Indonesia project paper outer island malaria program

The project, to be implemented by the Ministry of Health"s (MOH) Sub-Directorate of MC, will focus on training, baseline data collection, and the initiation of spraying operations in the Outer Islands, and on major operational trials of insecticides other than DDT 75% wettable dispersable powder (WPD) on Java-Bali. Epidemiological surveys will be conducted in the Outer Islands (where A.I.D. assistance will be concentrated) to obtain baseline data for spraying operations, for which DDT 75% wdp will mainly be used. Initial larviciding with diesel oil or Abate will be supplemented by treatment of mosquito breeding areas on a limited basis, and subsidized mosquito nets will be distributed on a trial basis. The training of trainers (in third countries) and of MC staff will be the heart of the expanded Outer Islands program. The main AID-funded activity on Java-Bali will be operational trials of Fenitrothion in areas of Central Java where An. aconitus has proven resistant to DDT 75% wdp. Also, two Kabupatens in East Java will be studied for the effects of different formulation and intradomiciliary treatment regimens using DDT with and without supplemental larviciding. The project will also establish anti-malarial drug distribution centers staffed by village personnel; emphasize the use of community participation in increased health education efforts in Outer Island villages; increase MC monitoring, especially on the Outer Islands, where A.I.D. will provide five malaria specialists; conduct collaborative research with GOI and international entities, especially on other MC methods; and provide needed vehicles and supplies. Output targets include: training 8,100 new personnel and retraining 200 personnel (including 800 MOH personnel and 400-450 microscopists); increasing larviciding areas from 5,000 ha to 13,000 ha; spraying 4 million houses once or twice annually; and providing anti-malaria drugs to 110 million people. Other donors include the World Bank, the Japanese International Cooperation Administration, and the World Health Organization.