Weekly Awesome Cameroon: Working with Catholic Relief Services to Reach OVCs

Catholic Relief Services Cameroon is coordinating a multi-faceted project to target 19,000 orphans and vulnerable children (OVCs) in the Adamawa, Northwest, East, and Center regions. The project will bring social, educational, and nutritional support to the participating OVCs.

14 Peace Corps volunteers plan to participate in the final educational support component of this project. As education materials are distributed, Volunteers  work with community members gathered around distribution points to teach about  malaria transmission, prevention, and the risks of HIV/malaria co-infection.

The roll-out schedule for the final component of the project varies from region to region. The East region began in February.

Kate O’Hare (Youth Development, 2013-2015), and Cody Overstreet (Community Health, 2013-2015), worked with local Catholic Relief Services counterparts to deliver malaria and HIV prevention messages to 137 people in the Bertoua area of the East region.

Orphans and vulnerable children are a high risk for malaria because  they may face challenges such as lack of education about malaria prevention, malnutrition, and lack of adequate shelter.

To learn more about Catholic Relief Services in Cameroon, visit: http://www.crs.org/countries/cameroon

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Weekly Awesome Cameroon: Malaria Prevention Education on Youth Day

National Youth Day is a national holiday in Cameroon on February 11th to celebrate the young people. In celebration of the holiday Roxanne Cassidy, a Youth Development Volunteer organized multiple malaria education sessions.

Roxanne worked with her counterpart to teach lessons on malaria, HIV/AIDS, the importance of wearing helmets when riding motorcycles, nutrition, and local culture at the local high school.These education sessions were sponsored by the local Royal Museum and the town’s government.

Allison Adams, an Agribusiness Volunteer, helped with the event as well. Children who live at the local Center for Handicaps performed a skit as entertainment. Through the education sessions 77 children between the ages of 8 and 12 learned about malaria prevention.

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Malaria’s Effects Hit Close to Home for a PCV in Rwanda

By PCV Michael Smith

Over the past four months, the population of Rwanda has been experiencing almost non-stop rainfall. This rainfall has caused the farmlands around Rwanda to spring to life. Gardens and fresh fruit are sprouting up along every walking path, fields which were nothing but dirt before have become lush jungles of vegetation, corn stalks have now become walls for families and compounds seeking a little privacy in this densely populated country. There is a lot to be appreciative of during this rainy season. Despite this abundance of new vegetation and foods there is one downside to the rainy season, with all this rain and vegetation comes the annual upswing of malaria cases.

It is not surprising that malaria accompanies the rainy season, after all the main mode of transportation for this parasite is the mosquito, an insect which breeds in standing bodies of water. In my local district, Rusizi, which is located in the southwestern part of Rwanda and borders Burundi and the Democratic Republic of the Congo, we have a moderate rate of malaria, however we have one of the highest rates of mortality. This could be due to any number of reasons, which I will not speculate on, but my point is that this deadly parasite surges to life along with the vegetation during the rainy season. For those of us working in health centers throughout the country, we see people every day who have come in for malaria tests and medication, but few of us have had personal experience with someone who has contracted the parasite. Over the month of December I had the opportunity to see someone every day who experienced malaria, and I saw first-hand the effect it has on people and their lives.

My compound was home to three people for the beginning months of my service: myself, a nurse from a neighboring Health Center, and our umukozi, basically a grounds keeper. One day I was working at my health center when the grounds keeper came in to the center not feeling well. My language skills being sub-par at best, I didn’t fully understand what his symptoms were, however the nurse I was working with immediately recognized them. Her suspicions were confirmed upon the blood test that was administered, indeed he had malaria.

While not surprising, it was still odd to think that someone who lived two doors down from me had contracted a potentially fatal disease. This is a young man, in his early 20s, who worked almost exclusively outdoors from sun up until dusk, and who did not sleep with a mosquito net. Fortunately for him, he had the local health insurance MUTUELLE and was able to receive medication almost immediately, although he was bed ridden for almost two weeks. I saw a young man who barely had the energy to wake up in the mornings. He stayed isolated in his room for almost the entire length of time. He had no energy to even go to the market to buy food and often times only prepared one meal a day for himself. Slowly his strength returned and he was able to resume his normal duties, but I saw firsthand the effect this parasite had on a person. The inability to perform daily activities is staggering and for the length of time it takes to fully recover wages have been lost.

Once he had recovered fully, I went with him back to my health center where I spoke with my counterpart about the health center providing him with a mosquito net in hopes that he would use it consistently. We went back to the compound and I assisted him with hanging the net and showed him how to tuck it underneath the mattress. It was a small gesture and may have been a little late but he was very appreciative nonetheless.  I am pleased to say that I did notice him using it frequently.

Part of our job as STOMP is understanding malaria and the effects it has on the community we serve and individuals living within it. Most of us do not have to worry about malaria, the disease has been eliminated in the States and all of us serving overseas have been afforded medication which helps to prevent and combat this parasite. However, millions of people around the world have to struggle with this disease and hundreds of thousands die every year because of it. The best tool we have as volunteers is educating our communities and helping those who lack the means to help themselves.

Posted in Rwanda Tagged with: ,

Weekly Awesome Malawi: Moving Forward – Malawi SWAG Takes Over

Written by: Beccy Burleson

Malawi Team BC12The end of an era is quickly approaching in the world of Malaria outreach in Malawi. Our first team of regional coordinators will COS in April, and a new team fresh from boot camp in Senegal will take over. We’ve even got a sweet new name: Malawi SWAG: Stompin’ Where Anopheles Gather.

Taking over the northern region from Dan Marthey is Ame “The Bees’ Knees” Burke. Ame is a health volunteer from Pennsylvania and is passionate about PCV relations. Therefore her primary focus as regional coordinator will be collecting and disseminating resources to make malaria outreach easy peasy for PCVs all over Malawi, in all sectors. She is already active  in malaria work, mobilizing youth groups through the Nightwatch program and promoting bed net use through Wall of Fame photo projects.

In the central region, Beccy Burleson is taking over for Amie Pendleton-Knoll.  Beccy is a health volunteer from Texas with a background in clinical healthcare. She is interested in health systems strengthening and hopes to pilot a “mini bootcamp” for staff at her local health center to improve malaria outreach in her community. The goal is for this program to grow to a regional or national scale. Her interest in malaria work began during her initial site visit, when she witnessed the death of a two-year old child from severe malaria.

Down south, malaria programming will be headed up by Justin Green, who is taking over for Rachel Ricciardi. Justin is an environment PCV from California who loves working in the community, particularly with youth. He is currently planning a “Malaria Cup” event for World Malaria Day which will include soccer games, dramas, music and educational opportunities.

Together the team is hoping to continue Malawi’s current “best practice” of hosting mini boot camps to train PCVs and their counterparts in malaria outreach. We are aiming for annual, national camps to be followed up with annual, regional one day meetups for continued encouragement, support and team building.

The new team has big shoes to fill, but we couldn’t be more ready. We have been so fortunate to attend boot camp together and to have been guided through this transition by such a great first team. Peace Corps Malawi is currently interviewing applicants for the National Malaria Coordinator, and we are on the edge of our seats as we wait to meet our new leader!

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Weekly Awesome Malawi: Southern Region Mini-Malaria Bootcamp

Written by: Devyn Lee, Education Volunteer 2014-2016

From December 14-17, 2014, 15 Peace Corps Volunteers and 15 Malawian counterparts from the Southern and Central regions attended Malawi’s first ever regional Mini-Malaria Bootcamp. The training took place in Blantyre, Malawi’s Southern Region, and provided opportunities for volunteers and their counterparts from all Peace Corps Malawi sectors (Health, Environment and Education) to learn from each other and the trainers.

Led by PCV Rachel Ricciardi (Southern Region Malaria Coordinator), Rachel’s health clinic counterpart Billiat Frezzer, and PCRV Brooke Mancuso (National Malaria Coordinator), the trainers facilitated sessions on disease epidemiology, prevention, treatment, HIV/AIDS-malaria co infection, behavior change, and malaria awareness/education initiatives of the Malawian Ministry of Health and other collaborating partners. Furthermore, Health PCVs Beccy Burleson and Emma Bussard, who had already attended a nationwide Mini-Malaria Bootcamp in Malawi’s capital, Lilongwe, facilitated sessions on malaria-related activities being implemented in Malawi, as well as other Sub-Saharan Africa Peace Corps countries.

Mr. McDonald Billiati, the Deputy Head Teacher at Goliati Community Day Secondary School in Thyolo District, attended the training as my counterpart. After the training, I asked Mr. Billiati a few questions about the Bootcamp:

Lee: Mr. Billiati, what did you learn at the Mini-Malaria Bootcamp?

Billiati: I learned so many things about malaria. I learned how to mobilize the community about the problem of malaria, and I learned how to mend a net that has holes in it. Once a net is torn, many people in the villages will just use it as a garden fence instead of repairing it. Many people also do not know how to properly hang a net, and when they receive it they just keep it in their house.

Lee: Great! So how will you use what you learned in your community? What will we do together in Goliati?

Billiati: We will work to incorporate malaria education into our classes at school. We came up with the idea of starting in Life Skills classes, spending one period each week focusing on malaria prevention and awareness. We will then have students write dramas to share what they have learned. They can start performing their dramas at our school assembly, and then move on to other venues in the community such as schools and churches.

Lee: Excellent, I am really excited about working with the students at school. What other people could we work with in the community?

Billiati: I am a member of a community group called CCJP [Catholic Commission for Justice], and we work to sensitize the community about child abuse, gender equality, and other issues. We could use this existing group as a vehicle for malaria education.

Lee: That sounds like a great idea. One last question: what do you think is the most important thing you learned at the training?

Billiati: People really do not understand the importance of using bed nets, especially for children. So many children suffer from malaria, it could all be prevented if they slept under nets.

In the coming months, Mr. Billiati and I are looking forward to implementing more malaria programming in our community, beginning with the students at our school. In addition to the dramas, we will work on creating lesson plans for other teachers to use in the future. We are eager to get started using all the information and materials we gained from the Southern Region Mini-Malaria bootcamp!

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Posted in Malawi, Weekly Awesome Tagged with: , ,

It’s a Boy! Meet the Newest Addition to our Family!

1485105_293847500814090_6935911657030893353_nStomp Botswana is ecstatic to proudly introduce to you our newest Malaria Coordinator Volunteer and Boot Camp XI graduate, Mike (aka “Mr. GIS Man”)! Mike is an Local Government Capacity Building volunteer based at the District AIDS Coordinator’s Office located about 100 kilometers away from Francistown.

This past year, Mike has been nothing short of a rock star, using his expertise and passion for mapping to lead Botswana towards the path of malaria eradication. Find out more about Mike and his plans for Stomping Out Malaria in Botswana below.

Where are you from and what were you doing prior to the Peace Corps?

I am most recently from Kansas (Michigan transplant) where I completed my undergrad and earned my MPH from Kansas State University. Just prior to Peace Corps, I was assisting research on tick-mediated zoonotic disease and preparing technical information resource guides for the National Agricultural Biosecurity Center.

What motivated you to apply for the Malaria Coordinator position?

At the last All-Vol Conference, the coordinator from the National Malaria Program (NMP) gave a short presentation. In the presentation, she mentioned that mapping malaria was a new focus. After the presentation, I gave my elevator pitch and from that time I’ve been able to assist the NMP with mapping efforts. The Malaria Coordinator position seemed like another great opportunity.

What was the most valuable thing you learned at Boot Camp and how will you apply what you learned in Bots?

Boot Camp brought countries from all over Africa together. Most of the countries were at various stages of malaria elimination. It was interesting to hear from the other countries how they are moving towards elimination. The discussions around how to keep a population motivated when malaria cases are dropping were enlightening. Botswana is in a very unique position and really does have the potential to eliminate local cases of malaria.

What do you plan to do as a Malaria Coordinator?

I join a team of two incredibly motivated malaria coordinators with others from the next intake group to join us in the coming months. My strengths are in logistics and in coordinating with the NMP. I’d like to focus on further developing the relationship between Peace Corps and the NMP. PC buzzword: capacity building.

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Mike currently leads a Geographic Information Systems (GIS) mapping initiative, utilizing GPS devices for latitude and longitude coordinates, to enhance and produce quality maps. He is offering GIS training for DHMTs, health facilities and agencies that are interested in this mapping initiative. Mike is also developing a guide to various mapping tools and data collection methods, including OSM and its wide array of features. For more information on his projects and initiatives, please contact Mike at [email protected]

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Weekly Awesome Malawi: Bike-Out-Malaria

Written by: Kaylee Beck, Education Volunteer 2013-2015

World Malaria Month may be in April, but that doesn’t stop Peace Corps volunteers in Malawi from devoting one November week to Stomping Out Malaria. Six volunteers from the health and education sectors, as well as their local counterparts, cycled 50km to eight primary schools along the northern lakeshore of Malawi November 17-21, 2014, reaching 840 students, 33 teachers, and 2 Primary Education Advisors with messages of malaria prevention and awareness.

Visiting two primary schools per day, the volunteers divided Standards 7 & 8 into groups to do hands-on activities. For an English activity, students created giant picture books, telling the story of Mrs. Mosquito and how the disease spreads in our communities. As a biology lesson, a group traced the human body and inside diagramed the parasite life-cycle. A session on bednet care and repair kept a group of students busy sewing bednet holes and chatting about prevention and treatment, contributing to lessons on art and life-skills. A final group participated in a Grassroots Soccer Skillz intervention that easily combined PE and malaria awareness. The schools were left with the finished projects to continue educating fellow learners and community members. Pre and post-tests were administered before and after the activities; volunteers will revisit the schools again in the coming months to see how the resources are being used, if the messages have been spread to younger grade levels, and if bed net usage has been increased.

PCV participants Amie Pendleton-Knoll (coordinator), Jhoana Juen, Megan Rossi, Kay Klumpyan, Brooke Mancuso, and Kaylee Beck, as well as their local counterparts, may have gotten caught in rainstorms and endured bicycle mishaps on the ride, but it didn’t tarnish the experience and exhilaration of spreading an important message to eager-to-learn youths. In a country where school-absenteeism is common because of malaria, primary school students are an important target group to reach. Fighting malaria is a serious job to undertake, but volunteers along the shores of Lake Malawi were able to have some fun on their bikes empowering the next generation of Stompers.
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Posted in Malawi, Weekly Awesome Tagged with: , ,

Weekly Awesome Madagascar: Personal Tales of Pecadom+; A Difficult Reality

Written By: Alicia Adler

Photo credit: Alicia Adler. Community Health Worker administering an RDT during a Pecadom + sweep.

Photo credit: Alicia Adler. Community Health Worker administering an RDT during a Pecadom + sweep.

The room was eerily quiet – so quiet I could hear the slow drip from the medicine bag hanging by the hospital bed. Men, women, and children sat solemnly around the head of a young boy, stuck in a coma caused by malaria. Not a word was said as they all silently hoped the child, only six years old, would soon wake up. Tragically he did not. And a few hours later, in a room just down the hall, a little girl died. Also from malaria. Two deaths in one day. Two deaths that were completely preventable.

This time of year malaria cases increase significantly across Madagascar, especially in the coastal regions (where I live). But with the closest medical clinic located up to four hours from many villages, people wait until the situation is grave before seeking help. Coupled with a lack of education about malaria, this means people often arrive at the hospital when they are dangerously ill. And in the case of the little boy and little girl, it’s too late for treatment.

I find myself both heartbroken and frustrated by this. With a disease that is both preventable and treatable, there doesn’t seem to be any reason for children to be dying. And yet this is the difficult reality we see every day here in Madagascar and countries across Africa.

In an effort to confront some of these barriers to treatment, Peace Corps Madagascar recently introduced Pecadom +. Pecadom +, a pilot program I am participating in, works with the Community Health Workers in rural villages to provide active detection for malaria during the rainy season. This means that we go into the village and visit every household, every week for 6 months. If someone has a fever we take their temperature, administer an RDT (Rapid Diagnostic Test for malaria) and provide the medicine if they test positive. And all of this is free- giving people a chance to be tested and treated without any financial or distance barriers. We are only piloting this in one of my 12 fokontanys (cluster of villages), but we can already see the results proving its success – if you call dozens of positive malaria cases in 3 weeks a success… With our local clinic currently overflowing with cases of malaria, I only wish we had the resources to provide active detection in every village.

I never expected death to be such a common theme of my Peace Corps service. And with almost 1 ½ years left in my service, I sadly know I will see many more lives lost. I can only hope that programs like Pecadom + and my constant pestering about bed nets will give only little boy or girl the chance at a future.

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Weekly Awesome Madagascar: Personal Tales of Pecadom +; You Sweep Me Off My Feet

Written By: Camille Yameen

Photo credit: Camille Yameen. Saondra; Women's care group, the President of the Fokontany; CHW, and Claurice; CHW show off their Malaria BCC tools inside the health hut.

Photo credit: Camille Yameen. Saondra; Women’s care group, the President of the Fokontany; CHW, and Claurice; CHW show off their Malaria BCC tools inside the health hut.

No matter how often I do it, waking up at 5 a.m. never gets easier.  As I laid in my bed, I could hear my village coming to life around me; people fetching water, others walking toward the market, mothers calling out to their children. The only thing that helped to pull me out of bed was that I had a Starbucks VIA instant coffee pack, courtesy of a recent care package, waiting for me. That, and that it was a sweep day. As I sat at my kitchen table nursing my coffee, I started mentally prepping myself for what the day held – going house to house with my community health workers in one of my fokontanies (cluster of surrounding villages) seven kilometers away, testing anyone with a fever for Malaria. Since we started PECADOM+ here back in December, this fokontany had been conducting weekly sweeps and had already treated 346 fevers, 143 of which were positive for Malaria. We’d been averaging 30 fevers a week, but I was crossing my fingers that the numbers had gone down. I swallowed the last bit of coffee and double checked the contents of my backpack: notebook, pen, water bottle, bananas, granola bars, toilet paper, rain jacket and umbrella. (Malaria season is sure to bring unpredictable weather. The sky cannot be trusted.)

Packed up, I headed out at 6:30 a.m. Walking to Miaranarivo is like navigating a military boot camp, but one I can’t take too seriously,  or else I’d never make it. …through the candy cane forest, past the sea of swirly twirly gum drops…then I walked through the Lincoln Tunnel. This particular day started out sunny, but I watched as gray clouds rolled in like waves and knew it was only a matter of time before I’d be battling with the sky. I pushed myself up and down hills, walked down dirt roads ankle-deep in mud that swallowed my feet like quicksand, crossed chest-deep water by way of a fallen tree trunk as a makeshift bridge, through rice fields, using branches and bushes to keep my balance, (though I slipped numerous times), washed my legs as best I could in puddles, dug rocks out of my sandles and cringed as I felt blisters forming on my feet.

Arriving two hours later, I was already tired, but knew I still had hours of walking ahead of me. I found my CHW, Claurice, and we made our way to the toby (health hut), where he and the other CHW help to treat people with minor illnesses. Soaking wet, we all sat and discussed where the fevers were as Claurice packed his backpack with the Malaria tests, medicine, paperwork and gloves we’d need for the day. Saondra, the care group leader who finds the fevers first, told us we only had five reported fevers, mostly children. To my relief, the numbers had gone down, but we didn’t know the condition of each person.

Together, we headed back out in the rain, my hood up, Saondra’s hair wrapped in a cloth and Claurice’s coat protecting the supplies. We walked kilometer after kilometer, stopping at the houses with the fevers, Saondra calling out to let them know we had arrived. Once inside, the beginning felt routine: hands shaken, apologies for being muddy given, supplies arranged, illnesses inquired. But a temperature check and fingerprick later, nothing was routine. As we waited for the results of the test, I started asking questions about mosquito net usage: do you have a mosquito net? Who sleeps under the net? Can I see it? Are there holes on it? Do you know how to sew and repair the net?

 The first few tests were negative, so they were referred to the hospital to consult the doctor. But then we tested a 12-year-old boy who was so weak, he could barely lift his arms over his head or speak. He was the first positive. Then came a mother who tested positive. We decided that if there was a positive, we’d go ahead and test all who share the mosquito net since Malaria is easily transmittable and they might not yet be showing symptoms. She brought her 18-month-old daughter with her and insisted that she had already been treated for Malaria a few weeks back and was healthy again. While she had already had Malaria once, we tested anyway and sure enough  two lines appeared, signaling she tested positive again. Once we got to the final house, a mother came out with her 11-month-old twin boys and I felt my heart shift. No matter what, seeing sick children is not easy and one was so visibly ill, I knew he would test positive before the test was even completed. Once Claurice pricked his finger, he started crying and then his twin whipped his head around and, seeing his brother in distress, started crying too, tears the size of peanuts rolling down their cheeks. Two tests later, we had two wailing babies and two positives.

As we finished up and I headed the seven kilometers back through the obstacle course, I kept going over the cases in my head, visions of nets with holes, unprotected babies, sick mothers, finger pricks and used tests. I was haunted by all I had seen. I wished so deeply and so honestly that there was an easy fix. But there are just so many people, so many houses to go to, so many nets to repair and people without nets; it’s a daunting task for two CHW’s, one care worker, and one PCV. My work here and with my CHWs is far from done. The only thing I was positive about as I hiked back through mud and rain and blazing heat, tired and sweaty and dirty, is how important the Pecadom+ program is.

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Weekly Awesome Madagascar: Personal tales of Pecadom+; A National Malaria Coordinator’s Perspective

Written By: Liz Toomey

Photo credit: Liz Toomey. Brooke Kindler and two community health workers test a family for malaria during a weekly Pecadom+ sweep.)

Photo credit: Liz Toomey. Brooke Kindler and two community health workers test a family for malaria during a weekly Pecadom+ sweep.)

Inspired by the success of Pecadom+ (Prise en charge a domicile) in Senegal, Peace Corps Volunteers in Madagascar are piloting this model for malaria case management in four rural villages in the east and southeast of the island: Mahatsara Est, Maromitety, Beronono, and Lopary .  Malaria is endemic in 90% of Madagascar, but the entire population is considered at risk of contracting the disease.  Health PCV’s situated in these areas were selected to pilot this program due to the exceptionally high transmission rates on the east and southeast coast of Madagascar.

Similar to Senegal, the pilot program was preempted by a series of trainings for the Doctors, Community Health Workers, women’s group volunteers, and PCVs participating in this 6 month program.   Training topics included a review of the basics of malaria, introduction to the PECADOM+ program, hands on rapid diagnostic testing (RDT)/artemisinin-based combination therapy (ACT) training, supply chain review, thermometer usage training, review of the data collection tools, and planning for the coming six months.  The protocol for weekly sweeps was detailed, and the stage was set for change.

Photo credit: Liz Toomey. A community health worker, Vivianne, administers an RDT test for malaria on a 4 year old girl.

Photo credit: Liz Toomey. A community health worker, Vivianne, administers an RDT test for malaria on a 4 year old girl.

Unlike Senegal, Madagascar has a new government; one in which Peace Corps was not allowed to work with between 2009-2014.  Due to the lack of foundation and prior working relationship with the National Malaria Control Program (PNLP); we are simultaneously trying to prove ourselves from the ground up and the top down.  As the National Malaria Coordinator with Peace Corps; it is my job to defend Pecadom+  data in meetings with USAID and PNLP, ensure there is no rupture in the supply chain at the four sites, trouble shoot all issues that come up in the program, and most importantly, ensure the future and expansion of the program.  PNLP in Madagascar has been a bit skeptical of the program, and they seem to have a lack of confidence in their own health system; especially CHWs in the countryside, who are working at the lowest level, and most involved in the program. After five months of presenting Pecadom + in meetings, seeking out commodities,  revising data collection tools, and providing as much support as possible to the four PCVs participating in this program; I was finally able to head out to the field for our midline site visit to go on weekly sweeps with the community health workers and PCVs.

Photo credit: Liz Toomey. Velonary, Lea, and their five children are all tested for malaria. Lea, the mother, and her 11 year old son, Doricia, are both positive for malaria.

Photo credit: Liz Toomey. Velonary, Lea, and their five children are all tested for malaria. Lea, the mother, and her 11 year old son, Doricia, are both positive for malaria.

The experience was eye opening.  One sweep took around eight hours; with 39 RDTs administered by the CHWs, and 17 positive for Malaria.  43% of those tested were positive.  Think about that.  Most of those who tested positive had a mosquito net, but most of the nets we looked at had large inviting holes, and were essentially useless.   The PCVs and CHWs talked to each household about the importance of bed net repair, of tucking the mosquito net under bed mats, and reinforcing the importance of seeking care as soon as they become symptomatic.  People really listen to you when you are sitting on their floor, discussing their personal health issues in their own home.  Whether or not they keep this information at the forefront of their minds when you  walk out the door remains to be seen.  But they sure do listen. I believe in Pecadom+.  From my perspective; it’s working.  People in rural communities who would normally have to walk an average of eight kilometers to the nearest health facility are getting free delivery.   People who would normally wait until they’ve been sick for days are seeking out Pecadom+ CHWs for treatment on non-sweep days.  Aside from saving people’s lives; this program is waking people up to the reality of malaria.  Yes, it can be deadly.  But, it is 100% preventable and treatable.  You don’t have to live with it.

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