1 Roadmap to Achieve 31.12.2011 RBM Targets ETHIOPIA January 2011 – December 2011 [ETHIOPIA]
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Transcript of 1 Roadmap to Achieve 31.12.2011 RBM Targets ETHIOPIA January 2011 – December 2011 [ETHIOPIA]
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Roadmap to Achieve 31.12.2011 RBM Targets
ETHIOPIA
January 2011 – December 2011[ETHIOPIA]
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Country Summary (Interventions & Services)Population at Risk: 68% of 79,835354=54,288041
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 achieve universal coverage( if not yet
achieved but feasible in 2011)
•Define how universal coverage target was
calculated e.g. 1 net for 1.8 persons
2LLINs per HH
Mass Campaign: Total number of nets required to reach the
operational target
(23.1 million LLINs)
Mass Campaign:
Active nets already in the community#
(19.7 million LLIN)
# based on number of
nets already distributed
in last three years
Mass Campaign:
Total number of nets for which
financing is already pledged
(3.4 million LLIN)
Mass Campaign: Number of
nets for which financing has
to be mobilized to achieve the
operational target within
2011
(None)
Include funding total
gap
ZERO
Routine distribution: Total number of nets required to reach the
operational target (state what target group is e.g. pregnant women through ANC, infants with routine
EPI)
(16,289 LLINs)
Routine distribution: Active nets
already in the community#
# based on number of
nets already distributed
in last three years
Zero
Routine distribution: Total number of nets for which financing is
already pledged
(Zero)
Routine distribution:
Number of nets for which
financing has to be mobilized to
achieve the operational target
within 2011
(16,289 LLINs)
Include funding total
gap
(87,960)
Total nets needed in 2011 = 23,117,583
Total nets already
distributed = 19.7 M
Total nets where financing is
already pledged 3.4 M
Total gap (number)
16,289
Total gap (US$)
(87,960)
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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)
*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
9,415,740
Doses already in
stock
Number of doses for which financing is already pledged
or committed
9,000,000
Number of doses for
which additional
financing has to be mobilized to achieve the
planned operational
target
415,740
481,427
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 75% IRS targeted through spraying of 9,051,173 unit structures
9,051,173 unit structures to be sprayed protecting 75% of the IRS targeted population
Insert the cost per structure sprayed. Unit cost for chemical=US$5.67, unit cost operational cost= US$ 1.5
Insert the number of structures which can sprayed using existing resources
=5,769,789
Total number of structures for which financing is already pledged or committed 5,769,789
Number of structures for which additional financing has to be mobilized to achieve the planned operational target=3,281,384
18,605,448
RDTs and microscopy To expand coverage of
parasitological diagnosis to a given level (universal coverage
by 2011)
*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
19.7 million
RDTs already in
stock
No. of RDTs for which financing is already
pledged or committed
(5.7 million)
No. of RDTs for which additional financing has to be mobilized to achieve the planned
operational target 14 million
USD13.3 million
Total number of microscopy tests
to be made available during
the year
4.2 million
Microscopy tests already
in stock
Number of microscopy tests for which financing is already pledged or
committed
4.2 million
No. of microscopy tests for which
additional financing has to be mobilized to achieve the planned operational target
zero
zero
Total diagnosis target 23.9 million test
total diagnostics already in
stock
Total diagnostics
already pledged =9.9 million
Total gap in diagnostics 14
million
US$13.3 Million
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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)
IPTp Not applicable in Ethiopia
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
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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 strengthen program M&E and implement operational research to establish a comprehensive evidence to inform decisions and program reporting
- MIS, efficacy study (drug,
insecticides), health facility survey,
MPR, SMS
7.89 million 6,496,750 1,393,250
BCC/IEC achieve 80% utilization rates for LLINs, strengthen treatment-seeking behavior and increased acceptance of IRS through scaling-up behavioral change communication (BCC) activities
-community conversation,
-IEC/BCC activities through HEP-Mass media, mobile video, -Community mobilization
6,285,230 5,138,000 1,147,230
Human Resources (Cap Bldg)
To strengthen HR in malarious districts targeting staff caring out malaria activities both at program Mx and implementation level
??? 6,543,543 ???
Insert others as required e.g. CSS, HSS, OR
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Assumptions for calculating the needs (Quantity and Funding) to achieve 2011 Targets
Justify the assumptions used for calculating the targets
• e.g. Universal Coverage for LLINs is planned at the end of Year 3 (2013) therefore a pro-rata has been calculated for 2011
• e.g. Net coverage calculated based on 1.8 persons per net and a net attrition rate of 8% year 1, 20% year 2 and 50% year 3; routine nets based on 90% of pregnant women accessing ANC
• e.g. Parasitological diagnosis targets all age groups with 30% microscopy and 70% RDTs targeting 100 % of population attending public health services (includes health facilities and community case management)
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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 3.4 million LLINs to Ethiopia X X
Distribution to districts X
Routine (keep-up distribution at health posts) X X X X X X X X
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LLIN resources available to achieve the 2011 targets (including timing of disbursements)
Funds available (USD) Source of funding TIMEFRAME
J F M A M J J A S O N D
Funds to procure LLINs
Funds (US$ 17 million ) to deliver (3.4 million) of LLINs
PMI, WB Procurement process initiated
X X
10
Implementation Plan - IRS
Major action / Output / Milestone
TIMEFRAME
J F M A M J J A S O N D
Procurement of insecticide and spray equipments X X
Distribution to district health offices x x
Preparation of spray operation including orientation of health professionals and training spray operators x x x
Implementation of IRS operation x x X
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IRS resources available to achieve the 2011 targets
Funds available (USD) Source of funding Comment TIMEFRAME
J F M A M J J A S O N D
Funds [USD 18 million] is estimated to be available to spray 5.7 million unit structures
Government, PMI,
GFATMAdditional financial resource is required to fill insectcide gaps and to fully achieve the 2011 IRS target
X X X X
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Implementation Plan – Case Mgt
Major action / Output / Milestone
TIMEFRAME
J F M A M J J A S O N D
Procurement of ACT, RDT X X
Delivery to Ethiopia X X X
Distribution to health facilities X X X X X X X X X
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Case Management resources available to achieve the 2011 targets
Funds available (USD) Source of funding Comment TIMEFRAME
J F M A M J J A S O N D
Funds to procure [6 million] of ACTs
UNITAID
Funds to deliver (3 million) of ACTs
PMI X
Funds to procure [3.9 million] of RDTs
GFATM R8
Funds to deliver (1.5 million) of RDTs
PMI X
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Implementation Plan – IPTp
Major action / Output / Milestone
TIMEFRAME
J F M A M J J A S O N D
Not applicable X X
X X
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IPTp resources available to achieve the 2011 targets
Funds available (USD) Source of funding Comment TIMEFRAME
J F M A M J J A S O N D
Funds to procure [no] of IPTp doses for X pw
Enter financing Organization
Funds to distribute procure [no] of IPTp doses
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Implementation Plan – Cross cutting
Major action / Output / Milestone
TIMEFRAME
J F M A M J J A S O N D
MIS 2011 X X X X X X X
MPR X X X X X
Insecticide efficacy study X X
Health facility survey
Basic malariology training X X X
CCM training X X X X X X X X X
IEC/BCC Mass media X X X X X X X X X X X X X
IEC/BCC activities through HEP X X X X X X X X X X X X X
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Cross-cutting resources available to achieve the 2011 targets
Funds available (USD) Source of funding Comment TIMEFRAME
J F M A M J J A S O N D
M&E- MIS 2011 GFATM R8, PMI, UNICEF,MACEPA, carter center, WHO
No gap
X X X X X X
M&E -MPR EARN, MACEPA, UNICEF, PMI
? We don’t have incountry partners allocation of funds X X X X
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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
IRS Selection of insecticides for IRS
X
ACT
RDTs/microscopy
Cross cutting
Surveillance X X
MPR X X X
MIS 2011 X X X
Program Management / Partnerships
GF Grant Implementation
other
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Summary of rate-limiting factors/solutions over the next 12 months - threats
Potential threats to achieving targets
-Insufficient fund for IRS chemical procurement
- Relaxation of efforts due to reduced level of malaria transmission
- Logistic supply management- procurement, storage, distribution
- Expertise