Zambia—MAMaZ Against Malaria (MAM)

Client: Medicines for Malaria Venture

Duration: 2017-2018

Region: Sub-Saharan Africa

Country: Zambia

Solutions: Global Health

Malaria is a serious public health problem in rural Zambia, particularly affecting children under 5. A variety of delays and barriers to successful treatment for severe malaria mean that incidence rates in Central Province between 2013 and 2015 were 495 per 1,000 children under 5 years.

The MAMaZ Against Malaria (MAM) project addressed the lack of access to quality commodities for case management of severe malaria in rural Zambia.

The project increased access to community-based pre-referral treatment for severe malaria for children from six months to under 6 years old, and to reduce referral delays from the community to health facilities that are equipped to treat severe malaria.

The goal of the project was to devise an evidence-based and sustainable strategy for improving the access of hard-to-reach communities to effective treatment for severe malaria.

The project generated evidence showing that it is feasible to provide pre-referral treatment for severe malaria in the communities and improve case management of severe malaria at lower-level health facilities.

MAM used a health systems and operational research approach to address the constraints that limit knowledge of severe malaria at community level and access to quality medical drugs which undermine effect case management.

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Sample Activities

  • Increase access to severe malaria commodities in remote areas.
  • Intervene at the community level to reduce barriers and delays in treatment-seeking and increase patient completion of referral.
  • Intervene at the facility level to optimize case management for severe malaria.

Select Results

  • Provided proof that rectal artesunate administered in rural communities is a highly effective intervention for severe malaria among young children (6 months to 6 years old). The severe malaria mortality rate in this age group fell by 94.6 percent.
  • Trained community health workers to mobilise their communities in support of a severe malaria agenda and to set up and manage systems to address the access and affordability barriers to use of services.
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