarie Yes Yes Yes
17 CHC Lakian Yes Yes Yes
18 CHC Tali Yes Yes Yes
19 CHC Ghakhai Yes Yes Yes
Stock Situation at Malaria Microscopy Centers
Sr. No.
Name of Centre Chemicals/reagents
Slides /pickers
Antimalarial Drugs
1 CHC Lagarie Supplied by ACD Supplied by ACD Tab Chloroquin,premaquin,ACT,inj Quinin,ETC
2 CHC Bilot Supplied by ACD Supplied by ACD Tab Chloroquin,premaquin,ACT,inj Quinin,ETC
3 CHC Khari Kamar Supplied by ACD Supplied by ACD Tab Chloroquin,premaquin,ACT,inj Quinin,ETC
4 Bajaour Scout Hospital Supplied by ACD Supplied by ACD Tab Chloroquin,premaquin,ACT,inj Quinin,ETC
5 RHC Barang Supplied by ACD Supplied by ACD Tab Chloroquin,premaquin,ACT,inj Quinin,ETC
6 CHC Arang Supplied by ACD Supplied by ACD Tab Chloroquin,premaquin,ACT,inj Quinin,ETC
7 CHC Gani Ada Supplied by ACD Supplied by ACD Tab Chloroquin,premaquin,ACT,inj Quinin,ETC
Stock Situation at Malaria Microscopy CentersSr. No.
Name of Centre Chemicals/reagents
Slides /pickers
Antimalarial Drugs
11 AHQ Khar Supplied by ACD Supplied by ACD Tab Chloroquin,premaquin,ACT,inj Quinin,ETC
12 CHC Nawagai Supplied by ACD Supplied by ACD Tab Chloroquin,premaquin,ACT,inj Quinin,ETC
13 CHC Zorbander Supplied by ACD Supplied by ACD Tab Chloroquin,premaquin,ACT,inj Quinin,ETC
14 CHC Mandal Supplied by ACD Supplied by ACD Tab Chloroquin,premaquin,ACT,inj Quinin,ETC
15 RHC Pashat Supplied by ACD Supplied by ACD Tab Chloroquin,premaquin,ACT,inj Quinin,ETC
16 CHC Derakai Supplied by ACD Supplied by ACD Tab Chloroquin,premaquin,ACT,inj Quinin,ETC
17 CHC Kotki Larsadin Supplied by ACD Supplied by ACD Tab Chloroquin,premaquin,ACT,inj Quinin,ETC
18 CHC Raghagan Supplied by ACD Supplied by ACD Tab Chloroquin,premaquin,ACT,inj Quinin,ETC
19 CHC Jar Supplied by ACD Supplied by ACD Tab Chloroquin,premaquin,ACT,inj Quinin,ETC
Stock Situation at Malaria RDT Centers
Sr. No.
Name of Centre RDTs Antimalarial Drugs
1 CD Gardai Yes Tab primaqen,ACTs,chloroquine,Inj Quinin ETC
2 CHC Kolala 1 Yes Tab primaqen,ACTs,chloroquine,Inj Quinin ETC
3 CHC Kolala 2 Yes Tab primaqen,ACTs,chloroquine,Inj Quinin ETC
4 CHC Debdabu Yes Tab primaqen,ACTs,chloroquine,Inj Quinin ETC
5 CHC Malangai Yes Tab primaqen,ACTs,chloroquine,Inj Quinin ETC
6 CHC Mena Yes Tab primaqen,ACTs,chloroquine,Inj Quinin ETC
7 CHC Inayat kalli Yes Tab primaqen,ACTs,chloroquine,Inj Quinin ETC
8 CHC Loesam Yes Tab primaqen,ACTs,chloroquine,Inj Quinin ETC
9 CHC Halki charmang Yes Tab primaqen,ACTs,chloroquine,Inj Quinin ETC
Stock Situation at Malaria RDT Centers
Sr. No.
Name of Centre RDTs Antimalarial Drugs
11 CHC Sarkari Qila Yes Tab primaqen,ACTs,chloroquine,Inj Quinin ETC
12 CHC Kokti Charmang Yes Tab primaqen,ACTs,chloroquine,Inj Quinin ETC
13 CHC Landie Yes Tab primaqen,ACTs,chloroquine,Inj Quinin ETC
14 CHC Dabar Yes Tab primaqen,ACTs,chloroquine,Inj Quinin ETC
15 CHC Safari Gadamar Yes Tab primaqen,ACTs,chloroquine,Inj Quinin ETC
16 CHC Tarie Yes Tab primaqen,ACTs,chloroquine,Inj Quinin ETC
17 CHC Lakian Yes Tab primaqen,ACTs,chloroquine,Inj Quinin ETC
18 CHC Tali Yes Tab primaqen,ACTs,chloroquine,Inj Quinin ETC
19 CHC Ghakhai Yes Tab primaqen,ACTs,chloroquine,Inj Quinin ETC
Microscopy quality assurance measures in the district
• All centers Functional
• All Microscopies were Trained
• All stock were quarterly supplied ACD
Malaria Caseload in DistrictComparison between 2012&2013
PF PV Mixed
2012 2013 2012 2013 2012 2013
Jan 138 44 58 110 2 8
Feb 52 31 104 128 2 1
March 22 26 170 175 0 3
Total for Qtr 212 101 332 413 8 12
Update on Monthly Malaria Coordination Meetings
Record of Minutes of meetings ( Jan, Feb, March 2013)Compliance with decisions of Meetings ( Jan, Feb, March 2013)
• Monthly Co Ordination Meeting were Regularly Conducting
• Record the minutes of Meeting • Discussing the issue in its possible solution • Record were updating and cross checking were regularly
don
Involvement of DHMT in Distribution and Verification of
LLINs• Active involvement of DHMT in distribution
and verification of LLINs By ACD
Involvement of DHMT in Indoor Residual Spray
• Active involvement of DHMT in indoor Residual Spray by ACD
• TWO FOG MACHINE MOTER CYCLE.
• MOTER CYCLE TEN.
• SUZUKI FOG ONE.
• HAND PUMP THIRTY TWO(out work)
Vector control
• 2009 LLIN 26621• 2010 LLIN 26622• 2012 LLIN 26600• 2013 LLIN 32700 DISTRIBUTION ON PROCESS• SPRAY DETAILE
. 2006, 7735 HOUSES SPRAYED.
.2009, PAK ARMAY IN ALL THE AGENCY.
.2010, 28032 HOUSES SPRAYED.
.2011, 3056 HOUSES SPRAYED.
.2012,ALL AGENCY BY ROAD FOG SRAYED.
.2013, TRAINIG WAS GIVEN BY ACD FOUR TEAM WAS NOMINATED.
Main Issues & Solutions
• Transfer of Microscopiest from Centers
•
Let no family suffer the loss of a mother or a child due to preventable or treatable causes in Pakistan