Malaria

Malaria has been a life threatening parasitic disease transmitted by the bite of female anopheles mosquitoes. This has contributed to high child morbidity and hence motility the world over. It threatens 2.4 billion people, or about 40% of the world’s population living in the world’s poorest countries, and more than one million deaths are attributable to the disease annually (WHO, 2000). According to WHO/UNICEF (2005), the disease is a major public health problem in Africa with over 200 million clinical episodes annually.

The country through the Ministry of Health and partners has put in place strategies and policies meant to reduce the malaria prevalence. Guided by the WHOs recommendations the country focuses on;

  1. Early identification and treatment of cases
  2. Affordable malaria medicine
  3. Advocacy Communication and Social Mobilization
  4. Prevention through Long Lasting Insecticide Treated Nets

With limited access to healthcare by most of the Country’s poor and the availability of malaria drugs as an over the counter medicine due to the affordable medicine strategy, many people resort to self medication even without proper diagnosis. CINCO through the GF-malaria project therefore strives to ensure 100% of malaria cases receiving treatment as per the national guidelines. The project funded by the Global fund through AMREF Health Africa as the Principle Recipient. CINCO a Sub Recipient in the fund implements the program in Kisumu and Nakuru Counties with the key goal of contributing to the 2018 National goal of reducing the morbidity and mortality attributable to malaria in the various epidemiological zones by two thirds of the 2007/08 level .

The project strives to guarantee community access to quick and effective treatment, to significantly reduce illness and deaths from malaria. We establish and strengthen Community Health Units to sensitize the community on the various issues pertaining to malaria prevention and control measures. Community Health Volunteers(CHVs) training on community case management of malaria is done to build the capacity of the CHVs to diagnose malaria through rapid diagnostic test kits (RDTs) and provide first line treatment using the Artemether Lumefantrine (AL) tablets for the uncomplicated malaria while referring the complicated malaria and Malaria in Pregnancy for further care. This is done under close supervision by the Community Health Extension Workers (CHEWs). Community Health Committee members (CHCs) offer management functions for the CHUS while the CHEWs provide the technical support to the CHVs and reviews their reports before compilation and forwarding to the Sub County Health Records and Information Officer who enters the information into the District Health Information System.

Key Activities

  1. Community case management for malaria
  2. Institutional Strengthening through formation of Community Health Units and provision of incentives to 710 community health volunteers.
  3. Advocacy Communication and Social Mobilization
  4. Capacity enhancement through;
    • Training of both the health workforce on malaria case management.
    • Support Supervision to Health Care workers.

Malaria causes fatal complications in pregnancy. Having cut a niche in the Malaria Lake Region endemic areas, CINCO recognizes the need for early diagnosis and treatment of Malaria in Pregnancy (MIP). Through the CHVs, data on all pregnant women are kept by name, trimester and health indicators. The CHVs conduct regular visitations to pregnant women where they deliver key health messages while identifying key MIP signs and symptoms for prompt referral and hence prompt treatment


A pupil presenting during quarterly review meeting for malaria net use promotion


CHVs at a village testing for malaria using RDTs


World Malaria day 2016, Kisumu West worn trophy (AMREF funded CINCO project) for best performing Sub-County


World Malaria Day, Primary School Pupils Presentation

Frequently Asked Questions in Malaria

Malaria is a common, serious and sometimes fatal tropical disease. It is a protozoal infection transmitted to human beings by mosquitoes biting mainly between sunset and sunrise. Human malaria is caused by four species of Plasmodium protozoa: Plasmodium falciparum, Plasmodium vivax, Plasmodium ovale and Plasmodium malariae. Malaria is a public health problem in over 100 countries worldwide.

Source: CDC - USA

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