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Funding Request Tailored to Material Change

Funding Request Tailored to Material Change. Mr Tobgyel Dy. CPO, VDCP. Background. why Tailored Review Transitioning from donor support gradually Focused on future sustainability BHTF(Agreement of (15%) of allocated fund 1:1 bases contribution from government

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Funding Request Tailored to Material Change

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  1. Funding RequestTailored to Material Change MrTobgyel Dy. CPO, VDCP New Application, Tailored Review

  2. Background why Tailored Review • Transitioning from donor support gradually • Focused on future sustainability BHTF(Agreement of (15%) of allocated fund 1:1 bases contribution from government • Not much programme shift of polices and strategies except few activities changes based on: -NSP 2015-2020 - External Review recommendations - KAP/MIS survey findings New Application, Tailored Review

  3. Epidemiological updates New Application, Tailored Review

  4. 33rd CCM Meeting 26th -27th May, 2016 ( Malaria)

  5. New Application, Tailored Review

  6. Bhutan is progressing well towards the stated goal of the NMSP 2015-2020 to interrupt indigenous transmission by 2018. Non-Receptive Areas

  7. Indigenous transmission has been interrupted in all Districts with seasonal pattern of transmission and in most border Districts with perennial transmission, where only imported cases are presently reported;However, active foci with ongoing transmission remain in two border districts (Sarpang & Samdrupjongkhar) most probably due to continuous importation of malaria from neighboring India, particularly of Assam which is still endemic;Noting that most of locally acquired cases are single, sporadic and not epidemiologically connected to each other in space and time, one can assume that these cases have an introduced nature (first-generation local transmission due to importation). PROGRESS TOWARDS MALARIA ELIMINATION (External review Comments)

  8. Way forward WHO classification API<1/1000 population at risk 0 locally acquired cases SPR <5% in fever cases WHO certification 3 years ------------ Control Pre elimination Elimination Prevention of reintroduction 2nd Programme reorientation 1st Programme reorientation BHUTAN is at this level (from 2011-2013) BHUTAN was at this level (from 2005-2010) 31st CCM, Ministry of Health, 10th Oct. 2014

  9. Bhutan National Strategic Plan 2015-2020 Vision Bhutan free of indigenous malaria Mission Achieving malaria elimination through use of evidence based preventive, control and treatment methods, community empowerment, strengthened surveillance systems and institutional establishment for sustained elimination and prevent reintroduction of transmission Goal To achieve zero indigenous malaria in Bhutan by 2018 and obtain WHO malaria free certification by 2020

  10. Goal and Objectives • Goal: To achieve zero indigenous malaria in Bhutan by 2018 and obtain WHO-malaria free certification by 2020. • Outcome Objectives: • Active Foci of malaria eliminated by 2018 • Resurgence of malaria prevented from 2018 onwards • Achieve Zero malaria death and sustained • Health system and community system strengthened to sustain malaria elimination 33rd CCM Meeting 26th -27th May, 2016 ( Malaria)

  11. Key areas proposed for Note New Application, Tailored Review

  12. New Application, Tailored Review

  13. Priority needs based on Gap Analyses New Application, Tailored Review

  14. New activities • Establishment of national reference lab at RCDC • External Quality Assessment (EQA) of microscopes and certification/accreditation • Mobile clinics for high risk screening and PCR • Provision of LLIN for closed border population across border through Bhutan India Friendship Association • Independent Malaria Elimination Commission and Technical Advisory Taskforce will be established • 15% fund contribution to the BHTF New Application, Tailored Review

  15. New Application, Tailored Review

  16. Budget Cost grouping

  17. Engagement during proposal development Technical Working groups. • Khesar Gyalpo University of Medical Sciences of Bhutan (KGUMSB) • Royal Centre for Disease Control (RCDC) • Drug Regulatory Authority (DRA) District level Discussion: • DHO/ DMS • Medical Superintendent /Medical Specialist • Local leader and member Community Action group PDC/ Experts View – WHO/GF/APMEN New Application, Tailored Review

  18. Grant Over view • Principal Recipient – Ministry of Health • Implementing partners - DRA - UMSB - RCDC • Grant Amount – USD 1,660,367.68 • Grant Period – July 2018 - June 2021 New Application, Tailored Review

  19. Thank you New Application, Tailored Review

  20. Impact Indicators New Application, Tailored Review

  21. Outcome Indicators New Application, Tailored Review

  22. Coverage for Impact Indicators New Application, Tailored Review

  23. Coverage Indicators New Application, Tailored Review

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