In malaria-endemic areas, 50 million women will become pregnant each year. These women are highly susceptible to the consequences of malaria, which lead to increased maternal death, severe maternal anemia, low birth weight, and infant death. An estimated 85% of all deaths from malaria occur in children under five.

MCSP’s strategy is woman-centered, recognizing that women are the primary care takers of children under five and are themselves at higher risk during pregnancy. Working closely with national malaria control programs and national maternal, newborn and child health programs, we are strengthening country health systems across the continuum of care. The Program is building capacity for lasting results in malaria in pregnancy (MiP), facility-based case management, integrated community case management, and community involvement, addressing comprehensive malaria prevention and treatment needs.

Through partnerships at the global and country levels, MCSP is advancing evidence-based policies and successful approaches for achieving malaria prevention and treatment goals, leading to universal coverage, and eventually, elimination of the disease. Specifically MCSP:

  • Contributes to the Roll Back Malaria partnership, which aims to reduce the global burden of malaria morbidity and mortality by reaching universal coverage and strengthening health systems;
  • Supports the President’s Malaria Initiative goal of reducing malaria deaths by half in target countries by reaching at least 85% of the most vulnerable groups (children under five and pregnant women) with proven and effective prevention and treatment measures;
  • Assists Ministries of Health in countries affected by malaria, contributing to increased use of malaria prevention and treatment measures including: intermittent preventive treatment for pregnant women; distribution and use of long-lasting insecticide treated bed nets; and introduction and scale up of rapid diagnostic tests and artemisinin-based combination therapies. Many of these interventions are carried out at the community level.
  • Promotes use of data for decision-making in malaria programming through standardization of malaria indicators and strengthening of routine data collection systems.

Fortunately, malaria is an entirely preventable and treatable disease, and MCSP is increasing control measures to dramatically reduce the malaria burden in many places, including in pre-elimination contexts.

To download MCSP’s malaria fact sheet, click here.

Key Results

  • In Kenya, MCSP has focused on capacity building for community health volunteers in MiP. During the last project year, the project trained 2,344 community health volunteers to encourage antenatal care and to start intermittent preventive treatment in pregnancy with sulfadoxine-pyrimethamine (IPTp-SP) early in the second trimester. After this training, Kenya implemented a community-based approach, which expanded to other malaria-endemic counties, reaching 44,133 women. Once this approach was implemented, there was a 12% increase (24% to 36%) in the proportion of women attending a first antenatal care visit at ≤20 weeks of gestation. At the national level, MCSP led advocacy efforts, in collaboration with the Ministry of Health, to procure SP. As a result, the Kenya government, the President’s Malaria Initiative, and UNICEF agreed to purchase stock of SP to last through 2019.
  • The Program developed two essential malaria tools: an MiP case management job aid; and a toolkit to improve early and sustained IPT-p uptake through comprehensive antenatal care services. The job aid offers providers a validated resource to help care for women of reproductive age with fever, and steer patients into appropriate services if pregnant. The toolkit provides guidance in determining gestational age in order to identify women eligible to receive IPTp-SP and other preventive services.
  • On a global level, MCSP continues its role as co-chair to Roll Back Malaria’s MiP Working Group, supporting the linkage between global policy and country practice to accelerate MiP programming. MCSP also represented the Integrated Community Case Management (iCCM) Task Force leadership at the 2016 UNICEF-convened regional meeting on scaling up iCCM.
  • The Program prepared and disseminated five Global Fund New Funding Model Concept Note Review reports, which highlight iCCM for malaria in five countries: Ghana, Kenya, Uganda, Nigeria and Zambia. The reports, which promote collaboration to more efficiently scale up iCCM, were shared with relevant fora (global and in-country) to inform future resource mobilization efforts.
Maternal Child Survival Program
Maternal and Child Survival Program