Home-Based Management of Malaria

Home-based Management of Malaria (HMM) is a strategy to deliver lifesaving curative interventions for children under the age of 5 su_ering from malaria, in particular where there is little access to facility-based services, by increasing the availability of rapid diagnostic testing (RDT) and Mala-1 (PNG’s ACT), and the promotion of appropriate care-seeking behaviour. Together with partners, Save the Children in East Sepik, Burnet Institute in East New Britain and directly in Sandaun, PSI trains and supports CBDs to administer RDT for malaria on all patients that present fever, administer Mala-1 for those who test positive for simple malaria, and refer for mixed or severe infections. CBDs are selected from communities that are beyond one hour’s walk to the nearest clinic.

In 2014 the HMM program trained 973 CBDs, bringing the total number of CBDs trained since the beginning of the programme to 2,015 throughout East New Britain, East Sepik and Sandaun provinces. These CBDs provide access to malaria testing and treatment to over 400,000 people who previously had to travel over an hour for testing and treatment. From the 63,024 fever cases tested using an RDT, 32,850 tested positive for malaria and were treated with Mala-1 and 31,175 cases were referred to the nearest health clinic.

Behaviour Change Communication for Malaria

PSI’s malaria behaviour change communication aimed to improve the knowledge, behaviour and participation of communities and individuals in malaria prevention and control. In collaboration with the National Department of Health, PSI developed and rolled out the national communication strategy against malaria through mass media and inter-personal communication. Inter-personal communication officers from PSI provided health sessions targeting women and men fellowship groups, youth and community groups, and organised community activities. The inter-personal communication program was completed in October 2014.