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Cambodia Malaria Elimination Project Quarterly Report (FY18Q1) CAMBODIA MALARIA ELIMINATION PROJECT Cambodia Malaria Elimination Project Quarterly Progress Report- Year 2, Quarter 1 October 1-December 31, 2017 Submission Date: January 31, 2018 Contract Number: AID-442-C-17-00001 Contract Period: October 26, 2016 to October 25, 2021 COR: Rida Slot Alternate COR: Gunawardena Dissanayake Submitted by: Sharon Thangadurai, Chief of Party University of Research Co., LLC. House #10, Street No. 214, Sangkat Cheychumneas, Khan Duan Penh, Phnom Penh Email: [email protected] This document was produced by University Research Co., LLC (URC) for review and approval by the United States Agency for International Development (USAID). Cambodia Malaria Elimination Project Quarterly Report (FY18Q1) TABLE OF CONTENTS TABLE OF CONTENTS ................................................................................................. iii Acronyms ............................................................................................................................. iv 1. Introduction ................................................................................................................. 5 2. Progress Toward achieving CMEP OBJECTIVES ........................................... 7 2.1 Objective 1: Develop a scalable, evidence-based elimination model in SPL OD and support its dissemination and replication for malaria elimination in Cambodia. ................7 2.2 Objective 2: Support scale-up of high quality malaria control and prevention interventions in five to eight ODs, where gaps in coverage or quality exist ..................... 11 2.3 Objective 3: Strengthen national malaria surveillance systems and M&E appropriate for malaria elimination and control activities ................................................................................ 16 2.4 Objective 4: Build capacity of Ministry of Health (MOH) to manage, intensify, and sustain malaria control and elimination efforts particularly at the OD level .................... 18 2.5 Project Management ..................................................................................................................... 20 Oversight and Coordination ................................................................................................................................ 20 Procurement ........................................................................................................................................................... 21 Financial Management ......................................................................................................................................... 21 Human Resource Management .......................................................................................................................... 22 3. Resolving challenges from FY 17 Q4 ................................................................. 23 4. Challenges and actions taken or proposed ......................................................... 23 5. Plans for next Quarter and upcoming events ..................................................... 24 i Cambodia Malaria Elimination Project Quarterly Report (FY18Q1) ACRONYMS AOP Annual Operational Plan SBCC Social and Behavior Change Communication BTB Battambang CAP-Malaria Control and Prevention of Malaria CMEP Cambodia Malaria Elimination Project CBO / CSO Community Based Organization / Civil Society Organization CDC Centers for Disease Control and Prevention CNM Cambodia National Malaria Center COP / DCOP Chief of Party /Deputy Chief of Party COR Contracting Officer’s Representative EDAT Early Diagnosis and Treatment EMMP Environmental Mitigation and Monitoring Plan GSSHealth Global Scientific Solutions for Health GUC Grants Under Contract HF Health Facility HPA Health Poverty Action IPC Interpersonal Communication ITN Insecticide-Treated Net KKR Krakor LLIN / LLIHN Long Lasting Insecticidal Net / Hammock Net M&E Monitoring and Evaluation MC Malaria Consortium MEAF Malaria Elimination Action Framework 2016-2020 MMP Mobile and Migrant Populations MMW Mobile Malaria Worker MoH Ministry of Health MOP Malaria Operational Plan MRS Maung Russey NAMRU-2 Naval Medical Research Unit-2 OD / ODMS Operational Health District / OD Malaria Supervisor PERSUAP Pesticide Evaluation Report and Safer Use Action Plan PHD / PMS Provincial Health Department / Provincial Malaria Supervisor PKV Phnom Kravanh PMI President’s Malaria Initiative PP Private Provider PPM Private Public Mix PMP Performance Management Plan PSK Population Services Khmer STA Senior Technical Advisor SOP Standard Operating Procedure SPL Sampov Loun TMK Thmar Kaul UNOPS United Nations Office for Project Services URC University Research Co., LLC USAID United States Agency for International Development VMW Village Malaria Worker VHSG Village Health Support Group WHO World Health Organization i Cambodia Malaria Elimination Project Quarterly Report (FY18Q1) 1. INTRODUCTION The USAID | PMI Cambodia Malaria Elimination Project (CMEP), 2016-2021, was launched on October 26, 2016 to support the Cambodian National Center for Malaria Control, Parasitology and Entomology (CNM) to reduce malaria morbidity and mortality and contribute towards malaria elimination goals nationwide by 2025. To reach this goal, the project has set up four strategic objectives to: 1. Develop a scalable, evidence-based elimination model in Sampov Loun Operational District (SPL OD) and support its dissemination and replication for malaria elimination in Cambodia. 2. Support scale-up of high quality malaria control and prevention interventions in five to eight ODs, where gaps in coverage or quality exist. 3. Strengthen national malaria surveillance systems and monitoring and evaluation (M&E) appropriate for malaria elimination and control activities. 4. Build capacity of malaria program to manage, intensify, and sustain malaria control and elimination efforts particularly at the OD level. Year 1 and 2 activities are implemented in four ODs in Battambang Province (Sampov Loun (SPL), Battambang (BTB), Maung Russey (MRS), Thmar Kaul (TMK)) and two ODs in Pursat Province (Phnom Kravanh (PKV) and Figure 1. CMEP targeted Operational Districts Krakor (KKR)) (Figure 1). In FY18 Quarter 1 (Q1) (October 1 to December 31, 2017), CMEP continued full- scale implementation of activities as follows: • Provided support to a network of health facilities (HFs), village/mobile malaria workers (V/MMWs) and private providers (PPs) in case management and malaria surveillance through regular monthly meetings and supervision visits. • Initiated insecticide treated net (ITN) mass distribution to villages with an Annual Parasite Incidence (API) 5 and above per 1,000 population • Conducted refresher training and orientation of single low dose primaquine use for confirmed P. falciparum(Pf)/mixed (Pf/P. vivax (Pv)) cases in 5 transitional ODs under objective 2 • Elaborated a two day basic entomology training program for OD/Provincial Health Department (PHD) and HF (malaria supervisor) staff • Supported CNM and ODs/HFs to conduct planned supervision visits to VMWs and PPs • Collaborated with partners on supporting implementation of a new surveillance strategy adopted by CNM in FY2017. CMEP Indicators in Progress against each performance indicator is presented in the following file. FY17 and Q1FY18.xlsx 5 Cambodia Malaria Elimination Project Quarterly Report (FY18Q1) Figure 2. CMEP Summary of Activity Progress (October-December 2017) 6 Cambodia Malaria Elimination Project Quarterly Report (FY18Q1) 2. PROGRESS TOWARD ACHIEVING CMEP OBJECTIVES 2.1 Objective 1: Develop a scalable, evidence-based elimination model in SPL OD and support its dissemination and replication for malaria elimination in Cambodia. Task 1. Pre-implementation situational analysis of current malaria elimination operations in SPL: Rapid Situational Analysis and Needs Assessment Report1: In Q1, the CMEP team started preparing the scope of work for a short term technical advisor who will be recruited to conduct the costing analysis to evaluate the programmatic effectiveness, scalability and cost of the malaria elimination operations in SPL. The analysis will document best practices and identify key components of the elimination package that can be feasibly and effectively replicated in other ODs. This analysis will establish investment and operational costs of the malaria elimination model and inform policy decisions on further roll out of the SPL 1-3-7 elimination model. The terms of reference will be finalized and submitted to the USAID/PMI for review and approval in January 2018. [Act 1.1.2.] Task 2. Sustain universal Long Lasting Insecticidal Net (LLIN) coverage: Mass distribution: In support of CNM/Global Fund/UNOPS initiative for a nationwide ITN mass distribution campaign, in FY 18 Q1, CMEP’s team and 47 participants including PHD/OD and HF staff from all targeted ODs in Battambang and Pursat provinces (with the exception of TMK as all existing endemic villages must have an API > 5/1,000), joined a national two-day microplanning development workshop on ITN mass distribution held by CNM and UNOPS on November 20-22, 2017. [Act. 1.2.1] Participants received detailed instructions and guidance on conducting censes and distributing LLINs to residents and migrants and mobile populations (MMPs). CMEP provided technical input in preparing and conducting the national planning workshop. However, all costs were covered by UNOPS and CMEP’s estimated budget for this activity
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