1 Roadmap to Achieve 31.12.2011 RBM Targets Zimbabwe January 2011 – December 2011
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Roadmap to Achieve 31.12.2011 RBM Targets
Zimbabwe
January 2011 – December 2011
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Country Summary (Interventions & Services)Population at Risk: ?
Intervention Operational objectives/target
s 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 distribute Nets for universal coverage
by 2011
2.4m nets to be distributed by 2011.
Universal coverage calculated based one net per 1.8
people (Average of 5 persons per household)
Mass Campaign:
600 000 nets required to be to meet universal
targets (funding to yet secured)
Mass Campaign:
1.8 million nets have
been distributed in
2010
Mass Campaign:
Nil
Mass Campaign: Number of
nets for which financing has
to be mobilized to achieve the
operational target within
2011=600 000
USD 6.0 m
Routine distribution:
400 000 required for maintenance and
keep up
Routine distribution:
Not yet carried out
Routine distribution:
Nil
Routine distribution:
Number of nets for which financing has
to be mobilized to achieve the
operational target within
2011=400 000
USD4.0m
Total nets needed in 2011 = 1.0 m
Total nets already
distributed =
1, 800,000
Total nets where financing is
already pledged =
2011 - nil
Total gap (number)
= 1 000 000
Total gap
USD 10.0m
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Country Summary (Interventions & Services)
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)
ACTs To expand coverage of malaria treatment with
ACTs to 85% of 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
is
1,500, 000
Public sector
1.500 000 Number of doses for which financing is already pledged
or committed
1,500,000
doses fully funded
doses additional
financing has to be mobilized to achieve the
planned operational
target
- Nil
Nil
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= Total number of
sprayable rooms in the targeted area.
To sustain coverage of 90% of the population through
spraying of 640000 Households
To conduct geo coding for IRS
The total number of rooms to be sprayed protecting 90% of the population
The cost per household sprayed.=$10
Cost of geo coding = 80 000 per province * 8
The number of rooms which can sprayed using existing resources 3,200,000 rooms
Covered 3 provinces
Total number of rooms for which financing is already pledged or committed = 1,983784
Nil
Number of rooms for which additional financing has to be mobilized to achieve the planned operational target
=1,216,216 (304 050 house holds)
5 provinces
USD 3, 440 m
RDTs and microscopy
To expand coverage of parasitological diagnosis to
85% of whole population
*define coverage target e.g. whole population, population
treated through the public health services and private
sector etc
4,500, 000 RDTs
Total number of RDTs to be
made available during the
year
4,500,000
Number of RDTs already pledged
or committed
Nil
Nil Nil
Number of microscopes to be made available during the
year
0
microscopes
Microscopes already
in stock
500
microscopes
Number of microscopes for which financing
is already pledged or committed
NONE for 2011
No. of microscopy tests
for which additional
financing has to be mobilized to
achieve the planned
operational target
Nil
Nil
5
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)
IPTpTo expand coverage to 80%
of all pregnant women (if Universal coverage still not
feasible within 2011)
Total number of doses to be made available during
the year to cover 80% of pregnant
women
11,800,000
Doses already in
stock
9,975,000
Number of doses for which
financing is already
pledged or committed
1,825,000
doses (USAID)
Number of doses for
which additional
financing has to be
mobilized to achieve the
planned operational
target
Nil
Nil
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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
80% of selected health facilities submitting timely and complete reports
To strengthen the existing Joint M&E Framework and build capacity of the management structures to support the increased scope due to scale up in order to ensure improved results based monitoring.
Strengthen routine data generation and flow from public/private facilities and communities to NHIS
Strengthen capacity for M&E at all levels
Scale up support and networking for data generation and reporting from the community to health facility, district, provincial and national levels.
Strengthen data generation and sharing from periodic surveys including nets utilization and BCC uptake)
713 000 513 000 200 000
Human Resources (Capacity Building)
To strengthen capacity of health workers in different malaria thematic areas
Improve technical skills and knowledge
amongst the health workers
500 000 150 000 350 000
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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)
BCC/IEC To reach 80% population (Gate keepers, Individuals, Families, Communities) with BCC messages to improve positive behaviour change for malaria control interventions through advocacy, communication and social mobilization
Advocacy
- Meetings at national, province and District-Commemorations-Press conferences
(Advocacy packages)
Social mobilization-Post LLIN hang up campaign-Cross border BCC meetings-Preseason campaigns
(Promotional materials)
BCC-Mass media- TV and Radio spots, Shot films
- Outreaches community meetings,
Road shows and drama
- BCC/IEC materials (Posters, flyers, brochures, Bill Boards)
$1 200 000 $203 153 $996 847
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Assumptions for calculating the needs (Quantity and Funding) to achieve 2011 Targets
Justify the assumptions used for calculating the targets
• LLIN– routine nets based on 90% of pregnant women accessing ANC (maintenance and keep up)
– One net per 1.8 people
• IRS– It is assumed that one house hold has an average of 4 rooms and these will be covered by
one chemical sachet.
• RDT/Microscopy– Parasitological diagnosis targets all suspected cases for all age groups with 20%
microscopy and 80% RDTs (Community case management included)
IPTp– 3 doses of SP was calculated for 80% coverage for estimated numbers of pregnant women
derived as 5% of projected population for 2011 .
– A cost of a dose of SP was set at $0.53.
– 3 doses of IPTp were considered due to HIV prevalence of 10%
BCC
– Universal coverage for BCC targets 90% of population in the malarias areas using interpersonal communication , IEC and promotional materials
– The target for BCC material distributions (brochures, pamphlets) targets house hold and health facilities and posters target schools , health facilities and shops
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Implementation Plan - LLINs
Major action / Output / Milestone
TIMEFRAME 2011
J F M A M J J A S O N D
Continued advocacy in provinces/districts for mass LLIN Campaign
x x
Distribution of LLIN during mass LLIN Campaign x x
Post LLIN Campaign - Hang up campaign x x x x
Procurement of LLIN for routine distribution (not yet available)
Distribution of LLIN for keep up phase during routine immunization, ANC (not yet available)
LLIN retention and use survey x x x
10
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
No resources available (for 2011)
Available funds in 2012 –GF R10
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Implementation Plan - IRS
Major action / Output / Milestone
TIMEFRAME
J F M A M J J A S O N D
Baseline entomological survey x x x
Identify and conduct TOT for IRS supervisors x
Recruitment and training of IRS Spray teams x x
Mobilize communities for house spraying x x x x x
Quantification and procurement of Insecticides X x x x
Spraying in targeted wards x x x x
Post spray entomologic monitoring ( Bio assay tests, residual monitoring) X X X x
Evaluation survey ( Sentinel sites, KAP survey) x x x
Monitoring of insecticide resistance x x x
Geographical reconnaissance (Balance on geographical reconnaisance) x x x x
Report writing and regular debriefing of IRS activities X X X x
Conduct an evaluation of the IRS program x
Conduct a planning and program review meeting x X
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IRS 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 [USD] to spray [no] of structures
Households 640 000
@ $10 per households= $6,400,000
Global Fund
Government of Zimbabwe
x x
x
x
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Implementation Plan – Case Mgt
Major action / Output / Milestone
TIMEFRAME
J F M A M J J A S O N D
Request for TA to develop MIP training manual x
Mobilize resources to fill financial gap for ACT and RDT requirement. x X X
Training of community health workers on case management x x x x x x x
Monitoring of anti-malarials compliance x x x
Training of health workers in secondary and tertiary facilities on management of severe malaria
X X X X
Development of training manuals on IPT X X X
Supervision of CHWs on use of RDTs x x x x x x
Monitor the procurement and supply chain system for ACTs and RDTs X X X X
Continued support for drug efficacy monitoring x x x
Supervision of community health workers x x x x
14
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 1,500,000 ACT doses Global Fund
x x
Funds to procure 4,500, 000 RDTs
Global fund x x
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Implementation Plan – IPTp
Major action / Output / Milestone
TIMEFRAME
J F M A M J J A S O N D
Monitor the Procurement and Supply Chain system for Sulphadoxine Pyrimethamine x x x x
HW training in Case Management and MIP x x x
TA on development of MIP/IPTp guidelines x X X
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IPTp 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 [no] of IPTp doses for 608 333 -Pw
Appr - USD 322 416 .49
USAIDTotal number of doses required = 1 825 000
x x x x
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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
Community meetings to promote malaria prevention x x x x x x x x
Commemoration of 2011 World Malaria Day x
Training of Journalists in Print and News Media on prevention and treatment of Malaria x x x x x x
Provincial BCC planning meeting
x x x x
Production, distribution and airing of communication support(IEC materials) x x x x x x x x x x x x
Advocacy, policy and mass media interventions x x x x x x x x x x x x
Corporate communication and NMCP website
Operation research x x x x
Quarterly supervisory visit to the Statesx x x x
Data generation and sharing x x x x
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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
Community meetings to promote malaria prevention
Commemoration of 2011 World Malaria Day x
Commemoration of 2011 SADC Malaria Day X
Training of Journalists of Print and Electronic Media on prevention and treatment of Malaria x x
Provincial BCC planning meetingx
Production, distribution and airing of communication support (IEC materials) x x x x x x x x x x x x
Advocacy, policy and mass media interventions x x x x
Corporate communication and NMCP website
Operation research x x x x
Quarterly supervisory visit to the Provincesx x x x
Data generation and sharing x x x x
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Cross-cutting 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
Monitoring and Evaluation
$1,431,975 Global Fund x x x x x x x x x x x X
BCC/IEC $714,114 Global Fund 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
Case Management
Case Management Audit
50 000 Global Fund
x x
BCC Ward Health Team Assessment
25 750 Global Fund
x x x
Case Management
Development of MIP/IPTp training manuals
12 000 Global Fund
x x
Cross cutting
Malaria Programme Review support
114 000 SARNGoZ
x x x x x x
Total for TA
As above 201 750 GFATM
SARN
GoZ
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
There is possibility of delay In the release of funds for implementation.
There is possibility of delay in commodity procurement and supply
Delay and under-reporting from the NHIS: Surveillance, M&E:
Inadequate funding
Staff attrition