Quarterly Progress Report - Year 4, Quarter 1 October - December 2019
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CAMBODIA MALARIA ELIMINATION PROJECT Cambodia Malaria Elimination Project Quarterly Progress Report - Year 4, Quarter 1 October - December 2019 Submission Date: 30th January 2020 Contract Number: AID-442-C-17-00001 Contract Period: October 26, 2016 to October 25, 2021 COR: Rida Slot Alternate COR: Bunna Sok Submitted by: Sharon Thangadurai, Chief of Party University of Research Co., LLC. #31, St 352, Sangkat Beugkengkang 1, Khan Chankamon, 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). I TABLE OF CONTENTS Acronyms .............................................................................................................................. iii 1. Introduction ................................................................................................................. 1 2. Progress Toward achieving CMEP OBJECTIVES ...................................... 2 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. .....2 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.................8 2.3 Objective 3: Strengthen national malaria surveillance systems and M&E appropriate for malaria elimination and control activities ............................................ 12 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 .......... 14 3. Project Management .............................................................................................. 15 Oversight and Coordination ................................................................................................................................ 15 Procurement ........................................................................................................................................................... 18 Financial Management ......................................................................................................................................... 18 Human Resource Management .......................................................................................................................... 19 4. RESOLVING CHALLENGES FROM FY19 Q4 ....................................... 19 5. CHALLENGES AND ACTIONS TAKEN OR PROPOSED ................. 20 6. PLANS FOR NEXT QUARTER AND UPCOMING EVENTS ............ 20 ANNEX 1 CSO FY20 Q1 RESULTS TABLES ............................................................................ 21 ANNEX 2 LAB QA/MICROSCOPY TRAINING TABLES ................................................... 26 ANNEX 3 CMEP PV RADICAL CURE IMPLEMENTATION Q1 .................................... 27 II ACRONYMS ABER Annual Blood Examination Rate ACT Artemisinin-based Combination Therapies AFRIMS Armed Forces Research Institute of the Medical Sciences AHEAD Action for Health Development (CSO in Cambodia) AOP Annual Operational Plan APMEN Asia Pacific Malaria Elimination Network ASMQ Artesunate + Mefloquine BKN Bakan BTB Battambang CHAI Clinton Health Access Initiative CMEP Cambodia Malaria Elimination Project CBO / CSO Community Based Organization / Civil Society Organization CDC Centers for Disease Control and Prevention CM Case Management CNM Cambodia National Malaria Center CO Contracting Officer COP / DCOP Chief of Party /Deputy Chief of Party COR Contracting Officer’s Representative CPIRS Commodity Procurement Information Requests cRDT Conventional Rapid Diagnostic Tests CRS Catholic Relief Services DBS Dried Blood Spot EDAT Early Diagnosis and Treatment ELIZA Enzyme Linked Immunosorbent Assay G6PD Glucose 6 Phosphate Dehydrogenase GF Global Fund HC, HF Health Centre, Health Facility hsRDT Highly-Sensitive Rapid Diagnostic Tests IDQA Internal Data Quality Assessment IEC Information, Education and Communication IP Intensification Plan IP2 Intensification Plan 2 IPC Interpersonal Communication IRB Institutional Review Board ITN Insecticide-Treated Net KRK Krakor LLIN / LLIHN Long Lasting Insecticidal Net / Hammock Net M&E Monitoring and Evaluation MEAF Malaria Elimination Action Framework 2016-2020 MIS Management Informationn System MMP Mobile and Migrant Populations MMW Mobile Malaria Worker MPR Malaria Program Review MoH Ministry of Health MORU Mahidol Oxford Tropical Research Unit MRS Maung Russey MSF Medecins Sans Frontieres NCA National Competency Assessment NECHR National Ethics Committee Health Research NTG National Treatment Guidelines NSP National Strategic Plan OD / ODMS Operational Health District / OD Malaria Supervisor III ODTL/ODTLA Operational District Team Leader / OD Assistant TL OEC Operation Enfant Cambodge (CSO in Cambodia) OR Operational Research PCR Polymerase Chain Reaction PHD / PMS Provincial Health Department / Provincial Malaria Supervisor PFDA Partner For Development in Action (CSO in Cambodia) PKV Phnom Kravanh PLN Pailin PMI President’s Malaria Initiative PMS Provincial Malaria Supervisor POC Point of Contact PP Private Provider PPM Private Public Mix PQ Primaquine PSI Population Services International PSM Procurement and Supply Management PSWGME Provincial Special Working Group Malaria Elimination QA Quality Assurance Re-ACD Reactive Case Detection RDT Rapid Diagnostic Tests SBCC Social and Behavior Change Communication SLDPQ Single Low Dose Primaquine SOP Standard Operating Procedure SPL Sampov Loun SPM Sampov Meas STA Senior Technical Advisor TA Technical Assistance TMK Thmar Kaul TPR Test Positivity Rate UNOPS United Nations Office for Project Services URC University Research Co., LLC USAID United States Agency for International Development VMW Village Malaria Worker WHO World Health Organization WMD World Malaria Day IV 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 OD and support its dissemination & 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. For this FY20 Q1 report it should be noted that 2 CMEP ODs transitioned to elimination ODs, namely Bakan and Sampov Meas and therefore the new makeup of the CMEP ODs in FY20 Q1 is 7 elimination and 2 transitional ODs. CMEP conducted the following key activities in FY20 Q1:- . 34,176 of suspected cases tested with 1,150 positive cases confirmed and all cases received appropriate treatment according to National Treatment Guidelines . Among the 7 elimination ODs in Battambang and Pailin province and two ODs in Pursat, 77 % of all cases were notified within 1 day, 67 % investigated within 3 days, and 71 % responded to within 7 days . CMEP response to the increase in cases in Pursat ODs in FY20 Q1 continued and included monitoring daily/weekly cases, intensifying services at all points of care, and the continued setup and support of touchpoint/peer educator volunteers (there are now 6 touch point volunteers in KRK, 22 in PKV ODs, 5 touch point volunteers in KRK, 9 in PKV ODs) . In the 7 elimination ODs, CMEP deployed 16,867 ITNs as buffer stock to HFs and VMWs in Q1 (target=10,950). Through VMW outreach activities, 2,817 ITNs were distributed (target=9,438) to local recidents and 344 ITNs (target=417) were distributed to PPMs through MMWs at big farms and MMP locations . In the 2 transitional ODs, 1,500 ITNs were deployed as buffer stock (target was 4,400) to HF and VMW levels. 1,989 ITNs were distributed to local residents (target=3,800) . Supported CNM technical units to conduct 35 planned supervision visits (target=35). Regarding CMEP’s radical cure implementation, at the end of Q1, 42 Pv cases were enrolled, 40 G6PD RDTs were used to test 34 patients (some doubted the required re- testing), all 34 tested resulted in normal status of G6PD and these received 14 days PQ treatment (of which 33 cases completed 3 days follow up, 30 completed 7 days follow up and 23 completed 14 days follow up). No adverse events were reported. Figure 1 provides an infographic summary of CMEP progress in FY20 Q1. Progress against each performance indicator is presented in the file attached. PITTFY20Q1.XLSX 1 Figure 1. CMEP Summary of Activity Progress (October-December 2019) 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: Task 2. Sustain universal long-lasting insecticidal