Roadmap Progress Report 2011 Zambia SARN-RBM PARTNERS ANNUAL CONSULTATIVE MEETING, JULY 2011

1. Roadmap Progress Report 2011ZambiaSARN-RBM PARTNERS ANNUAL CONSULTATIVE MEETING, JULY 2011

2. A new malaria map, calls for new approaches 2

3. VISION • Zambia`s vision is attainment of a malaria free country

4. GOAL • Is to reduce the incidence of malaria by at least two thirds of the 2010 baseline, to reduce malaria deaths to near zero and to begin to develop malaria free zones in the country by 2015.

5. INTERVIENTIONS

6. LLINs • To achieve 100% LLINs ownership and at least 80% LLIN use • Procure and distribute LLIN through campaigns and through the routine ANC at health facilities • Review and disseminate door to door distribution guidelines • Conduct mass distribution campaign • Promote and monitor ITN utilization

7. LLIN resources available to achieve the 2011 targets

8. LLIN resources available to achieve the 2011 targets (2)

9. Children sleeping under an ITN by urban and rural areas, Zambia 2006-2010

10. IRS • To ensure at least 85% of the targeted structures in epidemiological zones are protected • Conduct national wide needs assessment • Review, update and print IRS materials • Procurement of IRS commodities • Conduct IRS training • Implement IRS in all 72 districts • Maintain appropriate environmental compliance

11. IRS resources available to achieve the 2011 targets

12. Households reported sprayed in the previous 12 months, Zambia 2006-2010

13. IPTp • To achieve 100% IPTp coverage among pregnant women at risk of malaria and attending antenatal care • Scale up training and mentorship of HW in Focused Antenatal Care • Procurement of SP for IPTp - Procured 2 million doses by PMI • GRZ also procured 2 million doses • Print and distribute revised MIP guidelines to all health facilities

14. Diagnostics • By end 2011, 80% of suspected malaria cases receive a diagnostic test • Procurement of RDTs • Training of HWs and CHWs in malaria diagnosis and treatment Engage the private sector in the adherence to parasitological diagnosis as per guidelines.

15. RDTs Quantities

16. ACTs • By end 2011, 100% of confirmed cases receive treatment with appropriate and effective anti malaria drugs at all levels Scale up of Community Case Management (CCM) training from 27 districts to 54 districts • Disseminate revised malaria diagnosis and treatment guidelines • Scale up in service training in malaria case management at various levels of health care • Procurement ACTs

17. BCC/IEC • Mobilize partnership, resources, increase advocacy to create/increase malaria awareness and utilization of malaria interventions. • Document best practices • Review, update and disseminate Malaria Communication Strategy • Hold capacity building workshop at national, provincial and district levels on BCC • Orient traditional, civic, religious and other influential community leaders

18. Monitoring & Evaluation • Strengthen malaria data management systems and capacities • Conduct Health facility survey • Conduct reviews on the malaria annual action plans and NMSP • Train district data managers in Surveillance Monitoring and Evaluation • Conduct entomological surveillance • Conduct drug efficacy studies

19. Conclusions • Significant progress in intervention coverage and impact have been made • But the programme will continue scaling up principal interventions towards universal coverage for higher impact

20. Next strategic direction • Rapid scale up WHO recommended principal interventions (e.g., ITNs, IRS, IPTp 2) in combination to reach universal coverage targets • Increase community demand for confirmatory malaria diagnosis for effective treatment. • Strengthen malaria surveillance in the context of changing malaria epidemiology (e.g., reducing parasitaemia).