Uganda's Ntungamo District tackles through various interventions

Malaria remains the leading condition among all outpatient diagnoses for all ages, accounting for 32.1 per cent of all OPD attendances in Uganda

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By Edmond Mwebembezi
27 April 2023

Uganda has been grappling with a malaria crisis for years. Despite concerted efforts by health workers, malaria remains the leading condition among all outpatient diagnoses (OPD) for all ages, accounting for 32.1 per cent of all OPD attendances.

Muhwezi Robert Biostatistician at Ntungamo District Local Government  says that malaria cases are on a downward trend. In January the district recorded 10,671 cases, in February and March malaria cases came to 5,820 and 3,995 respectively. This was in an interview at the Ntungamo district offices on April 20, 2023.
UNICEF/UN0832259/Wamala Muhwezi Robert Biostatistician at Ntungamo District Local Government says that malaria cases are on a downward trend. In January the district recorded 10,671 cases, in February and March malaria cases came to 5,820 and 3,995 respectively.

The recent Annual Health Sector Performance Report for the financial year 2021/2023 by Uganda's Ministry of Health revealed that the number of malaria cases increased by 5 per cent from 13,604,703 in 2020/21 to 14,904,773 in 2021/22, and malaria incidence increased from 302/1000 to 317/1000 population. However, there is a silver lining. The number of malaria deaths reported in Uganda reduced by 15 per cent from 5,017 to 4,245.

Ndinawe Brenda a midwife gives a Fansidar dose for malaria prevention to Tumuhaise Catherine, one of the pregnant mothers at the antenatal ward at Kitondo Health Center III in Ntungamo district. UNICEF in partnership with ministry of health have put up various interventions at health centers to prevent malaria among children and pregnant mothers.
UNICEF/UN0832265/Wamala Ndinawe Brenda a midwife gives a Fansidar dose for malaria prevention to Tumuhaise Catherine, one of the pregnant mothers at the antenatal ward at Kitondo Health Center III in Ntungamo district. UNICEF in partnership with ministry of health have put up various interventions at health centers to prevent malaria among children and pregnant mothers.

While malaria is spread across Uganda, Ntungamo District remains one of the most affected districts, recording as high as 10671 cases in January 2022. Despite this, the health workers in the district remain resolved to bring these numbers low.

Ndinawe Brenda a midwife distributes mosquito nets to pregnant mothers including Kyogabwirwe Rose, Tumuhaise Catherine, Akankwatsa Mallion, Tusingwire Meellon and Asiimwe Macureti. This was at the antenatal ward at Kitondo Health Center III in Ntungamo district. Mosquito nets are some of the key interventions by UNICEF and ministry of health in the fight against malaria among children and pregnant mothers. Picture taken at Kitondo Health Center III in Ntungamo district on April 20, 2023
UNICEF/UN0832264/Wamala Ndinawe Brenda a midwife distributes mosquito nets to pregnant mothers including Kyogabwirwe Rose, Tumuhaise Catherine, Akankwatsa Mallion, Tusingwire Meellon and Asiimwe Macureti. This was at the antenatal ward at Kitondo Health Center III in Ntungamo district. Mosquito nets are some of the key interventions by UNICEF and ministry of health in the fight against malaria among children and pregnant mothers.

Various interventions including Integrated Case Management, capacity building of health workers and VHTs, use of technology, provision of insecticide-treated mosquito nets, clearing of bushes, and improved diagnosis using the malaria Rapid Diagnostic Tests and case management using Coartem, an anti-malarial drug that kills the malaria parasite in the body, for the treatment of mild cases, have been put in place to combat malaria in the district. 

Aturinda Specioza enrolled nurse helping Niwareza Flavia tucking in the net to prevent mosquito bites in the pediatric ward at Itojo hospital in Ntungamo district.  UNICEF in partnership with ministry of health has been availing free mosquito nets to children and pregnant mothers to fight malaria. Picture taken on April 19, 2023. PHOTO BY MARIA WAMALA
UNICEF/UN0832261/Wamala Aturinda Specioza enrolled nurse helping Niwareza Flavia tucking in the net to prevent mosquito bites in the pediatric ward at Itojo hospital in Ntungamo district. UNICEF in partnership with ministry of health has been availing free mosquito nets to children and pregnant mothers to fight malaria.

Despite the challenges, health workers in Ntungamo District are optimistic about the future. With concerted efforts, they believe that they can win the fight against malaria and improve the health outcomes of the people in their community.

Bazimbana Fenehasi, a UNICEF trained Village Health Team member takes the temperature of a one-year Namakula Abigail as her mother Nakachwa Justine carries her. High fever is one of the symptoms of malaria.  This was during Bazimbana routine checks on homes in Kabingo village in Ntungamo district. UNICEF trained VHTs to handle malaria among children under five years in Ntungamo district. He said that he routinely moves door to door to deliver health services including health education on how to prevent mala
UNICEF/UN0832273/Wamala Bazimbana Fenehasi, a UNICEF trained Village Health Team member takes the temperature of a one-year Namakula Abigail as her mother Nakachwa Justine carries her. High fever is one of the symptoms of malaria. This was during Bazimbana routine checks on homes in Kabingo village in Ntungamo district. UNICEF trained VHTs to handle malaria among children under five years in Ntungamo district. He said that he routinely moves door to door to deliver health services including health education on how to prevent malaria, malaria testing using RDTs and management of simple malaria cases among children under 5 years with coatem tablets.