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CDC Activities in Malawi

CDC Malaria Malawi Program and Blantyre Integrated Malaria Initiative

A woman dries a net that has just been retreated with insecticide in Chatawa, Malawi. Many nets are sold untreated but come with a treatment kit. Most nets that are not "long-lasting" nets need to be regularly retreated. (Courtesy Malawi MOH)

The CDC Malaria Malawi Program (CDCMMP), funded by the United States Agency for International Development (USAID) and CDC, has evolved from the Blantyre Integrated Malaria Initiative (BIMI) (see below) to provide additional support to the national prevention and control program. CDCMMP is primarily focused on supporting the National Malaria Control Program (NMCP). CDCMMP has supported the work of the NMCP in developing the country strategic plan for Roll Back Malaria (RBM), developing the national malaria policy, developing Guidelines for the Management of the Insecticide-Treated Net (ITN) Program, and participating in other national program activities, including activities of the Global Fund to Fight AIDS, TB, and Malaria.

Additional policy, guideline, and evaluation support to the NMCP is under way in the following areas:

• RBM activities
• development and implementation of the new 5-year strategic plan
• National Malaria Technical Committee plans and implementation
• technical assistance and financial support for the National Evaluation, including protocol development, training, implementation, analysis, and dissemination of results
• technical assistance for design, implementation, and analysis of the multisite antimalarial drug efficacy studies and for the drug change plan process.

Program objectives include the following:

1. Provide technical assistance and financial support for the national scale-up of malaria prevention and control interventions - policy, guidelines, and program implementation.
2. Provide program and scientific support in the development of a long-term operational research and action plan, including monitoring and evaluation activities.
3. Assist the NMCP in incorporating the results of programmatic lessons learned and research findings into practice; and assist in dissemination and sharing of program and operational research findings with other partners and other countries.
4. Provide support and assistance for the CDC Partnership Cooperative Agreement with the College of Medicine/Malaria Alert Centre in support of the NMCP/Ministry of Health (MoH).

Blantyre Integrated Malaria Initiative

The Blantyre Integrated Malaria Initiative (BIMI) was a district-wide malaria-control effort, supported jointly by the Government of Malawi, USAID, and CDC. BIMI was one of the major collaborative efforts on malaria supported in Malawi by the U.S. government.

Established in Blantyre District, Malawi, in 1998, to promote sustainable and effective strategies to manage and prevent malaria-related morbidity and mortality, BIMI conducted activities to support the following four main objectives:

1. Improve management of pediatric fever and anemia by health workers at the health facilities and by caretakers in the home.
2. Improve access and demand for presumptive intermittent treatment of pregnant women with antimalarial therapy.
3. Increase demand for, access to, and appropriate use of affordable insecticide-treated nets.
4. Use human and material resources more effectively through improved collection of data and use of health management information systems.

Key baseline and follow-up studies and interventions implemented under BIMI and CDCMMP are listed in the following table:

Contact Details

Carl H. Campbell, Jr.
Director, CDCMMP and Program Coordinator, BIMI
CDC Malaria Malawi Programme (MoH/USAID/CDC)
Private Bag 240, Blantyre, Malawi
Phone: 265-1-676-071
Cell: 265-8-832-614
Fax: 265-1-677-371
E-mail: ccampbell@cdcmalaria.org