Transcript Zambia - Roll Back Malaria

Roadmap Progress Report
2011
Zambia
SARN-RBM PARTNERS
ANNUAL CONSULTATIVE
MEETING, JULY 2011
A new malaria
map, calls for new
approaches
Zones of transmission
intensity Zambia, 2010
Type 1 –very low
Type 2 –low
Type 3 –mod/high
2
VISION
• Zambia`s vision is attainment of a malaria
free country
GOAL
• Is to reduce the incidence of malaria by at
least two thirds of the 2010 baseline, to
reduce malaria deaths to near zero and to
begin to develop malaria free zones in the
country by 2015.
INTERVIENTIONS
LLINs
• To achieve 100% LLINs ownership and at
least 80% LLIN use
• Procure and distribute LLIN through campaigns and through the
routine ANC at health facilities
• Review and disseminate door to door distribution guidelines
• Conduct mass distribution campaign
• Promote and monitor ITN utilization
LLIN resources available to achieve the 2011 targets
FUNDS AVAILABLE
(In US $)
SOURCE
COMMENT
WB
4,023,750
800,000 LLINs –
11,000,000
1,500,000 LLINs – MOH Procurement in process
GFATM R7
Reprogrammed
DFID
MOH Distributed
454,815 LLINs – MOH being distributed
582,250 LLINs - UNDP
200,000 LLINs - CHAZ
1,000,000 LLINs - Distributed
PMI
500,000 LLINs being distributed
10,400,000
900,000 LLINs for the MIP 2010
800,000
These are funds for distribution costs for MIP to be given to
implementation partner (SFH)
LLIN resources available to achieve the 2011 targets (2)
FUNDS AVAILABLE
(US $)
200,000
SOURCE
COMMENT
Anglican
Council
110,000 LLINs for mass distribution
MACEPA
40,000 LLINs - procured and distributed
Children sleeping under an ITN by urban and
rural areas, Zambia 2006-2010
80
2006
2008
2010
70
60
52.5
50
Percent
44.3
37.8
40
30
42.3
25.2
24
20
10
0
Urban
Rural
IRS
• To ensure at least 85% of the targeted
structures in epidemiological zones are
protected
•
•
•
•
•
•
Conduct national wide needs assessment
Review, update and print IRS materials
Procurement of IRS commodities
Conduct IRS training
Implement IRS in all 72 districts
Maintain appropriate environmental compliance
IRS resources available to achieve the 2011 targets
FUNDS
AVAILABLE (US $)
SOURCE
4,867,249 World Bank
COMMENT
For procurement of commodities and implementation
GRZ
6,250,000 PMI
For procurement of commodities and implementation
Households reported sprayed in the previous 12
months, Zambia 2006-2010
40
35
37.9
2006
2008
35.3
2010
30
26.2
Percent
25
23.1
20
14.9
15
10
14.6
9.5
5.8
5
0.8
0
Total
Urban
Rural
IPTp
• To achieve 100% IPTp coverage among
pregnant women at risk of malaria and
attending antenatal care
•
•
•
•
Scale up training and mentorship of HW in Focused Antenatal Care
Procurement of SP for IPTp - Procured 2 million doses by PMI
GRZ also procured 2 million doses
Print and distribute revised MIP guidelines to all health facilities
Diagnostics
• By end 2011, 80% of suspected malaria
cases receive a diagnostic test
• Procurement of RDTs
• Training of HWs and CHWs in malaria diagnosis and
treatment Engage the private sector in the adherence to
parasitological diagnosis as per guidelines.
RDTs Quantities
RDTs required
Progress from Jan to June 2011
3,000,000 RDTs procured with support from PMI/DFID
700,000 to be procured by WB,
2,100,000 through GF
Requirements for 2011 is 5,308,985
No gap
ACTs
• By end 2011, 100% of confirmed cases
receive treatment with appropriate and
effective anti malaria drugs at all levels
Scale up of Community Case Management (CCM)
training from 27 districts to 54 districts
• Disseminate revised malaria diagnosis and treatment
guidelines
• Scale up in service training in malaria case management
at various levels of health care
• Procurement ACTs
BCC/IEC
• Mobilize partnership, resources, increase
advocacy to create/increase malaria
awareness and utilization of malaria
interventions.
• Document best practices
• Review, update and disseminate Malaria Communication
Strategy
• Hold capacity building workshop at national, provincial
and district levels on BCC
• Orient traditional, civic, religious and other influential
community leaders
Monitoring & Evaluation
• Strengthen malaria data management
systems and capacities
• Conduct Health facility survey
• Conduct reviews on the malaria annual action plans and
NMSP
• Train district data managers in Surveillance Monitoring
and Evaluation
• Conduct entomological surveillance
• Conduct drug efficacy studies
Conclusions
• Significant progress in intervention
coverage and impact have been made
– But the programme will continue scaling up
principal interventions towards universal
coverage for higher impact
Next strategic direction
• Rapid scale up WHO recommended principal
interventions (e.g., ITNs, IRS, IPTp 2) in combination to
reach universal coverage targets
• Increase community demand for confirmatory malaria
diagnosis for effective treatment.
•
Strengthen malaria surveillance in the context of
changing malaria epidemiology (e.g., reducing
parasitaemia).