COVID-19 Response Monthly Report: Redirection Funding IMPACT (Improving Market Partnerships and Access to Commodities Together): June 2021

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Overview of COVID-19 Activities In May 2020, USAID approved $ 610,300 from the Year 2 IMPACT workplan to be redirected to support the MOPH in fighting against COVID-19 for six months (May to October 2020). At the end of October 2020, there was a remaining balance of $280,069. On January 27th, IMPACT received approval from USAID to use $155,695 from this balance to continue to support the MOPH on its COVID-19 interventions. In June 2021, USAID approved the use of the remaining amount of $124,374 that was left from the $610,300 to continue support to the MOPH. The purpose of this funding is to (i) help the GOM to purchase and transport health and expendable commodities (personal protection equipment and infection prevention products) from the central level in Antananarivo to districts and communes (ii) sensitize Malagasy people in the eight regions most affected by COVID-19, including Boeny, Analanjirofo, Haute Matsiatra, Vatovavy Fito Vinany, Amoron'i Mania, Vakinankaratra, Menabe, and Atsimo Andrefana. As new cases have been increasing, Diana, Atsinanana, SAVA, and Sofia regions have been added.

Main Achievements with detailed results Transportation/Support the DRSP and SDSP by providing supplies and expendable equipment • IMPACT financially supported the transportation of MOPH expendable equipment and supplies from DRSP Diana to Ambanja (2 fridges), and to SDSP Nosy-Be (5 marquees, 6 freezer boxes, etc.) and from DRSP Melaky to SDSP Ambatomainty, SDSP Morafenobe, SDSP Antsahalova (30 bottles of hydroalcoholic gels 500ml, 630 washable masks, 60 rolls of hand towels, etc.). Details are provided in Annexes/Table 1. • IMPACT financially supported the transportation of Polymerase Chain Reaction (PCR) samples from the DRSP of Vakinankaratra (50) and Amoron’i Mania (15) to DVSSER (Direction de la Veille Sanitaire, de la Surveillance Epidémiologique et Riposte) in Antananarivo, and GeneXpert specimens from Manakara (6) and Mananjary (4) to Pivot Ifanadiana. • IMPACT financially supported the transportation of COVID-19 vaccines (Covishield - AstraZeneca) in 5 regions (Haute Matsiatra, Boeny, Atsimo Andrefana, Menabe, and Atsinanana) from DRSP to SDSP and from SDSP to CSB. Details are provided in Annexes/Table2. • IMPACT supported the duplication of 19,388 registration forms used to record patient information for the COVID-19 vaccinations (Name, Age, ID Number, Address, patient clinical information, etc.) in Boeny. Protect IMPACT Team and CHVs, PA and PARCs against COVID-19 by distributing expendables and equipment • IMPACT procured and ensured the transportation of expendable equipment (423 washable masks, 218 bottles of hydroalcoholic gel 500 ml, 37 sprayers, 74 mops, 74 over blouses, 37 laser thermometers, 37 water containers 20L with tap, 37 plastic washing basins, 446 pieces of soap, 290 bottles of Javel water 500ml) to 2 PARC and 80 PA in four USAID-supported regions (Boeny, Atsimo Andrefana, Atsinanana, and Vatovavy Fito Vinany) and one DCC region (Atsimo Atsinanana). Details per region are presented in Annexes/Table 2. Support communication awareness • IMPACT provided technical support during two virtual meetings organized by the CCRCE led by MOPH through their department DIRCOM and DPS at the central level on June 3rd and 15th. These meetings focused on (i) the validation of the communication tools (posters, TV, and radio spots) for the vaccination campaign; (ii) update of posters to highlight messages for precaution against the COVID-19 variants. • IMPACT conducted 75 sensitizations and social mobilizations using mobile sound systems in 9 districts (Fenoarivo Atsinanana, Soanierana Ivongo, Mahajanga I, Mahajanga II, Ambanja, Ambilobe, Vohipeno, Manakara, and Maintirano). The messages focused on barrier gestures (wearing a mask, social distancing, and frequent hand washing) to COVID-19 prevention and on the interest of being vaccinated. More than 19,600 people were reached. • According to a request from DPEV of MOPH, and in coordination with ACCESS, IMPACT aired 30 TV spots and 96 radio spots respectively in 2 TV stations and 3 radio stations in Analamanga region to encourage people to get vaccinated from June 1st to 15th, 2021.

Planned activities for next month (July):

• Depending on DRSP requests, IMPACT will: o Continue to transport COVID-19 expendable equipment and supplies from regions to districts. o Support financially the transportation of PCR blood samples from districts to DVSSER or GeneXpert in regions (Diego, Fenerive-Est, Ifanadiana, etc.). • Conduct regular disinfection of PSI/IMPACT offices, warehouses, and vehicles • Through the Field Communication Team, continue to organize sensitizations and social mobilizations on COVID-19 prevention using mobile sound systems.

Financial Reporting in June 2021

Total Cumulative Total COVID- spent in Expenditure Total 19 Funding Period MCH FP Comments June (COVID-19 Commitments Approved 2021 only)

Commitments relate Redirected From June to transportation and $124 374 $17 560 $8 780 $8 780 $17 560 $3 181 Funding 2021 communication on vaccines.

ACRONYMS:

CCRCE Commission for Communication on Risk and Community Engagement cCD Community-based Continuous Distribution CHV Community Health Volunteer cCD Community-based Distribution Campaign DIRCOM Direction de Communication/Communication Directorate DRSP Direction Régionale de la Santé Publique/Regional Directorate of Public Health DPS Direction de la Promotion de la Santé/Directorate of Health Promotion DPEV Direction du Programme Elargi de Vaccination/ Directorate of the Expanded Immunization Program DVSSER Direction de la Veille Sanitaire, de la Surveillance Epidémiologique et Riposte/ Department of Health Watch, Epidemiological Surveillance and Response MOPH Ministry of Public Health PA Point d’Approvisionnement/Supply Point PARC Point d’Approvisionnement Relais Communautaire/Community Relay Supply Point PCR Polymerase Chain Reaction SDSP Service de District de Santé Publique/ District Public Health Service

ANNEXES Table 1: Expendable equipment and supplies of MOPH transported by IMPACT from regions to districts as per DRSP request

PLACE OF DESTINATION QUANTITY DEPARTURE SDSP AMBANJA 2 fridges DRSP DIANA SDSP NOSY-BE 5 marquees, 6 freezer boxes, 1 box of syringes/ alcohol/ cotton 10 hydroalcoholic gels 500ml, 20 rolls of hand towel, 10 household gloves, 15 mops, 80 SDSP MORAFENOBE chamois, 210 washable protective masks, 10 cups, 3 soap powder 1Kg, 6 brush brooms, 10 bottles of liquid soap, 50 soaps, 5 jerrycan. 10 hydroalcoholic gels 500ml, 20 rolls of hand towel, 10 household gloves, 15 mops, 80 SDSP DRSP MELAKY chamois, 210 washable protective masks, 10 cups, 3 soap powder 1Kg, 6 brush brooms, 10 AMBATOMAINTY bottles of liquid soap, 50 soaps, 5 jerrycan. SDSP 10 hydroalcoholic gels 500ml, 20 rolls of hand towel, 10 household gloves, 15 mops, 80 ANTSAHALOVA chamois, 210 washable protective masks, 10 cups, 3 soap powder 1Kg, 6 brush brooms, 10 bottles of liquid soap, 50 soaps, 5 jerrycan.

Table 2: Details of vaccines transported from DRSP to SDSP and from SDSP to CSB

PLACE OF QUANTITY DESTINATION NOTES REGIONS DEPARTURE (doses) ATSINANANA DRSP Atsinanana 531 doses SDSP Mahanoro, SDSP Brickaville 228 L of fuel contributed MENABE DRSP Menabe 125 doses SDSP Manja 131 L of fuel contributed SDSP Toliara II 800 doses CSB Ankililaoka, and Beheloka 191 L of fuel contributed SDSP Ampanihy CSB Ampanihy, CSB Itampolo and CSB ATSIMO 1,500 doses Fotadrevo ANDREFANA SDSP Morombe CSB Morombe, CSB Tanandava and CSB 1,500 doses Antanimeva SDSP Isandra 700 doses CSB Isorana, CSB Andranomaintsy 49 L of fuel contributed HAUTE SDSP Vohibato CSB Ampano, CSB Alakamisy Itenina, MATSIATRA 2,100 doses CSB Masoabe SDSP Soalala CSB Andranomavo, CSB Andranopaky 199 L of fuel contributed 200 doses

SDSP Mitsinjo CSB Mitsinjo, CSB Katsepy, CSB 490 doses Matsakabanja, CSB Antongomena BOENY Bevary, CSB Antseza SDSP Mahajanga II CSB Boanamary, CSB Ambalakida, CSB Betsako, CSB Mariarano, CSB Bekobay, 300 doses CSB Ambalambe Befanja, CSB Ambodimanga, CSB Andranoboka

Table 3: Details of expendable equipment received by PA and PARC

Atsimo Atsimo Atsinanana Articles Boeny Andrefana Atsinanana 4 V7V Total 1 2 3 (11 PA) 5 (2 PARC, 35 PA) (7 PA) (17 PA) (10 PA) Washable masks 185 35 87 66 50 423 Hydroalcoholic gels 500ml 74 35 34 55 20 218 Sprayers 37 37 Mops 74 74 Over blouse 74 74 Lazer thermometer 37 37 Water container 20L with tap 37 37 Plastic washing basins 37 37 Soap 185 14 87 110 50 446 Javel water 500 ml 74 68 108 40 290 1 :2 PARC (Ambatoboeny, Mahajanga II), 35 PA (Ambatoboeny, Ambesisika, Ambondromamy, Andranofasika, Andranomamy, Anjiajia, Ankijabe, Ankirihitra, Madirovalo, Manerinerina, Sitampiky, Tsaramandroso, Ambalabe Befanjava, Ambalakida, Andranoboka, Bekobay Centre, Belobaka, Betsako, Boanamary, Mahajamba Usine, Mariarano, Tsararano, Ambolomoty, Ankaboka, Ankaraobato, Ankazomborona, Anosinalainolona, Antanambao Andranolava, Antanimasaka, Bemaharivo, Manaratsandry, Marosakoa, Marovoay Banlieu, Marovoay Ville, Tsararano. 2 : 7 PA in Betioky and Benenitra districts (Anavoha, Ambalavato, Marosavoha, Behora, Ianapera, Benonoka, Besely). 3 :17 PA in Farafangana district (Ambalavato Antevato, Ambohigogo, Anosivelo, Antseranambe, Efatsy, Etrotroka, Fenoarivo, Iabohazo, Ihorombe, Mahabo, Mahafasa, Maheriraty, Manambotra Sud, Tovona, Vohilava, Vohilengo, Vohimasy). 4 :11 PA in Marolambo district (Andonabe_Atsimo, AmbalapaisoII, Ambohimilanja, Androrangavola, Anosiarivo, Ambodinonoka, Sahakevo, Lohavanana, Betampona, Tanambao Rabemanana, Ambodivoahangy). 5 :10 PA in Mananjary and Nosy Varika districts (Ambohitsara Est, Andranomavo, Mahatsara, Mahela, Marofototra, Marosangy, Ambodiara, Angodongodona, Antanambao, Befody).