1. Distribution of LLINs through appropriate channels
Distribution of LLINs through appropriate channels in order to achieve and sustain universal coverage. This is done through the following ways:
Mass distribution of LLINs after every 3 years in malaria endemic and epidemic prone regions.
Routine distribution of LLINs to pregnant women and children under 1 year in all malaria prone areas. The distribution should be done through antenatal care (ANC) and child welfare clinics.
Social marketing of subsidised LLINs at designated locations in poor neighbourhoods both in the rural and urban areas. There should also be indoor residual spraying (IRS) in the targeted areas.
Malaria burden reduction: The use of IRS combined with LLINs will be deployed in targeted malaria endemic areas over three consecutive years during peak transmission seasons. Institutions that include boarding schools and prisons will be sprayed.
Epidemic prevention and response: IRS will be conducted in epidemic-prone areas based on analysis of sentinel surveillance data. This will be done to avert impending epidemics.
Capacity building for IRS: This is done by providing spraying equipment, insecticides and offering training to all targeted sub-counties.
2. Larval Source Management (LSM)
Larval source management (LSM) in line with the integrated vector management (IVM) guidelines that include larviciding and environmental management will be implemented in specific locations where breeding sites are few, fixed and easy to find. The LSM capacity will be built in all the 47 counties in the country.
3. Malaria free schools initiative
The package of interventions for the malaria free schools initiative includes mainstreaming malaria control in the school curriculum as well as deploying IRS and LLINs in boarding schools in malaria endemic and epidemic prone areas.
4. Prevention of malaria in pregnancy
The use of LLINs, diagnosis and treatment of malaria in pregnancy are covered in objectives 1 and 2 respectively.
All pregnant women in the 14 malaria endemic counties shall receive at least 3 doses of intermittent preventive treatment in pregnancy (IPTp) with sulfadoxine-pyrimethamine (SP) at antenatal clinics (ANCs).
Annual quantification of SP based on the consumption rates will ensure adequate supplies.
Training, retraining and supervision of health staff shall be done by the National Malaria Control Programme (NMCP), partners and the counties.
Appropriate IPTp messages and materials will be disseminated to the public for use by pregnant mothers.
Community Health Volunteers (CHVs) and health workers will sensitise pregnant women on early ANC attendance to receive IPTp doses under observation.