Malaria control in lao pdr lessons learnt from gfatm supporting projects a country update
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Malaria Control in Lao PDR, lessons learnt from GFATM supporting projects a country update. Principal Recipient Office & SRs Ministry of Health Laos. Bali, Indonesia. September 4 th , 2007. Outputs of the GFATM in Laos.

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Malaria control in lao pdr lessons learnt from gfatm supporting projects a country update l.jpg

Malaria Control in Lao PDR, lessons learnt from GFATM supporting projectsa country update

Principal Recipient Office & SRs

Ministry of Health Laos

Bali, Indonesia. September 4th, 2007


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Outputs of the GFATM in Laos supporting projects

  • GFATM supports MOH for nation wide malaria control program from central down to village level.

  • New effective combination of anti-malaria drug used for the treatment of all malaria cases in the country

  • Significant reduction of both malaria mortality and morbidity in Laos

  • Increase the protection of 2.7out of 3.6 Mio people under nets

  • Strengthening both the programmatic and financial of the programme in Laos.

  • Introducing the scheme of performance vs funding into the country


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Introduction of “Traffic Lights” system to monitor the programmatic progress

RED: Delayed

YELLOW: Activities on-going

but not yet completed

GREEN: Done


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Key indicators link with Work Plan programmatic progress

To be solved. (delays)

6 Months report (key indicators)

Quarterly Work Plan


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Other monitoring tool for CCM members programmatic progress

Develop easy virtual tool for CCM member to track project achievement using progress tracking bar on quarterly/6 monthly basis


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Combined actions against Malaria programmatic progress

  • Change of National Drug Policy to adapt to the fast change in multi-drug resistance leading to:

    • Review of national treatment scheme of Malaria

  • Introduction of effective combination of anti-malaria drugs plus RDT close to the community using VHVs

  • At the same time trigger fight back against counterfeit anti-malaria drug in R6 through the national FDD

  • Close and regular drug resistance monitoring of ACT use as Laos is surrounded by countries with multi-drug resistance problem

  • Initiate partnership between public-private in malaria control and treatment


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2001: programmatic progress

CQ,TF: 52.8%

SP,TF:18%

2003:

As+Mef:TF:ACPR: 100%

A/L: TF:6.4%

2001-02:

CQ:TF: 30-35%

S/P:TF:17%

AS+Mef:TF:0%

A/L:TF:3%

1999: CQ:

TF:46%,RII/RIII: 33%

2001:

CQ:TF:52.8%

S/P: TF:15.2%

CQ+S/P:TF:22.6%

Mef:TF:0%

As+Mef: TF:0%

2005:

A/L:TF:0%

2006:

A/L:TF: 0%

2001-02;

CQ:TF:55%

S/P:TF:11%

Close Drug Monitoring


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Capacity building in malaria control programmatic progressfor all level

  • Make training available to health staff at all levels through short term training:

    • In country training in programme management, malaria prevention and treatment

    • Study exchange to centre of excellence in neighbouring countries

  • Long-tem training: such as diploma course, Master course


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Plan for Operational studies to provide directions for implementation

  • Monitoring of resistance to Coartem in 4 sentinel sites

  • Malariometric survey

  • Study of the knowledge,acceptance of LLTN

  • Bio-Assays on LLTN

  • KAP survey on the use of MIS among health staff

  • Mid term Review of the Malaria control programme

  • Etc…


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Where are we now in term of coordination? implementation

  • We have transmitted confidence to GF, LFA and CCM.

    • Stronger systems in place from quarterly to 6 months reports.

    • PR has been re-selected again by the CCM to continue its as PR for R6 too.

    • PR submits reports on time (we have improve that matter in the last 8 months) example of days.

    • Others......



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