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Malaria control programme in Southern Sudan

Malaria control programme in Southern Sudan. Prepared by Dr. Othwonh Thabo National Malaria Control programme coordinator in MOH/GOSS. Major causes of morbidity by Region in 2006. Malaria morbidity trend in regions by year. Malaria morbidity in Southern Sudan by year. ITN distribution in SS.

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Malaria control programme in Southern Sudan

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  1. Malaria control programme in Southern Sudan Prepared by Dr. Othwonh Thabo National Malaria Control programme coordinator in MOH/GOSS

  2. Major causes of morbidity by Region in 2006

  3. Malaria morbidity trend in regions by year

  4. Malaria morbidity in Southern Sudan by year

  5. ITN distribution in SS

  6. Coverage indicators Preliminary results on ITN coverage and <5 treatment with ACT from Sudan Household Health Survey (SHHS) in 2006 • Households with at least one mosquito net is 37% • Households with at least one Insecticide Treated Net (ITN) 18.1% • Proportion of <5 children sleeping under bed net is 27.8% • Proportion of <5yrs treated with antimalarial drugs is 53% • Children <5yrs with a fever getting antimalarial drugs within 24hrs is 2.7%

  7. Financial needs over the next 3 years

  8. Partners active in country • WHO • MSH/USAID • UNICEF • World bank • PSI • MC • GFATM Sub-recipient NGOs • JSI

  9. Challenges in achieving SUFI • Weak health system • Limited trained human resource within the programme • No clear budget outline for the programme • Weak coordination of partners at different levels • Country wide shortage of commodities-ACT, ITN & RDTs • Inadequate M&E and staff at various levels • M&E and documentation of impact • Weak drug procurement and supply management system • Weak laboratory network system • Lack of QC&QA and inadequate blood transfusion services

  10. How to address the challenges • Deliberate move by GOSS/MOH to train large number of different cadres of health workers • At central level, NMCP is better staffed with 3 of the 5 positions filled by national staff • By 2009 all the ten states will have trained focal point for malaria • Coordination at state and lower levels will be improving with 7 out of the 10 states now having full time malaria coordinator • There are ongoing efforts on strengthening the M&E systems for health sector that have intensified the three main tools for data collection (e.g, IDSR, HMIS and household and facility surveys)

  11. How to address the challenges 1. Mass training of health workers: • Contracts with three training schools was done • Another contract with Health Training Institutes in Kenya and Uganda to recruit 300 students every year in specialized disciplines • Target postgraduate training in specialized areas for Malaria strategies and new Malaria interventions • Building the capacity of MOH/GOSS and state level in health systems planning and management • Improving in management of existing staff

  12. How to address the challenges 2. Strengthening of national drug procurement and supply management system • MOF will be responsible the public procurement and disposal in line with World Bank policies and procedures • A technical firm has been contracted with funding from MDTF/World Bank and is closely working with the MCP on a wide range of technical areas including improved store management, setting up quality assurance, inventory management system and setting up computerized logistic information system

  13. Assistance needed from partnership to scale up SUFI • Capacity on M&E especially data analysis, interpretation at county, state and national levels and communication as well as laboratory facilities • Access to additional resources for LLITN distribution through integrated mass distribution and EPI campaigns and refresher trainings for malaria control interventions and implementation, assessment of PHC Humanitarian funding gaps and impact evaluations as well as operational research • Monitoring the efficacy of first line drugs and the sensitivity of insecticides for IRS and ITN • Expansion of health services to the areas not covered • Developing and maintaining standardized programs and supporting activities including malaria commodities, implementation guidelines, training, supervision, communication and resources • Reviewing and regular updating of policies, strategies and guidelines for all MCP activities • Coordination of Malaria partners for better resource mobilization, programme implementation and monitoring & evaluation (One plan, one M&E and one coordination mechanism) • Identification and integration of other programs for malaria interventions, e.g. Home Management of Malaria and mass LLIN distribution

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