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

2

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


Not yet carried out


Nil


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


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


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

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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


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

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LLIN resources available to achieve the 2011 targets (including timing of disbursements)

Funds available (USD) Source of funding Comment TIMEFRAME


No resources available (for 2011)

Available funds in 2012 –GF R10

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Implementation Plan - IRS


TIMEFRAME


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 [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


TIMEFRAME


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

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Case Management resources available to achieve the 2011 targets



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


TIMEFRAME


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 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


TIMEFRAME


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


TIMEFRAME


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



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


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

1 Roadmap to Achieve 31.12.2011 RBM Targets Zimbabwe January 2011 – December 2011.

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