Global Health Initiative and President's Malaria Initiative
|A health worker talks with pregnant women during a malaria awareness workshop at a health facility in Angola. Under PMI, malaria prevention and control activities have been implemented as part of integrated maternal and child health services. During antenatal clinic visits, pregnant women receive care for a broad range of health issues, including malaria.
Source: World Vision/Angola
Increase impact through strategic coordination and integrationMaternal and child health services
Under PMI, malaria prevention and control activities are being implemented as part of integrated maternal and child health services and make a significant contribution to strengthening the capacity to deliver those services. PMI also supports integrated management of childhood illness programs, implementation of community-case management (in which childhood pneumonia, malaria, and diarrhea are diagnosed and treated by trained community health workers), and antenatal care programs, which include a comprehensive package of services for pregnant women during antenatal clinic visits. Insecticide-treated nets (ITNs) are distributed principally through antenatal care and child health clinics or through integrated campaigns that include other interventions, such as vitamin A supplementation or vaccinations. Intermittent preventive treatment of pregnant women is a key element of antenatal care, and antimalarial drugs are provided as part of antenatal and child health services. Under the GHI, PMI will work with ministries of health to involve their reproductive health and maternal and child health departments in the development of the annual PMI operational plans and promote closer working relationships between NMCPs and these departments on malaria-related activities.Coordination of malaria and HIV/AIDS service delivery
The U.S. President’s Emergency Plan for AIDS Relief (PEPFAR) and PMI currently have 13 focus countries in common (Angola, DRC, Ethiopia, Ghana, Kenya, Malawi, Mozambique, Nigeria, Rwanda, Tanzania, Uganda, and Zambia). Successful collaborations between PMI and PEPFAR around ITN distribution campaigns, strengthening laboratory diagnostic services, and large-scale household surveys have already occurred, and opportunities will be sought to expand this collaboration during the next five years. In addition, PMI and PEPFAR will work to achieve the following:
- Increased integration of health system functions, including strengthening of pharmaceutical management systems, health management information systems, and laboratory diagnostic services
- The delivery, where appropriate and supportive country policies exist, of packages of community-based services that include both management of fever and HIV/AIDS prevention
- Increased integration of prevention of mother-to-child transmission, antenatal care, and malaria in pregnancy
Where applicable and cost-effective, PMI and PEPFAR will also work to integrate health system and service delivery efforts with other disease control programs such as tuberculosis and neglected tropical diseases.