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Quarterly Progress Report January 1, 2019–March 31, 2019

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Program for the Advancement of Malaria Outcomes Quarterly Progress Report January 1, 2019–March 31, 2019 DISCLAIMER: The author’s views expressed in this publication do not necessarily reflect the views of the United States Agency for International Development, United States President’s Malaria Initiative or the United States Government. Submission Date: April 30, 2019 Submitted by: Dr. Caroline Phiri, PAMO Chief of Party Mailing Address Private Bag E10, Lusaka, Zambia Street Address Mikwala House, Stand 11059 Off Brentwood Road, Longacres, Lusaka www.path.org © 2019 PATH. All rights reserved. Cover photo: PATH Published April 2019 Table of contents LIST OF ACRONYMS ............................................................................................................................ 1 PROJECT OVERVIEW ........................................................................................................................... 2 INTRODUCTION ..................................................................................................................................... 3 Background ........................................................................................................................................... 3 PAMO focus districts ............................................................................................................................ 4 Malaria situation .................................................................................................................................... 5 BENCHMARKS AND ACHIEVEMENTS ................................................................................................ 6 Objective 1: Support proven malaria interventions in alignment with the National Malaria Strategic Plan (NMSP) 2011 – 2016 and the follow-on plan of the MOH ......................................... 6 Task 1.0: Strengthen national technical working (TWGs) groups........................................................... 6 Task 1.1: Strengthen insecticide-treated net distribution ........................................................................ 8 Task 1.2: Improve access to quality of malaria case management in public health facilities and communities to ensure prompt, accurate diagnosis and appropriate treatment ..................................... 9 Task 1.3: Increase delivery of IPTp-SP as part of an integral package of ANC services ..................... 12 Task 1.4: Strengthen social behavior change implementation for malaria at health facilities and community level through community mobilization and community dialogues ...................................... 12 Task 1.5: Strengthen malaria policies and guidelines .......................................................................... 14 Task 1.6: Support civil society organizations (CSOs) and community-based organizations (CBOs) to implement malaria control activities. ..................................................................................................... 15 Task 1.7: Conduct operations research ................................................................................................ 17 Objective 2: Strengthen management capacity of provincial and district MOH personnel ........ 17 Task 2.1: Identify health system deficiencies at the provincial and district levels that constrain delivery of high impact malaria interventions in close collaboration with the MOH and other actors ................ 17 Task 2.2: Develop and implement a plan to strengthen management capacity as measured by set targets within each targeted province and district ................................................................................. 17 Objective 3: Strengthen provincial and district health management information system (HMIS) to improve data reporting ................................................................................................................... 17 Task 3.1: Provide technical/material assistance to DHOs, health facilities and communities to improve the timeliness and accuracy of HMIS reporting .................................................................................... 17 Task 3.2: Assist with training for the roll out of DHIS2 in the targeted provinces and districts. ............ 18 i Task 3.3: Provide technical/material assistance to DHOs, health facilities, and communities to strengthen malaria data analysis and use for planning and decision making. ..................................... 18 KEY ISSUES ENCOUNTERED ............................................................................................................ 20 SUCCESS STORIES ............................................................................................................................ 21 iCCM and community surveillance training cheers newly trained CHWs ............................................. 21 MOH staff benefit from management and leadership capacity-building ............................................... 23 District feedback .......................................................................................................................... 24 ii List of acronyms ANC Antenatal care BRITE Broad Reach Institute for Training and Education CHW Community health worker CSO Civil society organizations DHO District health office EDS Electronic data system EPI Expanded program on immunization GRZ Government of the Republic of Zambia HFCA Health facility catchment area iCCM Integrated community case management ICEMR International Centers of Excellence for Malaria Research IPTp intermittent preventative treatment in pregnancy IRS Indoor residual spraying ITN Insecticide-treated net LLIN Long-lasting insecticide-treated net M&E Monitoring and evaluation MCH Maternal and Child Health MDA Mass drug administration MIP Malaria in pregnancy MIS Malaria Indicator Survey MOH Ministry of Health MOP Malaria Operational Plan NHCs Neighborhood health committees NMEC National Malaria Elimination Centre NMESP National Malaria Elimination Strategic Plan OTSS Outreach training and supportive supervision PAMO Program for the Advancement of Malaria Outcomes PBO Piperonyl butoxide PHO Provincial health office PMI President’s Malaria Initiative SBC Social and behavior change TWG Technical working group WHO World Health Organization 1 Project overview Life of project September 30, 2015, to September 29, 2020 Reporting period January 1 to March 31, 2019 Target provinces Eastern, Luapula, Muchinga, and Northern Target population 5,455,218 (Source: Central Statistics Office, 2018) Implementing partners PATH (lead), Jhpiego, and BroadReach Institute for Training and Education Key partners Zambian Ministry of Health (MOH), National Malaria Elimination Centre (NMEC), Provincial Health Offices (PHOs), District Health Offices (DHOs) and health facilities. Malaria Control and Elimination Partnership in Africa (MACEPA), Churches Health Association of Zambia (CHAZ), and other United States Agency for International Development (USAID) implementing partners. Objectives (1) Support proven malaria interventions in alignment with the National Malaria Strategic Plan 2011–2016 and the follow-on plan of the MOH. (2) Strengthen management capacity of Provincial and District MOH personnel to provide supervision and mentoring for improved delivery of proven malaria interventions. (3) Strengthen Provincial and District health management information systems to improve data reporting, analysis, and use for decision-making. Contract number AID-611-C-15-00002 2 Introduction Background The Program for the Advancement of Malaria Outcomes (PAMO) is a malaria activity program, funded by the United States President’s Malaria Initiative (PMI) in Zambia. It was designed to assist the Government of the Republic of Zambia (GRZ) in achieving as much progress as possible to reach its goal of eliminating local malaria infection and disease in Zambia. PAMO’s geographic focus is on four provinces: Eastern, Luapula, Muchinga, and Northern. These provinces are located in the northeastern part of Zambia and were selected due to the high malaria disease burden at project inception in 2015. The rural nature of the PAMO-supported provinces, with an estimated population of 5,455,218 (source: Central Statistics Office 2018), makes PAMO project efforts particularly challenging. Its programmatic focus is on: • Increasing the coverage of long-lasting insecticide-treated nets (LLINs). • Improving malaria in pregnancy (MIP) services. • Improving the access and quality of case management. • Introducing and scaling up social and behavior change (SBC) activities in support of malaria prevention and control activities. • Improving and scaling up surveillance and monitoring and evaluation (M&E) related to PAMO’s interventions. PAMO provides technical assistance and material support to strengthen the capacity of the government to improve malaria outcomes in the four PAMO-supported provinces and their districts. To that end, PAMO established and maintains effective partnerships with the National Malaria Elimination Centre (NMEC), provincial health offices (PHOs), district health offices (DHOs), health facilities, communities, civil society organizations (CSOs), and other stakeholders and partners to ensure effective and sustained implementation and scaling up of internationally and nationally accepted strategies to fight malaria. PAMO is currently in its fourth year of project implementation. During Year 4, PAMO will implement activities outlined in two work plans described below.
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