Turkana County gets bednets!

Turkana County is a rural area in the northwestern part of Kenya. It is primarily populated by nomadic pastoralist communities. Previously, malaria endemicity in Turkana was categorized as low, epidemic prone. Work by the Moi-Duke team demonstrated significant local transmission and now Turkana county has been recognized as having endemic transmission. Last week, mass distribution of bednets was conducted for the first time in Turkana County! This was a massive undertaking given how vast the county is and how remote and dispersed the majority of the population is.

Here is a mother preparing her new bednet over an outdoor sleeping space in front of her home.

Director of the Kenya National Malaria Control Programme visits ExactDx team

On Friday, June 14th, Dr. Kibor Keitany paid a visit to the Eldoret-based team. He wore his support on his sleeve!

Dr. Kibor assumed leadership of the NCMP a year ago and has focused on improving strategies to bring research to practice to alleviate the devastating burden of malaria that persists in several regions of Kenya. He is a graduate of Moi University.

SMC Begins in Turkana County!!

Turkana County Health Team and CRS successfully kicked off SMC on June 13th and the first cycle is now complete! SMC protected about 40,000 children this month. Next cycle begins July 11th.

https://www.the-star.co.ke/counties/nyanza/2024-06-19-turkana-launches-prevention-campaign-to-curb-malaria-cases

Our own Diana Menya, Kibor Keitany (Director NMCP) and Gilchrist Lokoel (Chief Officer, Turkana County) share their enthusiasm for the program on this newscast:

Moi-Duke team joins  Turkana County and Catholic Relief Services to roll out new intervention to protect children from malaria

April 2024

https://www.kenyanews.go.ke/stakeholders-are-preparing-to-introduce-the-seasonal-malaria-chemoprevention

Our team has recently documented very high transmission of malaria in Turkana, a semi-arid zone in the northern part of Kenya that was previously considered unsuitable for transmission. Children in Turkana are at high risk of malaria, yet very few families have bednets. Many families sleep outside on the ground and some move with their herds which complicates consistent net use. Moi University and Duke University have partnered with Turkana County government and CRS to roll out a drug based prevention intervention to children under 5 in Turkana Central, a subcounty with very high burden of malaria.

Moi and Duke researchers brief county team on emerging threats in Turkana, discuss innovative prevention strategies

Lodwar, March 24, 2023 (Directorate of Communication-Ministry of Health)

Malaria specialists from Moi and Duke University, yesterday in Lodwar met with County Health Officials to initially discuss a proposal to introduce Seasonal Malaria Chemoprohylaxis (SMC) as an additional strategy to reduce malaria related deaths among children in Turkana.

Speaking while closing the meeting at County Health Ministry Headquarters Acting Chief Officer Joyce Illikwel said that introduction of SMC strategy in Turkana will be a milestone in the fight against Malaria and will reduce child mortality rates caused by Malaria parasite.

She said Malaria is a top killer disease in Turkana and all efforts to eradicate it, are highly welcome, adding that the team selected from health officials will offer its expertise on Malaria to make SMC a policy to combat the disease.

Illikwel said that the ministry will push the executive to support the joint collaboration in research, policy formulation and funding of the SMC strategy to prevent Malaria related deaths that have diverse negatives effects on people’s lives.

Since 2018, a joint Moi/Duke University and County health team have been studying Malaria prevalence, found anopheles stephensi and plasmodium vivax, a new vector and new mosquito species respectively in Turkana. The two present new malaria control challenges in the County.

While presenting the jointly produced  esearch proposal on the efficacy of the SMC approach Moi/Duke University Principal Investigator Wendy O’meara said that the strategy involves administration of two antimalarial drugs at intervals to children to prevent malaria during the malaria season in areas with highly seasonal transmission.

O’meara said that SMC has been used in Sahel countries and also piloted in Karamoja region of Uganda with remarkable results in reduction of Malaria prevalence by at least 75%.

She further explained that SMC goal is to establish antimalarial drug concentrations in the blood that clear existing infections and prevent new ones during the period of greatest risk.  Dr. Omeara was flagged by her team mates Principal Investigator Dr. Diana Menyan and Malaria Research Coordinator Joseph Kipkoech.

The meeting selected a joint technical working team to document the discussions of the meeting so as to develop a road map for implementation of the proposal.

The meeting was also attended by Acting Director Medical Services Dr. Yvonne Musa, Public Health Deputy Director Daniel Esmit, Deputy Director Health Products and Technologies Units David Moru, Deputy Director Rehabilitative and Psychosocial Services Dr. Joseph Lolepo, County School Health Coordinator Rael Akoru, County Pharmacist Brian Muokani, Deputy County Pharmacist Paul Kare, County Malaria Coordinator David Ekai, County Coordinator CHVs Jonathan Longiti, County Public Health Officer Lucas Edete, M&E officer Julius Gogong among others.

The approach will be implemented in select Sub-Counties for a start before rolling out to the rest of the Sub-Countues as part of the impact evaluation study.