311. Sixty-two percent of pregnant women received intermittent preventive treatment (IPT) for malaria, consisting of at least two doses of SP/Fansidar with at least one dose received during an antenatal care visit, which occurred during the most recent pregnancy (MIS 2013). 312. Regarding Malaria care seeking behavior and Malaria case management, there is a marked improvement. The MIS 2013 demonstrates that one-third (33 percent) of Sierra Leonean children had a fever in the two weeks prior to the survey. Of these children, 63 percent sought advice or treatment. 84 percent of children under age 5 with fever who received antimalarials for treatment were given the appropriate treatment of Artesunate + Amodiaquine (ASAQ). 313. General knowledge about malaria has increased. Knowledge of malaria among women in Sierra Leone is widespread (96 percent). Nine in ten women are aware that mosquito bites cause malaria. All of Sierra Leonean women reported having seen or heard messages about malaria in the last six months. The most commonly cited source of information about malaria is a government clinic (75 percent), followed by the radio (70 percent), a source in the home (51 percent), and community health workers (50 percent). 314. A number of steps are planned to improve on gains made thus far. These include:  Implementation of the second Universal Access campaign to distribute over 3.5 million nets in May 2014;  Expansion of the network of community health workers trained in i-CCM, including case management of malaria and the use of RDTs;  Continued case management training for service providers through IMNCI training and advanced trained in severe malaria treatment in referral hospitals;  A review and update of policies and guidelines, including those on malaria in pregnancy;  Intensification of malaria advocacy and behavior change communication at all levels;  Improve integrated supportive supervision to include malaria activities from national to district level, from district to the PHU level and from PHU to community level; and  Malaria treatment and prevention will be included in the package for pre–service training institutions. 7.2.4 The GoSL’s national response to HIV and AIDS 315. The GoSL has for many years addressed the issue of HIV and AIDS as a multisectoral issue at the highest political level under the leadership of the National AIDS Commission which is chaired by the President of Sierra Leone. 316. After increasing between 2002 to 2005 from 0,9 to 1,5 percent of the general population, HIV prevalence stabilized and remained at 1,5 percent of the general population to date. The GoSL is now awaiting the final results of DHS 2013 to verify if the situation remains unchanged. This translates into approximately 58,000 people living with HIV and AIDS, 5,800 of which are children. Prevalence is much higher in girls than boys. This is carefully monitored to avoid increase in 7. Health and Welfare  83

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