Transcript Roadmap to Achieve 31.12.2010 RBM Targets

Kenya
Roadmap to Achieve 31.12.2010 RBM Targets
September 2009 – December 2010
18.11.09
Country Summary
Population at risk:
(27m in 2010)
Intervention
Need to 2010
Already
covered
Funded and
expected to be
distributed before
end 2010
Gap
LLINs
13,797,115 Nets
5,685,217
2,756,147
11,040,968
19,000,000 (14.2m
by GF, 4.8m by
PMI)
2,932,875
ACTs
21,932,875 Doses
IRS
2,785,511HH
52,484 HH
2,733,027 HH
RDTs
4,487,220 Tests
IPTp
12,418,329 Tablets
12,418,329 Tablets 0
Quinine
23,457,476 Tablets
23,457,476 Tablets
18.11.09
340
128,000 tests GF
4,359,220
0
Country Summary -2.
Population at risk:
Intervention
M&E
BCC/IEC
Human
Resources
(Capacity
Bldg)
Others:
Service
Delivery
18.11.09
(27m in 2010)
Need to 2010
Already
covered
$ 23,711,825
(6% of total budget)
$ 8,210,432
$ 2,597,715
1m
Funded and expected
to be distributed
before end 2010
Gap
GF= 569,500
PMI= 375,000
22,767,325
GF=686,000
7,524,432
-
$ 2,597,715
LLIN resources available to achieve the 2010 targets
FUNDS AVAILABLE
(US $)
SOURCE
COMMENT
Mechanism and
when
Available
Total Need
Gap
Routine through
ANC and CWC 2009
Routine for HIV +ve
2009
1,500,000
2,724,201
1,224,201
4,300,000
11,948,344
9192197*
1,000,000
GFIV
500,000
WB
1,000,000
GFIV
600,000
PMI
2,700,000
DFID
Routine through
ANC and CWC 2010
Routine as above
2010
Routine
2,824,551
DFID
Routine 2011
2824,551
4,673,322
1,848,771
TOTAL
TOTAL
8,624,551
19,355,867
12,265,169
7,624,551
18.11.09
LLIN Ordering & Distribution to end 2010
Quantities
Unknown
Procurement dates
Unknown
Expected delivery
Unknown
Campaign Date
On going for the routine nets
BCC
Community mobilization
For routine nets ongoing
Distribution
Campaign: Fixed point of pre-registered
Households, Routine: through Antenatal
clinics (ANC) and Child Welfare Clinics
(CWC)
Mechanisms of distribution
Routine through HMIS. Campaign through
campaign tools with a post evaluation.
Monitoring and evaluation
Unknown
18.11.09
Case management (ACTs)
ACTs required
Requirements for 09/10 is 27,237,339
Stock on hand 5,294,464
Needs 21,932,875
Procurement
schedules (ACTs)
Oct 2009 4,800,000 (PMI)
2010 14,200,000 (G.F.)
BCC
On-going
Mechanisms of
distribution
HF treatment (Public and Mission)
Drug Efficacy
Monitoring
2009: ongoing
Monitoring and
evaluation
2010: HF Assessment conducted Bi annually
18.11.09
ACTs resources available to achieve the 2010 targets
ACT doses
SOURCE
COMMENT
when
Available
Total Need
Gap
4,800,000
President
’s Malaria
Initiative
(PMI)
Oct 2009
4,800,000
4,800,000
-
14,200,000
Global
Fund
2010
14,200,000
17,132,875
2,932875
18.11.09
Case management
(Parasite based diagnosis)
Microscopy
100 microscopes
RDTs required
4,487,220 tests
Procurement schedules
(RDTs)
Training
1,045 Participants on QA/QC for microscopy, Refresher training
for RDT use, Policy development ongoing
BCC
On-going
Mechanisms of distribution
To Health Facilities
Drug Efficacy
Monitoring/Quality
Assurance
Quarterly QC/QA
Monitoring and evaluation
Roll -out pilot survey for RDT
Evaluation of Adherence to SOPs in Diagnostics
18.11.09
RDT resources available to achieve the 2010 targets
FUNDS AVAILABLE (US $)
128,000
18.11.09
SOURCE
COMMENT
GF Rnd IV
Phase II
Procurement in process.
IRS resources available to achieve the 2010 targets
FUNDS AVAILABLE (US $)
SOURCE
COMMENT
GF
Workplan for Rnd IV Phase II Year 4 for
commodities and operational costs
PMI
Total PMI support about 40m and
assumming 30% is dedicated to IRS for
commodities and Operational cost
2,872,977
7,000,000
18.11.09
BCC resources available to achieve the 2010
targets
FUNDS AVAILABLE (US $) SOURCE
686,000
18.11.09
GF Rnd IV
Phase II
COMMENT
Available
Total Need
Gap
686,000
8,210,432
7,524,432
IPTp resources available to achieve the 2010 targets
FUNDS AVAILABLE (US $)
18.11.09
SOURCE
COMMENT
PMI
APHIA , JHPIEGO
DFID
WHO
Intermittent Preventive Therapy:
SP doses required
4,139,443
Procurement schedules
KEMSA
Distribution
Malaria endemic areas (Nyanza, Coast, Western)
Training
Training targeting ANC staff
BCC
PSI
Monitoring and
evaluation
Central, Provincial, District levels
18.11.09
Other core interventions to be delivered over
the next 14 months
• HSS issues:
– Improving utilization of ANC services
– Recruiting and training community health workers
– Community systems strengthening
– Expand HR capacity
• Recruitment at all levels
• TAs from Partners and Private-Publication
Partnership
18.11.09
– Coordination:
Challenges
• Delayed disbursement of Global Fund
Round IV phase 2
• Rejection of Global Fund Round 9
proposal
• Consequences of above:
– Impending ACT stock out from Dec 2009
– No universal coverage by LLINs
– Failure to achieve country RBM targets
18.11.09
Summary of rate-limiting factors over the
next 14 months
• Funding gap for commodities
– LLINs
– IRS
– RDTs
– IEC/BCC
– M&E
• Procurement bottlenecks
– Long processes,
– Delayed disbursements from Global Funds
• Human resource needs
– M&E
– Logistics
– Planning and coordination
18.11.09
Summary of technical assistance needs to end 2010
Need
Technical support for the development of
standardized curriculum for laboratory staff
From whom
WHO/PMI
Technical support for the development of malaria WHO/PMI
laboratory QA and QC
Technical support for the development of central WHO/PMI
malaria reference laboratory
Technical support for the development/review
WHO/PMI
of laboratory diagnostic guidelines
18.11.09