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Ethiopia Malaria Diagnosis and Treatment at Private Health Facilities Year One Quarter Four Report July Private Health Sector Project –Ethiopia Malaria Diagnosis and Treatment at Private Health Facilities Year One Quarter Four Report July – September 2016 DISCLAIMER The author’s views expressed in this publication do not necessarily reflect the views of the United States Agency for International Development (USAID) or the United States Government 1 USAID ETHIOPIA - PRESIDENT’S MALARIA INITIATIVE (PMI) Private Health Sector Project - Ethiopia Malaria Diagnosis and Treatment at Private Health Facilities Year One Quarter Four Report (July – September 2016) Program: Private Health Sector Project - Ethiopia Prime Partner and Sub-partners: Abt Associates Inc. Cooperative Agreement Number: GPO –A-00-09-00007-00 Project Start / Completion Date: October 2015 – September 2020 Work or Reporting Period: July – September 2016 Submission Date: 21 October 2016 i Acronyms ACT Artemisinin-based Combination Therapy AIDS Acquired Immune Deficiency Syndrome EMLA Ethiopian Medical Laboratory Association EPHFEA Ethiopian private Health facilities Employee Associations FMOH Federal Ministry of Health HC Health Center HIV Human Immune Deficiency Virus IPLS Integrated Pharmaceutical Logistic System IRS Indoor Residual Spraying ITN Insecticide –treated net LLINS Long lasting insecticidal net LMIS Logistic Management Information System MC Medium Clinic MOU Memorandum of Understanding NGO Non -Governmental Organization PF Plasmodium falciparum PV Plasmodium vivax PHSP Private Health Sector Program PMI President’s Malaria Initiative PPM Public private Mix PPP Public Private Partnership RDT Rapid Diagnostic Testing RHB Regional Health Bureau SNNP Southern Nations, Nationalities, and Peoples TAC Technical Advisory Committee TOT Training of Trainers WHO World Health Organization USAID United State Agency for International Development ii Contents Acronyms ...................................................................................................................................... ii 1 Introduction ................................................................................................................................. 1 1.1 General Overview .......................................................................................................................... 1 1.2 Strategies ....................................................................................................................................... 1 1.3 The general objectives of this program component are to: .......................................................... 1 2. Key Accomplishments (July – September 2016) ........................................................................ 2 2.1 Working with private health facilities ............................................................................................ 2 2.2 Review meeting and supportive supervision ................................................................................. 2 2.3 Partnership with RHB and stakeholders ........................................................................................ 2 2.4 Formative assessment ................................................................................................................... 2 2.5 Training .......................................................................................................................................... 3 2.6 Participation and Discussion with FMOH /RHBs ............................................................................ 4 2.7 Service Delivery .............................................................................................................................. 4 2.8) Gender Mainstreaming ............................................................................................................... 5 3) Summary of Facility Level Report for Quarter Four ................................................................. 7 4) Planned Activities for Next Quarter ........................................................................................ 7 5. Summary Monitoring and Evaluation Matrix (Private Health Sector Project Ethiopia) ........... 8 6. List of Private Health Sector Project -Ethiopia - Supported Facilities for Malaria Diagnosis and Treatment Services during this Reporting Quarter (July – September 2016) .......................... 10 7 Photo Gallery ............................................................................................................................ 17 iii List of Tables Table 1: Number of malaria case management training participants by region, July- September 2016. ................................................................................................................................................... 3 Table 2: Malaria diagnosis and treatment at 145 private health facilities: July – September2016 ..... 5 Table 3: Malaria cases treated, admitted, referred and died in at 145 PPP supported facilities (July -September 2016) ............................................................................................................................... 5 Table 4: Malaria cases by age and sex in Private Health Sector Program supported facilities (July – September 2016) ................................................................................................................................ 6 List of Figures Figure 1: Radar plot of Pretest and Posttest results of malaria case management training, Adama, September 16 -19, 2016. .................................................................................................................... 3 Figure 2: Trends in Malaria Diagnosis, treatment at Private Health Sector Project -Ethiopia assisted private facilities; October 2014 September 2016 ................................................................. 7 iv 1 Introduction 1.1 General Overview The Private Health Sector Program (PHSP) was a USAID funded project which supported between a minimum of 44 and a maximum of 117 private health facilities during its four year implementation period. The project was implemented in seven regional states of Ethiopia i.e. Afar, Amhara, Oromia, Southern Nations, Nationalities and People, Tigray, Harari Regions and Dire Dawa City Administration, through which over 868,193 malaria-suspected cases were properly screened, and over 228,049 malaria cases were diagnosed, treated and reported to the town health offices ( April 2012- Sep 2015) . From October 2015-September 2016, the Private Health Sector Project has supported 149 private health facilities for malaria care services in five regional states of Ethiopia (5 Afar, 35 Amhara, 39 Oromiya, 25 SNNPR and 45 Tigray).From July- September 2016, cases were reported from 131 facilities. Thirteen facilities reported zero case, and 5 facilities were closed. 1.2 Strategies • Policy dialogue with RHBs to engage private facilities in Public Private Mix (PPM) -based malaria case management, and policy dialogue and advocacy to establish a PPM implementation guideline for malaria prevention and control through the private sector. • Public Private Mix for malaria care service site expansion. • Building the capacity of health providers through Team Training (case managers, lab professionals and supply chain mangers), Joint Supportive Supervision and Mentoring. • Rapid assessment to map geographic distribution of migrant and mobile workforce. • Technical Assistance to malaria program officers in Afar, Gambella and Beneshangul- Gumuz. • Working through partnership with all stakeholders for improving access to effective and efficient malaria care services. 1.3 The general objectives of this program component are to: • Increase access and uptake of malaria services from the private health facilities. • Enhance capacity of local partners to ensure the sustainability of PPM partnerships. • Enhance pharmaceutical supply chain management and rational drug use at private health facilities including work places. 1 • Enhance program learning and innovative ventures. • Generate evidence on malaria service needs of migrant and mobile workforce for decision making and programming. 2. Key Accomplishments (July – September 2016) 2.1 Working with private health facilities In the reporting period, malaria cases (diagnosis and treatment) were reported from 131 facilities, and 46 new facilities were assessed in four regions. 2.2 Review meeting and supportive supervision From August 1 through 28 2016, joint supportive supervision was conducted in four regional states (Tigray, Amhara, Oromia and SNNP). The Private Health Sector Project facilitated program review meetings from September 27 -28 2016 in Tigray and SNNP Regions. The project, in collaboration with the Ethiopian Sugar Corporation, prepared a three-day malaria program review. The participants were delegates of all nine sugar development projects. Each project presented its achievements, challenges and lesson learned. Follow up conducted on unusual malaria case in Beles, Kessme Metehara and Kuraz SDPs ( Sugar Development project . 2.3 Partnership with RHB and stakeholders Facility readiness assessment was conducted in three regions (Afar, Beneshangul Gumuz and Gambella). Out of the 30 private health facilities assessed, 27 were willing and committed to working in partnership with the public sector (See Photos 3, 4 & 5). A list of project-supported workplace malaria facilities was shared with ICAP. This helps both projects to avoid duplication of efforts. 2.4 Formative assessment The formative assessment on the situation of migrant or mobile
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