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National Malaria Strategic Plan, Vanuatu, 2015-2020

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National Malaria Strategic Plan, Vanuatu, 2015-2020 The Vanuatu Ministry of Health aims NATIONAL to progressively control and eliminate malaria in all 6 provinces of the country. MALARIA This National Malaria Strategic Plan for Vanuatu incorporates the findings of a comprehensive Malaria Program STRATEGIC Review conducted in 2013 and extensive follow-up discussions with the national Vector Borne Disease PLAN, Control Program, MOH and other partners, including non-Government and civil society stakeholders. VANUATU, To achieve its malaria control and elimination targets, the VBDCP will 2015-2020 work in close partnership with provincial health services and local communities to ensure that universal access to health promotion, prevention with long-lasting 7th (Final) Draft insecticidal bed nets, and quality- assured diagnosis and treatment is maintained. Building on experience gained in pilot NMSP Working Groups, elimination activities in Tafea Ministry of Health, Vanuatu province, the Program will use indoor residual insecticide spraying to accelerate the reduction in malaria transmission in selected areas. It will strengthen and maintain excellent surveillance and apply new knowledge as it becomes available in order to achieve malaria elimination and the prevention of reintroduction. By 2020, Vanuatu expects to reach an annual parasite incidence below 1 per 1,000 nationally, and maintain zero confirmed deaths from malaria. Three provinces would have entered the elimination phase (including two provinces with zero – or close to zero – local malaria transmission). NATIONAL MALARIA STRATEGIC PLAN, VANUATU, 2015 – 2020 Table of Contents Foreword ................................................................................................................................................. iv Acronyms and Abbreviations ................................................................................................................... v Acknowledgements ................................................................................................................................ vii Map of Vanuatu showing provincial composition ................................................................................ viii Executive Summary ................................................................................................................................. ix Logic model and theory of change, National Malaria Strategic Plan, Vanuatu, 2015-20 ........................ xiii 1. Introduction ......................................................................................................................................... 1 1.1 Background – malaria in Vanuatu ......................................................................................................... 1 1.2 Malaria in the context of the national health plan ............................................................................... 1 1.3 International context and commitments .............................................................................................. 2 1.4 The planning period and reasons for selecting this period ................................................................... 2 1.5 Malaria Program Review and process of developing the strategic plan ............................................... 2 2. Country Profile ..................................................................................................................................... 4 2.1 Socio-political system ............................................................................................................................ 4 2.2 Geography and demographics .............................................................................................................. 4 2.2.1 Geography .............................................................................................................................................. 4 2.2.2 Population and demographics ............................................................................................................... 4 2.3 Ecosystem, climate and environment ................................................................................................... 5 2.4 Socioeconomic, health and development outcomes ............................................................................ 6 2.5 Health System analysis .......................................................................................................................... 9 2.5.1 Service delivery system, access and equity ........................................................................................... 9 2.5.2 Health work force ................................................................................................................................ 11 2.5.2 Other health system building blocks in relation to the Malaria Program ............................................ 12 3. Malaria Situation Analysis .................................................................................................................. 15 3.1 Epidemiology ....................................................................................................................................... 15 3.1.1 Malaria transmission by province ........................................................................................................ 15 3.1.2 Malaria parasites and seasonality of transmission .............................................................................. 16 3.1.3 Malaria vectors .................................................................................................................................... 17 3.1.4 Historical trends in malaria incidence .................................................................................................. 17 3.1.5 Morbidity and mortality trends by province ........................................................................................ 19 3.1.6 Malaria burden and species by age group ........................................................................................... 20 3.2 Malaria Program Performance ............................................................................................................ 21 3.2.1 Overview .............................................................................................................................................. 21 3.2.2 Vector control ...................................................................................................................................... 23 3.2.3 Diagnosis .............................................................................................................................................. 23 3.2.4 Treatment ............................................................................................................................................ 25 3.2.5 Pilot elimination activities .................................................................................................................... 26 3.2.6 Supply chain management................................................................................................................... 30 3.2.7 Surveillance and information management ........................................................................................ 30 3.2.8 Interaction with other health system elements .................................................................................. 30 3.2.8 Recommendations of the 2013 MPR ................................................................................................... 31 i Version 7 (Final Draft) – 8 April, 2014 NATIONAL MALARIA STRATEGIC PLAN, VANUATU, 2015 – 2020 3.3 Introduction of zonal stratification and mapping ............................................................................... 32 4. Strategic Plan Framework .................................................................................................................. 33 4.1 Vision ................................................................................................................................................... 33 4.2 Mission and values .............................................................................................................................. 33 4.2.1 Mission statement ............................................................................................................................... 33 4.2.2 Values ................................................................................................................................................... 33 4.3 Overall strategic directions.................................................................................................................. 34 4.4 Goal and Objectives ............................................................................................................................. 34 4.4.1 Goal ...................................................................................................................................................... 34 4.4.2 Thematic areas and Strategic Objectives ............................................................................................. 34 4.4.3 Health promotion ................................................................................................................................ 36 4.4.4 Operational research ........................................................................................................................... 36 5. Interventions and Implementation Strategies ..................................................................................
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