WEEK 6, 2019 WEEKLY MALARIA STATUS - UGANDA NMCP WEEK 6 — 4th to10th Feb 2019 The Uganda Weekly Malaria status update is produced by National Malaria Control Division on a weekly basis to guide planning. This Status update uses weekly surveillance data. From the Health Management information system Highlights Reporting rate this week (77.8%) is a marginal rise from 75.7% in the previous week, 2019W5. There was a further 9% drop in reported malaria cases (96,488 this week vs. 105,566 in W5) There was marginal drop in malaria incidence. As was last week, Adjumani (13 cases) & Moyo (18 cases) Districts reported incidence rates >10 cases/1,000 population. About 26% (33/128) of districts treated ≥15% of patients who tested negative with an anti- malarial There were 22 deaths this week from 14 districts Trends in Malaria reporting rates Trends in Weekly Confirmed Incidence of Malaria (Cases/1,000 population) 2019W3 2019W4 2019W5 2019W6 Trends in Weekly Malaria Deaths 2019W3 2019W4 2019W5 2019W6 Malaria Deaths at Health Facility Level District Health unit Number Arua Arua Regional Referral Hospital 1 Micu HC II 0* Amolatar Amai Community Hospital 1 Bundibugyo Bubukwanga HC III 2 Hoima Azur HC III 1 Hoima Regional Referral Hospital 2 Kamwenge Padre Pio HC III 1 Kibaale St. Denis Nsonga HC II 0* Kween Mulugwa HC II 0* Kyenjojo Midas Touch HC IV 1 Mbale Mbale Regional Referral Hospital 1 Mubende Mubende Regional Referral Hospital 1 Nabilatuk Nabilatuk HC IV 2 Nebbi Angal St. Luke Hospital 4 Otuke Barjobi HC III 1 Pakwach Pakwach HC IV 1 Soroti Soroti Regional Referral Hospital 2 Yumbe Yumbe HC IV 1 *Micu HC II in Arua District had erroneously reported 20 deaths. Kibaale too erroneously re- ported 2 deaths Trends in Malaria Test Positivity Rate 2019W3 2019W4 2019W5 2019W6 Reporting Rates 2019W3 2019W4 2019W5 2019W6 Percentage of Test Negatives Treated 2019W3 2019W4 2019W5 2019W6 ACTs stock availability by district 2019W3 2019W4 2019W5 2019W6 RDT stock availability by district 2019W3 2019W4 2019W5 2019W6 Proportion of facilities reporting ACT stock outs 2019W3 2019W4 2019W5 2019W6 Proportion of facilities reporting RDT stockouts 2019W3 2019W4 2019W5 2019W6 Details of the malaria situation this week High confirmed malaria incidence continues in the West Nile districts of Moyo and Adjumani Districts. Southwards, Butambala and Kyotera Districts had comparably higher incidence rates. This week, Angal st. Lukes’s Hospital in Nebbi District reported the highest numbers of death (4). Adherence to treatment of who were tested negative for malaria remains poor. Buikwe, Kisoro, Kumi, Lira, and Rakai Districts reported the highest proportion of facilities reporting stockouts of ACTs. (<33%) Kampala, Buliisa, Amuria, Kibaale, Kole and Kumi Districts reported over 80% of health facilities reporting RDT stockouts. Of all the districts, 50% (64) had reporting rates <80%. This requires improvement for enhanced data quality. Actions from the previous week Of the three deaths in Mbale Regional Referral Hospital last week, all were children <10 years of age. One died from severe anemia, another due to delayed care seeking. Details on the third death was not readily available. Death investigations are yet to be conducted in the other districts Meetings and supervision visits held with Butambala and Gomba DHT to investigate high Test positivity rates by MAPD Recommendations MAPD to support and Nebbi DHT to support Angal Hospital to investigate reported deaths Malaria Control Program and National Medical stores to critically review low RDT stock outs reported in a number of districts MAPD to investigate high Test Positivity rates in Kyotera NMCD, RHITES East and SURMA support Karamoja region to adhere to test and treat ppolicy For further information please contact any of the following: Jimmy OPIGO Daniel KYABAYINZE Damian RUTAZAANA Monica NABATANZI Denis OKETHWANGU PM NMCP/MoH NMCP/MoH. NMCP/MoH Data Analyst, NMCP NMCP/MoH [email protected] [email protected] [email protected] [email protected] [email protected] Miriam NANYUNJA Bayo S FATUNMBI Paul MBAKA Charles KATUREEBE WHO-NPO/DPC WHO-IPO/MAL WHO-NPO/AHO WHO-NPO/MAL [email protected] [email protected] [email protected] [email protected] .