1. 1 Zanzibar Roadmap to Achieve RBM Targets, 31.12. 2011 January 2011 – December 2011

2. 2 Zanzibar Summary (Interventions & Services) Population at Risk: 1.3 million; projection 2011 Interventio n Operational objectives/targets for 2011 Need to 2011Already covered Funded and expected to be distributed before end of 2010 Commodity Gap (Quantity) Financial Gap ( EURO) LLINs (Universal Access) To achieve universal coverage in 2011 Description: Population projection 2011 (1,308,458) average household size 5.3 (Census 2002) Total households will be 246,879 on both Islands. The Universal Coverage requires 3 LLINs per household. Total number of nets required to reach the operational target LLINs required 740,637 Active nets already in the community LLINs distributed per year. 164,177 - 08 124,944- 09, 29,853 –10 33% LLINs worn out per year Estimated LLINs in the Community 135,048 Total number of nets for which financing is already pledged 268,877 GFATM Round 8 30,000 UNICEF Number of nets for which financing has to be mobilized to achieve the operational target within 2011 306,711 If there is any gap, please respond. 1,380,202 No funds earmarked

3. 3 Country Summary (Interventions & Services) Interventi on Operational objectives/targets for 2011 Need to 2011Already covered Funded and expected to be distributed before end of 2010 Commodity Gap (Quantity) Financial Gap (USD) ACTs To sustain the existing Universal coverage Definition: population treated through the public health services and private sector ACTs treatment doses required 90,981 Treatment doses in stock Financing for 90,981 treatment doses is committed No gap for 2011 No gap so far

4. 4 Country Summary (Interventions &Services) (Cont'd ) InterventionOperational objectives/targets for 2011 Need to 2011Already covered Funded and expected to be distributed before end of 2010 Commodity Gap (Quantity) Financial Gap (USD) IRSIRS targeted districts – 6 th cycle. To sustain coverage of 85% of the spraying 150,000 structures Insecticides, equipment and human resource Adequate resources for 2011 are available. IRS activity expected to be conducted by January 2011. IRS materials already in stock Insecticide to arrive by Dec 2011. Other supplies are available. Total number of IRS materials for which financing is already pledged or committed Funding: A total of $700,000 requested from PMI None FYI-2010/2011 No gap for I RS activities RDTs and microscopy To screening fever cases and ensure that all suspected Malaria cases are confirmed by Microscopy or RDTs 779,150 RDTs kits required Currently no RDT stock out. RDTs consignmen t will be delivered to Zanzibar in instalment phases throughout 2011 Funding for 779,150 RDTs kits committed None No financial gap

5. 5 ZanzibarCountry Summary (Interventions &Services) (Cont'd ) InterventionOperational objectives/targets for 2011 Need to 2011Already covered Funded and expected to be distributed before end of 2010 Commodity Gap (Quantity) Financial Gap (USD) IPTpTo expand IPT coverage to 95% Total number of doses (2 per preg women) to be made available during the year to cover pregnant women – 4 % of the population Doses already in stock 47,822 dosesNone

6. 6 Country Summary (Cross cutting issues) InterventionOperational targets/Objectives for 2011 Strategies/ActionsResource requirement (USD) Available budget (USD) Budget Gap (USD) M&E To strengthen existing SM&E systems through building capacity technically and financial to a level of universal surveillance Provide TA in epidemiological surveillance Conduct operational research to inform programmatic decision District empowerment to respond to unexpected increase of malaria cases. 1,046,804 646,804400,000

7. 7 Country Summary (Cross cutting issues) InterventionOperational targets/Objectives for 2011 Strategies/ActionsResource requirement (USD) Available budget (USD) Budget Gap (USD) BCC/IEC1.To increase understanding about current malaria situation in Zanzibar. 2.To increase the proportion of H/Hold aware of the importance of taking someone with fever for malaria screening. 3. To increase the proportion of Health Committees and NGOs supporting communities in malaria community based activities. 1.To strengthen links between communities and health facilities. 2.Setting up mechanism to monitor and evaluate current BCC activities. 573,737 Nil

8. 8 Implementation Plan - LLINs Major action / Output / Milestone TIMEFRAME 2011 JFMAMJJASOND Preparation (literature search, selection of tech team etc) Technical ITNs/LLINs working group to re-define the current distribution policy and calculate LLINs requirements Convene a meeting with donors interested in supporting LLINs to discuss the needs for 2011 Agree on funding Timeliness for funding availability Tendering of LLINs Procurement Distribution

9. 9 LLIN resources available ( including timing of disbursements ) to achieve the 2011 targets Funds available (USD)Source of fundingCommentTIMEFRAME JFMAMJJASOND No funds availableFinancial mobilisation is required. Financial support is need to fulfil the present gap. Failure to do so, LLINs Universal Coverage in Zanzibar will not be achieved.

10. 10 Implementation Plan - IRS Major action / Output / Milestone TIMEFRAME JFMAMJJASOND IRS operation in 8 districtsXX Monitoring and supervisionXX Report writing and disseminationXX Monitoring of insecticide resistanceXX Please note: IRS planning including logistics preparation to be completed before actual implementation.

11. 11 IRS resources available to achieve the 2011 targets Funds available (USD)Source of fundingCommentTIMEFRAME JFMAMJJASOND Funds [700,000] to procure IRS materials and actual operation PMI/USAIDNone xx

12. 12 Case Management resources available to achieve the 2011 targets Funds available (USD)Source of fundingCommentTIMEFRAME JFMAMJJASOND Funds to procure [90,866] of ACTs The Global Fund to fight AIDS, TB and Malaria --XX Funds to procure [779,150] of RDTs PMI/USAID and The Global Fund to fight AIDS, TB and Malaria --xx

13. 13 Implementation Plan – IPTp Major action / Output / Milestone TIMEFRAME JFMAMJJASOND Operation research on placenta parasitaemia in low endemicityXX

14. 14 Summary of technical assistance needs to end 2011 Area of Need Type of support required Resources available Source of funding TIMEFRAME JFMAMJJASOND LLINs No need, already covered IRSNo need ACTTechnical medical professional knowledge and skills on malaria case management based on low endemicity NoneNot applicable X Cross cutting Support to NGOs Report writing Proposal development Monitoring of activities NoneNot applicable XX Program Managem ent / Partnershi ps No need GF Grant Implement ation No need