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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 projectsa country update Principal Recipient Office & SRs Ministry of Health Laos Bali, Indonesia. September 4th, 2007
Outputs of the GFATM in Laos • 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
Introduction of “Traffic Lights” system to monitor the programmatic progress RED: Delayed YELLOW: Activities on-going but not yet completed GREEN: Done
Key indicators link with Work Plan To be solved. (delays) 6 Months report (key indicators) Quarterly Work Plan
Other monitoring tool for CCM members Develop easy virtual tool for CCM member to track project achievement using progress tracking bar on quarterly/6 monthly basis
Combined actions against Malaria • 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
2001: 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
Capacity building in malaria control for 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
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…
Where are we now in term of coordination? • 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......