PMI) Program Component Quarterly Report (Quarter 1, FY 2019)
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U.S. PRESIDENT'S MALARIA INITIATIVE StopPalu+ President’s Malaria Initiative (PMI) Program Component Quarterly Report (Quarter 1, FY 2019) January 30, 2019 This publication was produced for review by the United States Agency for International Development. It was prepared by RTI International. StopPalu+ President’s Malaria Initiative (PMI) Program Component Quarterly Report October 1–December 31, 2018 Cooperative Agreement No. 72067518CA000015 Prepared for Dr. Lamine Bangoura, MD Agreement Officer’s Representative (AOR) USAID/Guinea Telephone: +224.657.10.4433 Email: [email protected] Submitted by Dr. Aissata Fofana COP StopPalu+ RTI International 3040 East Cornwallis Road Post Office Box 12194 Research Triangle Park, NC 27709-2194 RTI International is one of the world’s leading research institutes, dedicated to improving the human condition by turning knowledge into practice. Our staff of more than 3,700 provides research and technical services to governments and businesses in more than 75 countries in the areas of health and pharmaceuticals, education and training, surveys and statistics, advanced technology, international development, economic and social policy, energy and the environment, and laboratory testing and chemical analysis. RTI International is a trade name of Research Triangle Institute. The author’s views expressed in this publication do not necessarily reflect the views of the United States Agency for International Development or the United States Government. Table of Contents Page List of Figures ....................................................................................................................... iv List of Tables .........................................................................................................................v Abbreviations ........................................................................................................................ vi 1 EXECUTIVE SUMMARY ........................................................................................... 1 2 INTRODUCTION ....................................................................................................... 3 2.1 Background .................................................................................................... 3 2.1.1 Malaria context in Guinea ................................................................... 3 2.2 Program Description ...................................................................................... 4 2.2.1 Project goal and objectives ................................................................. 4 2.2.2 Partners.............................................................................................. 4 2.2.3 StopPalu+ results framework .............................................................. 5 3 ACTIVITIES BY RESULT (IR) ................................................................................... 6 3.1 IR 1: Increased Use of LLINs by the Population ............................................. 6 3.1.1 Sub-IR 1.1: Increased knowledge and skills of health care providers and community leaders on malaria prevention and the effectiveness, correct use, and care of LLINs ............................................................ 6 3.1.2 Sub-IR 1.2: Increase ownership of effective LLINs through continuous and mass distribution........................................................................ 12 3.1.3 Sub-IR 1.3: Increased awareness of family members of the need for vulnerable populations to be protected from malaria ........................ 29 3.2 IR 2: Increased Use of IPTp During Antenatal Visits .................................... 31 3.2.1 Sub-IR 2.1: Improved technical capacity and interpersonal skills of providers .......................................................................................... 31 3.2.2 Sub-IR 2.2: Increased knowledge of women and other family members of the benefits of ANC visits, including IPTp ...................... 33 3.2.3 Sub-IR 2.3: Alternative approaches to improved access to IPTp services rolled out ............................................................................ 33 3.2.4 Sub-IR 2.4: Increased availability of SP and ancillary supplies ......... 34 3.3 IR 3: Increased Prompt Care-Seeking and Treatment .................................. 35 3.3.1 Sub-IR 3.1: Improved technical and interpersonal skills of providers in malaria diagnosis and care ............................................................... 35 3.3.2 Sub-IR 3.2: Increased availability of quality diagnostic tests and treatment at facilities and community level ....................................... 46 3.3.3 Sub-IR 3.3: Increased knowledge and awareness by communities and family members of seriousness of childhood illnesses, key signs, and symptoms, and when treatment is ineffective ................................... 48 3.4 IR 4: Increased Full Dose of SMC Delivered in a Timely Manner ................. 49 StopPalu+—Quarterly Report—October to December 2018 iii 3.4.1 Sub-IR 4.1: Increased awareness by community and family members of the need for infants and children U5 to be protected from malaria 49 3.4.2 Sub-IR 4.2: Increased availability of SMC (SP+AQ) and commodities for continuous and mass distribution during high-transmission season in targeted districts ........................................................................... 50 3.4.3 Sub-IR 4.3: Improved providers’ (health facility and CHW) technical and interpersonal skills in effective administration of SMC ............... 52 3.4.4 Sub-IR Transversal 1. Increased Community Involvement in and Support for Malaria Prevention and Care.......................................... 54 3.4.5 Sub-IR Transversal 2: Improved Capacity of NMCP (Central, Regional, District) to Manage, Implement, and Monitor Prevention, Care, and Treatment Activities ......................................................... 56 4 PROJECT MANAGEMENT ACTIVITIES ................................................................. 57 4.1 Project Deliverables ..................................................................................... 57 5 OTHER ACTIVITIES ............................................................................................... 59 6 MAIN ACTIVITIES FOR THE NEXT QUARTER ...................................................... 61 Annex 1: Performance Report for Q1 FY 2019 (Oct–Dec 2018) .......................................... 62 List of Figures Figure 1: Malaria endemicity in Guinea ......................................................................... 3 Figure 2: Results framework ......................................................................................... 5 Figure 3: % of households with at least one LLIN (Fria) .............................................. 20 Figure 4: % of LLINs in good condition (Fria) .............................................................. 20 Figure 5: % of sleeping spaces with LLINs (Fria) ........................................................ 20 Figure 6: % of people using LLINs (under 5 and over 5) (Fria) .................................... 21 Figure 7: % of households with at least one LLIN (Koundara) ..................................... 21 Figure 8: % of LLINs used per health center (Koundara) ............................................ 22 Figure 9: % of households with at least one LLIN / % of sleeping spaces covered by an LLIN (Dubréka) ................................................................................... 24 Figure 10: % of people sleeping under an LLIN (Falessadé, Dubreka) ......................... 24 Figure 11: % of households with at least one LLIN / % of sleeping spaces with an LLIN in Bokariah (Forécariah) ...................................................................... 25 Figure 12: % of households with at least one LLIN / % of sleeping spaces with an LLIN in Allassoyah (Forécariah) ................................................................... 25 Figure 13: % of LLIN use in households in Bokaria (Forécariah) ................................... 26 Figure 14: % of LLIN use in households in Allassoyah (Forécariah) .............................. 26 Figure 15: % of households with at least one LLIN / % of LLINs hung / % of LLINs in good condition (Labé)............................................................................... 28 Figure 16: % of LLINs use in the households (Labé) ..................................................... 29 Figure 17: Performance of participants on the microscopy/diagnostic pre- and post-tests ..................................................................................................... 36 iv StopPalu+—Quarterly Report—October to December 2018 Figure 18: Changes in lab technicians’ performance (detection) ................................... 38 Figure 19: Changes in lab technicians’ performance (species identification) ................. 39 Figure 20: Changes in lab technicians’ performance (quantification) ............................. 39 List of Tables Table 1: Details of home visits conducted by CHWs during Quarter 1 (October– December 2018) ............................................................................................ 6 Table 2: Number of group discussions facilitated by project-trained field agents; number of people reached ............................................................................. 7 Table 3: Summary of the CAG members trained on their roles and responsibilities ............................................................................................