Transcript INITIATION FOR RAPID SCALING OF MALARIA INTERVENTIONS …

Malaria Elimination
Concepts, Strategic direction (20082010), Steps,
Activities, Requirements
Feedback on New Global “Malaria
elimination” Initiative to NMCP
12th November 2007
Morogoro
Mkude.S (MD); NMCP/MoHSW
Contents of Presentation
• Introduction
• The concept: towards malaria elimination
• Strategic direction (2008-2010)
• Steps & activities (Global level)
• “Resource moderators”
• Requirements for initiation of the process
 Sub regional responsibility
 Countries initiation process
 WHO country office responsibilities & support to
be given
Mkude.S (MD); NMCP/MoHSW
Introduction
Mkude.S (MD); NMCP/MoHSW
The Anatomy of Global Malaria initiative
WHO DG
WHO RBM
WHO GMP
Partners
Technical Board
(Resource contributors)
Regional WHO
HWG
WHO/AFRO
(Resource
Moderators)
HWG Nairobi
Meeting 22nd-23rd
October 2007
Nairobi 2 in 1
Meeting
Country WHO
Offices
Mkude.S (MD); NMCP/MoHSW
GMP Nairobi Meeting
24th- 26th October 2007
Introduction (1)
• There is a Global movement which has created
new “Malaria Elimination” initiative
• The initiative is going to be in full scale within 6
months
• It advocate rapid scaling of intervention to achieve
RBM targets of universal coverage of 80% by 2010
(Intensive 36 months)
• What is immediately required by donors community
is to know the individual country needs (Needs
Assessment)
• Thereafter a business plan before February 2008
• The country Needs Assessment (NA) & Business
(MD); NMCP/MoHSW
Plan (BP) must be Mkude.S
in line
with (our) MMTSP
Introduction 2
• The RBM Harmonization Working Group (HWG)
will fill the gap of required resources
• WHO will be the focal partner at country level
• There was a 2 in 1 meeting (WHO GMP & RBM
HWG) in Nairobi to initiate the process of country
NA & BP
• The meeting was attended by
 NMCP’s PMs and their WHO Malaria NPO from selected 15 African
countries
 Representation from all WHO regional offices world wide
 WHO HQ
Mkude.S (MD); NMCP/MoHSW
 RBM HWG members
Introduction 3
• There was a request from participating
countries for an official communication to
Government Ministries of Health.
• In principal we are “nominated” but we
have to fulfil the requirements:
Initiate prescribed process in a tight
framework of timelines
Centre to all is the re-orientation of Country
Malaria STP
Mkude.S (MD); NMCP/MoHSW
The concept: towards malaria
elimination
Mkude.S (MD); NMCP/MoHSW
The aims of the “new initiative”
global fight against malaria
1. reduce the burden of malaria in
endemic areas (rapid scaling up to
80% by 2010)
2. reduce the geographical extent of
endemic areas (rapid scaling up to
80% by 2010)
3. Support elimination where feasible
Mkude.S (MD); NMCP/MoHSW
From malaria control to elimination
Mkude.S (MD); NMCP/MoHSW
The Origin of the idea: Traditionally 4
phases in malaria eradication
end of
population-based
interventions
Intense malaria
I Preparatory
1 year
II Attack
4 years
information collected,
plan developed, systems
ready, trained staff and
resources in place
WHO
certification
III Consolidation
3 years
annual reporting to WHO
IV Maintenance
3 years free of
local transmission
Mkude.S (MD); NMCP/MoHSW
Eligibility to “Malaria Elimination”
• Cut of point of slide positivity rate <5% in
fever cases as a criterion for initiation of
elimination process
• The minimum area is a district of about
100,000 population
Mkude.S (MD); NMCP/MoHSW
Mkude.S (MD); NMCP/MoHSW
Definitions
Malaria control: reducing disease burden to a level
where it is no longer a public health problem
Malaria Elimination: interruption of local mosquitoborne malaria transmission in a defined
geographical area. Means zero incidence of
locally contracted cases , imported cases will
continue to occur. Continued intervention
measures are required
Eradication: permanent reduction to zero of the
worldwide incidence of infection caused by a
specific agent – i.e. Extermination of the
infectious agent
Mkude.S (MD); NMCP/MoHSW
Malaria elimination: a WHO Field
Manual
Target audience:
endemic country
governments,
programme
managers, staff from
partner agencies
Purpose: provide the
overall picture, point
to more detailed
information
Current format: 96
pages total
Mkude.S (MD); NMCP/MoHSW
GMP malaria elimination field manual
Clarity on malaria elimination
concepts (for moderate-to-high
transmission countries that consider
moving towards elimination)
Clarity on WHO policies,
procedures and reporting
requirements (for countries that are
near malaria elimination or have
recently achieved it)
Mkude.S (MD); NMCP/MoHSW
Strategic direction (20082010)
Mkude.S (MD); NMCP/MoHSW
Strategic direction (2008-2010)
1. Develop scientific consensus on control
strategy and business plan
2. Intensified implementation of national
malaria programmes
3. Effective advocacy / resource
mobilization
Mkude.S (MD); NMCP/MoHSW
Recommended (proven intervention) Malaria
control package (1)
• Diagnosis-based treatment
 Diagnostic use
 Treatment use
• Prevention (LLITN + IRS)
 Transmission control with ITNs
 Transmission control with IRS
• Monitoring and evaluation
 Performance monitoring and impact evaluation
• Insurance (protect effectiveness of current tools)
• Operational research
Mkude.S (MD); NMCP/MoHSW
Malaria control package(2)
•
"Documentable" effective case management systems
 National – District – Health facility, Community,
Private Sector
•
Prevention
 LLITN for community prevention, 80% coverage of
total population at risk
 IRS for community prevention as a supplement to
LLITN, for epidemic preparedness, etc.
Mkude.S (MD); NMCP/MoHSW
Strategic direction (2008-2010)
1. Develop scientific consensus on control
strategy and business plan
2. Intensified implementation of national
malaria programmes
3. Effective advocacy / resource
mobilization
Mkude.S (MD); NMCP/MoHSW
2. Intensified implementation
• Effective treatment and prevention
coverage increased to 80% in 54
countries
• Elimination / certification in 25 countries
• More gradual scale up in 28 countries
Mkude.S (MD); NMCP/MoHSW
Intensified implementation
• 57 Programmes*: support led by WHO
– Endemic (10 in Africa; 22 in other regions)
– elimination / certification: 25
• 22 Programmes* in Africa: support coordinated by
RBM harmonization working group (which includes
WHO)
• 28 Programmes*: scaling up gradually, supported by
WHO & other interested partners
• Coordination with International Health Partnership on
health systems strengthening (Burundi, Cambodia,
Ethiopia, Kenya, Mozambique, Nepal, Zambia)
* Proposed
Mkude.S (MD); NMCP/MoHSW
Proposed countries
• Group A: Scaling up Malaria control to 80% (2008-2010)
– Africa: Angola, Benin, Burundi, Burkina Faso, Cameroon, CAR, Chad,
Congo, DRC, Equatorial Guinea, Eritrea, Ethiopia, Ghana, Guinea,
Kenya, Liberia, Madagascar, Malawi, Mali, Mozambique, Niger, Nigeria,
Rwanda, Sao Tome & Principe Senegal, Sierra Leone, Somalia, Sudan,
Tanzania, Uganda, Zambia, Zimbabwe
– Latin America: Brazil, Colombia, Guatemala, Honduras, Nicaragua,
Peru, Venezuela
– Asia & Middle East: Afghanistan, Bangladesh, Cambodia, China, India,
Indonesia, Laos, Myanmar, Papua New Guinea, Philippines, Thailand,
Solomon Islands, Vanuatu, Vietnam, Yemen
• Group B: Pre-elimination to elimination phase (2008-2010)
– Algeria, Argentina, Azerbaijan, DPRK, El Salvador, Georgia, Iran, Iraq,
Krygsztan, Malaysia, Mexico, Paraguay, Tajikistan, Turkey, Turkmenistan,
Russia, Sri Lanka, Saudi Arabia, Swaziland
• Group C: Certified Malaria Free (2008-2010)
– Mauritius, Morocco, Oman, Armenia, Syria,
Mkude.S (MD); NMCP/MoHSW
• Group D: Gradual scale-up in remaining 28 countries
Strategic direction (2008-2010)
1. Develop scientific consensus on control
strategy and business plan
2. Intensified implementation of national
malaria programmes
3. Effective advocacy / resource
mobilization
Mkude.S (MD); NMCP/MoHSW
3. Resource mobilization
• Ensure investments and resource flows
– More resources and effective, innovative implementation of investments:
GF
– More investments: PMI, WB, UNITAID, new bilaterals, new international
NGOs
– Increasing National investments
• Resources mobilization – USD 6 billion (2008 -2010)
– National programmes & commodities – 85 %
– TA and Operational research – 15 %
• Advocacy
– In-country efforts
– Individual (Ray Chambers) and institutional (WHO, WB, PMI, UNICEF,
etc.) initiatives
– UN Special envoy
– Media campaigns (in-country and international)
Mkude.S (MD); NMCP/MoHSW
Phase 1(Strategic Direction): 6 months
(Sep 07 – Feb 08)
• Development of the plan
• Consensus building
• Endorsement and launch of the plan
Mkude.S (MD); NMCP/MoHSW
Steps & Activities
(Global level)
Mkude.S (MD); NMCP/MoHSW
Global Key activities in Phase 1(strategic direction-Plans
on proven interventions):
6 months (Sep 07 – Feb 08)
• Gates Malaria Forum- Seattle, 16-18 October
– Presentation of strategic direction by DG
– Endorsement of strategy by key stakeholders (Tanzania attended
with 4 other African countries)
• Operational plans
– Workshop to develop country plans - WHO supported national
programmes, Nairobi, Kenya- October 22-26, 2007 (Tanzania
attended)
– Workshop to develop country plans: (?? deadline for in country
process end of January 2008) – facilitated by RBM harmonization
working group
• Launch of the Business plan - High level forum, February 2008.
– Endorsement of plan by Heads of State (US, UK, Canada, etc);
endemic countries; and H8 group (WHO, World Bank, UNICEF,
Gates Foundation, GFATM, GAVI, UNITAID, and UNFPA)
– Launch of Intensified implementation towards a “malaria free world”
Mkude.S (MD); NMCP/MoHSW
Global Key activities in Phase 2: (strategic direction-Intensified
implementation)
12 months (Mar 08 – Feb 09)
• Intensified implementation
– Roll-out of WHO's new case management cum disease surveillance
strategy
– Substantial strengthening of national malaria programme management
(structure, logistics, etc)
– Roll-out of WHO new country monitoring and evaluation system
– Roll-out of WHO new ITN and IRS strategy
• Establish commodity needs forecasting system (ACT & LLIN)
– Negotiations with manufacturers
– Establish ACT raw material buffer stock system
– Expansion of LLIN production capacity
• Documentation and Report Card
1. WHO Global Malaria Report (World Malaria Day in 2008)
2. Monthly information system (tracking commodity & progress)
3. Biannual performance report on GMP website
Mkude.S (MD); NMCP/MoHSW
4. Analysis: impact, cost-effectiveness,
success stories
Global Key activities in Phase 2: (strategic directionAdvocacy)
12 months (Mar 08 – Feb 09)
• Media Awareness campaign with regular events
• Clearer policy/position on other
interventions/tools (IPTp, IPTi, IVM, vaccine,
etc)
• Global consensus on priority research agenda
• Consensus-based new estimates of Global
Malaria Burden
• Development of Plan Mar 2009 – Dec 2010
• Development of Plan for a "Malaria Free World"
2010 - 2015
Mkude.S (MD); NMCP/MoHSW
“Resource
Harmonization”
Mkude.S (MD); NMCP/MoHSW
RBM Harmonization Working
Group (HWG)
• Major financial and implementation support
partners
• Constituency Membership is decided by RBM
Board
• Membership includes: WHO (AFRO and HQ),
UNICEF, World Bank, Global Fund, MACEPA,
Bill and Melinda Gates Foundation, Malaria No
More, UN Foundation, Johns Hopkins VOICES
Project, Millennium Project, UNF, PSI
• All RBM sub-regional networks and RBM
Working Group Chairs
Mkude.S (MD); NMCP/MoHSW
Scaling-up for impact:
• The Board has endorsed a new rallying cry at the core of
Roll Back Malaria:
• “Scale Up”
– Existing full package of proven interventions
• Nation-wide to high coverage
– Rapidly
• “For Impact”
– Track action and document changes in coverage and
benefits in human and economic terms
– Moving from high coverage towards elimination as
a public health problem and eventually eradication
Mkude.S (MD); NMCP/MoHSW
RBM Harmonization Working
Group (HWG)
1.
2.
3.
4.
5.
6.
Coordinate a process to support the development of and
adherence to the “3-ones” concept at country level
Assist countries to identify support needs for scaling-up
through comprehensive gap analyses and needs
assessment
Track and Facilitate resource flows from partners to
countries
Harmonize partner efforts to fill country-identified gaps
Facilitate the development of a “rapid-response”
mechanism to support countries to overcome
implementation bottlenecks (reactively and proactively)
Secure additional resources from the Global Fund, PMI,
World Bank and others in support of country scale-up
Mkude.S (MD); NMCP/MoHSW
But, 1st……Needs Assessments
• Support >30 national programs to develop
malaria needs assessments and business plans
over the next 4-6 months that will result in
achievement of 2010 RBM Goals (>80%
coverage)
• Plans will result in an improved understanding of
country support needs (financial and
technical/implementation support) and the
resources and strategies required to fill them.
• Present plans to a series of high-level donor
meetings, as well as to individual partners, for
immediate support
Mkude.S (MD); NMCP/MoHSW
Process for Needs Assessments
• Develop common template for needs assessment and
plan
• Countries lead needs assessment and business plan
development
• Each country will be paired with one lead partner and
additional supporting partners
• Each country will be offered consultant support to
assist in writing/documentation of assessment and
plan
• RBM will aggregate assessments and plans, and
assist in the development of regional/cross-border
Mkude.S (MD); NMCP/MoHSW
investments/actions
Comprehensive Needs Assessments
Mauritania
Niger
Mali
Eritrea
Chad
Senegal
Sudan
The Gambia
Burkina Faso
Guinea
Djibouti
Benin
Nigeria
Sierra Leone
Cote d'Ivoire
Ethiopia
Togo
Ghana
Liberia
Central African Rep
Cameroun
Somolia
Eq Guinea
Timeframe
Gabon
Uganda
Kenya
Congo
Rwanda
Congo, DRC
Burundi
August-December
Tanzania
October-February
January - March
Angola
Malawi
Zambia
Not targeted
Mozambique
Zimbabwe
Namibia
Madagascar
Botswana
Swaziland
South Africa
Lesotho
Mkude.S (MD); NMCP/MoHSW
Process for Needs Assessments & Business
plan
Needs Assessments:
• Workshop (Nairobi), October 22nd -23rd , 2007 with initial 15
countries to be hosted by WHO
• Template to be developed by MACEPA and revised by wider
partnership
• Consultants will be contracted to carry out the data collection
and actual writing/filling-in of the template to ensure
consistency
Business Plans:
• Template to be developed by MACEPA
• Process for country level development to be managed by RBM
HWG Task Force members with in-country presence, namely
WHO, UNICEF, MACEPA, US PMI, and the World Bank, under
the auspices of the RBM
Mkude.Ssub-regional
(MD); NMCP/MoHSWnetworks.
Requirements
(Sub regional & Countries)
Mkude.S (MD); NMCP/MoHSW
Requirement (1):
Sub regional
Mkude.S (MD); NMCP/MoHSW
1st Nairobi workshop, October 22,
2007 with initial 15 countries
• Adaptation of proposed initiation process
to individual countries
– Identification of key milestones in country
– (Selection and) timing of consultants
– Discussion on mechanism of in-country
initiation of the processes (Need Assessment)
(workshops/retreats)
– Financial requirements
Mkude.S (MD); NMCP/MoHSW
Sub region requirements
• HWG develop a template for business
plan by end November
• 2nd workshop for countries on business
plan template (early February 2008?).
• translation of needs assessment to
business plan through in-country planning
• Finalization (March)
Mkude.S (MD); NMCP/MoHSW
Sub region to facilitate
• Global level synthesis (March)
• High level donor/partner consultation
(march) to mobilize necessary resources
to meet identified needs:
– financial
– technical
– implementation support
Mkude.S (MD); NMCP/MoHSW
INITIATION FOR RAPID
SCALING OF MALARIA
INTERVENTIONS IN TANZANIA
Stepping in “Malaria Elimination”
Initiative
Mkude.S (MD); NMCP/MoHSW
Contents
• Where are we in line with what is
required?
• Key milestones (events) in the initiation
process
• Resources to support Focal Partner (WHO
Country Office)
• Some future implementation issues to be
considered
Mkude.S (MD); NMCP/MoHSW
Where are we in line with what is
required?
Requirement 1: In each individual country
Malaria Medium Term Strategic Plan (MMTSP)
will be the reference document to the “Malaria
Elimination” initiative
• The current 2002-2007 Malaria MTSP is in its last
days.
• In the development process of the new MMTSP
(2008-12) we are aware that: The context of
malaria prevention and control has changed and a
much more aggressive approach is needed
Mkude.S (MD); NMCP/MoHSW
Where are we in line with what is
required?
• At present the consensus on the framework of
our new MMTSP (2008-2012) has been much
influenced by GFR7 application, it is a right
direction:
Concept part
Needs assessment/Gap analysis
Operational plan/Business plan (1 year roll out
plan? Fixed .e.g. 3 yrs plan? .e.t.c.)
Mkude.S (MD); NMCP/MoHSW
Where are we in line with what is required?
• In the meantime available needs assessment/Gap
Analysis (NA/GA) have been calculated through
different recent requested proposal (GF R7, IRS
Master Plan, ITN “Sacchs”) based on the new
strategies identified in the draft of 2008-12 MMTSP
• Through different above proposals we have in place
the patchy frame works for MMTSP Needs
Assessment/Gap Analysis which will contribute to
our MTSP Operational/business plan
• The MMTSP (2008-2012) draft still needs
developed/adoptation NA/GA from different recent
proposal to contribute to operational/business plan
(a resource moderation component of MMTSP)
Mkude.S (MD); NMCP/MoHSW
Where are we in line with what is required?
• Mid of November 2008 there is an already planned
NMCP workshop to finalize the draft of the
MMTSP/dissemination
• In principle, we have to review our Goals, Objectives &
Targets in the concept part in the new MMTSP to
address the high universal coverage (80% or above)
concept to every intervention (SUFI).
• The timing for the country initiation process of new
“Malaria Elimination” with regard to MMTSP is perfect
• Finalization of our MMTSP in November 2008 is now a
must! It will in time(!) merge issues from the new
Malaria Elimination initiative required to be reflected in
Mkude.S (MD); NMCP/MoHSW
MMTSP
Where are we in line with what is required?
Requirement 2: In each individual
country WHO country office is
proposed to be focal partner among
country partners
• In Tanzania is a known fact among
Development Partners Group in SWAP:
WHO is the lead partners for health
Mkude.S (MD); NMCP/MoHSW
Requirement 3: Initiation & process for
Needs Assessment
– Identification of preparatory ground key
milestones (Events) for Needs Assessment
– Selection/confirmation of local/
international consultant
– Implementation framework for Needs
Assessment
– Financial requirements
Mkude.S (MD); NMCP/MoHSW
Identification of preparatory ground key
milestones (Events) for Needs Assessment
Activity
Timelines
Budget
Review and finalization
Mid Term Strategic Plan
2008-2012
2nd week of November
2007
Funds available
Dissemination of MTSP
3rd-4th week of
to
November 2007
stakeholders/partners/Re
gional & Districts
representative
$ 50,000
Orientation of MTSP with May 2008
submitted GMP/HWG
business plan frame
work to 21 RHMTs and
Mkude.S (MD); NMCP/MoHSW
130 CHMTs
$ 200,000
Implementation Framework for Needs
Assessments
(Selection of consultants for Needs Assessment)
Activity
Timelines
International
consultant
1st week of
WHO/RBM
December 2007
Local
consultant
1st week of
NMCP/MoH
December 2007
Mkude.S (MD); NMCP/MoHSW
Budget
Implementation Framework for Needs Assessments
Activity
Timelines
Budget
Timing of consultants
•International
consultant
2nd- 4th week
January 2008
(WHO/RBM to cost for
international
consultant)
Local consultant
2nd- 4th week
$ 9,000
January 2008
Arrival of international
consultant
6th Jan 2008
Consultants meet
with NMCP/Desk
Review/Field visit
7th-13th January 2008
Field visit of task force 8th – 13th January
2008
and consultants
Mkude.S (MD); NMCP/MoHSW
$25,000
Implementation framework for Needs Assessments
Activity
Timelines
Summarizing field and
desk review
13th – 14th January
2008
Retreat
14-19th week January
2008
Prepare final draft NA
20th-21st January 2008
Feedback of the 1st draft 22nd-23rd January 2008
to NMCP and
incorporation of
comments
Partners dissemination
and incorporation of any
comments etc
Consultants leave
24th January 2008
Mkude.S
(MD); NMCP/MoHSW
26th
January
2008
Budget
$ 10,000
$ 3,000
$ 20,000
Resources to support WHO country
office
1) to support country initiation process,
needs assessment & Business plan
2) To support scaling up of interventions
Mkude.S (MD); NMCP/MoHSW
RESOURCES FOR NEEDS ASSESMENT FOR WHO estimates
Milestone1:
• Consensus building and briefing on rapid scaling-up at country level
(Government and partners) and support available from HWG
• Mobilise partners to contribute to process at country level (HWG to
debrief partner HQ)
Resource requirements $ 5 000 Nov (WHO costs) for 8 countries
(Approximate :: $625 available for Tanzania in November)
Milestone 2:
Secretariat /Task Force for coordination until Business Plan completed
(country specific depending on country co-ordination mechanism) 6
months
Task force to –pre-review tool
Resource requirement: $5 000 (WHO costs) for 8 countries
(Approximate :: $625 available
Tanzania
for 6 months)
Mkude.S for
(MD);
NMCP/MoHSW
RESOURCES FOR NEEDS ASSESMENT FOR WHO estimates
Milestone 3: Comprehensive needs assessment
Methodology – desk review + data collection & analysis / 4 *
stakeholder meetings (includes districts / regional / provincial
meetings) / field visits / Interviews / retreat
Logistics - $30 000 – $50 000
TA costs - $20 000
(exclusive of 25,000 allocated for NMCP Field visit of task force
and consultants)
Milestone 4: Dissemination meeting
TA costs - $10 000
(exclusive of 25,000 allocated for NMCP Partners dissemination and
incorporation of any comments etc)
Mkude.S (MD); NMCP/MoHSW
RESOURCES FOR SUPPORT TO SCALE-UP FOR WHO - estimates
2008
2009
2010
HR (for 8
ESMC)
See detail
next slide
$760 000 –
$7,990,000
$760 000 –
$7,990,000
$760 000 –
$7,990,000
Office
Operating
costs (includes
$ 300 000
$200 000
$200 000
TA
$200 000
$200 000
$200 000
M&E
$500 000
$400 000
$500 000
Advocacy
$100 000
$100 000
$100 000
training and travel,
transport, stationery etc)
Mkude.S (MD); NMCP/MoHSW
WHO country office /NMCP strengthening issues
(thru WHO funding channel)
•
Technical assistance
 Human Resource:
i. Mainland: M&E, logistician, Program
assistant, IPO (partnership), NPO (existing),
8 zonal officers, 1 NPO (lab).
ii. Zanzibar: - IPO+ NPO, 2 Program assistant
Needed approx $1 300 000 annually
 Communication (fast internet services)
 Short course training on Program
management (managerial skills) to
Mkude.S (MD); NMCP/MoHSW
Program officers;
Some future implementation issues to be
considered
(Raised by NMCP Program Manager during
feed back)
Mkude.S (MD); NMCP/MoHSW
Some implementation considerations
(1)
• Service areas on Technical Strategies no big
deal
• Diagnosis-based treatment
 Diagnostic use
 Treatment use
• Prevention (LLITN + IRS)
 Transmission control with ITNs
 Transmission control with IRS
• Monitoring and evaluation
 Performance monitoring and impact evaluation
• Insurance (protect effectiveness of current tools)
 Efficacy testing
• Operational research
Mkude.S (MD); NMCP/MoHSW
Some implementation considerations
(1)
But probably revisit our capacities on:
• Program management (Organization,
administration, financial management &
reporting)
• District (Region?) & community involvement
(review service delivery arrangement at district
level towards the community ie Community
Malaria intervention package)
• Partnership engagement (including
summarization of various partner contribution,
both financial &human resources as well as
reporting needs
Mkude.S (MD); NMCP/MoHSW
Some implementation considerations
(1)
•
Given the expected very rapid scale up of activities, resource
available & recommended Malaria control package .
i. Coordination (inside NMCP)?
a. Critical analysis of strength & weaknesses of NMCP for
the expected activities
ii. Revisit Home Malaria Management (HMM) approach?
a. Prepare community ant malaria based package(RDTs,
peripheral rectal artesunate, paracetamol, case reporting
data)
b. Should we explore further the issue of (C/VHW) with other
programs (Structural/functions/coverage) and have at
least 2 C/V-HWs per village as 1° implementers of HMM
(Approx 20,000 C/V-HWs country wide)
Mkude.S (MD); NMCP/MoHSW
Some implementation considerations
(2)
iii. Coordination (outside NMCP)?
a. Should we explore further the potential roles of
“Regional Malaria Focal Person” (RMIFP)? Train
them with CMIFP like package?
b. Should we find the way to facilitate the RMIFP to
easily access the districts? (4-wheel car?, fuel?)
c. NGOs network to facilitate CHMTs (CMIFP)
coordination of C/V-HWs ? Through peripheral
HFs? etc etc
Mkude.S (MD); NMCP/MoHSW
Rapid scaling up to 80%! 2008-10! Within 36 months!
What are the implications?
I hope we are clear on the burden of activities!
Thank you
for
listening
Mkude.S (MD); NMCP/MoHSW