Roadmap to Achieve RBM Targets September 2009 – December 2010 Malawi

Country Summary InterventionNeed to 2010Already covered Funded and expected to be distributed before end 2010 Gap LLINs (Universal Access) 6,904,139858,026 1,797,4634,248,650 ACTs 5.9million doses 5.9million IRS (financial need) RDTs 4,888, ,1124,070,185 IPTp 690, million doses M&E (financial need) BCC/IEC Human Resources (Capacity Bldg) (financial need) Other Population at risk: (Whole population)

LLIN resources available to achieve the 2010 targets FUNDS AVAILABLE (US $) SOURCECOMMENT Funds to procure 1.0 million LLINs PMI Funds to procure.797 million LLINs Global FundAlthough in GF round 9 funds for universal access were included in 2011 but this could be frontloaded (reprogrammed) in order to achieve the 2010 targets

LLIN Ordering & Distribution to end 2010 Quantities6.9 million Procurement datesFebruary 2010 Expected deliveryAugust 2010 Campaign DateOctober 2010 BCCSeptember 2010 Community mobilizationSeptember 2010 DistributionOctober 2010 Mechanisms of distribution National Mass distribution Monitoring and evaluationNovember 2010

ACT resources available to achieve the 2010 targets FUNDS AVAILABLE (US $) SOURCECOMMENT 5.6millionGlobal Fund Consolidated grant round 2 & million dosages could cover community based distribution as well

Case management ACTs required5.9 million RDTs required4.0 million Procurement schedulesFebruary 2010 BCCSept.09 – Dec 2010 Mechanisms of distribution Delivered straight to Health centre Drug Efficacy Monitoring Monitoring and evaluation

IRS resources available to achieve the 2010 targets FUNDS AVAILABLE (US $) SOURCECOMMENT 5.0 millionMOH (SWAP)This will be used for procurement of equipment, insecticies and PPE

Indoor Residual Spraying Pyrethroids required Procurement schedulesJan – Feb 2010 DistributionJune – July 2010 TrainingJuly – August 2010 BCCMay. 09 – Nov 2010 SprayingOct – Nov 2010 Monitoring and evaluation (bioassays, insecticide resistance etc) December 2010

Other core interventions to be delivered over the next 17 months Malaria Programme Review –April – May 2010 Drug efficacy studies –January – February 2010 Vector susceptibility studies –August – September 2010 Development of Malaria Strategic Plan –June -July 2010 Pharmacovigilance –August 2009 DHS –September 2009

Other core interventions to be delivered over the next 17 months MIS –November – December 2010 BCC campaign –August – November 20 Orientation of health workers on LLINs mass distribution Orientation of local leaders on LLINs mass distribution Training of Trainers at district level on RDTs - Training of health workers at health facility level on RDTs Training of CMDs on ACTs use

Summary of rate-limiting factors over the next 17 months Delay in disbursement of funds Delays in procurement processes Staff attrition Availability of commodities on the market such as LLINS and ACTs as well as RDTs

Summary of technical assistance needs to end 2010 NeedFrom whom IRSWHO MPRWHO MISWHO PharmacovigilanceWHO