(h) to ensure that all sectors of the society, in particular, parents, children, community leaders and
community workers are informed and supported in the use of basic knowledge of child health and
nutrition, the advantages of breastfeeding, hygiene and environmental sanitation and the prevention of
domestic and other accidents;
(i) to ensure the meaningful participation of non-governmental organizations, local communities and the
beneficiary population in the planning and management of a basic service programme for children;
(j) to support through technical and financial means, the mobilization of local community resources in the
development of primary health care for children.
92.
The Ministry of Health adopted the Health Sector Strategic Plan 2011 – 2016, with a view
to move towards equity and quality in the delivery of health services in Malawi.
93.
Malawi has a robust and enviable immunization programme over many years (Figure 1)
and recent high coverage is confirmed in the preliminary 2010 DHS report which shows
that 81% of children aged 12-23 months were fully immunized. This is an increase in
coverage of 26% since the 2004 DHS. However, in 2010 the country experienced an
outbreak of measles with an estimated 43,000 children requiring treatment. High coverage,
particularly of measles is required to maintain herd immunity and additional resources will
therefore be required to sustain a vaccine coverage of 90 per cent and above for all
antigens.
Immunisation coverage Malawi and Africa 1980 -2010
100
90
80
olds (%)
-
70
year
-
60
Measles Malawi
50
DTP3 Malawi
40
30
BCG Malawi
20
Measles Africa
10
immunization coverage among 1
DTP3 Africa
0
1980
1982
1984
1986
1988
1990
1992
1994
1996
1998
2000
2002
2004
2006
2008
2010
Source: WHO Global Observatory Data Repository 2011
Figure [1]: Immunisation coverage in Malawi
94. Acute respiratory infections are one of the most significant causes of morbidity and
mortality amongst children worldwide. Between 2004 and 2010 the proportion of children
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