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Roadmap to Achieve 31.12.2011 RBM Targets

ERITREA

January 2011 – December 2011

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Country Summary (Interventions & Services)Population at Risk: 2.73 million

Intervention

Operational objectives/targets

for

2011

Need to end 2011 Already covered

Funded and expected to be

distributed before end of

2011

Commodity Gap (Quantity)

Financial Gap (USD)

LLINs (Universal Access)

To achieve universal coverage

1 net for 2 persons for the community and

one net each for pregnant women

* Define how universal coverage target was calaulated e.g. 1 net

for 1.8 persons

Mass Campaign: Total number of nets required to reach the

operational target

1,091,000 nets

Mass Campaign:

274,406 nets

# based on number of nets

already distributed in last three

years

Mass Campaign:

Total number of nets for which

financing is already pledged

1,091,000 nets

No Gap No gap

Routine distribution: Total number of nets

required to reach pregnant women through ANC = 109,000 nets )

Routine distribution:

109,290 nets distributed

through ANC

# based on number of nets

already distributed in last three

years

Routine distribution:

Total number of nets for which

financing is already pledged

109,000 for ANC

No Gap No gap

Total nets needed in 2011 = 1.2 million

Total nets already

distributed = 383,696

Total nets where financing is

already pledged 1.2 million

No gap No gap

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Country Summary (Interventions & Services)

Intervention Operational

objectives/targets for

2011

Need to end 2011

Already covered

Funded and expected to be

distributed before end of

2011

Commodity Gap (Quantity)

Financial Gap (USD)

ACTs To sustain Universal coverage* of malaria treatment with ACTs)

Coverage target is the whole population.

*define universal coverage target e.g. whole population, population treated

through the public health services and private sector etc)

Total number of doses to be

made available during the year

190,997.9

Doses already in

stock

(2,975 doses)

Number of doses for which financing is already pledged

or committed

190,997.9

No gap No gap

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Country Summary (Interventions & Services) (Cont'd )Intervention

Operational objectives/targets for

2011

Need to end 2011

Already covered

Funded and expected to be distributed before end of 2011

Commodity Gap (Quantity)

Financial Gap (USD)

IRS Define target coverage by country

To sustain coverage of 90% of the targeted population through spraying of 75,000

structures

total number of structures to be sprayed = 75,000 protecting 90% of the population

300,000 people at risk of malaria

$16 per structure sprayed.

1.2 million 1.2 million No gap No Gap

RDTs and microscopy

To sustain universal coverage* of parasitological diagnosis of

suspected malaria cases Coverage is whole population including malaria suspected cases from community and

facility levels.

*define coverage target e.g. whole population, population treated through the public health

services and private sector etc

9,943 of 30 tests

12,200 of 30 tests

9,943 of 30 tests

No Gap No Gap

100,000 Microscopy tests

already in stock

Number of microscopy tests

for which financing is

already pledged or committed

No Gap No Gap

100,000 50,000 100,000 No Gap No Gap

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Country Summary (Interventions &Services) (Cont'd )

Intervention Operational objectives/targets for

2011

Need to end 2011

Already covered

Funded and expected to be distributed before end of 2011

Commodity Gap (Quantity)

Financial Gap (USD)

IPTp NA NA NA NA NA NA

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Country Summary (Cross cutting issues)

Intervention Operational targets/Objectives for

2011

Strategies/Actions Resource requirement

(USD)

Available budget

(USD)

Budget Gap

(USD)

M&E

Surveillance, monitoring and evaluation

Supervision, training, meeting,

etc

1,000,000 1,000,000 No Gap

BCC/IEC BCC Community outreach and mass media, etc.

Sensitizing people through different

channels

490,000 490,000 No Gap

Human Resources (Cap Bldg)

Health workforce, trainings 1.46 million 1.46 million No Gap

Insert others as required e.g. CSS, HSS, OR

HSS/Service delivery Information system, service delivery, med. Products, vaccines and technology,

3 million 3 million No Gap

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Assumptions for calculating the needs (Quantity and Funding) to achieve 2011 Targets

Justify the assumptions used for calculating the targets

• e.g. Universal Coverage for LLINs is planned at the end of Year 3 (2013) therefore a pro-rata has been calculated for 2011

• e.g. Net coverage calculated based on 1.8 persons per net and a net attrition rate of 8% year 1, 20% year 2 and 50% year 3; routine nets based on 90% of pregnant women accessing ANC

• Parasitological diagnosis targets all age groups with 20% microscopy and 80% RDTs targeting 100 % of population attending public health services (includes health facilities and community case management)

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Implementation Plan - LLINs

Major action / Output / Milestone

TIMEFRAME

J F M A M J J A S O N D

Meetings at zonal and sub-zonal levels with administrators, health workers and other implementing partners

X X

Campaigns to the public by mass media & through seminars X X

Distribution of LLINs to Zones X X X X

Distribution of LLINs to the community X X X X

Distribution of LLINs to ANC attendees X X X X X X X X X X X X

 

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Implementation Plan - IRS

Major action / Output / Milestone

TIMEFRAME

J F M A M J J A S O N D

Procurement of Insecticide/DDT X X

Training of track drivers and store keepers X

Distribution of insecticide to the zones X X

Training of sprayers X X X

Spraying of structures X X X

Compilation of reports X

 

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Implementation Plan – Case Mgt

Major action / Output / Milestone

TIMEFRAME

J F M A M J J A S O N D

Procurement of ACTs, quinine, primaquine and RDTs X X X

Production and distribution of treatment guidelines and charts X X X X X X

Refresher training of health workers on case management of uncomplicated and severe malaria X X X X X X

Strengthening of pharmaco-vigilance system X X X X X X X X X X X X

Training of CHAs and Malaria Women Action Groups on diagnosis and treatment of malaria X X X X X X

 

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Implementation Plan – IPTp

Major action / Output / Milestone

TIMEFRAME

J F M A M J J A S O N D

NA

 

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Implementation Plan – Cross cutting

Major action / Output / Milestone

TIMEFRAME

J F M A M J J A S O N D

M&E (Plan and undertake Lot Quality Assurance Survey (LQAS) ) X X X

Procure and distribute 20 ambulances X X X

Diploma studies in Public Health X X X X X X X X X X X X

Provide Internet Services to the staff at the MoH HQs. X X X X X X X X X X X X

 

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LLIN resources available to achieve the 2011 targets (including timing of disbursements)

Funds available (USD) Source of funding

Comment TIMEFRAME

J F M A M J J A S O N D

Funds [$6,180,650] to procure [1,236,130] of LLINs

GFATM Malaria Rds 6 & 9

$5,582,505 GF9+ $598,145 GF6] [1,116,501GF9+ 119,629 GF6] LLINs

X X X X X X

Funds ($1,236,130) to deliver (1,236,130) LLINs

GFATM Malaria Rds 6 & 9

One dollar for each net X X X X X X

Case Management resources available to achieve the 2011 targets

Funds available (USD) Source of funding Comment TIMEFRAME

J F M A M J J A S O N D

Funds to procure [190,997.9 doses] of ACTs ($ 132,986)

GFATM Rd 6 For procurement and distribute

X X X

Funds to deliver (190,997.9 doses) of ACTs

GFATM Rd 6 Fund included in the above line

X X X

Funds to procure [9,943 of 30 tests Rd6] of RDTs

GFATM Rd 6 The fund is

$ 268,986

X X X

Funds to deliver (9,943 of 30 tests Rd6.) of RDTs

GFATM Rd 6 Fund included in the procurement.

X X X

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IRS resources available to achieve the 2011 targetsFunds available (USD) Source of funding Comment TIMEFRAME

J F M A M J J A S O N D

Funds [$ 1.2 million] to spray 75,000 structures

GFATM Rds 6 & 9 Cost includes all operational activities

X X X X X X X X X X X X

IPTp resources available to achieve the 2011 targetsFunds available (USD) Source of funding Comment TIMEFRAME

J F M A M J J A S O N D

NA NA

NA NA

Cross-cutting resources available to achieve the 2011 targetsFunds available (USD) Source of funding Comment TIMEFRAME

J F M A M J J A S O N D

$ 3,000,000 GFATM Round 9 3 components of HSS

X X X X X X X X X X X X

$1.46 million GFATM Rds 6 & 9 Capacity building

X X X X X X X X X X X X

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Summary of technical assistance needs to end 2011

Area of Need

Type of support required Resources available

Source of funding

TIMEFRAME

J F M A M J J A S O N D

LLINs

IRS Looking for Alternative insecticide to DDT

RBM/WHO X X X X X X X X X X

ACT Updating of AMDs guideline GFATM WHO X X X

RDTs/microscopy

To determine the quality of the existing RDTs

RBM/WHO X X X

Cross cutting

Evaluation of the existing communication strategy & malaria promotional messages & materials

GFATM WHO X X X

Program Management/Partnerships

GF Grant Implementation

other 1 Insectary/Entomology & Epidemiology experts

2 compilation/documentation of 10 years’ malaria report (achievements)

1 GFATM Malaria Rds 6&9

2

1 GFATM Malaria Rds 6 &9

2 RBM/WHO

X X

X

X

X

X

X

X X X X X X X X

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Summary of rate-limiting factors/solutions over the next 12 months - threats

Potential threats to achieving targets

1 Technical experts on Entomology & Epidemiology

2 Entomology/Insectary equipments for the three entomology labs.

3 Cross-border malaria issues

4 Concerns of complacence of the public considering the dramatic reduction of malaria over the last ten years.

5 QA/QC issues regarding quality issues of insecticides and LLINs in particular.

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