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Annual Report, 2015 WHO Country Office Zambia

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Annual Report, 2015 WHO Country Office Zambia ZAMBIA Country Office Zambia Annual Report 2015 World Health Organisation - Zambia i The WHO Regional Director for the African Region, Dr. Matshidiso Moeti (centre) met the President of the Republic of Zambia, His Excellency, Mr. Edgar Chagwa Lungu (second from right) during her official visit to Zambia. She was accompanied by the Minister of Health, Dr. Joseph Kasonde (right) and the WHO Representative, Dr. Jacob Mufunda (third from left). Editorial Committee Dr. Jacob Mufunda, WHO Representative Dr. Freddie Masaninga, National Professional Officer, Malaria Ms. Nora Mweemba, National Professional Officer, Health Promotion © World Health Organization 2015. All rights reserved. ii Annual Report Zambia Annual Report 2015 TABLE OF CONTENTS Foreword…………………………………………………………………….....…………………(vi) Executive Summary……………………......…………………………………………..……….(viii) Acronyms…………………………………………….....………………………………………....(xi) Chapter 1 – General Country Profile……………….......………………………………………..1 Demographic indicators……………………….…………………………….....……...….1 Epidemiological disease context……………….……………………………....………….2 Health care delivery system……………………………………………………......……….2 Social economic situation……………………………………………………….......………2 Chapter 2 – Programme Implementation…………………………………………....……………3 Health Systems Strengthening…………………………………………….....…………….3 Essential Drugs and Medicines…………………………………………….....…………….3 Disease Prevention and Control.……………………………………………....…………...4 Neglected Tropical Diseases……………………………………………....………..5 Non Communicable Diseases……………………………………………....………6 Health security and emergency……………………………………….....…………6 Expanded Programme on Immunisation……………………………………....………….7 Routine immunization……………………………………………........…………….7 Cold chain and logistics management…………………………………..……..….9 Surveillance, research and laboratory operations……………………………...…9 Polio Eradication Initiative…………………………………….......……………...…9 Measles surveillance…………………………………………….....………………...9 Maternal Health: Making Pregnancy Safer………………………………...…………….12 Child and Adolescent Health…………………………………………….…………….….16 Nutrition……………………………………………………………………....…………….18 Gender and Health……………………………………………………………...…………19 Gender Based Violence…………………………………………………...………19 Health Promotion………………………………………………………………...…….…..20 HIV and AIDS……………………………………………………………………...….…….22 Malaria……………………………………………………………………………...……….23 Monitoring disease trends……………………………………………….………..23 Guidelines…………………………………………………………………....……..24 Managing insecticide resistance………………………………………….………24 Partnerships and resource mobilization………………………………………….24 iv Annual Report ZAMBIA Country Office Tuberculosis…..……………………………………………………………....…………….25 Development of TB guidelines and training materials. Chapter 3 – Administration and Finance…………………………………..…………………….27 Human Resources…………………………………………………………………........….27 Information Technology and Communication……………………………….........…….27 Programme budget……..…………………………………………………...........……….28 Direct Financial Contribution…........……………………………………………………..28 Transport………………………………………………………………..…………………..28 WHO Golden Jubilee celebration…………………………………...……………………28 Major coordination meetings………………………………………...…………………...28 Staff retreat……………………………………………………………...…………………..28 Chapter 4 – lessons learnt, Challenges and Recommendations…………........………………30 List of Tables Table 1: Key health and demographic indicators Table 2: Incidence of diseases in Zambia 2010-2015 List of Figures Figure 1: Trends of immunisation coverage - Zambia, 1992 to 2014 Figure 2: DTP3 Coverage by District - 2015 Figure 3: AFP surveillance core indicators, as of September, 2015 Figure 4: Measles sero-positivity - measles case based surveillance data, 2011 - 2015 Figure 5: Rubella sero-positivity - measles case based surveillance data, 2011 - 2015 Figure 6: Seasonality of Rotavirus Diarrhea 2009- June, 2015 Figure 7: Maternal mortality trends, 1992-2013 Figure 8: Fertility trends in Zambia Figure 9: Trends in the use of Family planning Figure 10: Trends in maternal health Figure 11: Trends in child mortalities, 1980 – 2013 Figure 12: Coverage of RMNCH interventions across the continuum of care in Zambia, 2013 Figure 13: Trends in nutritional status of children Figure 14: Spousal violence in Zambia. Figure 15: Gaps in option B+, Zambia Figure 16: Malaria transmission zones in Zambia, 2014 Annex section Annex 1: List of staff of the WHO Country Office in 2015………………....………….33 Annex 2a: Selected Technical Mission to Zambia, 2015............................................35 Annex 2b: Selected Technical Missions by WCO to other countries…......................36 Annex 3: World Health Days and health campaigns in 2015....................................37 World Health Organisation - Zambia v Foreword Survey (ZDHS) in 2015 was significant as it pointed to improvements in health indicators and areas where more investment is needed. The Millennium Development Goals (MDGs) era came to an end in September 2015 and the new Sustainable Development Goals (SDGs) were launched earlier in October. Although the country did not achieve most of the health- related MDG targets, except the target for child health, significant improvements were made in Malaria, TB, HIV/AIDS, Maternal health and in other priority programmes. The launch of the Global Plan on Women’s and Dr. Jacob Mufunda Children’s health in 2015 stimulated action at country level for accelerating efforts towards he year 2015 was quite eventful not reducing maternal and child deaths. only for the WHO Country Office, but the health sector at large. The Some of the major highlights of WHO’s work WHO Country Office celebrated its and support to government in 2015 include: Golden Jubilee which highlighted WHO’s support to the successful submission of a Tcontribution to improving health in Zambia proposal to the Global Alliance for Vaccines and its commitment to supporting the and Immunization (GAVI) for support to country in addressing current and emerging introduce the Inactivated Polio Vaccine (IPV) health challenges. The Regional Director into the EPI schedule in 2016; the country’s for the WHO African Region, Dr. Matshidiso sustained certification surveillance standard Moeti who was present in the country during towards the polio eradication initiative (PEI); the Golden Jubilee celebration reassured the printing of the Non-Communicable government of WHO’s commitment to Diseases Strategic Plan; the nation-wide strengthening health systems and capacities Malaria Indicator Survey and the development for responding to emergencies in countries. of the National Ebola Preparedness and Response Plan including provision of The year 2015 also marked the end of the technical support to the countries of West 2014-2015 biennium and the commencement Africa affected by the Ebola outbreak through of the elaboration of the 3rd generation deployment of technical and administrative Country Cooperation Strategy (CCS) for staff. Other notable developments include 2017 to 2021, which is the blueprint for WHO the alignment and harmonization of the and GRZ cooperation. The publication of the Zambia Medicines and Regulatory Authority 2013/2014 Zambia Demographic and Health for regional registration of medicines for vi Annual Report human use, the launch of the report for the Transformation Agenda which is intended to national TB prevalence survey, Mid-Term make WHO more responsive, efficient, better Review of the National Health Strategic Plan resourced and accountable was embraced at 2011-16, provision of both technical and country level with efforts aimed at improving financial support in response to outbreaks the delivery of programme support and to of measles, plague, meningitis, typhoid and strengthen response to disease outbreaks konzo in the affected districts and through and surveillance. WHO will continue to work joint efforts of WHO and other UN Agencies, through existing partnerships and within the the implementation of the CIDA Canada United Nations Development Assistance H4+ initiative in five districts which led to Framework (UNDAF). improvements in maternal and child health. The WCO domesticated the African Region Transformation Agenda through the reassignment of the 4 national surveillance officers to 4 zonal offices and positioning Dr. Jacob Mufunda strategic resources for activities. The four WHO Representative zonal offices include Kasama which caters for Muchinga, Luapula and Northern provinces; Ndola which caters for Northwestern, Copperbelt and Central Provinces; Lusaka covering Eastern and Lusaka Provinces and Choma covering Western and Southern Provinces. The national surveillance officers coordinate WHO operations in the provinces of assignment and are hosted by the Provincial Health Offices. WHO’s next biennial plan for 2016 and 2017 will not only be reflective of WHO’s priorities in the Country Cooperation Strategy, it will also be aligned to the Sustainable Development Goals and anchored on supporting the National Health Strategic Plan (NHSP). WHO will continue advocacy and support for the implementation of the Non-Communicable Diseases Strategic Plan. The launch of reforms by the Regional Office for Africa through a World Health Organisation - Zambia vii Executive Summary he WHO Country Office continued in health indicators were seen across to provide technical and financial various programmes in 2015. Through joint assistance to support the National efforts of WHO and other UN Agencies, the Health Strategic Plan and actions implementation of the CIDA Canada, UN aimed at accelerating the
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