18.11.09 Kenya Roadmap to Achieve 31.12.2010 RBM Targets September 2009 – December 2010.

18.11.09

KenyaRoadmap to Achieve 31.12.2010 RBM Targets

September 2009 – December 2010

18.11.09

Country Summary

Intervention Need to 2010 Already covered

Funded and expected to be distributed before end 2010

Gap

LLINs 13,797,115 Nets 5,685,217 2,756,147 11,040,968

ACTs 21,932,875 Doses19,000,000 (14.2m by GF, 4.8m by PMI)

2,932,875

IRS 2,785,511HH 52,484 HH 2,733,027 HH

RDTs 4,487,220 Tests 340 128,000 tests GF 4,359,220

IPTp 12,418,329 Tablets12,418,329 Tablets

0

Quinine 23,457,476 Tablets 23,457,476 Tablets 0

Population at risk: (27m in 2010)

18.11.09

Country Summary -2.Population at risk: (27m in 2010)

Intervention Need to 2010 Already covered

Funded and expected to be distributed before end 2010

Gap

M&E $ 23,711,825 (6% of total budget)

GF= 569,500

PMI= 375,00022,767,325

BCC/IEC$ 8,210,432

1mGF=686,000 7,524,432

Human Resources (Capacity Bldg)

$ 2,597,715 - $ 2,597,715

Others:

Service Delivery

18.11.09

LLIN resources available to achieve the 2010 targets

FUNDS AVAILABLE (US $)

SOURCE COMMENT

Mechanism and when

Available Total Need Gap

1,000,000

500,000

GFIV

WB

Routine through ANC and CWC 2009Routine for HIV +ve 2009

1,500,000 2,724,201 1,224,201

1,000,000

600,000

2,700,000

GFIV

PMI

DFID

Routine through ANC and CWC 2010Routine as above 2010Routine

4,300,000 11,948,344 9192197*

2,824,551 DFID Routine 2011 2824,551 4,673,322 1,848,771

7,624,551 TOTAL TOTAL 8,624,551 19,355,867 12,265,169

18.11.09

LLIN Ordering & Distribution to end 2010

Quantities Unknown

Procurement dates Unknown

Expected delivery Unknown

Campaign Date On going for the routine nets

BCC

Community mobilization For routine nets ongoing

Distribution Campaign: Fixed point of pre-registered Households, Routine: through Antenatal clinics (ANC) and Child Welfare Clinics (CWC)

Mechanisms of distribution Routine through HMIS. Campaign through campaign tools with a post evaluation.

Monitoring and evaluation Unknown

18.11.09

Case management (ACTs)ACTs required Requirements for 09/10 is 27,237,339

Stock on hand 5,294,464

Needs 21,932,875

Procurement schedules (ACTs)

Oct 2009 4,800,000 (PMI)

2010 14,200,000 (G.F.)

BCC On-going

Mechanisms of distribution

HF treatment (Public and Mission)

Drug Efficacy Monitoring

2009: ongoing

Monitoring and evaluation

2010: HF Assessment conducted Bi annually

18.11.09

ACTs resources available to achieve the 2010 targets

ACT doses SOURCE COMMENT

when Available Total Need Gap

4,800,000 President’s Malaria Initiative (PMI)

Oct 2009 4,800,000 4,800,000 -

14,200,000 Global Fund

2010 14,200,000 17,132,875 2,932875

18.11.09

Case management (Parasite based diagnosis)

Microscopy 100 microscopes

RDTs required 4,487,220 tests

Procurement schedules (RDTs)

Training 1,045 Participants on QA/QC for microscopy, Refresher training for RDT use, Policy development ongoing

BCC On-going

Mechanisms of distribution To Health Facilities

Drug Efficacy Monitoring/Quality Assurance

Quarterly QC/QA

Monitoring and evaluation Roll -out pilot survey for RDT

Evaluation of Adherence to SOPs in Diagnostics

18.11.09

RDT resources available to achieve the 2010 targets

FUNDS AVAILABLE (US $) SOURCE COMMENT

128,000 GF Rnd IV Phase II

Procurement in process.

18.11.09

IRS resources available to achieve the 2010 targets

FUNDS AVAILABLE (US $) SOURCE COMMENT

2,872,977

GF Workplan for Rnd IV Phase II Year 4 for commodities and operational costs

7,000,000 PMI Total PMI support about 40m and assumming 30% is dedicated to IRS for commodities and Operational cost

18.11.09

BCC resources available to achieve the 2010 targets

FUNDS AVAILABLE (US $)

SOURCE COMMENT

Available Total Need Gap

686,000 GF Rnd IV Phase II

686,000 8,210,432 7,524,432

18.11.09

IPTp resources available to achieve the 2010 targets

FUNDS AVAILABLE (US $) SOURCE COMMENT

PMI APHIA , JHPIEGO

DFID WHO

18.11.09

Intermittent Preventive Therapy:

SP doses required 4,139,443

Procurement schedules KEMSA

Distribution Malaria endemic areas (Nyanza, Coast, Western)

Training Training targeting ANC staff

BCC PSI

Monitoring and evaluation

Central, Provincial, District levels

18.11.09

Other core interventions to be delivered over the next 14 months

• HSS issues:

– Improving utilization of ANC services

– Recruiting and training community health workers

– Community systems strengthening

– Expand HR capacity

• Recruitment at all levels

• TAs from Partners and Private-Publication

Partnership

– Coordination:

18.11.09

Challenges• Delayed disbursement of Global Fund

Round IV phase 2

• Rejection of Global Fund Round 9 proposal

• Consequences of above:– Impending ACT stock out from Dec 2009– No universal coverage by LLINs– Failure to achieve country RBM targets

18.11.09

Summary of rate-limiting factors over the next 14 months

• Funding gap for commodities

– LLINs

– IRS

– RDTs

– IEC/BCC

– M&E

• Procurement bottlenecks

– Long processes,

– Delayed disbursements from Global Funds

• Human resource needs

– M&E

– Logistics

– Planning and coordination

18.11.09

Summary of technical assistance needs to end 2010

Need From whom

Technical support for the development of standardized curriculum for laboratory staff

WHO/PMI

Technical support for the development of malaria laboratory QA and QC

WHO/PMI

Technical support for the development of central malaria reference laboratory

WHO/PMI

Technical support for the development/review of laboratory diagnostic guidelines

WHO/PMI