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.