PMI/ARM3 Quarterly Report 25 October 1 – December 31, 2017
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PMI/ARM3 Accelerating the Reduction of Malaria Morbidity and Mortality Program Quarterly Report 25 October 1 – December 31, 2017 January 2018 PMI/ARM3 Accelerating the Reduction of Malaria Morbidity and Mortality Program (ARM3) Quarterly Report 25 October 1 to December 31, 2017 Fiscal Year 2018, Program Year 7 Submitted to: Michelle Kouletio, Acting Family Health Team Leader and Resident PMI Advisor/Agreement Officer’s Representative, USAID/Benin Alexis Y. Tchevoede, National Malaria Control Program (NMCP) Coordinator Zannou Ahissou Robert Franck, Maternal and Child Health Director Cover photo: From left to right Ms. Baboukari Djaria and Ms. Amirou Zoulfaou, pregnant women attended at ANC visit in Soubroukou HF, Djougou Copargo and Ouake (DCO) HZ, Credit: ARM3 PMI/ARM3, Accelerating the Reduction of Malaria Morbidity and Mortality Program (ARM3), is funded by the United States Agency for International Development (USAID), under Cooperative Agreement AID680-A-11-00001. ARM3 is managed by Medical Care Development International (MCDI) as the prime. The author’s views expressed in this publication do not necessarily reflect the views of the United States Agency for International Development or of the United States Government. Table of Contents Acronyms ................................................................................................................................................... 4 Executive Summary .................................................................................................................................... 5 Introduction ............................................................................................................................................... 9 Result 1: Strengthen the effectiveness of the National malaria prevention interventions .................... 10 Sub-Result 1.1a: SBCC Activities conducted in support of prevention and case management interventions ....................................................................................................................................... 10 Sub-result 1.1b: Increase coverage of intermittent preventive treatment during pregnancy (IPTp) per new national norms ...................................................................................................................... 15 Sub‐result 1.1c: Increase universal access and utilization of LLINs .................................................... 18 Result 2: Improve and Implement Malaria Diagnosis and Treatment Activities in Support of the National Malaria Strategy ........................................................................................................................ 23 Sub-Result 2.1: Improve Diagnostic Capacity and Use of Diagnostic Testing ..................................... 23 Sub-Result 2.2: Improve Case Management of Uncomplicated and Severe Malaria ......................... 27 Sub-result 2.3: Improve integrated Community Case Management (iCCM) ...................................... 31 Result 3: The National Health System's Capacity to Deliver and Manage Quality Malaria Treatment and Control Investigations Strengthened ....................................................................................................... 35 Sub-result 3.1: Enhance the NMCP's Technical Capacity to Plan, Design, Manage and Coordinate a Comprehensive Malaria Control Program .......................................................................................... 35 Sub-result 3.2: MOH Capacity to Collect, Manage, and Use Malaria Health Information for Monitoring, Evaluation, and Surveillance Improved .......................................................................... 40 Sub-result 3.3: Improve MOH Capacity in Commodities and Supply Chain Management ............... 50 Program management ............................................................................................................................. 62 Field Office .......................................................................................................................................... 62 Home Office ........................................................................................................................................ 63 Major Activities Planned for Next Quarter (Year 7, January–March 2018) ............................................. 63 Financial Summary & Annexes................................................................................................................. 66 ARM3 Quarter 25 Report (October-December 2017) Page | 3 Acronyms ARM3 Quarter 25 Report (October-December 2017) Page | 4 Executive Summary ARM3 Sub-Results Key Achievements/Challenges Results Technical assistance provided to the NMCP to integrate the revised SBCC strategy of the National SBCC Plan in collaboration with the GFATM and the CRS CATCH project o A new National Integrated Communication Plan was 1.1a: SBCC Activities developed conducted in support of In collaboration with the NMCP, ARM3 conducted a post- prevention and case training follow-up supervision of health workers (HWs) on management interpersonal communication in NBT, TCM and 2KP HZs of interventions the Atacora Department Provided technical assistance to the NMCP to carry out a post-training follow-up of HWs in the 3 HZs (NBT, TCM and 2KP in Atacora department on interpersonal communication to intensify BCC interventions 1.1b: Coverage of intermittent Preventive treatment during 1,060 out of 1,155 health facilities (HFs) submitted reports 1. Strengthen for July-September 2017 the pregnancy (IPTp) per new national norms Compared to last quarter, the IPTp2 coverage increased effectiveness from 61.1% to 66.5% of the national increased malaria Participated in the mass LLIN distribution campaign prevention organized by the NMCP in the center and southern DDS in interventions Benin o 100% of the sites were covered by SBCC activities o 2,003,723 of 1,515,744 households (HH) were inventoried (132.2%) with a predominant size of 3 - 6 persons 1.1c: Universal access o 1,921,708 HHs received LLINs out of 2,003,723 and utilization of LLIN counted (95.9%) increased o 4,363,460 LLINs distributed versus population of 4,526,622 inventoried (96.40%) o Average of 2.53 LLINs distributed per household Technical and financial support provided to the NMCP to review, update, validate IPTp, LLIN and prompt care- seeking messages and materials Jointly with the NMCP, supervised data collection as part of the baseline evaluation of the LLIN distribution in prioritized schools ARM3 Quarter 25 Report (October-December 2017) Page | 5 ARM3 Sub-Results Key Achievements/Challenges Results Finalized the updated OTSS database and trained the NMCP lab technicians at the NMCP level to use this database In collaboration with the NMCP, conducted a post-training 2.1 Diagnostic capacity follow-up of 22 private sector lab technicians trained in Y6 and use of diagnostic Technical and financial support provided to the NMCP with testing improved 204 standard malaria slides for use during the lab technician training sessions Participated in training 60 newly-hired lab technicians from the public sector in malaria microscopy and RDTs o 36 newly-hired lab technicians from public sector were trained in malaria microscopy and RDTs with ARM3 technical assistance Participated in a technical committee meeting for the 2.2 Case management introduction of injectable and rectal artesunate through of uncomplicated and HFs in Benin Provided technical and financial support to the NMCP to 2. Improve severe malaria improved develop a database on training for malaria including a and implement training plan for a pre-service and in-service training of malaria HWs in the public and private sectors Diagnosis and Supported the DNSP to organize three dissemination Treatment workshops of National Community Health Policy and the Activities in National guidelines for monitoring and evaluation of the support of the PIHI-COM for 112 local authorities, HWs and CHWs of the National communes of ALLADA, ZE and TOFFO Malaria Participated in a workshop to review certain standards of Strategy PIHI-COM in order to obtain training modules for CHWs and tools to report the implementation of the PIHI-COM in urban and peri-urban areas Technical assistance provided to BUPDOS to organize capacity-building for social health workers and community 2.3. Integrated facilitators on post-training follow-up, supervision and community case evaluation of CHWs in the CBGH HZ. management improved Technical and financial assistance to DDS Zou/Collines and to the Cove-Zagnanado-Ouinhi (CoZO) and Savalou-Banté (SaBa) HZs for analyzing data collected through CHWs group monitoring sessions. In collaboration with the DNSP and the NMCP jointly supervised CHWs in 2 HZs (SaBa and CoZo) through monthly field visits o 150 CHWs were visited o 97,65% (1,413/1,447) of children admitted for fever were tested for malaria o 86,05% (1216/1413) of those tested were positive ARM3 Quarter 25 Report (October-December 2017) Page | 6 ARM3 Sub-Results Key Achievements/Challenges Results and received ACT as treatment 3.1 Enhance the Participated in the 2017-Integrated Annual Work Plan NMCP’s technical (PITA) evaluation and the development of annual 2018- capacity PITA to plan, design, o ARM3 achievement rate is 88% (37/42) manage, and o NMCP achievement rate is 93% (187/189) coordinate a comprehensive Participated in the validation of 2017-2021 National malaria control Strategic Plan for malaria control program