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Defeat Malaria DEFEAT MALARIA DEFEAT MALARIA ACTIV ITY QUARTERLY PERFORMANCE REPORT FISCAL YEAR 2021 QUARTER 1 (OCTOBER 1, 2020 TO DECEMBER 31, 2020) 2021 QUARTERLY PERFORMANCE REPORT Submission Date: January 30, 2021 Resubmission Date: February 16, 2021 Agreement Number: AID-482-A-16-00003 Agreement Period: August 15, 2016 to August 14, 2022 AOR Name: Dr. Nu Nu Khin Submitted by: May Aung Lin, Chief of Party University Research Co., LLC. Room 602, 6th Floor, Shwe Than Lwin Condominium New University Ave. Rd., Bahan Township Yangon, Myanmar CONTACT INFORMATION Dr. May Aung Lin, Chief of Party, Defeat Malaria [email protected] Office Phone/Fax: + 95 1 559 593, + 011 220 658, Mobile: + 959 7324 1930 Dr. Kyaw Myint Tun, M&E Technical Advisor, Defeat Malaria [email protected] Office Phone /Fax: +95 1 559 593, +011 220 658 Mobile: + 959 503 9861 THIS DOCUMENT WAS PRODUCED BY UNIVERSITY RESEARCH CO., LLC (URC) FOR REVIEW AND APPROVAL BY THE UNITED STATES AGENCY FOR INTERNATIONAL DEVELOPMENT (USAID). DEFEAT MALARIA Defeat Malaria is a USAID-funded project with the goal to reduce the malaria burden and control artemisinin- resistant malaria in the targeted areas, thereby contrib- uting to the long-term national goal of eliminating ma- laria in Myanmar. Defeat Malaria has four core objec- tives, including: Objective 1: Achieve and maintain universal cover- age of at-risk populations with proven vector control and case management interventions, while pro- moting the testing of new tools and approaches. Objective 2: Strengthen the malaria surveillance sys- tem to comprehensively monitor progress and in- form the deployment and targeting of appropriate responses and strategies. Objective 3: Enhance technical and operational ca- pacity of the NMCP and other health service provid- ers at all levels of service provision. Objective 4: Promote the involvement of communi- ties, private healthcare providers, private companies and state-owned enterprises in malaria control and elimination initiatives. DEFEAT MALARIA FY 2021 QUARTER 1 KEY ACHIEVEMENTS Testing & Case Finding 65,329 people were tested for malaria Health Communication 47,492, including 7,567 migrants, of whom were reached through interpersonal 812 were positive cases communication Test Positivity Rate: 1.24% Treatment Completion Preventive Commodities 545 individuals were Distributed 3,349 LLINs enrolled in DOT treatment; to villages, worksites, and 542 of enrolled cases women attending completed DOT treatment ante-natal care clinics Diagnostic and Treatment Commodities Capacity Building Distributed 61,425 RDTs 205 health workers and 1,683 ACTs received trainings to Defeat Malaria storage on malaria diagnostics sites to safeguard and case management continuous and on-time 204 health workers delivery of malaria health received training on Integrated Community care services Malaria Volunteers DEFEAT MALARIA QUARTERLY PERFORMANCE REPORT (OCT. - DEC. 2020) Contents ACRONYMS AND ABBREVIATIONS ......................................................................................................................... 4 EXECUTIVE SUMMARY ........................................................................................................................................... 1 FISCAL YEAR (FY) 2021 QUARTER 1 SUMMARY OF KEY ACHIEVEMENTS ................................................................................. 3 INTRODUCTION ..................................................................................................................................................... 4 FISCAL YEAR 2021 QUARTER 1: ACTIVITIES BY OBJECTIVES .................................................................................... 5 OBJECTIVE 1: ACHIEVE AND MAINTAIN UNIVERSAL COVERAGE OF AT-RISK POPULATIONS WITH PROVEN VECTOR CONTROL AND CASE MANAGEMENT INTERVENTIONS, WHILE PROMOTING THE TESTING OF NEW TOOLS AND APPROACHES. ........................................................................................................................................................ 5 ❖ Ensure the distribution of LLINs, diagnostics, and quality-assured medicines to the beneficiary populations, health services and collaborating VMWs in the targeted areas ................................................... 5 ❖ Optimize coverage and promote use of proven vector control interventions ........................................... 6 ❖ Ensure early diagnosis and appropriate treatment of all clinical malaria cases ....................................... 9 ❖ Strengthen and expand the network of VMWs to improve access to basic diagnostics and treatment services (RDTs and ACTs), particularly for high-risk and hard-to-reach populations ....................................... 12 ❖ Conduct operational research to pilot promising new tools and approaches to reduce malaria transmission as directed by NMCP, in consultation with the PMI/USAID ........................................................ 12 OBJECTIVE 2: STRENGTHEN THE MALARIA SURVEILLANCE SYSTEM TO COMPREHENSIVELY MONITOR PROGRESS AND INFORM THE DEPLOYMENT AND TARGETING OF APPROPRIATE RESPONSES AND STRATEGIES. .................. 13 ❖ Strengthen the malaria surveillance system in line with malaria elimination, improve data management capacity at all levels of the health system, from village to central level, and support appropriate information technology to facilitate data collection, reporting, and use in both public and private sectors ..................... 13 ❖ Support the implementation and regular updating of village-based malaria stratification .................. 16 ❖ To initiate an elimination strategy for target elimination areas, pilot test and scale-up a system for rapid detection and notification of malaria cases, case and contact investigations, and prompt deployment of appropriate response interventions in three townships in Southern Rakhine State, by improving and strengthening the surveillance system .............................................................................................................. 18 OBJECTIVE 3: ENHANCE TECHNICAL AND OPERATIONAL CAPACITY OF THE NMCP AND OTHER HEALTH SERVICE PROVIDERS AT ALL LEVELS OF SERVICE PROVISION ............................................................................................. 19 ❖ Improve skills and job performance of staff involved in malaria control, particularly on epidemiology, surveillance, entomology, and vector control through supportive supervision and training at peripheral and national levels .................................................................................................................................................... 19 ❖ Strengthening surveillance system by supporting the NMCP on tools, equipment, telecommunication cost, capacity building and human resource development .............................................................................. 20 ❖ Support the NMCP for entomological training, entomological field assessments and other gaps at the different levels .................................................................................................................................................... 21 OBJECTIVE 4: PROMOTE THE INVOLVEMENT OF COMMUNITIES, PRIVATE HEALTHCARE PROVIDERS, PRIVATE COMPANIES AND STATE-OWNED ENTERPRISES IN MALARIA CONTROL AND ELIMINATION INITIATIVES ............. 21 ❖ Build the organizational and technical capacity of Universities related to health, Community Based Organizations and EHOs .................................................................................................................................... 21 ❖ Strengthen BCC and community mobilization activities to promote the sustained use of preventive methods, the timely use of community and facility-based health services, the adherence to prescribed treatment, and the collaboration in the testing of new tools and approaches ............................................... 23 ❖ Strengthen and expand training, supportive supervision, and provision of diagnostics and quality- assured antimalarial drugs to private health care providers involved in the management of malaria cases, DEFEAT MALARIA QUARTERLY PERFORMANCE REPORT (OCT. - DEC. 2020) and promote engagement of private companies and state-owned enterprises in malaria control and elimination activities through Corporate Social Responsibility initiatives ....................................................... 24 ❖ Engagement with non-formal private providers, General Practitioners, and drug stores in malaria elimination townships ........................................................................................................................................ 25 Tables Table 1: Defeat Malaria implementing areas and coverages as of December 2020 4 Table 2: Commodity Procurement Information Request (CPIR) and Received Information (Oct – Dec 2020) 5 Table 3: Long lasting insecticide net (LLIN) distribution at villages (Oct. 2020 – Dec. 2020) 7 Table 4: LLIN distribution at worksites (Oct. 2020 – Dec. 2020) 7 Table 5: LLIN Coverage and Utilization by Defeat Malaria State/Region (Oct. 2020 – Dec. 2020) 8 Table 6: Malaria testing by Defeat Malaria covered State/Region (Oct. 2020 – Dec. 2020) 10 Table 7: Results of three types of malaria diagnostic tests 11 Table 8: Progress of survey activities (Mar. - Dec. 2020) 13 Table 9: Progress of CSG formation and fund proposal submission 23 Figures Figure 1: Geographic distribution of Defeat Malaria activities in Myanmar as of December 2020 Error! Bookmark not defined. Figure 2:
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