Roadmap Progress Report 2011 Zambia SARN-RBM PARTNERS ANNUAL CONSULTATIVE MEETING, JULY 2011

2 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 $) SOURCECOMMENT 4,023,750 11,000,000 WB 800,000 LLINs – MOH Distributed 1,500,000 LLINs – MOH Procurement in process GFATM R7 Reprogrammed454,815 LLINs – MOH being distributed 582,250 LLINs - UNDP 200,000 LLINs - CHAZ DFID1,000,000 LLINs - Distributed 10,400, ,000 PMI 500,000 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 $) SOURCECOMMENT Anglican Council 110,000 LLINs for mass distribution 200,000MACEPA40,000 LLINs - procured and distributed

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

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 $) SOURCECOMMENT 4,867,249World BankFor procurement of commodities and implementation GRZ 6,250,000PMIFor procurement of commodities and implementation

Households reported sprayed in the previous 12 months, Zambia

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 requiredProgress from Jan to June ,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).