1 Roadmap to Achieve RBM Targets GHANA January 2011 – December 2011

2 Country Summary (Interventions & Services) Population at Risk: 23,832,495… Interventi on Operational objectives/target s for 2011 Need to end 2011 Already coveredFunded and expected to be distributed before end of 2011 Commodity Gap (Quantity) Financial Gap (USD) LLINs (Universal Access) To expand coverage from 52.1% (2009 HPG/JSA) to 70% by end of 2011 * Universal coverage target was calculated base on 1 net for 1.8 persons Mass Campaign: Total number of nets required to reach the operational target ( /1.8)*70% = 9,268,193 Mass Campaign: Active nets already in the community 2,089,000 (already distributed before 2010) + 566,900 (distributed in Northern region in May 2010) + 500,000 (to be distributed in November in Eastern region) = 3,155,900 # based on number of nets already distributed in last three years Mass Campaign: Total number of nets for which financing is already pledged 3, (GF) + 2,300,000 (UNICEF/DFID) + 2,280,000(PMI) + 400,000 (World Bank) Mass Campaign: Number of nets for which financing has to be mobilized to achieve the operational target within ,249,667 Include funding total gap 8,747,699 $7 per LLIN) Total nets needed in 2011 = 9,268,193 Total nets already distributed = 3,155,900 Total nets where financing is already pledged= 8,018,526 Total gap (number) 1,249,667 Total gap (US$) 8,747,699

3 Country Summary (Interventions & Services) Interventi on 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) ACTsTo expand coverage of malaria treatment with ACTs to Universal coverage by the end of 2011 (HBC at community level and AMFm will address private sector needs as well as public sector) universal coverage target ; whole population, population treated through the public health services and private sector etc) Total number of doses to be made available during the year 14,493,253 12,869,335 (Public&Private Facilities) 1,623,918 (HBC) Source: Budget Justification Doses already in stock N/A Number of doses for which financing is already pledged or committed 14,493,253 00

4 Country Summary (Interventions &Services) (Cont'd ) Interventio n Operational objectives/targets for 2011 Need to end 2011Already covered Funded and expected to be distributed before end of 2011 Commodity Gap (Quantity) Financial Gap (USD) IRS To expand coverage to of the population through spraying of 16 districts Protecting 1,190,000 people in 16 districts 9 districts16 districts00 RDTs and microscopyTo expand coverage of parasitological diagnosis to all public facilities *define coverage target e.g. whole population, population treated through the public health services and private sector etc Total number of RDTs to be made available during the year 6,579,665 N/A6,579,66500 Total number of microscopy tests to be made available during the year 160 Microscopes 70 Microscopes distributed before September Microscopes to be procured by PMI before the end of Total diagnosis target 14,493,253 total diagnostics already in stock Total diagnostics already pledged 6,579,665 Total gap in diagnostics 0 0

5 Country Summary (Interventions &Services) (Cont'd ) InterventionOperational 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 To achieve universal coverage by ,482,173 doses to be made available during the year to cover 100% of pregnant women N/A2,482,1730 0

6 Country Summary (Cross cutting issues) Interventio n Operational targets/Objectives for 2011 Strategies/ActionsResource requirement (USD) Available budget (USD) Budget Gap (USD) M&E 1. To improve upon timeliness, completeness and accuracy of data collected, as well as its analysis and interpretation, so as to more effectively guide policy decisions, assess progress, and outcomes of malaria control interventions 2. To establish and maintain effective data sharing at all levels using appropriate media. Improve routine data collection Data reporting through data quality audit Malaria Indicator survey Review meetings at all levels Monitoring of malaria drugs and other commodities Partnerships / collaborations for outcome and impact evaluations 6,948,632 4,724,432 (GF) 2,224,200 (PMI) 6,948,6320

7 Country Summary (Cross cutting issues) Interventio n Operational targets/Objectives for 2011 Strategies/ActionsResource requirement (USD) Available budget (USD) Budget Gap (USD) BCC/IECTo increase awareness among the community as well as health workforce on malaria control and prevention activities. Provide greater access to appropriate information on malaria prevention and control and facilitate demand for service. 5,607,263.2 (GF and PMI)5,607, Human Resources (Cap Bldg) Insert others as required e.g. CSS, HSS, OR

8 Assumptions for calculating the needs (Quantity and Funding) to achieve 2011 Targets Justify the assumptions used for calculating the targets Assumptions for calculating needs have been stated on each section.

9 Implementation Plan - LLINs Major action / Output / Milestone TIMEFRAME JFMAMJJASOND Planning XO Procurement (final stage) XO BCC XXXXXOOOOOOO Pre-registration XXOO Trainings ; (hang-up, logistics, pre-registration) XXXOOO LLINs distribution and hang-up XO Monitoring and supervision XO Post distribution evaluation XO Review and planning of keep up strategy (routine distribution) XXXXXXXXXXXX

10 LLIN resources available to achieve the 2011 targets (including timing of disbursements) Funds available (USD)Source of fundingCommentTIMEFRAME JFMAMJJASOND Funds [USD] to procure 21,104,621 10,400,000 2,800,000 16,100,000 GFATM PMI World Bank* UNICEF/DFID* Funds already available *Estimate based on $7 per LLIN X X ? ? Funds (USD) to deliver (no) of LLINs Approximately 1,100,000 PMI Difficult to quantify now Cost to distribute through campaigns approximately $0.63/LLIN

11 Implementation Plan - IRS Major action / Output / Milestone TIMEFRAME JFMAMJJASOND PMI/GHS: Planning, Pesticide Selection & Procurement according to national guidlines XX Set up of district operations, hiring, etc (9 districts, approx 30 operational sites ) XXX Spray operations – 9 districts XXX Post Spray Round Evaluation & Demobilization XX Second spray round (1/2 districts) – operational research XX Entomologic monitoring XXXXXXXXXXXX GF/AGA: Tax waiver impasse resolved, reconnaissance & planning start X Procurement schedules XX Baseline Entomologic and Epidemiologic studies XX Set up of district operations (7 districts, UE Region & Ashanti Region) XXX Spray operations – 7 districts (biannual - details TBD) XXXXX Monitoring and evaluation (bioassays, insecticide resistance,etc) XXXXXXXXXXXX Entomological Monitoring XXXXXXXXXXXX

12 IRS resources available to achieve the 2011 targets Funds available (USD)Source of fundingCommentTIMEFRAME JFMAMJJASOND Funds [USD] to spray [no] of structures Financing Organization $7.0 m for Year 1 (approx) $ 9,342,972 6,034,000 million GF PMI XXXX X

13 Implementation Plan – Case Mgt Major action / Output / Milestone TIMEFRAME JFMAMJJASOND Training health workers on case mgt XXXXXX Training for pharmacist, LCS and medical counter assistants XX Training of community volunteers on HBC XXXXXXXXXXX Post-training follow-up XXXXX Supportive supervision of health workers XXXX Procurement; ACTs, RDTs, etc. (last stage) XX Lab quality assurance exercises (200+ labs) XXX Monitoring and evaluation; HMIS XXXX Operational research XXXXXXXXXXXX Drug quality, post market surveillance, pharcmaovigilance Drug efficacy monitoring (Completed in 2010) AMFm implementation and monitoring XXXXXXXXXX X

14 Case Management resources available to achieve the 2011 targets Funds available (USD)Source of funding CommentTIMEFRAME JFMAMJJASOND Funds to procure [no] of ACTs 770, GFATMFunds already available Funds to deliver (no) of ACTs GoGDifficult to quantify now Funds to procure [no] of RDTs 3,289,833 GFATMFunds already available Funds to deliver (no.) of RDTs GoGDifficult to quantify now

15 Implementation Plan – IPTp Major action / Output / Milestone TIMEFRAME JFMAMJJASOND Training of health workers XX Procurement of SP Supportive supervision XXXX

16 IPTp resources available to achieve the 2011 targets Funds available (USD)Source of fundingCommentTIMEFRAME JFMAMJJASOND Funds to procure [no] of IPTp doses for pw 248, ,000 Enter financing Organization GFATM PMI Funds already available Funds to distribute procure [no] of IPTp doses GoGDifficult to quantify

17 Summary of technical assistance needs to end 2011 Area of Need Type of support requiredResources available Source of funding TIMEFRAME JFMAMJJASOND LLINs--- IRSHigh level support for coordination and harmonization of partners involve in IRS 0NilX ACTQuantitification of ACTs taking into consideration the impact of all other ongoing interventions 0NilX Logistics/Supply Chain Management 0NilX RDTs/micr oscopy How to address bottlenecks in implementation of AMFm with RDTs --XX Cross cutting Malaria programme reviews Documentation of best practices on LLINs, IRS, HMM -XXX

18 Summary of rate-limiting factors/solutions over the next 12 months - threats Potential threats to achieving targets Delays in procurement Challenges in acquiring the necessary tax waiver /exemptions Challenges in achieving behavioral change. E.g how to get all pregnant women to take full doses of IPT and how to get people to sleep under ITNs