zimbabwe

							          Zimbabwe

Roadmap to Achieve 31.12.2010
       RBM Targets



September 2009 – December 2010



        Zimbabwe Road Map sept 2009 to
                  Dec 2010
                           Country Summary
 Population at risk:   4 million
Intervention           Need to 2010          Already             Funded and expected         Gap
                                                                 to be distributed
                                             covered             before end 2010


LLINs (Universal       $10,200,000.00        $1,237,346.00       $8,962,653.30               None
Access)                (2 million nets)      (242617 nets-       (1,757,38.3 GF
                                             UNICEF 2008/9)      R8+UNICEF)

ACTs                   $3,619, 447.75        $2,412,965.17       $1,758,225.00               None
                       (Qty - 3, 623,404)    (Qty - 2,395,870)

IRS                    $11,233,792.00                            $7,583,067                  $3,650,725
                                                                 (GF R8)
                                                                 (Gap on pyrethroids, DDT,
                                                                 spray Operators’
                                                                 allowances & protective
                                                                 clothing)

RDTs                   $2,309,153            $1,136,090.20       $1,064,654.50               None
                       (Qty - 3,298,790)     (GF R5 - Qty        (Qty - 1,520,935)
                                             1,622,986)

IPTp                   (for women)                    -                       -                    -
                                   Zimbabwe Road Map sept 2009 to
                                             Dec 2010
            Country Summary (                             continued   )
Intervention      Need to 2010       Already         Funded and           Gap
                                                     expected to be
                                     covered         distributed
                                                     before end 2010

M&E               $1,925,324.00       $668,125.00    $1,042,855.00        $214,344.00
                  (GF+100,000 for
                  rapid surveys)
BCC/IEC           $2,102,516.00       $459,000.00    $909,946.00          $733,570.00
                  (GFR5+GFR8+pro
                  vision for extra   GF R5
                  BCC activities)
Human             $920,520.00        $420,000.00     $500,520.00              NONE
Resources
(Capacity Bldg)




                         Zimbabwe Road Map sept 2009 to
                                   Dec 2010
LLIN resources available to achieve the 2010 targets
      FUNDS         SOURCE           COMMENT
 AVAILABLE (US $)
 $8,439,132         Global Fund R8   Activities:
                                     • Procure and distributed 1,235,345 million nets in 30
                                     malaria endemic districts in 2010

                                     • Integrated mass media and interpersonal behavior
                                     change communication
 $1,760,868         UNICEF           • Distribute nets 11 malaria endemic districts in 2009

                                     • Implement interpersonal behavior change
                                     communication activities.

                                     *Nets donated in kind by UNICEF

 $69,454            CERF             • Procure and distribute 15,000 nets in epidemic
                                     prone districts in 2009

                                     • Implement social mobilization and interpersonal
                                     behavior change communication activities.



                             Zimbabwe Road Map sept 2009 to
                                       Dec 2010
    LLIN Ordering & Distribution to end 2010
Quantities                          2 million
Procurement dates                   Oct – Dec 2009

Expected delivery                   Jan – June 2009

BCC                                 On going
Community mobilization              From Sept onwards
Distribution                        Feb – Sept 2010
Mechanisms of             Mass distribution,
distribution              Health facility, NIDs, ANC
Monitoring and evaluation On going
                    Zimbabwe Road Map sept 2009 to
                              Dec 2010
ACT resources available to achieve the 2010 targets
 FUNDS AVAILABLE (US   SOURCE                COMMENT
         $)

$2,412,965.17          Global Fund R 5




$1,758,225.00          Global Fund R8




                            Zimbabwe Road Map sept 2009 to
                                      Dec 2010
           Case management
ACTs required                    3, 623,404
RDTs required                    3,298,790
Procurement schedules            •July to Sept 2009
                                 •April to June 2010
BCC                              On going
Mechanisms of                    Pull system
distribution                     (consumption rates)
Drug Efficacy Monitoring         Jan – May 2010
Monitoring and evaluation On going

                 Zimbabwe Road Map sept 2009 to
                           Dec 2010
IRS resources available to achieve the 2010 targets

 FUNDS AVAILABLE (US   SOURCE               COMMENT
         $)




 $7,874,049            Global Fund R8       Procurement of DDT and Pyrethroid for
                                            household spraying activities in 45
                                            districts in 2010




                           Zimbabwe Road Map sept 2009 to
                                     Dec 2010
       Indoor Residual Spraying
DDT required                       374,788 charges
Pyrethroids required               671,231 charges
Procurement schedules              March – May 2010
Distribution                       June to Aug 2009/10
Training                           Aug – Sept 2009/10
BCC                                On going
Spraying                           Sept – Dec 2009/10
Monitoring and evaluation          On going


                  Zimbabwe Road Map sept 2009 to
                            Dec 2010
    Other core interventions to be delivered over
                 the next 17 months
•   IPTp
     – Strengthen H/W training and community awareness

•   Cross Border Initiatives
     – TLMI to be fully operational by March 2010
     – Strengthening TZMI

•   Human Resources
     –   Strengthen NMCP
     –   Provincial focal persons
     –   District focal persons

•   Partnership mobilization
     – Lobby for more support

•   EPR
     – Thresholds, emergency drugs and commodities
     – Capacity building (training, community mobilization

•   Home management of malaria
     – testing, quality control/assurance, reporting
                                    Zimbabwe Road Map sept 2009 to
                                              Dec 2010
Summary of technical assistance needs to end 2010

Need                                                 From whom
Malaria Programme Review                             WHO, SARN,
                                                     MACEPA
Revision of communication strategy                   WHO
Cross Border Initiatives (development of             SARN, WHO
concept note and proposal)
Needs Assessment for BCC                             WHO,
HMM guidelines                                       WHO
Establishment of sentinel sites (vector              WHO
bionomics)
Programme reorientation for pre-elimination          SARN, WHO
Strengthening Malaria data base                      WHO
                    Zimbabwe Road Map sept 2009 to
                              Dec 2010
        Rate limiting factors
• Delays in disbursements of funds
• Procurement delays
• Availability of commodities on the market
  e.g. DDT
• Staff attrition and retention
• Donor confidence


              Zimbabwe Road Map sept 2009 to
                        Dec 2010
                Funding sources
Source     SDAs                                        US$
GF R5      Case Management, BCC, Programme             12 million
           Management, Operational research


GF R8      Vector control, Case Management,            33,507,290
           BCC, Programme Management,
           Operational research

GOZ        Vector Control, Case Management,            (2009) 1,2 million
           BCC, Programme Management,                  (2010) Not yet
           Operational research

Partners   LLINS, Vector control, BCC,                 (2009) To verify
                                                       (2010) To verify

                      Zimbabwe Road Map sept 2009 to
                                Dec 2010
                                    BCC
                                              2009              2010

               Activity                   8 9 10 11 12 1 2 3 4 5 6 7 8 9 10 11 12


Needs Assessment

Development & Pretesting of BCC
materials (Print & Mass Media)

Production of BCC materials (Print &
Mass Media)
Training of HWs, CHWs, SHCs & WHTs
Advocacy


Mobilization & Community IPC
Distribution and placement

                             Zimbabwe Road Map sept 2009 to
                                       Dec 2010