1 roadmap to achieve 31.12.2011 rbm targets eritrea january 2011 – december 2011
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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
4
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
10
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
11
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
14
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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