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Somalia Road Map Plan to achieve 100% coverage of malaria control by Dec. 2010 Sept. 2010

Somalia Road Map Plan to achieve 100% coverage of malaria control by Dec. 2010 Sept. 2010. General Context.

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Somalia Road Map Plan to achieve 100% coverage of malaria control by Dec. 2010 Sept. 2010

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  1. Somalia Road Map Plan to achieve 100% coverage of malaria control by Dec. 2010 Sept. 2010

  2. General Context 3 distinct areas:Somaliland, Puntland, Central/South SomaliaHealth indicators- UMR: 225 (per 1,000)- MMR: 1100 (per 100,000)- Malaria prevalence 1 – 10%Political / SocialPopulation – approx 9.3 M. InsecurityPopulation displacementFew health workerHealth system is fragmented & under financed

  3. Malaria Program • Currently funded under the GF Rd 6 from Nov 2007 to Oct 2012. • Phase 1: Sept 2007 to Oct 2009 - 13million • Phase 2: Nov 2009 to Oct 2012 - 14million • Implementation of activities guided by the National Malaria Strategy 2005 to 2010 • Updated NMS / M&E Plan (2010 to 2015) revised, approved and endorsed by health authorities in the three zones. • Courtesy of the EARN/RBM support to finalize and endorse (March 31, 2010)

  4. Situation Analysis • Case Management • Introduction of ACT/RDT started in 2006, covering all Hospital & MCH • Guidelines in place BUT need revision • Just introduced ACT/RDT at the lower Health post levels (2009) • No funding Gap • Malaria prevention • 715,000 distributed: 50,000 procured and planned for distribution • 76,480 received at Mombasa and earmarked for distribution in Lower Shabelle and Lower Juba/ Sept/Oct • So far coverage is estimated above 65% (except L.Sh)

  5. Situation Analysis • IEC • Implementation guided by Malaria communication strategy (2006/2010) • Malaria Communication strategy needs to be updated • Activities – Trained 30% of HWs on communication techniques: Community dialogue: Conducting malaria field days and annual World Malaria Day • Malaria in pregnancy • Implemented only in the CSZ of Somalia • SP is procured by UNICEF: No funding gap • LLINs distributed as part of mass coverage (No ANC distribution)

  6. Situation Analysis ctd • Health system strengthening • 60% of labs undergoing QC • 30% of laboratory technicians trained • 8 senior lab tech to be trained in lab QC • Epidemic Preparedness and response • 7% of health staff trained on epidemic preparedness & response • No clear EP&R strategy except Somaliland (mapping not done, estimate not done) – TA required • HMIS • On-going under Rd 6: All districts covered in Somaliland & Puntland is on-going • Data has started flowing • IDSR – Functioning by the end of 2010 • Strengthening of Malaria Control Program • Established in all three zones. • NMCP Managers trained and supported

  7. Road map Sept 2010 Evaluation - LLIN

  8. Road Map Sept 2010 Evaluation-ACT RDT

  9. Road Map Sept 2010 Evaluation-ACT RDT

  10. Supervision & Capacity building 1 * post pond-Jan11

  11. Road Map Sept 2010 Supervision & Capacity building valuation-

  12. Supervision & Capacity building 2

  13. Road map Sept 2010 Evaluation- Limiting Factors (Mitigation)

  14. Technical Assistance needs over 3 months (Oct – Dec 2010) • Updating communication strategy for malaria (Oct 2010) • GF Rd 10 proposal (NSP and M&E costing on going) • Development of Epidemic Preparedness & Response Strategy (Oct 2010) • Establishment of 3 Ent Units (1/Zone - on going) – TA not needed • Health Facility mapping (especially Health post) • Participation request for support Nationals to attend the 29th Dec meeting in Cairo on PRM • AMD policy update/Work Shop – Oct/Nov 2010 • SMS intruduction in Surveillance weekly data collection

  15. Road Map Sept 2010 Evaluation- TA needs

  16. Road Map Sept 2010 Evaluation- TA needs cont…

  17. MMRT for 18 lab tech (8/NWZ, 10/NEZ) • Ent Unit Equipments procured and will be distributed in Oct 2010 • IRS campaigns implemented (in all zones) • Successful and effective participation in 9th inter-country meeting/ Marrakesh/Morocco • Quarterly supervision of HF and distribution of lab supplies, ACTs and RDTs Latest activities Sept. 2010

  18. Way forward – Oct – Dec 2010 • PR/UNICEF: • 1.2 Million LLINs planned for distribution under Rd 6 ending Nov 2012 • 250,000 LLINs expected to arrive end of September : Gap of 1.2 million • Support NMCP offices (MW & NE only) • WHO • Ent Units establishment – Oct 2010 – Procurements - done • MMRT – for CSZ 10 participants 16th – 30th Oct - DONE • Vector susceptibility tests – 10th Oct - Done • Amend the MOU with PR/UNICEF for Yr 4 (Nov 2010 – Oct 11) • Other SR: ?? (HAVOYOCO, CCM/Italy, MENTOR) • CARITUS – IRS activities

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