Results from the 2011-12 Tanzania HIV/AIDS and Malaria Indicator Survey The 2011-12 Tanzania HIV/AIDS and Malaria Indicator Survey Prevalence of Moderate to Severe Ownership of, Access to, and Use of ITNs (THMIS) assessed malaria prevention, treatment practices, Anaemia in Children Percent of: and malaria and anaemia prevalence. Percent of children 6-59 months with moderate Households Household Population Malaria Prevalence in Children to severe anaemia (haemoglobin <8.0 g/dl) Percent of children age 6-59 months testing 91 positive for malaria by rapid diasgnostic test (RDT) 9 9 75 7 7 68 6 6 56 4 11 12 3 9 10 9 5 6 6-8 9-11 12-17 18-23 24-35 36-47 48-59 Total 4 Age in months 6-59 Anaemia is a common symptom of malaria infection. In With at With enough With access Who slept 6-8 9-11 12-17 18-23 24-35 36-47 48-59 Total Tanzania, 6% of children under age five have moderate to least 1 ITN ITNs to cover to an ITN under an ITN Age in months 6-59 severe anaemia, which is defined as haemoglobin less than 8.0/ household within their population* household* In Tanzania, 9% of children under age five tested positive for dl. Moderate to severe anaemia generally declines with age. malaria according to rapid diagnostic tests (RDT). Malaria * Assuming one ITN covers 2 persons prevalence increases with age. More than 90% of women and men age 15-49 know Nine in 10 households have at least one ITN. Three-quarters Malaria Prevalence in Children by Region there are ways to avoid malaria. The most commonly of the household population could sleep under an ITN if each Percent of children 6-59 months testing positive cited way to avoid getting malaria is sleeping under a ITN in the household were used by up to two people. Overall, for malaria by rapid diagnostic test (RDT) mosquito net. 68% of the household population slept under an ITN the night before the survey. Kagera Mara 8% 25% ITN Ownership and Indoor Residual Spraying Trends in Use of ITNs Mwanza Percent of: 19% Simiyu Arusha Percent who slept under an ITN the night before the survey Geita 3% <1% 32% Kilimanjaro Households with 91 2004-05 2007-08 2010 2011-12 Shinyanga <1% at least one ITN 7% Pemba TDHS THMIS TDHS THMIS Kigoma Manyara <1% 26% Tabora 1% Tanga 9% Households with Singida 6% 14 72 75 <1% Dodoma Unguja IRS in the last 12 months 68 Katavi <1% 64 5% 3% 57 Morogoro 45 Iringa 13% Pwani Households with Rukwa <1% 10% 92 26 27 5% Mbeya Dar es Salaam at least one ITN and/or 20 1% 4% IRS in the last 12 months 15 16 16 Njombe Lindi 2% 26% *ITN = Insecticide-treated mosquito net Household Children Pregnant Ruvuma Members under 5 women 15-49 Tanzania 12% Mtwara 17% Among all households in Tanzania, 91% own at least one Children and pregnant women are the most vulnerable to 9% insecticide-treated net (ITN). ITN ownership is lowest malaria. In 2011-12, 72% of children under five and 75% of in Mjini Magharibi region (67%) and highest in Lindi region pregnant women slept under an ITN the night before the By region, malaria prevalence varies greatly. Prevalence is (96%). Nationally, only 14% of households had indoor residual survey. Use of mosquito nets by household members, children highest in Geita, Kigoma, and Lindi regions. spraying (IRS) in the past 12 months, but 87% of households in under five and pregnant women has increased markedly since Zanzibar received IRS in the past 12 months. 2004-05. Trends in Intermittent Preventive For more information on the results of the 2011-12 Tanzania 2011-12 Tanzania HIV/AIDS Treatment of Pregnant Women HIV/AIDS and Malaria Indicator Survey, please contact: and Malaria Indicator Survey Percent of women pregnant in the two years before In Tanzania: the survey, based on their last birth who: Tanzania Commission for AIDS (TACAIDS) (THMIS) 2004-05 2007-08 2010 2011-12 P.O. Box 76987, Dar Es Salaam, Tanzania TDHS THMIS TDHS THMIS Telephone: 255.22.212.2651; Fax: 255.22.212.2427 www.tacaids.go.tz 57 61 60 Intermittent Preventive 50 Treatment National Bureau of Statistics (NBS) P.O. Box 796, Dar Es Salaam, Tanzania 30 32 Telephone: 255.22.212.2722; Fax: 255.22.213.0852 21 26 www.nbs.go.tz Took any SP/Fansidar Received 2+ doses of In USA: during ANC Visit SP/Fansidar during ANC visit ICF International To prevent malaria, pregnant women should receive two or 11785 Beltsville Drive more doses of SP/Fansidar during an antenatal care (ANC) Calverton, MD 20705 USA Telephone: 301-572-0200; Fax: 301-572-0999 visit. Nearly one-third (32%) of pregnant women received www.measuredhs.com this intermittent preventive treatment (IPTp) during ANC, a www.statcompiler.com slight increase from 26% in the 2010 TDHS. Malaria Treatment of Fever in Children The 2011-12 Tanzania HIV/AIDS and Malaria Indicator Survey Among children under age five who had fever (THMIS) was implemented by the National Bureau of Statistics (NBS) in the two weeks before the survey, percent who: in collaboration with the Office of the Chief Government Statistician (OCGS - Zanzibar) from December 16, 2011 to May 24, 2012. The Sought advice or treatment Tanzania Commision for AIDS (TACAIDS) and the Zanzibar AIDS from a health facility, 77 Commission (ZAC) authorised the survey. Funding for the survey was provider, or pharmacy provided by the United States Agency for International Development (USAID), the Tanzania Commission for AIDS (TACAIDS), and the Ministry of Health and Social Welfare (MoHSW). ICF International Had blood taken from 25 a finger or heel stick supported the survey through the MEASURE DHS project, a USAID- funded programme providing support, technical assistance, and funding for population and health surveys in countries worldwide. Took antimalarial drugs 54 Over half (54%) of children with fever received an antimalarial. Among children with fever who received an antimalarial, 61% TANZANIANS AND AMERICANS received ACT - the recommended treatment. IN PARTNERSHIP TO FIGHT HIV/AIDS Response rates and methodology: All children age 6-59 months living in selected households were eligible for malaria and anaemia testing. Malaria testing was done through both rapid diagnostic blood testing, as well as blood smear microscopy. Anaemia testing was carried out using the HemoCue system. Of the 8,119 eligible children, 95% provided blood for anaemia, 94% for rapid diagnostic testing, and 92% for malaria microscopy testing..