Kenya will use the bulk of two incremental funding Phase 2 grants worth $79.7 million to purchase and distribute 7.5 million new long-lasting insecticide-treated nets (LLINs), 17.2 million courses of artemisinin combination therapy (ACT) and 21.8 million rapid diagnostic test kits.
Seventy percent of Kenya's 40 million people are at risk of malaria, according to the Grant Approvals Committee (GAC). The estimated number of cases reported in 2010 was 3.5 million and parasite prevalence among children under five years was 8%. Reporting has fluctuated over the past several years and despite the wealth of data generated in Kenya by domestic and international researchers, there has yet to be a consistent trend to indicate whether case incidence is increasing or decreasing.
All-cause under-five mortality declined by 35% between 2000 and 2010 which, while constituting significant progress, will not put the country on track to meet its Millennium Development Goal target of a 67% reduction by 2015. Mortality declines, however, were hailed as remarkable, and attributed partially to the mass distribution in 2011 of LLINs in eight endemic and three epidemic-prone counties to reach 78% coverage.
Some Phase 2 funds will be used to increase reporting on key malaria indicators and to support programme management, with $8 million invested in strengthening community systems.
The GAC acknowledged strong collaboration between government and its technical and donor partners, which contributed to the decision to include funding in Phase 2 of the AMREF grant to strengthen community case management of malaria. AMREF already received $1.9 million in Phase 1 from the Treasury for community case management.
AMREF and UNICEF will partner in a pilot scheme in western Kenya to implement “integrated” community case management of malaria under Phase 2, ensuring integrated treatment of malaria with pneumonia and diarrhea.
An initiative to train private sector health workers on case management begun in Phase 1 will continue to receive funding in Phase 2. Another 1,200 people will undergo the training, begun in Phase 1 with 4,500 health professionals. The Kenyan government is seeking supplemental funding from DFID to support private sector co-payment of ACTs and to fund other supportive interventions from the private sector – particularly behaviour change communications initiatives to promote the use of ACTs.
Information for this article was taken from Board Decision GF-B30-EDP3 and from GF-B30-ER2, the Report of Secretariat Funding Recommendations. These documents are not available on the Global Fund website.