Scaling Up

Table of Contents   Introduction Thai-Burma Border Scaling Up Improving Access China-Burma Border India-Burma Border Advocacy Next Steps

Building upon the dramatic success of the Pilot Program, KDHW rapidly expanded its Malaria Control Program (MCP) to reach 40,000 IDPs in over 50 villages by January 2007. Malaria prevalence remains consistently lower in program villages compared to villages before implementing MCP interventions -- and no malaria-related deaths were recorded in the four years from 2003-2006.

The rapid scale-up of the MCP provides an exemplary model of capacity building and sustainability for other programs. The health workers of KDHW are particularly proud of the malaria control program not only because of its remarkable success in reducing the burden of malaria, but because the health workers themselves have taken full ownership of all program activities. Whereas initial trainings were organized by GHAP volunteers and translated from English, malaria workshops are now organized by experienced health workers and are conducted almost entirely in Burmese. This successful trainer-training, whereby participant trainees are empowered in turn to train their peers, facilitates what health educators refer to as "geometric human resource growth" and allows for a rapid increase in human resource capacity for health.

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