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Quarterly Progress Report January 01, 2017 to March 31, 2017

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Quarterly Progress Report January 01, 2017 to March 31, 2017 DEFEAT MALARIA Defeat Malaria Quarterly Progress Report January 01, 2017 to March 31, 2017 Submission Date: April 30, 2017 Agreement Number: AID-482-A-16-00003 Agreement Period: August 15, 2016 to August 14, 2021 AOR Name: Mya Sapal Ngon Submitted by: May Aung Lin, Chief of Party University of Research Co., LLC. Room 602, 6th Floor, Shwe Than Lwin Condominium New University Ave. Rd., Battan Township Yangon, Myanmar 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). Table of Contents List of Tables ---------------------------------------------------------------------------------------------------------------- 3 List of Figures ---------------------------------------------------------------------------------------------------------------- 4 ACRONYMS AND ABBREVIATIONS ---------------------------------------------------------------------------------- i 1. Executive Summary -------------------------------------------------------------------------------------------------- 3 2. Goals and Objectives ------------------------------------------------------------------------------------------------ 5 3. Implementation Progress ------------------------------------------------------------------------------------------- 5 1. Programmatic Management ------------------------------------------------------------------------------------- 5 2. Summary on Key achievements during January 2017 – March 2017 ------------------------------------ 6 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. ---------------------------------------------------------------------- 7 Objective 2: Strengthen the malaria surveillance system, 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 ----------------------------------------------------------------------------- 11 Objective 3: Enhance technical and operational capacity of the NMCP and other health service providers at all levels of service provision ------------------------------------------ 22 Objective 4: Promote the involvement of communities, private healthcare providers, private companies and state-owned enterprises in malaria control and elimination initiatives ------------------------------------------------------------------------------------------------------------ 23 4. Challenges and Opportunities ------------------------------------------------------------------------------------ 25 5. Annexes --------------------------------------------------------------------------------------------------------------- 27 List of Tables Table 1: Project area coverage during October 2016 – March 2017 .......................................................... 4 Table 2: State/Region case finding and management activities (October 2016 – March 2017) ................... 6 Table 3: LLIN distribution at villages of Gwa Township, Rakhine State (October 2016 - March 2017) ..... 7 Table 4: LLIN distribution at worksites (October 2016 - March 2017) ...................................................... 8 Table 5: Summary of case findings and management by approaches (October 2016 - March 2017) .......... 8 Table 6: Summary of case findings and management by State/Region (October 2016 - March 2017) ........ 8 Table 7: Directly observed treatment (DOT) (October 2016 - March 2017) ............................................ 9 Table 8: Summary of VMW/PP monthly meeting - person-month (October 2016 - March 2017) ........... 10 Table 9: Timeliness of reporting of malaria case data from VMW/PP (January 2017 – March 2017) ....... 12 Table 10: Updating malaria micro-stratification (in line with malaria elimination) ..................................... 15 Table 11: Active Case Detection through mobile team approach in Project Village (January 17 - March 17) ............................................................................................................................................................... 16 Table 12: Active Case Detection through mobile team approach in Non-Project Village (January 17 - March 17) .................................................................................................................................................... 16 Table 13: Defeat Malaria Case Finding and Management, Township wise (October 2016 - March 2017) – Mobile Team Approach .............................................................................................................................. 27 Table 14: Defeat Malaria Case Finding and Management by township (October 2016 - March 2017) – VMW Approach .......................................................................................................................................... 28 Table 15: Defeat Malaria Case Finding and Management by township (October 2016 – March 2017) – Private Provider Approach ......................................................................................................................... 29 Table 16: Number of VMWs and PPs trained on case management (October 2016 - March 2017) ........ 30 Table 17: Number of VMWs and PPs trained on diagnosis (October 2016 - March 2017) ...................... 31 Table 18: Number of VMW/PP supervised and monitored (October 2016 - March 2017) ...................... 32 Table 19: Interpersonal communication by VMWs and PPs (October 2016 - March 2017) ..................... 33 Table 20: Group Health Talks by VMWs and PPs (October 2016 ‐ March 2017) ........................................ 34 Table 21: Number of people reached through interpersonal communication (IPC) by Private Providers only. (October 2016 – March 2017) ........................................................................................................... 34 Table 22: Summary of township level advocacy meeting (October 2016 – December 2016) .................. 35 Table 23: Summary of township level advocacy meeting (January 2017 ‐ March 2017) ........................... 36 Table 24: Performance Indicators Tracking Table (October 2016 - March 2017) .................................... 38 List of Figures Figure 1: Defeat Malaria Geographical Areas .............................................................................................................. 3 Figure 2: Recruitment and reporting of VMW and PP (October 2016 - March 2017) .................................. 12 Figure 3: Data verification and assessment dashboard samples ........................................................................... 14 Figure 4: Dalett Area, Ann Township for special mobile visit (2) ........................................................................ 15 Figure 5: Dalett Area, Ann Township for special mobile visit (1) ........................................................................ 15 Figure 6: Distribution of P.f to P.v cases and Malaria Test Positivity Rate by State/Region .......................... 17 Figure 7: Time series analysis on case detection and treatment in Tanintharyi Region (October 2016 - March 2017) ...................................................................................................................................................................... 18 Figure 8: Time series analysis on case detection and treatment in Southern Rakhine State ....................... 18 Figure 9: Accessibility to RDT and proportional malaria cases ............................................................................ 19 Figure 10: Pre- and Post-training knowledge assessment score presented as average percentage of each categorized group of Knowledge Assessment with Multiple Choice Questions (MCQ). Data were calculated as percentage based on the number of participants who correctly answer for each question 23 Figure 11: Number of people, disaggregated by gender, reached through IPC by VMWs and PPs (October 2016 - March 2017) ...................................................................................................................................... 25 ACRONYMS AND ABBREVIATIONS ACT Artemisinin-based combination therapy AOR Agreement Officer’s Representative ARC American Refugee Committee BCC Behavior Change Communication BHS Basic Health Staff CBO Community Based Organizations DMR Department of Medical Research DoPH Department of Public Health DOT Directly Observed Treatment DQO Data quality officer EMMP Environmental monitoring and mitigation plan GMS Greater Mekong Sub IP Implementing partners ITN Insecticide treated net KDHW Kayin Department of Health and Welfare LLIN Long Lasting Insecticide Nets M&E Monitoring and Evaluation MCQ Multiple Choice Questions MHAA Myanmar Health Assistant Association MNMA Myanmar Nurse and Midwife Association MoHS Ministry of Health and Sport MOU Memorandum of Understanding NGO Non-government Organizations NMCP National Malaria Control Program NTG National Treatment Guideline OSDV On-site data verification PCR Polymerized chain reaction PMI President’s Malaria Initiative PP Private Providers QA Quality Assurance RDQA Routine data quality assessment RDT Rapid diagnostic tests RHC Rural Health Center i SOP Standard Operating Procedures SPHD State Public Health Director TPR Test Positivity Rate UMB University of Maryland,
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