ELCA Malaria Campaignhttps://elca.org/News-and-Events/blogs/ELCAMalariaCampaign/“Malaria is the number one reason” – The Lutheran malaria program in BurundiAshley Debilzenhttps://elca.org/News-and-Events/blogs/ELCAMalariaCampaign/355https://elca.org/News-and-Events/blogs/ELCAMalariaCampaign/355<div class="ExternalClassB6A7006A6D494AB1AC70EB8BE8A863ED"><p><span style="line-height&#58;1.6;">&quot;M</span><span style="line-height&#58;1.6;">alaria is the number one reason for people to come to this clinic,&quot; reports Maria Bazizane, who serves as lab technician and microscopist at the government health center in Mwiruzi, Burundi. &quot;I do a lot of malaria tests in this clinic.&quot;&#160;</span></p><p>Maria explains the process of malaria testing&#58; &quot;When someone comes in with symptoms of malaria, we always test them before giving treatment.&#160; I do the testing using a blood smear and I analyze it under the microscope.&#160; We also have a Paracheck blood analysis machine in this clinic.&#160; If the patient tests positive, we give them medicine.&#160; We use ACTs [artemisinin-based combination therapies, the first-line therapy for malaria treatment].&quot; </p><p style="text-align&#58;center;"><img src="http://search.elca.org/blogs/SiteAssets/Lists/ELCA%20Malaria%20Campaign/Browse/Pic%201.PNG" alt="Pic 1.PNG" style="margin&#58;5px;width&#58;374px;" /><br></p><p>&quot;Pregnant women and children under 5 receive treatment for free,&quot; Maria says.&#160; (Government subsidies cover these costs.) &quot;Others have to pay,&quot; Maria continues. &quot;Those who have insurance pay about USD $3, those without insurance pay USD $5-6.&#160; Not very many people have insurance.&quot; The cost for malaria medication is relatively low here, but in an impoverished area, even these small fees, potentially repeated several times per year for each family member, can be very difficult for some families.&#160; </p><p>&quot;The number of deaths from malaria depends on the season,&quot; says Maria, &quot;and it depends on how long the patient waited to come in.&#160; There are more deaths in the rainy season. People who wait longer to come in are more likely to die.&quot;&#160; That's why the Lutheran malaria program in Burundi (implemented by Lutheran World Federation, or LWF) emphasizes the message that anyone showing symptoms of malaria should visit a clinic within 24 hours. &#160;</p><p>LWF-Burundi has a history of partnership with Maria's clinic. LWF helped to sponsor a rebuilding project at the clinic recently, and is partnering with the government in the construction of a new maternity ward. </p><p>Maria is optimistic about the future. &quot;I have hope that the LWF malaria program will reduce number of cases of malaria here,&quot; she says with confidence.</p></div>12/31/2015Sono and Ruti – The Lutheran malaria program in Tanzania Ashley Debilzenhttps://elca.org/News-and-Events/blogs/ELCAMalariaCampaign/354https://elca.org/News-and-Events/blogs/ELCAMalariaCampaign/354<div class="ExternalClass17DA01D6E3044284A3D54183BD5D74B8"><p>​​​​​​</p></div>12/18/2015“There is room for other patients now” - The Lutheran malaria program in Uganda Ashley Debilzenhttps://elca.org/News-and-Events/blogs/ELCAMalariaCampaign/353https://elca.org/News-and-Events/blogs/ELCAMalariaCampaign/353<div class="ExternalClass62987DFBE46D4045859C80F82CA2FE9E"><p><span style="line-height&#58;1.6;">&quot;Kapujan is a very swampy area with high incidence of malaria, which is why it was chosen to be a sub-county of the Lutheran malaria program,&quot; explains Atim Christie, the health worker in charge of the government-run Health Center III in Kapujan sub-county, in Katakwi, Uganda. </span><span style="line-height&#58;1.6;">&#160;</span><em style="line-height&#58;1.6;">(Photo&#58; Atim Christie)</em></p><p style="text-align&#58;center;">&#160;​​<img src="http://search.elca.org/blogs/SiteAssets/Lists/ELCA%20Malaria%20Campaign/Browse/Photo%201.PNG" alt="Photo 1.PNG" style="margin&#58;5px;" /></p><p>The Health Center III in Kapujan serves a catchment area of 14,241 people. Kapujan also has two local clinics, which are known as <a href="http&#58;//elca.org/News-and-Events/blogs/ELCAMalariaCampaign/337">&quot;Health Center II,&quot;​</a>&#160;and 6 VHTs [Village Health Team members—volunteers who have received extra training from the Lutheran Malaria Program in Uganda]. Because the VHTs provide malaria-related health care and education at the household level, they are considered to be &quot;Health Center I.&quot;</p><p><span style="line-height&#58;1.6;">A</span><span style="line-height&#58;1.6;">t</span><span style="line-height&#58;1.6;">i</span><span style="line-height&#58;1.6;">m Christie describes the services offered by her health center&#58; &quot;The Health Center III offers both inpatient and outpatient services, lab and clinical services, HIV and chronic care services.&#160; When a VHT visits someone in their home and suspects that they have severe malaria, the case is referred to us. For malaria, we diagnose using both RDTs and microscopy.&#160;When someone presents with multiple conditions or severe complications (if they waited too long to get treatment, for example), then we refer those cases to a larger hospital. However, that is a minima</span><span style="line-height&#58;1.6;">l number of cases. Most cases can be treated here. </span><em style="line-height&#58;1.6;">(Photo&#58; microscopic analysis of a patient's blood is one way that the Kapujan Health Center III diagnoses malaria)</em></p><p style="text-align&#58;center;">&#160;​<img src="http://search.elca.org/blogs/SiteAssets/Lists/ELCA%20Malaria%20Campaign/Browse/Photo%202.PNG" alt="Photo 2.PNG" style="margin&#58;5px;" /></p><p>&#160;&quot;We are grateful that all of our Health Center staff has been trained by the LWF program to treat simple and complicated cases of malaria. Now LWF is supporting us with staff training and by supplying Rapid Diagnostic Tests and ACTs [malaria medications].&quot; </p><p><br></p><p><strong>Collaboration with the VHTs</strong></p><p>Atim Christie continues, &quot;LWF has trained many Village Health Team members in this area and empowered them with skills to prevent and control malaria.&#160; They perform outreaches [open clinics] to test and treat at the local level.&#160; Every month they come to us to report out, to refresh their training. When a patient is very sick, the VHT will escort them to the clinic and will not leave until the patient receives treatment.</p><p>&quot;We test everybody who comes to the clinic for malaria, just in case. If they are positive, we give the medicine.&#160; The VHT comes to bring water, to watch the patient take the first dose and to give advice for taking the rest of the medication.<img alt="" style="width&#58;346px;margin&#58;5px;" /></p><p>&quot;A challenge is when people do not finish their dose of malaria medication. Maybe they are trying to save some for later.&#160; This is getting better now because of VHTs and the sensitization they are doing in the communities. Now, the majority of people are doing it right. I attribute this success to the community outreach events and to the work of the VHTs.&#160; <em>(Photo&#58; a VHT (L) collaborates with a government health worker (R) at a malaria community outreach event.)</em></p><p style="text-align&#58;center;">&#160;<img src="http://search.elca.org/blogs/SiteAssets/Lists/ELCA%20Malaria%20Campaign/Browse/Photo%203.PNG" alt="Photo 3.PNG" style="margin&#58;5px;" /></p><p>&quot;In the past, the government gave out nets, just one per household.&#160; The problem was that the nets were not always used correctly.&#160; For example, sometimes they were used for fishing.&#160; Because of the message the VHTs are giving, we are making progress.&#160; </p><p>&quot;Initially the number of inpatients increased slightly because of the work of the VHTs.&#160; There was increased awareness about malaria and an increased number of referrals.&#160; Then the number began to go down again because of the testing and treatment at the local level.&quot;</p><p><br></p><p><strong>Success&#58; a reduction in malaria cases and malaria deaths</strong></p><p>Atim Christie continues, &quot;Before the program started, the prevalence of malaria in this community was too high. 75% of the cases at our clinic were due to malaria.&#160; We did not have enough Rapid Diagnostic Tests to test all of the sick patients, or enough drugs to treat all the malaria patients. We were overloaded.</p><p>&quot;Before the project began we would have about 5 children dying each year in the Health Center from complications from malaria—mostly from anemia.&#160; Since the LWF program began, there has only been one child who died (the parents did not follow our instructions about treatment).&#160; And even the VHTs are not reporting deaths at the local level lately!</p><p>&quot;The Lutheran program has boosted the morale of our staff. They are not always so busy with malaria cases now, and they have time to go and interact with the community and teach health-related skills. Now malaria cases represent only 50% of the cases we see here at the clinic. There is room for other patients now.&quot;&#160;&#160;</p></div>12/04/2015Malaria achievements celebrated by the United Nations Ashley Debilzenhttps://elca.org/News-and-Events/blogs/ELCAMalariaCampaign/352https://elca.org/News-and-Events/blogs/ELCAMalariaCampaign/352<div class="ExternalClass3541E631ECE8417DBDC36425DD074DE6"><p>​<span style="line-height&#58;1.6;">The Sept. 30 ELCA Malaria Campaign blog post, &quot;<a href="http&#58;//elca.org/News-and-Events/blogs/ELCAMalariaCampaign/345">Swatting out malaria​</a>,&quot; featured United Nations Children's Fund (UNICEF) and the World Health Organization (WHO) reports stating that the Millennium Development Goal (MDG) to halt and begin reversing malaria incidence by 2015 had been met &quot;convincingly.&quot; To celebrate this achievement, global leaders, diplomats and health experts gathered at the United Nati​ons this past Friday.</span></p><p>During the gathering, the strides already made against malaria were used as evidence that malaria interventions work and can indeed bring about an end to malaria. Mogens Lykketoft, the president of the U.N. General Assembly, lifted up the MGD achievement as a one that &quot;provides bold inspiration to all nations that seek to create a healthy environment for their children and adults.&quot; Lykketoft concluded by calling on member states to keep engaging in malaria work, saying, &quot;We can and we must eliminate malaria by 2030.&quot; </p><p>Eradicating malaria is part of the Sustainable Development Goals (SDG) adopted by the United Nations in September of this year. In line with the SDG's continued commitment to eliminate the disease, we too continue the work to make malaria history. </p><p><em>This post was written using information from an article by the United Nations. To read this article, go to</em>&#160;​<a href="http&#58;//www.un.org/apps/news/story.asp?NewsID=52601#.VlNn03arS72">http&#58;//www.un.org/apps/news/story.asp?NewsID=52601#.VlNn03arS72​</a>.​</p><p style="text-align&#58;center;">​<img src="http://search.elca.org/blogs/SiteAssets/Lists/ELCA%20Malaria%20Campaign/Browse/Blog%20pic.png" alt="Blog pic.png" style="margin&#58;5px;width&#58;554px;height&#58;493px;vertical-align&#58;baseline;" /><br></p></div>11/23/2015Zefanaya Michael – The Lutheran malaria program in Tanzania Ashley Debilzenhttps://elca.org/News-and-Events/blogs/ELCAMalariaCampaign/351https://elca.org/News-and-Events/blogs/ELCAMalariaCampaign/351<div class="ExternalClass5B565291B92441189AF81E584769B382"><p style="text-align&#58;center;">​<img src="http://search.elca.org/blogs/SiteAssets/Lists/ELCA%20Malaria%20Campaign/Browse/Blog%201.PNG" alt="Blog 1.PNG" style="margin&#58;5px;" /></p><p style="text-align&#58;center;">​​​Evangelist, Nyumba ya Mungu Parish, Pare Diocese</p><p> <br>Zefanaya has been an evangelist with NYM Parish for 8 years. He attended the same malaria seminar as Godfrey in 2010.<br> <br>Evangelists do house-to-house preaching so they can offer frontline response when someone is home sick. Oftentimes when someone's child gets sick they will seek the advice of the evangelists on what to do.&#160;<br> <br>&quot;It helps for evangelists to know the symptoms of malaria when we visit people in their homes and find they are sick. Those of us sharing the knowledge from the malaria seminar are very committed and have spread the seeds into the community. We thank you for your support. We have really benefitted. God bless you! We are building a church of people with health.&quot;</p><p>In his eight years as evangelist for the Nyumba ya Mungu Lutheran Parish, Zefanaya Michael has encountered many people during home visits who show signs of malaria. Because he learned the importance of immediate medical care through the LMI Tanzania project, Zefanaya can advise the family to go quickly to the health center for testing and treatment.</p></div>11/13/2015Meet Sam and Wilfred - The Lutheran malaria program in Uganda Ashley Debilzenhttps://elca.org/News-and-Events/blogs/ELCAMalariaCampaign/350https://elca.org/News-and-Events/blogs/ELCAMalariaCampaign/350<div class="ExternalClass2A86A2ED97994E1093B8CD025AF306B8"><p>​Sam and Wilfred are two of the trained volunteers working with the Lutheran malaria program in Katakwi subcounty in Katakwi District, Uganda.&#160;</p><p><span style="line-height&#58;20.8px;"><strong> &#160;</strong></span><span style="line-height&#58;20.8px;"><strong><span style="text-decoration&#58;underline;">Sam&#58;</span></strong></span><span style="line-height&#58;20.8px;">&#160;I have learned a lot as a VHT. Even in my​​ own family, it is now easy for me to know when I should test them for ​malaria.</span><span style="line-height&#58;20.8px;">&#160;&#160;</span><span style="line-height&#58;20.8px;">When my family members are ill, first I test them for malaria. If it is negative, then it may be some other sickness, so I bring them to the Health Center. This happens in my own household, but also with my neighbors and in the whole village.</span><span style="line-height&#58;20.8px;">&#160;&#160;</span><span style="line-height&#58;20.8px;">I am happy because we have seen a positive change at home.</span><span style="line-height&#58;20.8px;">&#160;&#160;</span><span style="line-height&#58;20.8px;">Before, many children in my own household would fall ill, as many as 3 at a time! Now I test them within 24 hours of showing symptoms.</span><span style="line-height&#58;20.8px;">&#160;&#160;</span><span style="line-height&#58;20.8px;">My children are healthy and we are not spending money on malaria.</span><span style="line-height&#58;20.8px;">&#160;&#160;</span><span style="line-height&#58;20.8px;">We used to spend 7,000 shillings every time, for buying Coartem [malaria medication] when children were sick.</span><span style="line-height&#58;20.8px;">&#160;&#160;</span><span style="line-height&#58;20.8px;">Now we can save that money.</span><span style="line-height&#58;20.8px;">​</span></p><p style="text-align&#58;center;"><img src="http://search.elca.org/blogs/SiteAssets/Lists/ELCA%20Malaria%20Campaign/Browse/Capture%201.PNG" alt="Capture 1.PNG" style="margin&#58;5px;width&#58;250px;height&#58;175px;" /><br></p><img class="ms-rte-paste-setimagesize" alt="" style="width&#58;292px;" /><p><span><strong> &#160;&#160;<span style="text-decoration&#58;underline;">Wilfred</span></strong></span>&#58; Being a VHT has helped me to achieve something that I am very proud of. People in my community are very happy because they are no longer spending money on malaria, because the Lutheran malaria program brought help to us. Second, children's attendance in school is very good now, because they are no longer suffering from malaria.&#160; People living with HIV and AIDS are also happy now, because they no longer have to deal with malaria.&#160;</p><p style="text-align&#58;center;"><img src="http://search.elca.org/blogs/SiteAssets/Lists/ELCA%20Malaria%20Campaign/Browse/Capture%202.PNG" alt="Capture 2.PNG" style="margin&#58;5px;width&#58;260px;height&#58;183px;" /><br></p></div>11/06/2015