MALARIA CASES INVESTIGATION REPORT

LUPANE DISTRICT

MAY 2021
Fig 1.0 Showing District Map

1.0 BACKGROUND

From a country perspective, interruption of local mosquito-borne malaria-transmission or

elimination of malaria is the ultimate goal of malaria control. Malaria elimination has been
achieved progressively in parts of the world since the recorded history of the disease.
Considerable progress has been made in malaria during the past few years in Zimbabwe.
Consistent with the goals of the Global Malaria Action Plan, some parts of the country are in
control, pre-elimination and elimination phase. Lupane district is one of the 5 districts in
Matabeleland North province that is in pre-elimination. It is within the scope of pre-
elimination to vigorously investigate cases and to institute preventive measures in order to
reduce local transmission to zero.

Lupane is one of the seven districts of Mat North Province. The administrative Centre of the
district is 171km away from Bulawayo along Bulawayo - Victoria Falls road. Lupane shares
borders with Nkayi to the east, Tsholotsho to the south west, Hwange on the North West and
Gokwe to the North West. The district falls under natural region 4 and 5 with an average
rainfall of 450mm. The district with 28 wards is serviced by 12 clinics, 1 mission hospital
and 1 annex clinic which acts as both the district and the provincial hospital. In terms of
malaria the district is in the moderate transmission zone with a current incidence rate of
0.9/1000.
1.1. Incidence Rates for the past 3 years

incidence rate
1
0.9
0.8
0.7
0.6
0.5
0.4
0.3
0.2
0.1
0
2019 2020 2021

Fig 1.1 Showing incidence rates from January to April in 2019; 2020 and 2021

Objectives of the exercise

 To reach 100% case notification.

 To reach 100% case investigation.
 To equip cadres on the ground with much needed knowledge and edge of active
Malaria Case Investigation.
 To ensure all breeding sites of Anopheles larva are identified and eradicated
promptly.
 To investigate and geocode all local malaria cases
 To upload all cases into the DHIS2 system
 To collect samples for speciation
 To map all district areas of focus
 To instil knowledge of Malaria prevention methods at household level.

2.0. Methodology

Cadres trained in DHIS capturing, case investigation and entomological investigation were
selected to execute the above objectives. Each was given three wards to ensure all the above
activities are carried out for the missing cases and the following were the findings:-
3.0. Findings

3.1. Case investigation

The aim was to investigate all cases of local transmission

116
120

100

80

local cases
imported cases
60
intraported

40
23

20
2

0
malaria cases

Fig. 2. Showing Case classification

Fig 3.Showing distribution of malaria cases

All local cases were investigated and uploaded into the DHIS2 system.
3.1.2Entomological activities

 Scooping of larvae was done for species identified

 In the bodies where larvae were identified larviciding was conducted using BTT.
 Environmental manipulation was done closing small water bodies near and along the
rivers.
 All breeding sites were mapped.
 Health education on malaria disease picture, prevention and control measures as well as
treatment was conducted simultaneously as the activities were being done.
Fig .4. District Map showing distribution of Active foci

District active foci

year ward Active foci activities

2021 Jotsholo Ngondo larviciding
Sobendle Buyu “ ”
Mzola west K3 “ ”
Sibombo Nganunu
Dongamuzi Hlalani
Bh5
Bh4
Gwayi Chimwara
Gwayi compound
Kana ward Kana block
Gwayi village
Lupaka Tshebetshebe
Ngadlwana
Matshiya Lupane centere
Ndlovu
Gwamba Ndamuleni
Madojwa
Daluka Sibangani
 Mzola east kheswa
Geleza
Maduheni
Mzola west Sitete
Siyazizwa_ziyaphapha_masebebe
Nono

Areas of improvement
 The entomological kit should be found in all health facilities to improve investigations at
facility level.
 The Facilities and laboratory department should improve on the swift processing and
conveyance of the malaria slides results reporting.

Achievements
 The district received 12 new tracker devices and training of cadres was done.
 All cases which were not entered were uploaded.
 Breeding sites were identified and bio-larviciding done
 The cases were notified within the specified time frames.
 Managed to conduct contacts screening.
 Managed to collect larvae of vector mosquito by scooping.

Recommendations

 The entomological kit should be found in district health facilities; to improve

investigations at facility level.
 It would also assist if one kit is kept at the District Office and the other at the clinics.
PICTORIAL PRESENTATION OF ACTIVITIES THAT WERE CONDUCTED
Compiled by……………………………Signature……………………Date……………

Verified by…………………………….Signature…………………….Date……………..

Approved by…………………………..Signature……………………Date………………