1 roadmap to achieve 31.12.2011 rbm targets sudan january 2011 – december 2011 [planning template]

1

Roadmap to Achieve 31.12.2011 RBM Targets

Sudan

January 2011 – December 2011[Planning Template]

2

Country Summary (Interventions & Services)

Population at Risk: 30,000,000Intervention

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)

LLINs (Universal Access)

To achieve rapid scale-up of LLINs

to universal coverage of the

population at risk of Malaria,

through 90% coverage and 80%

use by 2011

1 net for 1.8 persons

Mass Campaign: Total number of nets required to reach the operational target =

1,786,418

Mass Campaign:

Active nets already in the community =

6,618,614# based on number of

nets already distributed

in last three years

Mass Campaign:

Total number of nets for which

financing is already pledged =

10,000

(This Excluding GF Rd7 Year3, UNICEF,

World Bank and NGOs)

Mass Campaign: Number of

nets for which financing has

to be mobilized to achieve the

operational target within

= 1,777,974

Include funding total

gap

= 8,587,614

Total nets needed in 2011 = 1,786,418

Total nets already

distributed = 6,618,614

Total nets where financing is

already pledged

10,000

Total gap (number)

1,777,974

Total gap (US$)

= 8,587,614

3

Country Summary (Interventions & Services)

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)

ACTs To sustain universal coverage of malaria treatment with ACTs in 100% of the public

health sector institutions as well as

management of severe malaria cases

as per the national guidelines.

*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

If possible split this data into

delivery levels: health facilities, community case

management and private sector) =

2,278,480

Doses already in

stock

=1,926,600

Number of doses for which financing is already pledged

or committed

=

250,000(This excluding GF

Rd7 Year3, just reprogrammingYear2)

Number of doses for

which additional

financing has to be mobilized to achieve the

planned operational

target =

101,880 133,463

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 To protect all populations in the intensive irrigated

areas (i.e.Algazira & Sennar states) by annual indoor

spraying (IRS)

Insert the total number of structures

to be sprayed protecting Y% of the

population = 666,418

Insert the cost per structure sprayed.

= 15 USD

Insert the number of structures which can sprayed using existing resources

= 42,675

Total number of structures for which financing is already pledged or committed

= 42,675

Number of structures for which additional financing has to be mobilized to achieve the planned operational target

= 623,743

= 9,356,145RDTs and microscopy

To achieve 90% proper microscopic confirmation

at hospitals and health centers and achieve RDT confirmation at locality

dispensaries, health units with no microscopy and

communities in the targeted areas by HMM

Total number of RDTs to be made

available during the year

=

2,365,459

RDTs already in stock

=

685,000

No. of RDTs for which financing is already

pledged or committed

1,537,380

(This excluding GF Rd7 Year3 )

No. of RDTs for which additional financing has to be mobilized to achieve the planned operational target

= 143,079

= 200,310

Total number of microscopy tests to be made available

during the year

= 40,000

Microscopy tests already in

stock

7,500

Number of microscopy tests for which financing

is already pledged or committed

= 40,000

(This excluding GF Rd7 Year3 )

No. of microscopy tests for which additional financing has to be

mobilized to achieve the planned operational

target

= 0,00 = 0,00

Total diagnosis target

total diagnostics already in stock

Total diagnostics already pledged

Total gap in diagnostics

200,310

5

Country Summary (Cross cutting issues)

Intervention Operational targets/Objectives for

2011

Strategies/Actions Resource requirement

(USD)

Available budget

(USD)

Budget Gap

(USD)

M&E To sustain malaria surveillance, monitoring and evaluation systems in areas with low prevalence (<3%) and strengthen these systems in areas of higher prevalence (>3%) in north Sudan

Strengthening M&E capabilities, supportive and facilitative programme supervision and meetings Operational Research, database and Data Reporting System Monitoring of malaria drug efficacy - 1st, 2nd line and potential alternative drugs, and insecticide monitoring

658,500 680,000 0,00

BCC/IEC To reach at least 60% of the population at risk of malaria with behaviour change communication interventions for improved knowledge, attitudes and practices on malaria

BCC- Community Outreach : Interpersonal communication. BCC – Mass media : Intensive Radio and Television Broadcast.

1,151,286 189,000 962,286

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Assumptions for calculating the needs (Quantity and Funding) to achieve 2011 Targets

Justify the assumptions used for calculating the targets

• e.g. Universal Coverage for LLINs is planned at the end of Year 3 (2013) therefore a pro-rata has been calculated for 2011

• e.g. Net coverage calculated based on 1.8 persons per net and a net attrition rate of 8% year 1, 20% year 2 and 50% year 3; routine nets based on 90% of pregnant women accessing ANC

• e.g. Parasitological diagnosis targets all age groups with 20% microscopy and 80% RDTs targeting 100 % of population attending public health services (includes health facilities and community case management)

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Implementation Plan - LLINs

Major action / Output / Milestone

TIMEFRAME

J F M A M J J A S O N D

Ensure the formation of a malaria team in each of the 165 localities (districts) in the 15 northern states, comprising 1 locality Team Leader, 1 Malaria Technical Officer, 1 Logistics officer and 1 Administrative and Finance officer; and form locality malaria Committee composed of community representation - 2 hired, site-based community health workers and 1 community malaria focal X X

Conduct advocacy visits covering all stakeholders (e.g. partners, community leaders and state and locality decision makers). X X X

Organize Stakeholders' meeting and consensus building (participants evenly distributed across the localities and states). X X

Review final plan of the project based on meaningful contributions from the community, private and civil society organization's settings and operational committees.

X

Extrapolate and get projected 5-year estimates of data of the targeted population to be covered in the 15 northern states (compile and aggregate data, analyze and extract parameters, inferences and extrapolate statistical estimates for states, localities, Communities / Villages and households) [by the state malaria team].

X

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Implementation Plan – LLINs (cont’d)


TIMEFRAME


Obtain all data relevant to malaria interventions, its successes and failures in the past ,acting as possible rationale for innovative interventions; map of partners, field workers and possibly their methods and levels of activities at all levels across each state. X X

Identify and define "target beneficiaries" within the state; their numerical strength and spread; their classification into hard to reach and easy to reach; their challenges of access (conflict-related, natural emergencies, physical, financial and psycho-social) to malaria interventions; the status and character of displaced persons (IDP), refugees , returnees and nomadic communities (mapping vulnerability patterns). X

Rapid needs assessment to identify types of gaps, reasons for gaps and factors retaining gaps; community health promoters and factors of behavioral resistance to change to positive pro-malaria battle position. X X

Carry out rapid needs assessment survey, especially among vulnerable groups, vis-à-vis the works that have been done on all aspects of malaria in the past, their current status , methodology used and reports written. X X

Supervise and/or oversee activities and circulate stakeholders' quarterly reports.

X X X X

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Implementation Plan – LLINs (cont’d)


TIMEFRAME


Attain 90% distribution and use of LLINs using the extrapolated data for five years to determine how much of materials to be given to each locality or community annually. X X X

Recruit 3-5 community health promoters / mobilizers per each locality in the State X

Conduct annual 1-day training for community health promoters/ mobilizers. X X

Distribute one net (LLIN) per every two persons (1.8) using COMBI approach, community health promoters/ mobilizers, identified Community Based Organizations (CBOs), Faith Based Organizations (FBOs), Co-operative societies, Community Development Initiatives (CDIs), Community Development Associations (CDAs), IMCI, civil societies, other local and ante-natal care clinics (ANC)). X X X

Maintain supply and use of LLINs among the beneficiaries by replacement of torn nets, inter-personal communications, inspections where possible and use of IEC/BCC materials X X X

10

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

Funds available (USD) Source of funding Comment TIMEFRAME


Funds [USD] to procure [10,000] LLINs

= 48,000 USD

Enter Financing Organization

Egyptian Gov x x

Funds (USD) to deliver (5,000) of LLINs

= USD

Egyptian Gov

x x

11

Implementation Plan - IRS


TIMEFRAME


Secure clearance from National Pesticide Council, Sudanese Standards and Metrology Organization (SSMO) X X

Comply with international conventions and national policies X

Review national IRS policy X X

Renovate stores at state and locality levels X X

Review and update guidelines on IRS implementation X X

Review and adopt WHO training manual on IRS X X

Conduct Geographical Reconnaissance (GR) in Algazira and Sennar states X X

Conduct assessment of wash facilities and disposal pit facilities X X

Train state Vector Control Officers on entomological surveillance X X X x

Train State/Locality supervisors on IRS X X X x

Develop and print house stickers X X X x

12

Implementation Plan – IRS (cont’d)


TIMEFRAME


Retrain spray technicians X X

Orientate all involved personnel on safety procedures X

Refurbish and equip state entomological offices X X

Conduct house to house spraying X X

Daily supervision of the IRS activities X X X

Disposal is done in coordination with municipalities and following the international safety measures

X

Conduct bioassay test to ensure quality of application/efficacy X X

13

IRS resources available to achieve the 2011 targets



Funds [USD] to spray [42,675] of structures

= 640,125


Gov x x

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Implementation Plan – Case Mgt


TIMEFRAME


(A) Diagnosis:

Microscopic confirmation at hospitals and health centers

Strengthening of state malaria reference laboratories for QA and microscopic training activities through procurement of Lab equipment X X X

Provision of supplies and equipment for service delivery laboratories

X X X X

Analysis and assessment of the situation of service laboratories and design intervention programme X X

Refresher training of service laboratory staff X X

Supervision of service laboratories by state malaria reference laboratory staff X X X X X X X X X X X X

Supervision of state malaria reference laboratories by central reference laboratory staff on bi-annual bases

X X

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TIMEFRAME


RDT confirmation at locality dispensaries and communities

Basic training of medical assistants on RDTs X X

Supervision of health facilities using RDTs by state malaria reference laboratory staff X X X X X X X X X X X X

Monitoring the storage conditions X X X X X X X X X X X X

Quality control for RDTs (collection & , cross checking and analysis) X X X X X X X X X X X X

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TIMEFRAME


(B) Scaling up for impact the anti-malarial drugs as per the national policy to promptly and effectively treat malaria cases .

Procurement of 1st & 2nd line treatment X X

Procurement of severe malaria treatment (Quinine injection, quinine tablets, I.V. fluids & cannulae), artesunate suppositories and emergency stock of (artemether injection) X

Prepare/review training manuals for facility-based (Public and Private), community health promoters / mobilizers and Village health care providers on appropriate treatment of malaria, using ACT, especially in children under 5 years of age. X X

Training of medical doctors at health facility (both systematic an in-service training)

X X X X

Training of medical assistants at health facility level (Localities) X X X X

Training of hospital nurses on severe malaria X X

Conduct state-wide biannual report meetings on ACT use, outcome of ACT distribution and use, stock-outs, pharmacovigilance and record keeping.

X X

Conduct studies on monitoring the efficacy of 1st and 2nd line treatment and other potential AMDs on a systematic way in the sentinel sites identified for this purpose

X X

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TIMEFRAME


(C) Home based management of malaria

Selection of volunteers (selection facilitated by community leaders) to work as HMM service delivery focal persons in their communities (villages) X X

Provision of supplies and equipment to facilitate volunteers work (S&E) X X

Development and printing of records, guidelines and IEC materials for HMM X X

Campaign for education and advocacy on HMM policy X X X

Training of volunteers on HMM policy X X

Supervision of HMM policy implementation and volunteers performance X X X X X X X X X X X X

Monthly reporting from locality to state level on HMM X X X X X X X X X X X X

Quarterly reporting from state to national level on HMM

X X X X

Case Management resources available to achieve the 2011 targets



Funds to procure [250,000] of ACTs

= 300,000


GF X X

Funds to deliver (250,000) of ACTs

= ?????

GFX X

Funds to procure [1,537,380] of RDTs

= 2,152,332

GF

X X

Funds to deliver (1,537,380) of RDTs

= ?????

GF

X X

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Implementation Plan – Cross cutting issues


TIMEFRAME


To reach at least 60% of the population at risk of malaria with behaviour change communication interventions for improved knowledge, attitudes and practices on malaria

(A) Mass Media Programmes:

Review NMCP strategy for Behavioral Change Communication in view of peculiarities of states, local governments and communities in target 15 northern states. X X

Develop appropriate communication tools and messages to address identified peculiarities X X

Review NMCP's BCC training manuals for the press, community outreach officers, facility-based care-givers X X

Develop/review training manuals for the press, community outreach officers, and facility-based care-givers. X X X

Conduct bi-annual message review/development workshop for production / adaptation of materials for Mass Media (e.g. advertisement, documentary, jingles, sponsorship). X X

Conduct annual training for the press, community outreach officers and facility-based care-givers. X

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Implementation Plan – Cross cutting issues (cont’d)


TIMEFRAME


Placement of advertisement and documentaries on national and local radios. X X X X X X X

Place advertisement and documentaries on national and state televisions. X X X X X X X

Distribute Branded Gadgets (leaflets, T-Shirts, posters, banners, flip charts, diaries and stickers) with understandable messages to promote malaria prevention and control.

X X X

Promote positive practices on malaria prevention and control through recording of popular jingles. X X X

Conduct assessment of BCC activities.X

Document and share challenges of BCC activities with partners and stakeholders

X

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TIMEFRAME


(B) Community Outreach programmes

Review NMCP strategy on BCC - Community Outreach X

Plan supports to scale up for greater impact outreaches for pregnant women not attending to ANC, those attending ANC and those who started ANC late and parents of under five years old children.

X

Plan advocacy visits targeting states' women leaders, members of States Assemblies and Health Committee members, local policy makers for institutional support programmes for the malaria program and establishment of localities’ malaria committees.

X

Plan advocacy visits to Government decision makers and necessary affiliates such as state branches of the Trades Union exploring possibilities of training their membership on malaria prevention and control.

X

Plan a stakeholders meeting in the education sector e.g. Commissioner for Education, State and Local Government officers in education sector and other educationists on inclusion of malaria courses in the primary and secondary school curricula.

X

22



TIMEFRAME


Map distribution, types of school and student population in the 15 target states.

X

Develop malaria training modules for teachers in Primary and Secondary educational institutions in the 15 target states. X X

Plan advocacy visits to manufacturers of educational materials e.g. major printers of exercise books, pencils, rulers, erasers shaped like mosquito to include malaria messages in these writing materials for schools. X X

Plan advocacy visits to hospitality and tourist industries in each

of the 15 target states for constant and regular delivery of malaria pamphlets containing can-do lists. X X

Plan advocacy visits to faith-based groups for constant and regular deliveries of malaria BCC/IEC material among their constituents. X

Plan state malaria information booklet, containing pictorial and simple information/data, for all states highlighting peculiarities of malaria situations in each state X X

Conduct a bi-annual stakeholders meeting in the education sector X X

Develop and distribute, annually, 5000 copies of state malaria information booklet, containing pictorial and simple information/data, for all the 15 target states highlighting peculiarities of malaria situations in different states X

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TIMEFRAME


HSS: Strengthen management capacity of the States Ministries of Health and Localities health personnel to provide oversight of malaria interventions

(A) Work with partners to identify major system deficiencies; policy, resource and program constraints; opportunities for improved service delivery

Plan bi-annual partners meeting with officials of the state government and local government authorities to identify crucial health system gaps and identify problems hampering the health system performance in respect of malaria control, prevention and case management. X

Design interventions for identified gaps and peculiar circumstances of the state and/or local government authority, using internationally acceptable standards. X X

Identify state-wide underserved communities and major areas of poor or no-service delivery X

Conduct a 3-day bi-annual partners' brain storming sessions. X X

Produce and review list of possible interventions from the government's, beneficiaries' and partners' perspectives. X

Conduct a 2-day bi-annual training for directors and assistant directors in states Ministry of Health and other line ministries. X X

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TIMEFRAME


Conduct a 2-day bi-annual training for middle level staff (e.g. Heads MCP, Reproductive Health, Maternal and Child Health) in states Ministry of Health and other line ministries.

XX

(B) Policy strengthening and capacity management

Identify partners in policy and capacity managementX

Plan and conduct bi-annual partners' brain-storming session

X X

Review current state malaria control policyX

Determine capacity level of service deliveryX

Determine realistic interventionsX

Conduct state-wide annual trainings for 150 technical and administrative staff of facilities on recent advances in malaria control including its socio-economic issues

X

Develop management tools for government to minimize stock-outs and control of low quality and fake drugs.

X

25



TIMEFRAME


To sustain malaria surveillance, monitoring and evaluation systems in areas with low prevalence (<3%) and strengthen these systems in areas of higher prevalence (>3%)

Develop appropriate monitoring and evaluation strategies for timely output and outcome data

Plan and conduct partners meeting on Monitoring and Evaluation

X X X

Plan and conduct for continuous training of 150 health care providers in public and private sectors and in the community on Monitoring and Evaluation in 15 northern states

X X

Plan ad conduct quarterly data verification and data audit meeting

X X X

Conduct mid-term and end-term evaluation meeting of the entire program.

X X

26

Cross-cutting resources available to achieve the 2011 targets



M&E

680,000 GF Rd7 x x x x x x x x x x x x

BCC/IEC

189,000GF Rd7 x x x x x x x x x x x x

27

Summary of technical assistance needs to end 2011Area of Need Type of support

requiredResources available

Source of funding

TIMEFRAME


LLINs WHO TA GFATMWHOIDBUnicefNGOs

X X X X X X X X X X X X

IRS WHO TA GFATMWHONGOs


ACT WHO TA GFATMWHO


RDTs/microscopy

WHO TA GFATMWHOUnicef


Cross cutting issues

WHO TA GFATMWHOIDBUnicef


Program Management / Partnerships

WHO TA GFATMWHOUNDPPrivate sectorNGOs


GF Grant Implementation

WHO TA GFATMWHO


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Summary of rate-limiting factors/solutions over the next 12 months - Threats

Potential Threat Solution

(1) Shortage of key commodities: ACTs , RDTs, microscopes, LLINs, IRS insecticides, etc..

(1) & (2)

Strengthening of Health Systems (HSS including strengthening of PSM system)

Following the GF guidelines on procurement

(2) Failure to ensure timely availability of funds and commodities

(3) Substandard quality of malaria case management in some health facilities / communities

(3) Development of robust QA and QC systems

(4) Low coverage and utilization of key interventions – LLINs, IRS, ACTs

(4) Proper and well planned advocacy for LLIN, ACT and RDT usage ; Proper implementation of M&E

29

Summary of rate-limiting factors/solutions over the next 12 months - threats

Potential Threat Solution

(5) Vector resistance to insecticides

(5) Insecticide resistance management through rotation and monitoring of the vector bionomics and susceptibility to insecticides

(6) Security issues which hinder the implementation, supervision and monitoring and evaluating the implementation of key interventions

(6) Contingency plans should be in place;Community participation; e.g. trained health workers and well equipped health facilities, health units and dispensaries at all levels

(7) Sustainability of external funding

(7) Maintaining the strong political commitment, active community participation, inter-sectoral collaboration and involvement of private sector

1 roadmap to achieve 31.12.2011 rbm targets sudan january 2011 – december 2011 [planning template]

Documents

total number of nets

total nets

total number of structures

total gap number1

total gap us

funding total gap

active nets

additional financing