June 2008 MIAM Monthly Report – Pictures and Illustrations

1) The map below shows which "grids" the pediatric malaria cases have come from, of those admitted to Macha Hospital so far in 2008. It is apparent that very few cases were admitted from the eastern side of Macha, even though the population density is similar. Further work is required to understand the reasons for this distribution, since in previous years cases were more evenly distributed in a radius around the hospital.

1) The in–patient pediatric admissions so far in 2008 have shown a very low number of cases of malaria. The graph below shows the number of malaria cases admitted per month over the last 9 years. This shows the dramatic reduction since 2003, which has been sustained, despite some variation in some years. While these changes seem to correlate with the introduction of artemisinin combination therapy (ACT), and subsequent "stock-outs", it is still too early to say whether this is a "cause and effect" phenomenon, or not.

2) Pictures of the completed USAID-funded buildings are pasted below.

a) Four 3 bed-roomed staff houses

b) Cafeteria - external

c) Cafeteria – inside

d) Dormitory – from north

e) Dormitory Entrance

3) Minor reconstruction projects shown below

a) New external door and entrance to the flat on east side of Host House

b) Road work and new culverts