End of Project Report: Amazon Malaria Initiative September 2017
(2017; 17 pages)


Since 2002, as a partner of the USAID-sponsored Amazon Malaria Initiative (AMI), MSH’s programs in pharmaceutical management have supported the introduction of artemisinin-based combination therapies in South America to confront the resistance that P. falciparum has developed to previous therapies. Because of this and other contributing factors, malaria has significantly decreased in the Americas during past 10 years. In 2015, some countries have explicitly included elimination strategies in their operational plans.

Paradoxically, the current epidemiological situation has imposed new challenges on pharmaceutical supply management...

The USAID-funded AMI seeks to prevent and control malaria in the Amazon Basin and Central America while bringing lessons learned and networking to other countries, both in the region and around the globe. Main lines of assistance are antimalarial efficacy monitoring, resistance surveillance, prevention of emergence of resistance to antimalarials, access to quality diagnosis and treatment, quality assurance and control of pharmaceuticals and other supplies for malaria, vector surveillance and integrated vector management, epidemiological surveillance, and networking and systems strengthening. The SIAPS systemic approach to providing this assistance is embedded in the USAID 2015–2019 vision for health system strengthening, aiming to simultaneously contribute to prevent child and maternal deaths and protect communities from infectious diseases. SIAPS provides technical assistance in pharmaceutical management with a focus on medicine availability, prescribing and dispensing practices, patient adherence to treatment regimens, and managing the supply chain, including quantifying needs and identifying and correcting weaknesses in the system for procuring malaria medicines and supplies.

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