Celebrating Achievements 2008-2015

Stop Malaria Project

Close-Out EventFebruary 19, 2015

Background

• Stop Malaria is the flagship USAID/PMI malaria project in Uganda

• Goal: To assist the Government of Uganda in reaching the PMI and Roll Back Malaria (RBM) goal of reducing malaria-related mortality by 70% by 2015

• Geographic focus: Central, Hoima and Teso regions (34 districts)

Prevention

Case management

Capacity building

• ITN distribution• IPTp

• Diagnosis• Severe malaria

• HMIS• Support

supervision

Behavior change communication

NATIONAL

DISTRICT

.HF &CMTY

Scope

Policy and coordination

Partners

KEY ACHIEVEMENTS

9+ POLICIES AND GUIDELINES DEVELOPED

• Integrated Malaria Control Policy (2011)• Malaria Program Review (2011) and Mid-Term Review

(2014)• National Implementation Guidelines for Parasite-

Based Diagnosis for Malaria (2013)• Integrated MiP Manual and ANC LLIN Distribution

Guidelines (2011)• Data Quality Assessment Guidelines (2012) • Data Use Training Manuals (2012)• NMCP Planning (Annual Work Plan 2011/12 &

2012/13), Strategic Plan 2010/15, M&E Plan 2010/15, 3 year plan 2010/13)

25,505,951 INSECTICIDE-TREATED NETS DISTRIBUTED

KEY SUCCESSES

5 10 15 200%

20%

40%

60%

80%

100%

IPT 2 Target = 60% IPT1 IPT2

INCREASED IPT2 UPTAKE(HMIS 2009-2014)

IPT2 uptake increased from 39% in Year 1 to 60% in Year 7.

Q1

Q2

Q3

Q4

Q1

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Q1

Year3 Year4 Year5 Year6 Year7

0%

20%

40%

60%

80%

100%

PERCENTAGE OF CHILDREN UNDER FIVE WHO RECEIVED A DI-AGNOSTIC TEST (MICROSCOPE OR RDT) AT A HEALTH FACILITY

BEFORE TREATMENT (HMIS 2010-2014)

Actual Target = 75%

INCREASED TESTING RATES

Testing among children under five increased from 44% in Year 3 to 81% in Year 7.

IMPROVED HMIS REPORTING

Q2

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Q4

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Year3 Year4 Year5 Year6 Year7

0%

20%

40%

60%

80%

100%

TIMELINESS(HMIS 2010-2014)

Actual Target = 95%

Timely reporting of HMIS data from SMP-sup-ported districts to national level increased from

45% in Year 3 to 92% in Year 7.

IMPROVED HMIS REPORTING (2)Q

4

Q1

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Year 2

Year3 Year 4 Year 5 Year 6 Year7

0%

20%

40%

60%

80%

100%

120%

COMPLETENESS(HMIS 2010-2014)

Actual Target = 100%

Complete reporting of HMIS data from district to national level increased from

65% in Year 2 to 99% in Year 7.

INCREASED NET USE AND TREATMENT-SEEKING BEHAVIORS THROUGH BCC

• Those exposed to the “Stop Malaria in Your Community” campaign were more likely to sleep under a net and seek treatment for malaria.

• The Music, Dance and Drama competitions reached over 8 million school children with malaria messages.

(Joint BCC Survey 2012)

MAXIMIZED THE IMPACT OF PROVEN INTERVENTIONS THROUGH BCC

• Providers exposed to T&T were more likely to test children, adhere to test results and communicate better with caregivers.

• Exposure to T&T associated with increased trust in negative test results among caregivers.

• Exposure to the net care and repair campaign associated with having a net in usable condition.

.

Lessons Learned• District-led DQA and availability of new HMIS

tools is critical to improved HMIS quality.

• Availability of IPTp commodities and trained ANC health workers increase IPTp uptake.

• Supervision and mentorship improves health worker’s practices.

• High-level leadership put malaria prevention on national headlines.

Challenges Faced• Some gaps like shortages in staffing, blood

for transfusion of severe anemia cases, and occasional stock-outs affect malaria services. These were beyond the means of health facilities or SMP to address.

• Lack of appropriate HMIS tools at the lower level affects the quality of data and consequently decision making.

• Limited monitoring of policy implementation at lower levels by national level supervisors.

Recommendations• Integrate project activities into district planning. • Monitor policy implementation at facility level.• Increase the focus on communities.• Discuss and use the data to target high burden

communities and low-performing facilities.• Scale up ANC and other continuous distribution

channels to ensure uninterrupted universal coverage.

Conclusion• SMP has laid a foundation for malaria control efforts. – Encouragingly high coverage for nets, testing and IPTp– Complete and timely HMIS reporting– Development and roll out of key policies– Improved knowledge and skills of HW and families

• NMCP, districts and partners should consolidate gains. – Utilize lessons from the evaluations & review meetings.– Ensure commodities are continuously available– Use improved testing rates to identify and reach

communities with the highest burden

To access tools & materials from SMP, visit www.k4health.org/toolkits

THANK YOU FOR 7 YEARS OF TEAMWORK AND SUPPORT!