Roadmap Progress Report 2011

ZambiaSARN-RBM PARTNERS

ANNUAL CONSULTATIVE MEETING, JULY 2011

2

Type 1 –very low

Type 2 –low

Type 3 –mod/high

Zones of transmission intensity Zambia, 2010

A new malaria map, calls for new

approaches

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

4,023,750

11,000,000

WB800,000 LLINs – MOH Distributed

1,500,000 LLINs – MOH Procurement in process

GFATM R7Reprogrammed 454,815 LLINs – MOH being distributed

582,250 LLINs - UNDP200,000 LLINs - CHAZ

DFID 1,000,000 LLINs - Distributed

10,400,000

800,000

PMI500,000 LLINs being distributed

900,000 LLINs for the MIP 2010

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 $)

SOURCE COMMENT

Anglican Council

110,000 LLINs for mass distribution

200,000 MACEPA 40,000 LLINs - procured and distributed

Children sleeping under an ITN by urban and rural areas, Zambia 2006-2010

25.2 24

37.8

42.344.3

52.5

0

10

20

30

40

50

60

70

80

Urban Rural

Perc

ent

2006 2008 2010

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 COMMENT

4,867,249 World Bank For procurement of commodities and implementation

GRZ

6,250,000 PMI For procurement of commodities and implementation

14.9

35.3

5.8

23.1

37.9

14.6

9.5

26.2

0.8

0

5

10

15

20

25

30

35

40

Total Urban Rural

Per

cent

2006 2008 2010

Households reported sprayed in the previous 12 months, Zambia 2006-2010

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).