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National Malaria Control Programme (NMCP) - PowerPoint by edt34384

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									National Malaria Control
  Programme (NMCP)
                            By

                   Dr E. Sinyinza
             Disease Control Specialist
               Central Board of Health


27/04/2010            esinyinza@yahoo.com   1
             Programme Over View
National Malaria Control Centre (NMCC) of
the MoH mandated to Coordinate activities of
the NMCP, as follows:
• Planning
• Implementation
• Monitoring & Evaluation

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      The NMCP: Major Thrusts
• Roll Back Malaria (RBM)
   – A global Social Movement launched by the WHO
     Secretary General in 1998
   – RBM founded on strengthening global partnership
• Goal of RBM:
   – To halve the BURDEN of malaria by 2010
• Objectives of RBM
   – To achieve a 30% increase in number of people able to
     get effective malaria treatment within 24 hours
   – Encourage use of Insecticide Treated Bednets (ITNs)
   – Reduce malaria by 50% in pregnancy and children
     under the age of 5 years

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   RBM in Zambia: Milestone-1
• Year 1998
     – Zambia joined the rest of Africa in support of Africa
       Malaria Initiative
     – Zambia participated in the pre-testing of Situation
       Analysis instruments for RBM collaboration with
       WHO
• Year 1999:
     – Zambia selected as one of the eight spotlight countries
       for the implementation of Roll Back Malaria in
       WHO/African region

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RBM in Zambia: Milestones - 2
• Year 1999:
    – Presidential commitment to the RBM
      movement in Zambia
    – Formation of the National RBM Secretariat
      which is being chaired by the D/Minister -MoH
    – Zambia participated in pre-testing of the WHO
      RBM tools developed for the assessment of the
      country malaria situation
    – Partnership sensitization on RBM



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RBM in Zambia: Milestones - 3
Year 2000:
• Situation Analysis conducted to determine the
  burden of malaria in Zambia
• Development of the Country Strategy for Rolling
  Back Malaria
• Partnership mapping for RBM
• Zambia’s participation and commitment to the
  Resolutions of the Heads of State Summit on
  RBM in Abuja, Nigeria.

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      RBM: Country Strategy - 1
Year 2001:
• Partnership input to the Finalization of the
  Country Strategy for Rolling Back Malaria
     – Meeting chaired by the PS – MoH & DG –
       CBoH
Six themes endorsed for the implementation
of RBM in Zambia – Country Strategy

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    RBM: Country Strategy - 2
SIX THEMES: (working as Task Groups)
1. Partnership Mapping & Building
2. ITNS and Vector control
3. Information Education & Communication (IEC)
4. Case Management
5. Epidemic preparedness
6. Monitoring & Evaluation (M & E), Surveillance,
   and Research



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             RBM: Theme # 1
Partnership Mapping and Building:
• RBM is founded on Partnership Building
  and individual partners participating
  according to their comparative advantage
• Key partners in Zambia: UNICEF, USAID,
  WHO, UNDP, JICA, WORLD BANK,
• Formation of district RBM working groups
• Community participation emphasized !


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             RBM: Theme # 2
Insecticide Treated Nets (ITNs) & Vector Control:
• The Government is considering waiving TAX
  and any Tariffs on all Insecticides and
  materials used for vector control in Malaria
• Community Based Malaria Control and
  Prevention (CBMCP):
     – More than 50% districts covered
• Vector Susceptibility testing conducted in
  Chipata and Chongwe (NMCC), Chingola and
  Chibombo (TDRC).
     – Mean mortality = 99% using ICON.


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             RBM: Theme # 3
IEC:
• April 25, 2001
    – Zambia joined the rest of the World in
      the Commemoration of the AFRICA
      MALARIA DAY.
• Development, pre-testing, distribution and
  administering IEC materials through the
  district health structures


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             RBM: Theme # 4
Case Management:
• Generate all empirical evidence on antimalarial
  drug resistance and efficacy (Chloroquine &
  Fansidar(R)) so as to facilitate Drug policy review
• Review the National Malaria Drug Policy for
  effective Case Management
• Review/Develop and administer treatment guide-
  lines (ITG) through the district health structures
• Train districts/Hospitals in uncomplicated and
  severe malaria management using the IMCI model


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             RBM: Theme # 5
Epidemic Preparedness:
• Map-out epidemic prone districts
• Map-out areas prone to Malaria
  Emergencies (Floods, Refugees, disasters)
• Support districts in epidemic preparedness



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             RBM: Theme # 6
M & E, Surveillance and Research:

• Developing a National Malaria Sentinel
  Surveillance System that is Simple, Flexible Timely
  and responsive to RBM key indicators

• Strengthen district information systems, including
  timely reporting for epidemic prevention

• Integration of IMCI/RBM/IDSR surveillance in
  Mwinilunga, Samfya, Chipata and Senanga



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     RBM Activities and timetable
               2001
                 1 2 3 4 5 6 7 8 9 10 11 12
RBM task         x x x x
forces
Develop          x x x x
strategic plan
Revise           x x x x x x x xx x     x   x
antimalaria
drug policy
Scaling up ITNs x x x x x x x x x x     x   x
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Indoor res.spay x x x x x x x x x x     x   x 15
              RBM Activities
                    1 2 3 4 5 6 7 8 9 10 11 12

Advocacy, IEC       x xxx x xx x x x             x   x
Capacity building            x x xx x x x        x   x
in case mgt
Capacity in IMCI x x x x x x x x x x             x   x
Develop home                          xx x x x   x   x
care antimalaria
drug pack
Situation on              xx
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diagnostic equip.
                 RBM Activities
                  1 2 3 4 5 6 7 8 9 10 11 12
Partner           xx x x x x x x x x        x   x
resource gaps

District                      x x x x x x   x   x
disaster mgt
Epidemic          xx x x x x x x x x        x   x
stocks and
logistics
Identify          xx x
sentinel sites
Baseline data
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                          x x x x x x x
                     esinyinza@yahoo.com
                                            x   x   17
collection
   Joint implementing partners
Agency       Area of support Estimated
                                    annual health
                                    budget
MOH          All aspects            3, 700, 000
WHO          Technical              580, 000
UNICEF       ITN + Technical 142, 000
World Bank   Policy
ADB          ITN                    2, 000, 000
USAID
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                  aspects
             Allesinyinza@yahoo.com                 18

JICA         Grant Aid              400, 000
       Joint implementing partners
DANIDA         Basket support     2, 500, 000
NGOs           ITNs, Health           500, 000
               services,
               awareness,
               training
Private        Health services, 500, 000
               ITN, residual
Religious      Health services, 2, 000, 000
groups         ITNs, Training,
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               Awareness
IMCI and MPS in RBM program
• IMCI – Vehicle for case management
• IMCI health facility survey – baseline data
  collection at health facility – Malaria
  included
• NSO – to assist in data collection
  (integration of IMCI and IDSR)


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     Role of NGOs in the program
• NGO support to ITNs
-DAPP, ADRA, CMAZ, CARE, UNICEF,
  WORLD VISION, NETMARK,
- Expansion of the ITN programme to rural
  areas
- Challenge for the future is to scale up
  successful programmes nationally

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     Role of NGOs in the program
• NGO support to IEC:
- Development and implementation of IEC
  materials through their malaria programmes
  (CMAZ, CARE, DAPP, SFH, ADRA, WORLD
  VISION
- Development of IEC trainers of trainers for
  districts(WHO)
- District level development of strategies and action
  plans
- Development of an IEC policy and
  strategy(USAID, UNICEF)

27/04/2010           esinyinza@yahoo.com            22
     Role of NGOs in the program
• SFH support to private sector
-through mass media – this will include radio
   and television promotion
- through shops and pharmacies – promotes
   use and sell of ITNs, posters and other
   materials in privately owned shops


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