1 Roadmap to Achieve 31.12.2011 RBM Targets Country January 2011 – December 2011 Botswana.
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Transcript of 1 Roadmap to Achieve 31.12.2011 RBM Targets Country January 2011 – December 2011 Botswana.
1
Roadmap to Achieve 31.12.2011 RBM Targets
Country
January 2011 – December 2011Botswana
2
Country Summary (Interventions & Services)Population at Risk: INSERT………
Intervention
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 sustain Universal coverage* (if Universal
coverage already achieved by 2010)
1 net for 2 pupils
* Define how universal coverage target was
calaulated e.g. 1 net for 1.8 persons
Routine distribution: Total number of nets required to reach the
operational target (targeted group: pregnant women
through ANC, infants with routine EPI)
11 864
Mass Campaign:
Active nets already in the community#
=80 000
# based on number of
nets already distributed
in last three years
Mass Campaign:
Total number of nets for which
financing is already pledged
=0
Mass Campaign: Number of
nets for which financing has
to be mobilized to achieve the
operational target within
2011
=0
Include funding total
gap
-
Routine distribution: Active nets
already in the community#
=83480
# based on number of
nets already distributed
in last three years
Routine distribution:
Total number of nets which are
available
= 12 000
Routine distribution:
Number of nets for which financing has
to be mobilized to achieve the
operational target within
2011
=0
Include funding total
gap
-
Total nets needed in 2011 = 11 864
(Children under one)
Total nets already
distributed = 163 480
Nets available =
12 000
Total gap (number) = 0
Total gap (US$)
3
Country Summary (Interventions & Services)
Intervention Operational
objectives/targets for
2011
Need to end 2011
Already covered
Funded and expected to be
distributed before end of
2011
Commodity Gap (Quantity)
Financial Gap (USD)
ACTs To sustain Universal coverage* of malaria treatment with ACTs)
Universal Coverage =Population treated
through the public health services
*define universal coverage target e.g. whole population, population treated
through the public health services and private sector etc)
Total number of doses to be
made available during the year
= 27 593
Doses already in
stock
=13.620
Number of doses for which financing is already pledged
or committed
=18.000
Number of doses for
which additional
financing has to be mobilized to achieve the
planned operational target = 0
-
4
Country Summary (Interventions & Services) (Cont'd )Intervention Operational
objectives/targets for
2011
Need to end 2011 Already covered
Funded and expected to be distributed before end of 2011
Commodity Gap (Quantity)
Financial Gap (USD)
IRS Define target coverage by country
To expand coverage to a given level of 100% of the
population through spraying of 200 000 structures
Insert the total number of structures to be sprayed protecting Y% of the population
200 000
Insert the cost per structure sprayed.
=US$ 6 per structure
Insert the number of structures which can sprayed using existing resources
=0
Total number of structures for which financing is already pledged
= 173 065
Number of structures for which additional financing has to be mobilized to achieve the planned operational target
173065
103 836
RDTs and microscopy
To sustain universal coverage* of parasitological
diagnosis of suspected malaria cases
Universal Coverage =Population treated through
the public health services
*define coverage target e.g. whole population, population treated through the public health
services and private sector etc
Total number of RDTs to be made available during
the year
= 47 825 tests
RDTs already in
stock
=35 325 tests
No. of RDTs for which financing is already pledged
or committed
=12 500 tests
No. of RDTs for which additional financing has to be mobilized to achieve the planned operational target = 0
0
Total number of microscopy tests
to be made available during
the year
= 108 000 slides
Microscopy tests already
in stock
= 57 150 slides
Number of microscopy tests
for which financing is
already pledged or committed
=50 850
No. of microscopy tests for which
additional financing has to be mobilized
to achieve the planned operational
target = 0
Total diagnosis target
=
total diagnostics already in
stock
Total diagnostics already pledged
Total gap in diagnostics
=
5
Country Summary (Interventions &Services) (Cont'd )(N/A)
Intervention 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)
IPTp To sustain Universal coverage (if Universal coverage already
achieved by 2010)or
To achieve universal coverage (if not yet achieved but feasible in
2011) or
To expand coverage to a given level (if Universal coverage still
not feasible within 2011)
Total number of doses to be
made available during the
year to cover X % of
pregnant women
Doses already in
stock
Number of doses for which
financing is already pledged
or committed
Number of doses for
which additional
financing has to be
mobilized to achieve the
planned operational
target
6
Country Summary (Cross cutting issues)
Intervention Operational targets/Objecti
ves for
2011
Strategies/Actions Resource requirement
(USD)
Available budget
(USD)
Budget Gap
(USD)
M&E
1. To develop a robust surveillance system for tracking progress
2. To Reduce malaria incidence to less than 4/1000 population
1) Update malaria GIS database on foci, cases, vectors and parasite isolates
2) Conduct active case investigation/ contact tracing, in malaria free areas
3) Conduct entomological surveillance at established sentinel sites4) Collect timely and complete weekly and monthly reports on malaria indicators
300 000
207 992
235 000
-
10 923
59 731
0
-
289 077
148 261
235 000
-
BCC/IEC Strengthen advocacy and IEC/BCC
1) Update councils and parliamentary committee, Ntlo- ya Dikgosi on malaria elimination
2) Publish malaria messages in newspapers ,TV advert and radio jingles
3) Commemoration of malaria commemorative days (World Malaria day and SADC malaria week)
4) Support district malaria campaigns (LLINs, IRS)
10 000
38 461
10 000
15 000
23 618
0
10 000
12 843
10 000
5 000
Country Summary (Cross cutting issues) cont
7
Intervention Operational targets/Objecti
ves for
2011
Strategies/Actions Resource requirement
(USD)
Available budget
(USD)
Budget Gap
(USD)
Human Resources (Cap Bldg)
Strengthen human resources
To train health workers on data management, case management, IRS, LLINS distribution and IEC/BCC for malaria elimination
23 000 8 000 15 000
Insert others as required e.g. CSS, HSS, OR
8
Implementation Plan - LLINs
Major action / Output / Milestone
TIMEFRAME
J F M A M J J A S O N D
1. Resource mobilisation for procurement
X X X x x x x x x x x x
2. LLIN distribution
x x x
3. LLIN hang up keep up campaign
x x x x
4. Support visits to districts
x x X x x x x x
5. Data entry and analysis of LLINs district
x X x x x
9
Implementation Plan - IRS
Major action / Output / Milestone
TIMEFRAME
J F M A M J J A S O N D
Quantification and procurement of IRS chemicals (DDT/Pyrethroids)
x x x x
IRS community sensitisation and mobilisation campaign
x x x x
Training of spraymen and supervisors
x x
Conducting IRS campaign and collection of GPS points of households x x x
Conduct Bio-Assays and sensitivity studies
x x x x x x x x x x x
Data entry and analysis of IRS exercise
x x
IRS review and planning (Geographic reconnaissance)
x
10
Implementation Plan – Case Mgt
Major action / Output / Milestone
TIMEFRAME
J F M A M J J A S O N D
1. Training of health workers
x x x x
2. Quantification of drug requirements
x x
3. Monitoring stock status of antimalarial drugs and commodities
x x x x x x x x x x x x
4. Review of malaria deaths audit
x x x x x x x x
5. Support and supervision of districts and health facilities
x x x x
6. Develop SOPs for laboratory diagnosis and training
x
11
Implementation Plan – IPTp (N/A)
Major action / Output / Milestone
TIMEFRAME
J F M A M J J A S O N D
12
Implementation Plan – Cross cutting
Major action / Output / Milestone
TIMEFRAME
J F M A M J J A S O N D
1. Finalise surveillance guidelines for malaria elimination including case based surveillance x
2. Train health workers on Case Based Surveillance x
3. Set up GIS data base of cases and foci x
4. Plan for the malaria indicator survey x x x x x x
5. Weekly monitoring of malaria cases x x x x x x x x x x x x
6. Support district malaria outbreak response x x x x x x x x x x x x
7. Conduct entomological surveillance x x x x x x x x x x x x
8. Develop a concept note on larviciding x x x x x
9. Collaborate with partners including research institutions x x x x x x x x x x x x
10. Conduct KAPB study x x
13
Summary of technical assistance needs to end 2011
Area of Need
Type of support required
Resources available
Source of funding
TIMEFRAME
J F M A M J J A S O N D
LLINs Procurement and distribution
No Partners X X X X X
IRS Expertise in the area of Indoor Residual Spraying evaluation and improvement
DONE GoB, WHO, SARN
X
ACT Review of case Management Guidelines
No GoB, WHO, SARN
RDTs/microscopy
Setting up quality control and laboratory SOPs
Yes GoB, WHO, BOTUSA, HAVARD
X
Cross cutting
1.Financial and technical support to conduct malaria indicator survey2. Technical support to conduct larviciding3. Field visit to SA to get experience on active surveillance
SARN, WHO, MACEPA, UB, GoB
14
Summary of rate-limiting factors/solutions over the next 12 months - threats
Potential threats to achieving targets
1 Inadequate funding for LLIN distribution, procurement and community mobilisation
2 Technical expertise on larviciding
3 Setting up laboratory quality control quality assurance
4 Technical assistance with MIS