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

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Roadmap to Achieve 31.12.2011 RBM Targets

THE GAMBIA

January 2011 – December 2011

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The Gambia Summary (Interventions & Services)Population at Risk: 1,790,083Interventi

onOperational

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†

† Universal coverage target was calculated

e.g. 1 net for 2 persons

Routine distribution:

Total number of nets required to

reach the operational target

(Target group: pregnant women and < 5 through

RCH Clinics)

Routine distribution: Active nets

already in the community#

# based on number of

nets already distributed

in last three years


Total number of nets for which

financing is already pledged


Number of nets for which financing has

to be mobilized to achieve the operational target within

2011

Include funding total

gap

Total nets needed in 2011 =

223,716

Total nets already

distributed =

Mass LLIN in

November 2010

(898,519)

Total nets where


= 223,716

Nil =$0

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The Gambia 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 sustain Universal

coverage* of malaria

treatment with ACTs

*universal coverage target whole population,

population treated through the public health services and private not for profit

sector

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)

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

Total number of doses needed in 2011 =

386,632

Total doses already in

stock

=

655,450

Total ACTs doses where financing is already pledged

= 386,632Nil =$0

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Country Summary (Interventions &Services) (Cont'd )

t Operational objectives/targets for

2011

Need to end 2011 Already covered

Funded and expected to be distributed before end of 2011


Financial Gap (USD)

IRSTo sustain coverage

of 100% of the population through

spraying of 596,694 structures

596,694 structures to be sprayed protecting

100% of the population

Cost Per Structure

= $ 4

Insert the number of structures which can sprayed using existing resources

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

=198,059

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

= 398,635

$ 1,594,541

RDTs and microscopy

To sustain universal coverage† of

parasitological diagnosis of suspected malaria

cases

†Coverage target is whole population, population

treated through the public health services (Including CCM) and private not for

profit sector .

Total number of RDTs to be made

available during the year

= 1,165,050

RDTs already in

stock

No. of RDTs for which financing is already pledged or

committed

= 1,165,050

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

= 0

NIL

Total number of microscopy tests to be made available

during the year

= 311,713

Microscopy tests already

in stock

Number of microscopy tests

for which financing is already pledged

or committed

= 311,713

No. of microscopy tests for which

additional financing has to be mobilized

to achieve the planned operational

target

Total diagnosis target total diagnostics already in

stock

Total diagnostics already pledged

Total gap in diagnostics

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Country Summary (Interventions &Services) (Cont'd )

Intervention Operational objectives/targ

ets for

2011

Need to end 2011 Already covered Funded and expected to be distributed before end of 2011


Financial Gap (USD)

IPTp To sustain

Universal coverage

Total number of doses to be

made available during the year to cover 80% of

pregnant women

=122,667 doses

( 56,333 PW)

Doses already in stock

=155,799 doses

( 51,933 PW)

Number of doses for which


or committed

=122,667 doses( 56,333

PW)

Number of doses for

which additional financing has to be

mobilized to achieve the

planned operational

target

= 0

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

To provide reliable information on progress in controlling malaria

To facilitate the implementation of the three-ones principle on M&E;To ensure adequate utilization of the results from M&E activities to improve implementation of identified activities;

$792,310 $733,875 $58,435

BCC/IEC To increase to 80% the proportion of the population who take appropriate action to prevent and treat malaria through Behavioral Change Communication

To conduct research on barrier to BCCTo conduct BCC activities $1,074,973 $1,014,973 $60,000

Human Resources (Cap Bldg)

To main well motivated health work force

To provide incentive for health workerTo create conductive work environment for health workers

$1,020,296 $978,296 $42,000

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

Justify the assumptions used for calculating the targets Universal Coverage for LLINs is planned at the Last Quarter of Year 4 (2013)

therefore a routine distribution to target group has been calculated for 2011 Routine nets coverage calculated is based on 80% of pregnant women

accessing ANC 100% of all new born accessing IWC . Parasitological diagnosis targets all age groups with 20% microscopy and 80%

RDTs targeting 100 % of population attending public health services (includes health facilities, private not-for-profit health facilities and community case management)

IPT is targeting all pregnant women base on 80% of pregnant women attending public health services (includes health facilities and private health facilities )

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Implementation Plan - LLINs

Major action / Output / Milestone

TIMEFRAME

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

Delivery of LLIN from supplier

Distribution of LLINs to service delivery points

Monitoring and evaluation of routine LLIN distribution at services delivery points

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

Funds available (USD) Source of funding Comment TIMEFRAME


Funds $ 1,058,470 to procure 188,206 LLINs

GFATM The procurement process already started and delivery will be staggered.

Funds $ 73,237 to deliver 188,206 LLINs

GFATM Training of LLIN distributor, Transportation of LLINs , distribution cost

Funds $ 295,815 to procure 45,510 LLINs

IDB

Funds $ 10,327 to deliver 45,510 LLINs

IDB Routine Distribution

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Implementation Plan - IRS


TIMEFRAME


Developed national IRS policy and guidelines

Review and update IRS training manual

Study tour on IRS in Zambia

Training of regional vector control office on entomological surveillance

Procurement of DDT and IRS equipment

Transportation of DDT and IRS equipment from central regional stores

Developed and print house stickers

Train spray equipment technician

Train district and regional supervisors

Train Spray men on IRS procedures

Orientate drivers on safety procedures

Conduct House to House IRS

Conduct Insecticide resistance studies

Conduct Annual assessment of malaria cases at health facilities

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IRS resources available to achieve the 2011 targets



Funds $ 712,096 to spray 198,059 structures

GFATM

Funds $ X to spray 398,635 structures

Government

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Implementation Plan – Case Mgt


TIMEFRAME


Procurement of Antimalarial drugs and other suppliers

Training of health workers on health management

Training of health workers on IMNCI

Training on pharmavigilance

Procurement of laboratory equipment and supplies

Procurement of RDTs

Recruit and train lab. Assistants and Nurses on malaria microscopy

Train village health workers on use of RDTs

Expansion and refurbishment of laboratory services

Train Mother and care givers on home management of malaria

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Case Management resources available to achieve the 2011 targets

Funds available (USD) Source of funding

Comment TIMEFRAME


Funds $ 318,902 to procure 386,632 doses ACTs

GFATM

Funds $ 19,095 to deliver 386,632 doses ACTs

GFATM

Funds $ 5,000 to deliver 386,632 doses ACTs

MOH/GOV

Funds $ 812,869 to procure 1,065,050 RDTs

GFATM

Funds $ 40,643 to deliver 1,065,050 RDTs

GFATM

Funds $ 75,000 to procure 100,000 RDTs

IDB

Funds $ 3,750 to deliver 100,000 RDTs IDB

Funds $ 1,000 to deliver 1,165,005 RDTs

MOH/GOV

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Implementation Plan – IPTp


TIMEFRAME


Conduct training and retraining for health care providers on IPT

Monitor IPT activities at health facility level

Conduct IEC /BCC activities on IPT

Print and distribute IPT Guidelines to health facilities

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IPTp resources available to achieve the 2011 targets

Funds available (USD) Source of funding

Comment TIMEFRAME


Funds $ 6,760 to procure 122,667 IPTp doses for 56,333 PW

GFATM

Funds $ 500 to distribute 122,667 of IPTp doses for 56,333 PW

GOV/MOH

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Implementation Plan – Cross cutting


TIMEFRAME


Completion of MIS

Completion of TET

Conduct social mobilization, advocacy and BCC for malaria control and prevention

Strengthen logistic management system

Conduct monitoring and Evaluation of malaria control activities

Strengthening CCM and parasite base diagnosis

Strengthen the National malaria Sentinel surveillance system

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Cross-cutting resources available to achieve the 2011 targets



$ 1,592,998GFATM

$ 44,490 IDB

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Summary of technical assistance needs to end 2011Area of Need

Type of support required Resources available

Source of funding

TIMEFRAME


LLINs Support evaluation of LLIN Mass Campaign

IRS Development Of National IRS Policy and review and finalization of IRS guideline and training manual

$18,750 GFATM

Support the Implementation of IRS

ACT Setting up minilab for quality controlSupport to strengthen pharmacovigilliance system

RDTs/microscopy

Rolling out of RDTs at community level

Cross cutting

Review and Finalization of National Malaria Communication Strategy

Support M IS 2010 Data Analysis and Report writing

Program Management / Partnerships

Support National Program Review

Support Finalization of the Strategic plan and Development of Malaria Business Plan and Annual Plan

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

Potential threats to achieving targets

LMIS to generate consumption data for quantification of malaria commodities

A detail GF approved implementation plan, policies and guidelines for IRS

Health workers adherence to malaria treatment guidelines and protocol

Early ANC booking for pregnant women

Consistent used of LLINs by the general population

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

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