tfm progress update malaria tobgyel, dy. chief programme officer vector-borne disease control 31st...

31st CCM meting, 28th August, 2015

TFM Progress Update Malaria

Tobgyel,Dy. Chief Programme OfficerVector-borne Disease Control


Country: Bhutan Title of the Grant:

Sustaining Malaria control and prevention in Bhutan

Component:

Malaria

Grant No.

BTN-708-G05-M

Start Date:

1st July 2013 Total

Funding

$820, 766

Round: TFM Phase: Principal Recipient: Ministry of Health

Report Period: from:

1st July 2013 to:

30th June 2015

Latest Rating:

A1

Local Fund Agent: UNOPS

Fund Portfolio Manager: Ms. Cristina Riboni

Prepared by: VDCP/CCM Secretariat

Report preparation date: 8th August 2015


Financial Management (Budget )

1 20

100,000

200,000

300,000

400,000

500,000

600,000

700,000 660,499

160,267

405,271

291,463

Cumulative budget Cumulative disbursements

Reporting Period

Approved budget vs Disbursement

Year I:Approved budget: USD 6,60,499Total disbursed: USD 4,05,271% disbursed: 61%30% was saving from LLIN procurement

Year IIApproved budget: USD1,60,267Total Disbursed: USD 2,91,463% disbursed: 182%82% re-appropriated from saving budget

Overall burnout rate: 85%Rest 15% saving from net procurement and HR


Total Budget & Expenses

Disbursed by Global Fund

PR expenditure and disbursement

Series1 405,271 392,617

Series2 291,463 270,408

50,000

150,000

250,000

350,000

450,000

550,000

650,000

750,000

405,271 392,617

291,463 270,408

GF disbursement:

Year IFund disbursed : USD 405271Expenditures: USD 392617Utilization rate: 97%

Year II:Fund disbursed: USD291463Expenditures: USD 270408Utilization rate: 93%

Overall Utilization rate: 95%


Objective wise Budget Vs actual Expenditures

Strengthening malaria prevention

& control

Early diagnosis and prompt treatment

Suataining health system for malaria

Series1 659,367 39,595 121,804

Series2 369,401 121,966 171,659

50,000

150,000

250,000

350,000

450,000

550,000

650,000659,367

39,595

121,804

369,401

121,966171,659

Objective I :Approved budget: USD 6,59,367Expenditures: USD 369401

56% fund was saving from net procurement.

Other two objectives:

The expenditures were more than approved budget, due to new activities proposed from the saving budget from objective I and approved by CCM & GF


Approved Budget & Expenditures as per Cost Category

Cost CategoryTotal budget

for Y1+Y2 USDTotal

Expenditures Variances Remarks

Human Resources 49,200.00 41,342.09 7,857.91

Assistant Data manager resigned and we are not able to recruit in between for a duration of almost 1 yr.

Technical Assistance 0.00 47,782.01 (47,782.01)

TA was recruited during NFM as requirement by the Global Fund . Budget proposed from saving fund.

Training 25,200.00 101,875.45

(76,675.45)

Additional training programme were proposed from the saving budget of TFM year 1

Health Products and Health Equipment 467,406.75

285,957.53

181,449.22

Saving budget from health product year 1, proposed for TA/M&E and Training

Medicines and Pharmaceutical Products 1,596.00

-

1,596.00

Saving as we have enough medicine in stock due to drastic reduction of malaria cases in the country

Procurement and Supply Management Costs 158,318.95 43,329.46

114,989.49 Saving from PSM year 1 & 2

Communication Materials 36,000.00 32,922.65

3,077.35 saving

Monitoring and Evaluation 60,004.00 86,959.65

(26,955.65)

additional activities such as malaria elimination sensitization for districts Medical Officers and Labor screening in projects sites etc.

Planning and Administration 23,040.00 22,856.57

183.43 saving

820,765.70 663,025.41 157,740.29


Last fund disbursement: Calendar days

Expected

(days)Actual (days)

Days taken to submit final PU/DR to LFA 45 15

Days taken for disbursement to reach PR 45 40

Days taken for disbursement to reach SRs 0 0

Management Indicators



Conditions precedent (CPs)

Time Bound Actions (TBAs)

0% 10% 20% 30% 40% 50% 60% 70% 80% 90%100%

0

2

0

0

0

0

Fulfilled Not fulfilled, but within deadline Not fulfilled, and past the deadline


Component Products

Stock level expressed in months of

treatment for all current patients

Months of safety stock

Difference between current stock and

safety stock

MALARIA

ACT 6.0 2.0 4.0

0 0.0

0 0.0



Programmatic Indicators

Year I: Planned for Mass distribution to risk population

Total LLIN procured: 97,531Total distributed: 101573

Achievement: 104% Year II: Planed for targeted population

Total Procured: 10,000Total distributed: 6833Achievement: 68.33% (distribution on-going as and when required)

-

20,000

40,000

60,000

80,000

100,000

120,000

97,531

10,000

101,573

6,833

Target Achieved

LLIN distribution


Year I: In Year I reporting period, 48 malaria cases were reported and here is no clinical malaria reported , so the achievement is 100% against the target of 95% in this reporting period.

Year II: In year II, 54 malaria cases were reported and there was no clinical malaria reported, and the achievement is 100%

Percentage of confirmed malaria cases among all reported cases (clinical and confirmed cases

Year I

Year II

95% 95%100% 100%

Target Achieved


Year I:

In this reporting 48 malaria cases were diagnosed. 1 patient diagnosed at the project site was not treated as per the treatment guideline, the set target was not achieved .

Year II:

54 malaria cases were reported and all were treated as per the Standard treatment protocol.

Percentage of malaria cases treated as per national treatment guideline

Year I

Year II

100% 100%98% 100%

Target Achieved


Performance Indicators Indicators Target Achieved 0% - 59% 60% - 89% > 90% Comments

Number of LLIN distributed to risk population

10,000 6,833 68%

In this reporting period, the programme has procured 10,000 LLIN for the targeted population through VPP. The LLIn was received in the month of April, 2015 only, therefore we are not able to reach the distribution to all target risk population within these two months of distribution acheiving just 68%. The distribution is on going.

Percentage of confirmed malaria cases among all reported cases (clinical and confimed cases)

95% 100% 105%There is no clinical malaria reported in this reporting period, so all the are confirmed cases showing the 100%

Percentage of malaria cases treated as per national treatment guideline

100% 100% 100%

In 2014 there were 54 malaria cases reported in the country from public health centers (50) and private screening facilities (4). All cases were either diagnosed through RDTs or microscopes. RDTs posstives were confirmed microscopically and were treated as per our treatment guidelines acheiving 100% as targeted.

Number of CAG supported per year 30 40 133%

This reporting period we are able to train and support the CAG's activities such as Technical support in work plan preparation, support in cleaning campaigns/ review meeting etc for 40 CAG groups

Percentage of health facilities sending timely and complete report

220 215 98% out of 220 health centers in the country a215 health centers has reported through fax and telephone


Challenges/issuesPolicy challenges:• Stringent donor & government rules (Procurement/

Financial policy).• No clear cross border collaboration instituted on disease

surveillance Financial Challenges • Difficulties in getting fund balance for audit certification• Fund balance of TFMProgrammatic challenges:• Difficult coordination of planned activities among

stakeholders • Less cooperation and participation from communities


Thank You

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