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Anti-Malaria Drug Policy - Ghana Health Service

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ANTI-MALARIA DRUG POLICY FOR GHANA<br />

This document is thus a revision of the 2004 anti-malarial<br />

policy and provides policy measures and an<br />

implementation framework for the treatment of malaria.<br />

BACKGROUND/SITUATIONAL ANALYSIS<br />

<strong>Malaria</strong> is a major cause of illness and death in <strong>Ghana</strong>,<br />

particularly among children and pregnant women in<br />

<strong>Ghana</strong>. In 2006, malaria accounted for 38.6% of all<br />

outpatient illnesses and 36.9% of all admissions. <strong>Malaria</strong><br />

prevalence per thousand population was 171 and 2,835<br />

malaria-attributable deaths (all ages) representing 19% of<br />

all deaths were recorded. Infection rates are high in<br />

children peaking at more than 80% in those aged 5 - 9<br />

years and falling to low levels in adults. <strong>Malaria</strong> infection<br />

during pregnancy causes maternal anaemia and placental<br />

parasitemia both of which are responsible for miscarriages<br />

and low birth weight babies among pregnant women. As<br />

many as 13.7% of all admissions of pregnant women in<br />

2006, was as a result of malaria whilst 9.0% of them died<br />

from the disease.<br />

Case Management has been and continues to be one of the<br />

main strategies for the control of malaria in the country.<br />

Treatment is generally presumptive and cases of fever are<br />

first treated as malaria with the recommended anti-malaria<br />

drug. However, the effectiveness of this intervention is<br />

highly dependent on anti-malarials, which should not only<br />

be safe and effective, but also available, affordable and<br />

MINISTRY OF HEALTH<br />

3

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