Step D, also known as community surveillance, was introduced to Kazungula District in 2012 as a malaria elimination intervention after it experienced a significant decline in the incidence of malaria. The malaria incidence reduced from 150 per 1,000 in 2007 to 4 per 1,000 in 2011. Mambova is a community in Kazungula District with an approximate population of 4,715 yet only has one nearby health center. Headed by a nurse, Mambova Rural Health Center is charged with the responsibility of providing quality health care to this community.
“I work alone as a health worker with two other helpers, a cleaner and a watchman,” said Betty Masedza, Mambova Rural Health Center nurse in charge. “This is a great challenge on my part but the presence of community health workers (CHWs) has been of great assistance to my work,” she said.
On April 24th, Zambia’s Chiengi District was declared Open Defecation Free (ODF), meaning that every household in Chiengi district has a latrine that meets specific parameters to stop the disease vector, thus improving household health through better sanitation.
This is the first district in Zambia, and the first in Southern Africa to reach this momentous milestone. Officials from the Zambian government and dignitaries from DFID, UNICEF and Akros traveled two days to celebrate with Chiengi.
Research is an important aspect of any organization that aims to enhance the quality of it work. Last year, the National Malaria Control Center (NMCC), with technical assistance from Akros, set up a pre-fab laboratory facility where cutting-edge DNA technologies are used to ‘fingerprint’ or barcode individual parasite infections. This enables the NMCC to link individual infections with the same fingerprint. This further ensures evidenced-based decision making with regard to malaria programming and the efficient use of resources.
Mulenga Mwenda is the Akros Lab Technologist. She holds a Bachelor of Science in Biology from the University of Zambia, and worked for NMCC’s Malaria Transmission Consortium as a Research Assistant from 2010 to 2013 before joining Akros later in 2013.
Mwenda describes her ability to work in the lab, carry out experiments and get desired results as the most fulfilling part of her job. Overall, she describes her role at Akros as the receipt of field samples, sorting them and assigning unique identification numbers, extracting of DNA and anti-bodies from samples from the Active Infection Detection field responses as well as other programmes such as the National Malaria Indicator survey and conducting scientific investigations (malaria research). Depending on the scientific question being answered, she carries out Polymerase Chain Reactions (PCRS) or Enzyme-linked Immunosorbent Assays (ELISAs).