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Zimbabwe Assistance Program in Malaria Quarterly Report

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ZIMBABWE ASSISTANCE PROGRAM IN MALARIA QUARTERLY REPORT OCTOBER 1–DECEMBER 31, 2020 Recommended Citation: Zimbabwe Assistance Program in Malaria (ZAPIM). January 2021. Year 6, Quarter 1, October 1– December 31, 2020 Report. Rockville, MD and Harare, Zimbabwe. ZAPIM, Abt Associates. Contract and Task Order Number: AID-613-A-15-00010 Submitted to: United States Agency for International Development/President’s Malaria Initiative Submitted on: January 31, 2021 CONTENTS Acronyms ...................................................................................................................................... iii Executive Summary ...................................................................................................................... v 1. Background .............................................................................................................................. 1 2. Administrative Activities ........................................................................................................ 3 2.1 Staffing and Management ................................................................................................................ 3 3. Technical Activities ................................................................................................................. 5 3.1 Malaria Case Management and Malaria in Pregnancy .............................................................. 5 3.1.1 Remote Mentorship to Support Continuity of Malaria Services During the COVID-19 Pandemic in Zimbabwe ................................................................................................................... 5 3.1.2 CM and MIP Training ...................................................................................................................... 6 3.1.3 Malaria Death Audit Meeting in Mashonaland East, November 2020 ................................. 7 3.1.4 CM and MIP Subcommittee Meeting ........................................................................................... 8 3.1.5 Community Case Management ..................................................................................................... 9 3.2 Long-Lasting Insecticidal Nets....................................................................................................... 9 3.2.1 LLIN Delivery to District Holding Points and Distribution Facilities .................................. 9 3.2.2 CD Training - Rushinga and Shamva Districts ........................................................................ 11 3.2.3 Continuous Distribution of LLINs to Beneficiaries ............................................................... 12 3.2.4 Electronic Reporting System ....................................................................................................... 14 3.2.5 LLINs Data Quality Assessment ................................................................................................. 14 3.2.6 Targeted District LLIN Support and Supervision ................................................................... 15 3.3 Social and Behavioral Change .................................................................................................... 16 3.3.1 Support for NMCP Rebranding .................................................................................................. 16 3.3.2 Development of Malaria Elimination Leaflet ............................................................................ 18 3.3.3 Development of LLIN Promotional Video ............................................................................... 19 3.3.4 Support to Malaria Commemoration by NMCP Malaria Day ............................................. 19 3.3.5 Community SBC ............................................................................................................................. 20 3.3.6 CAC Evaluate Together Trainings ............................................................................................. 20 3.3.7 CAC Documentation Visits ......................................................................................................... 20 3.4 M&E and Operational Research ................................................................................................ 21 3.4.1 Epidemic Preparedness and Response Guidelines ................................................................. 21 3.4.2 Malaria SM&E Training Manual .................................................................................................... 21 3.4.3 Weekly VHW Mobile Reporting Pilot in Mbire District ...................................................... 21 3.4.4 Routine Evaluation of Audio Book in Chikunda Language ................................................... 21 3.4.5 Malaria Elimination Review and Planning Meeting .................................................................. 23 4. Gender .................................................................................................................................... 27 5. Environmental Compliance.................................................................................................. 29 5.1 Medical Waste ............................................................................................................................... 29 5.2 Management of Public Health Medicines and Commodities ............................................... 29 6. Challenges Recommendations, And Lessons Learned ...................................................... 31 Annex A: PMP Indicators/Year 5 Milestone Matrix ................................................................. 33 i LIST OF TABLES Table 1: Health Workers Reached Through Virual Mentorship, By Designation .............................................. 5 Table 2: CM and MIP Training Paritipants in Mashonaland Centeral by Profession and Gender, October 2020............................................................................................................................................................. 6 Table 3: Distribution of cadres trained in CM and MIP in Mashonaland East by district, November 2020 6 Table 4: Summary of pre- and post-test results for CM and MIP training held in Mashonaland Central, October 2020............................................................................................................................................................. 7 Table 5: Summary of pre- and post-test results for CM and MIP training held in Mashonaland East, November 2020......................................................................................................................................................... 7 Table 6: Malaria related deaths by district in Mashonaland East, November 2020 ........................................... 7 Table 7: Community CM training of VHWs in ZAPIM- supported districts in Mashonaland Central.......... 9 Table 8: ZAPIM Supported LLINs delivered by district, November 2020 ....................................................... 10 Table 9: Health workers trained in CD of LLINs in Rushinga and Shamva Districts, November/December 2020 ................................................................................................................................. 11 Table 10: VHWs trained in CD of LLINs in Rushinga and Shamva Districts, November/December 2020 .................................................................................................................................................................................... 12 Table 11: Recommendations from the CD trainings in Rushinga and Shamva Districts November/December 2020 ................................................................................................................................. 12 Table 12: Participants trained in LLINs electronic reporting October 14-15, 2020 ...................................... 14 Table 13: Issues, challenges, and recommendations from DQAs, November 2020 ...................................... 15 Table 14: Number of people targeted per ward for rebranding interviews and focus group discussions (FGDs) ...................................................................................................................................................................... 16 Table 15: List of key informant stakeholders for the NMCP rebranding ......................................................... 17 Table 16: Functional status of Chikunda audio books in Chapoto, November 2020 .................................... 22 Table 17: Key elements, challenges, and action plans from the elimination review and planning meeting, November 2020...................................................................................................................................................... 24 LIST OF FIGURES Figure 1: VHWs being trained on CD of LLINs in Rushinga, November 2020 ............................................... 11 Figure 2: CD of LLINs in ZAPIM supported districts by year and by quarter, 2016-2020 ........................... 13 Figure 3: LLIN distribution by channel, October to December 2020 ............................................................... 14 Figure 4: Observing COVID-19 precautions during interviews and FGDs at community level .................. 18 Figure 5: Illustrative draft of elimination leaflet ....................................................................................................... 18 Figure 6: Illustrative graphic of LLIN promotional video .....................................................................................
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