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Malaria Observatory: Groundbreaking Project

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Brazzaville
Malaria Observatory: Groundbreaking Project

Evidence-based and innovative responses to malaria in the hardest-hit countries...
Thought and theory must precede all salutary action.

Yet action is nobler in itself than either thought or theory... Can malaria be controlled? Inherent in this question is implicit recognition that the disease increasingly requires innovative approaches that comply with the challenges of today and prepare for those of tomorrow. ADVOCACY FOR A RESPONSE-TO-DEMAND APPROACH
Personally, I think that the malaria response stands at a cross-roads. Especially noteworthy is the fact that an effective response to malaria critically depends on sustained growth in targeted investments until the disease is controlled in terms of mortality ratios. At the same time, advocacy to improve governance and leadership remains essential. Also essential is making far better use of available resources, be they human resources, information, financing or infrastructure. That means streamlining the flow of financial resources to the frontlines of the disease and putting it to optimal use. SPENDING MONEY WHERE IT MOST HELPS
Today there is substantial body of evidence on the comparative advantages, in terms of efficiency and effectiveness, of strategies centred on environmental safety. For example, those low- and middle-income countries that spend the least on environmental safety are also those countries that experience the full impact of malaria. In many regards, available evidence reveals that environmental safety is at least equal to, and often more efficient and effective than, care infrastructures in addressing malaria on a global scale. Historically, this stems from the fact that no country has ever controlled – and still less eradicated – malaria as a result of purely medical approaches. Yet, in many, if not most sub-Saharan African countries (starting with Congo-Brazzaville, my native country), resource allocation still clusters around struggling curative services, neglecting the potential of disease protection and health promotion. At the same time, African governments lack the expertise to mitigate the adverse effects on health from other sectors. Consequently, in a context where money is often tight and needs are always high, the money currently spent on providing malaria-exposed populations with the full range of bnasic services is far short of expectations. More importantly, it does not come close to meeting the requirements not only because of the constant shortfall in the funding flows available (particularly in the worst-hit countries). Briefly and simply, it is also because there is often a mismatch between where money is most needed (hygiene and sanitation) and where money is predominantly spent (antimalarials, counterfeit drugs included). Based on the above-mentioned facts, I’m convinced:
- that time has come for exploding the long-standing myth that care infrastructures must be at the forefront of tackling malaria;
- that African health authorities have to make malaria a priority in their budget allocations;
- that African governments gain to develop country-wide systems for continually gathering, analyzing and reporting data on malaria-related spendin, in all sectors, not just the health sector (broad vision for the response to malaria);
- that most of the money spent on mitigating the impact of malaria should go towards improving hygiene and sanitation – e.g. waste disposal;
- that “Malaria Observatories”, innovative structures that have yet to be established, can be helpful in promoting the multisectoral and collaborative response of a disease of critical concern. Doctor Michel ODIKA (Congo-Brazzaville)

19/01/2015

Malaria: global challenge as significant as any confronting the world...

18/01/2015

We have no alternative but to make the most of every opportunity, because the days are evil...

From blogger Dr. Michel Odika: Thought and theory must precede all salutary action, yet action is nobler in itself than either thought or theory. (Virginia Woolf). In many countries, the response to malaria seems to be drifting from one short-term "priority" to another, increasingly fragmented and w…

18/01/2015

Each one should carry their own load...

Frm blogger Dr Michel Odika: Now More Than Ever. The global response to malaria critically requires: - Innovative approaches; - Coordinated efforts; - Context-sensitive policies; - Evidence-based strategies; - Reliable accountability for tracking progress against the disease.

18/01/2015

Let's fight the good fight...

From blogger Michel Odika: Why do I disagree with the project to develop a malaria vaccine?The only relevant test of the validity of a hypothesis is comparison of prediction with experience. (Milton Friedman, economist). The theory that can absorb the greatest number of facts, and persist in doing s…

06/09/2014

The Way Forward...
There is nothing more important than our good health - that's our principal capital asset. In other words, healthy citizens are the greatest asset any country can have.
Good health is not something we can buy. However, it can be an extremely valuable savings account.

04/06/2014

Starting with Congo-Brazzaville, several African countries have no alternative but to fight malaria...

29/04/2013

MALARIA VACCINE: QUESTIONABLE PROJECT…
In many regards, the project to develop a malaria vaccine is likely to be inadequate and naïve.
Inadequate, insofar as malaria basically proceeds from a system’s failure, notably in terms of governance and leadership.
Naïve, insofar as a system’s failure critically requires a system’s solution, not a single-approach control initiative.

This video gives a broad overview of efforts underway to create the first ever malaria vaccine (RTS,S) and its potential to help in the fight against malaria...

29/04/2013

MALARIA VACCINE: MYTH THAT CONCEALS REALITY...
The magnitude of malaria stems not from the deficiencies of available strategies, but rather from the world’s failure to use the highly effective tools at its disposal to control the disease. For example, most people at high risk of malaria have yet to be reached by prevention, as many malaria-affected countries refrain from implementing approaches – e.g. hygiene and sanitation – that have been shown to work in the past.

LONDON/NEW YORK (Reuters) - The effectiveness of an experimental malaria vaccine developed by GlaxoSmithKline wanes over time, with the shot protecting only 16.8 percent of children over four years, according to trial data. The disappointing results for RTS,S - the world's first potential malaria va...

23/01/2013

NOW MORE THAN EVER...
The malaria response critically requires new institutional landscapes...

In many countries, the response to malaria seems to be drifting from one short-term “priority” to another, increasingly fragmented and without a strong sense of preparedness for what lies ahead (1). Today, the area where new opportunities are appearing is in the institutional capacity for developing...

17/01/2013

Some population groups are at considerably higher risk of contracting malaria and suffering from, or dying of it, than others. They include pregnant women, patients with HIV/AIDS, non-immune travelers, and in high transmission areas children under five years of age. They warrant particular measures

17/01/2013

Malaria counts for one death every thirty seconds in Africa. This video shows how the children in Africa are affected and devastating many parts of the world. Children under five are at great risk, as well as many pregnant women.

Watch this UNICEF video about fighting malaria in Africa on HowStuffWorks. Each year more than 350 million people are infected with Malaria, and 1 million will die. Malaria counts for one death every 30 seconds in Africa; this makes up 70% of worldwide cases. See how malaria vaccines work in this vi

17/01/2013

Malaria is an infection caused by a parasite called plasmodium, which is transmitted from person to person by females of some species of mosquito. It is primarily a disease of tropical countries.

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