Secondary students tour NMCC

`Andy Prinsen April 23, 2014
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A group of almost 40 secondary school students from Lusaka International Community School (LCIS) recently received a tour of the National Malaria Control Center to learn about malaria and how the Zambian Ministry of Health and its partners are fighting the disease in their country.

“Raise your hand if you or someone you know has had malaria,” said Daniel Bridges, Akros Director of Research. Many hands around the room shot up, the students present all too familiar with the impact the disease can have on an individual. Pupils were then taken through an interactive presentation where they learned about how malaria is spread, how it can be prevented and how it is treated. A couple of the teachers even volunteered to be tested for the parasite (all negative thankfully) so that the students could all see the tests being used for real.

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Akros wins MESA grant

`Andy Prinsen February 27, 2014
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Akros has been awarded a grant from the Malaria Eradication Scientific Alliance (MESA) to continue the push towards malaria elimination in Lusaka, Zambia. The grant of almost USD $200,000 will be used to 1) Develop risk maps of residual transmission and the risk of onward transmission from imported malaria cases and 2) Assess sensitivity of risk maps to target malaria interventions to stop the importation and spread of malaria transmission in Lusaka, Zambia.

Malaria Indicator Surveys conducted in 2010 and 2012 found zero malaria parasite infections among children under the age of five during high transmission season. However, confirmed malaria cases were still reported at health facilities, likely due to small pockets of residual malaria transmission and malaria being transported into Lusaka through people returning to Lusaka from outlying regions. These pockets must be eliminated to achieve zero transmission and imported malaria cases must not be allowed to re-establish transmission once malaria elimination is achieved.

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Over 1,100 bicycles distributed to CHWs

`Andy Prinsen February 20, 2014
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Zambia continues to work toward the ambitious goal of eliminating malaria in five zones by 2015. To make this goal a reality, myriad partners are working together on every level from the molecular to the administrative to the on-the-ground Community Health Workers (CHWs). These CHWs are responsible for visiting houses of those who present with active malaria cases at the clinic level and then testing the neighbors in the immediate area through a program Akros helped pilot called Reactive Case Detection. Often the distance to these active cases is significant despite the large number of CHWs, and visiting every case on foot can be an overwhelming and at times unachievable task.

So last week, the Government Republic of Zambia in partnership with PATH-MACEPA, Akros and World Bicycle Relief distributed over 1,100 bicycles to community health workers across seven districts in Zambia’s southern province. The distribution ceremonies took place from February 10 – 14 and were attended by village chiefs and leaders, ministry officials and partner organizations. The ceremonies included dramas, dancing, and an official handover of each and every bicycle to the very excited CHWs.

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Akros finishes installation of advanced molecular lab

`Andy Prinsen February 18, 2014
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Akros has received the last major shipment of equipment for the newly installed molecular container lab at the Zambia National Malaria Control Centre (NMCC) through our collaborators at the Harvard School of Public Health. This lab will enable in-country technicians to perform a wide range of molecular investigations including genotypic analysis of malaria parasites and mosquito specimens, and it came at a fraction of the cost of traditionally constructed laboratories.

“For the first time, Zambia NMCC will have the resources and the throughput to perform genotypic analysis in-country,” said Dan Bridges, Director of Research for Akros. “This will expose Zambian scientists to new techniques, paradigms and enable the NMCC to remain at the forefront of understanding malaria.”

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NMCC, Akros recognized by DHIS2 creators

`Andy Prinsen February 6, 2014
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The creators of the DHIS2 platform have recognized Zambia’s National Malaria Control Center and Akros for their implementation of the DHIS2 mobile reporting system at the community level.

One long standing and successful deployment has been driven by a Malaria program run by the National Malaria Control Center in Zambia. The system is used for mobile reporting from health workers at health clinics and voluntary community health workers in the villages, with each of the two user groups reporting on key data that is relevant for their tasks and responsibilities. The project uses the DHIS Mobile Java clients for aggregate reporting, connected to a national DHIS2 instance that is also available for other projects and programs to share. The project supplies low cost mobile phones and prepaid SIM cards for health workers to report with, and the client uses mobile data (GPRS) to send information to the DHIS2 server.

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388,380 Rural Zambians Reached by Akros WASH Team

`Andy Prinsen January 21, 2014
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UNICEF and the Zambia Ministry of Local Government and Housing (MLGH) retained Akros last year to revitalize its Community-Led Total Sanitation (CLTS) intervention among rural Zambian villages. The intervention uses a combination of techniques to persuade community members to use latrines. If people use latrines instead of simply defecating in the open, then fecal-based contamination decreases. When latrines are regularly used, communities see a sharp decrease in Cholera, food poisoning, diarrhea, and other illnesses.

To date, WASH surveillance in Zambia has been slow, inaccurate and incomplete. This made it extremely difficult to target the WASH interventions effectively, and to assess whether these actions were having any real impact. UNICEF and MLGH asked Akros to help in August of 2013.

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Akros to lead the rapid scale up of WASH surveillance

`Andy Prinsen July 2, 2013
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Akros has been retained by UNICEF and Praekelt Foundation to lead the design and rapid deployment of a community-level WASH surveillance system in Zambia. The project will scale to a total of twenty districts in the coming months, and will provide real-time data on WASH-indicators at the village level to MLGH and UNICEF stakeholders. This project builds on Akros prior successes in rapidly scaling up similar community-level surveillance packages with the Zambian Ministry of Health and PATH/MACEPA. Learn more here.

“This surveillance system will provide unprecedented empowerment to the environmental health technicians and community champions supporting progress toward open-defecation free status in their catchment areas”, said Benjamin Winters, Country Director for Akros in Zambia. “Without good, timely information, it is nearly impossible to know where or how to focus interventions. We are drastically changing the game here.”

Akros now offering DHIS2 Advanced System Configuration

`Andy Prinsen June 15, 2013
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In collaboration with University of Oslo developers, Akros has customized a curriculum for Advanced System Configuration (System Configuration II). This course will address many of the administrative tools available to DHIS2 implementers through the GUI, and builds on the foundation created in System Configuration I. Click here to see a full listing of Akros DHIS2 offerings.

The DHIS2 surveillance suite is rapidly building a large user base in Africa, India and other developing regions. It is flexible and highly customizable, integrating a robust mobile phone surveillance module, clean data visualization tools and vast integration capabilities with reporting engines and other database applications. In addition to System Configuration II, Akros offers several other end-user and system administration courses. See dhis2training.com for more details.

Akros pilots mSpray tool

`Andy Prinsen February 15, 2012
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Akros pilots Africa’s first GIS-integrated IRS monitoring tool

This quarter, Akros finalized the extremely successful pilot of its mSpray tool: a field-based, GIS-integrated IRS data capture platform that allows IRS stakeholders to view real-time spray data through maps and charts. “This was a resounding success,” said Benjamin Winters, Zambia Country Director at Akros.

“For the first time in IRS history, stakeholders can see real-time data about the location and intensity of IRS operations,” said Winters. “With this tool, we can begin to answer some very critical but previously challenging questions. Are we spraying the right structures, for example, and is there a demonstrable impact on malaria transmission in these granular foci? Aggregate data at national or sub-national levels can’t answer these questions. Zambia is making tremendous progress here and NMCC now has maps detailing entomological surveillance data (more information about Akros innovation here) and case surveillance at very granular levels, all available in its national HMIS, and all of which can be cross-referenced to mSpray IRS data. These are very exciting times.”