MAPS Support to Malaria Control Efforts in Nigeria

7/31/2019 MAPS Support to Malaria Control Efforts in Nigeria

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Malaria Action Program for States (MAPS)

Malaria Action Program for States

(MAPS) Project


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Introduction Malaria Action Program for States (MAPS)

Five-year USAID award with funds from the President MalariaInitiative (PMI)

Managed by a consortium: FHI360 (formerly Academy forEducational Development), Malaria Consortium and HealthPartners International

Project States:

Cross River, Nasarawa and Zamfara Benue, Ebonyi and Oyo

Kogi


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Result Framework

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Intermediate Results (IRs)

IR 1: Increased access to malaria prevention interventions Long Lasting Insecticidal Nets

Intermittent Preventive Treatment for Malaria inpregnancy

IR 2: Improved malaria diagnosis and treatment services Parasite based Diagnosis (mRDTs and microscopy)

Treatment

IR 3: Increased awareness, knowledge of malaria preventionand treatment services


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Intermediate Results (IRs)

IR 4: Improved capacity for malaria program managementat the State and LGA level

IR 5: Strengthened management Information System formalaria at facility, LGA, State and national levels


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IR 1: Increased access to malariaprevention interventions.(1)

Long Lasting Insecticidal Nets Increase ownership of nets within the household

Hanging & maintenance of nets

Promote net use

Strategies/Approaches:

Campaigns (Stand-alone, Integrated, Top-Up)

Continuous/Routine

Ante natal Care clinics

Community Directed Interventions Schoolbased distributions


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IR 1(2)

Intermittent Preventive Treatment (IPT)

Aims to increase utilization of malaria prevention services

during pregnancy

Strategies/Activities:

Forecasting of commodities (SP)

Procure and distribute SP (gap filling)

Supporting system strengthening-logistics

Build capacity of providers Monitoring and reporting of utilization

Explore community structures


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IR 2: Increased malaria diagnosis andtreatment services

Prompt diagnosis and effective treatment of malaria

Policies and guidelines issues addressed at National andstates

Forecast commodity need (gap filling)

Distribute (mRDTs, microscopes & supplies, ACTs,Quinine, Artesunate Inj) (In collaboration with DELIVER)

Build capacity of providers using service delivery modules

Commodity management within health facilities in the focalstates

QA, certification and accreditation

Support for Malaria Commodity Logistics System


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IR 3: Increased awareness, knowledge of malariaprevention and treatment services

Cross cutting intervention for malaria control

Establish forum for addressing issues in communicationsfor malaria

Develop/update ACSM frameworks, guidelines, manuals.

Production of IEC materials (adopt, adapt) Community structures identified and engaged

Build capacity of implementers

Implement UseCampaign in focal states

Engage CBOs to implement community activities


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IR 4: Improved capacity for malaria programmanagement at the State and LGA level

Support policy and guideline development process

Identify challenges to effective management

Support development of Annual Operational Plans

Build capacity of managers/personnel on malaria

control

Support institutionalizing of supervision

Coordination of partnerships within states

Identify and implement activities for system

strengthening Support for supply chain management at states


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IR 5: Strengthened management Information System formalaria at facility, LGA, State and national levels

Malaria situation analysis in the state

Set up and maintain DHIS

Build capacity on data management (National and State)

Support DQA in states

Implementation Research (in collaboration with NetWorks) Support for malaria Sentinel Sites in the states

Introduce GATHERdata (using mobile technology)

Strategic information management (all levels)


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Coverage and Implementation Strategy

State:-MoH,

-10 3oHFs

-114 2oHFs

LGA :- All 114 LGAs

- 3o PHCs/LGA

Community

BCC (Mass media,advocacy)

Capacity Building

Commodity distribution

Service delivery training BCC (IPC, MAPCOL)

School Health

Integrated CommunityCase management

Community dialogue

IPC

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Scale, Scope and Implementation Strategy

Background: Combined population of 6 MAPS states 23,359,849

Total LGAs114 Total HF 3,209 Kogi state has just been added

Strategic Approach

Addressing the availability and correct and consistent utilisation of LLINs

parallel to improving retention and maintenance

Scaling up uptake of SP for IPTp while discouraging its use fortreatment

Addressing ACT availability and advocate for removal of mono-

therapies and Chloroquine from circulation to prevent their use

Strengthening programme management, M&E and ACSM

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Scale, Scope and Implementation Strategy Cont.

In each LGA MAPS will work in 4 HFs (3 primary and 1

secondary)

Criteria for PHC selection e.g. catchment area and patientturnover among others

Full compliments of activities at HFs- e.g. commoditydistribution, capacity building, support to M&E, ACSM and thecommunity component of MAPS activities.

Targeted approach towards commodity distribution and use-e.g. LLINs, preference to vulnerable groups (pregnantwomen, CU5, PLWHA)

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Scale, Scope and Implementation Strategy Cont.

Community Level:

Use Ward and Village Development Committees, CDDs,CBOs

Community based Malaria focal person where appropriate

Linkage between HF and community-CHEW

Grants to CBOs and FBOs

Policy and oversight functions:

support policy dialogue particularly at state level

Supportive supervision

Quality Assurance

Supervision from LGA to facility level

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Scale, Scope and Implementation Strategy Cont

Engaging the Private Sector:

MAPS work mainly public sector based

Mapping of commercial sector partners to be done-LLINavailability etc

Creating linkages with communities

Leveraging other efforts:

MAPS will collaborate and adapt its strategies to existingfunctional structures within the project states

Cluster system in Zamfara

CDDs in Nasarawa

Work with other USAID funded projects-DELIVER,NEtWorks, ESMPIN, IMaD, C-Change etc

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Partnership/Collaboration

Government

FMoH/NMCP- policies

MoH/SMCP- approval for implementation

DELIVER/USAID

Procurement, Supply Chain Management

NetWork/USAID Net distribution system, Net Retention Surveys, Net maintenance

Global Fund/AMFm Malaria grant- PRs, SRs: ACOMIN

Other USAID IPs-

SFH, ARFH, C-Change, SIDHAS,

Other donors/Projects:

DFID- PRRINN/MNCH- Zamfara

CIDA- CRS

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State Project Team

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Summary.

Our goal: Reduce malaria related burden

Strategies: Increase utilization of malaria prevention and treatmentservices in Nigeria; ensuring improved program management andmonitoring and evaluation

We have our strengths .....

Opportunity is to build on existing partnerships at National, States andLGAs.


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Malaria Action Program for States (MAPS)18-May-12

Thank you

MAPS Support to Malaria Control Efforts in Nigeria

Documents