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Quarterly Progress Report - Year 5, Quarter 1 October - December 2020

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Quarterly Progress Report - Year 5, Quarter 1 October - December 2020 CAMBODIA MALARIA ELIMINATION PROJECT Cambodia Malaria Elimination Project Quarterly Progress Report - Year 5, Quarter 1 October - December 2020 Submission Date: 29th January 2021 Contract Number: AID-442-C-17-00001 Contract Period: October 26, 2016 to October 25, 2021 COR: Rida Slot Alternate COR: Saad El-Din Hussein Submitted by: Sharon Thangadurai, Chief of Party University of Research Co., LLC. #31, St 352, Sangkat Beugkengkang 1, Khan Chankamon, Phnom Penh 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). I TABLE OF CONTENTS Acronyms..............................................................................................................................iii 1. Introduction.................................................................................................................1 2. Progress Toward achieving CMEP OBJECTIVES ......................................3 2.1 Objective 1: Develop a scalable, evidence-based elimination model in SPL OD and support its dissemination and replication for malaria elimination in Cambodia. ... 3 2.2 Objective 2: Support scale-up of high quality malaria control and prevention interventions in five to eight ODs, where gaps in coverage or quality exist............. 9 2.3 Objective 3: Strengthen national malaria surveillance systems and M&E appropriate for malaria elimination and control activities ................................... 13 2.4 Objective 4: Build capacity of Ministry of Health (MoH) to manage, intensify, and sustain malaria control and elimination efforts particularly at the OD level ........ 15 Procurement ...........................................................................................................................................................18 Financial Management.........................................................................................................................................18 Human Resource Management..........................................................................................................................19 3. CHALLENGES AND ACTIONS TAKEN OR PROPOSED................. 20 4. PLANS FOR NEXT QUARTER AND UPCOMING EVENTS............ 20 ANNEX 1 CSO FY21 Q1 RESULTS TABLES ............................................................. 21 ANNEX 2 LABORATORY QUALITY ASSESSMENT/MICROSCOPY TRAINING TABLES ............................................................................................................... 24 ANNEX 3 – P.v. Radical Cure Treatment Status .......................................................... 25 II ACRONYMS ACT Artemisinin-based Combination Therapies AHEAD Action for Health Development (CSO in Cambodia) AOP Annual Operational Plan ASMQ Artesunate + Mefloquine ASTMH American Society of Tropical Medicine and Hygiene BCC Behavior change communication BKN Bakan BTB Battambang CHAI Clinton Health Access Initiative CMEP Cambodia Malaria Elimination Project CDC Centers for Disease Control and Prevention CNM Cambodia National Malaria Center COP Chief of Party COVID-19 2019 novel cornoavirus CSO Civil Society Organization DOT Directly-observed therapy EDAT Early Diagnosis and Treatment FY21 Fiscal year 2021 G6PD Glucose 6 Phosphate Dehydrogenase HC, HF Health Centre, Health Facility HH Household hsRDT Highly-Sensitive Rapid Diagnostic Tests IDQA Internal Data Quality Assessment IEC Information, Education and Communication IP Intensification Plan IP2 Intensification Plan 2 IPC Institute Pasteur in Cambodia ITN Insecticide-Treated Net KRK Krakor LLIN/LLIHN Long Lasting Insecticidal Net/Hammock Net M&E Monitoring and Evaluation MEAF Malaria Elimination Action Framework MIS Management Informationn System MMP Mobile and Migrant Populations MMW Mobile Malaria Worker MoH Ministry of Health MRS Maung Russey NTG National Treatment Guidelines OD/ODMS Operational Health District/OD Malaria Supervisor P.f. Plasmodium falciparum PHD/PMS Provincial Health Department/Provincial Malaria Supervisor PI Principal Investigator PFDA Partner For Development in Action (CSO in Cambodia) PKV Phnom Kravanh PLN Pailin PMI President’s Malaria Initiative PP Private Provider PPM Private Public Mix PQ Primaquine PSWGME Provincial Special Working Group Malaria Elimination P.v. Plasmodium vivax Q1 Quarter 1 III Q2 Quarter 2 QA Quality Assurance RDT Rapid Diagnostic Tests RH Referral Hopsital SBCC Social and Behavior Change Communication SPL Sampov Loun SPM Sampov Meas TMK Thmar Kaul UNOPS United Nations Office for Project Services URC University Research Co., LLC USAID United States Agency for International Development VMW Village Malaria Worker WHO World Health Organization IV 1. INTRODUCTION The USAID|PMI Cambodia Malaria Elimination Project (CMEP), 2016-2021, was launched on October 26, 2016 to support the Cambodian National Center for Malaria Control, Parasitology and Entomology (CNM) to reduce malaria morbidity and mortality and contribute towards malaria elimination goals nationwide by 2025. To reach this goal, the project has set up four strategic objectives to: 1. Develop a scalable, evidence-based elimination model in Sampov Loun (SPL) operational district (OD) and support its dissemination and replication for malaria elimination in Cambodia. 2. Support scale-up of high-quality malaria control and prevention interventions in five to eight ODs, where gaps in coverage or quality exist. 3. Strengthen national malaria surveillance systems and monitoring and evaluation (M&E) appropriate for malaria elimination and control activities. 4. Build capacity of malaria program to manage, intensify, and sustain malaria control and elimination efforts particularly at the OD level. The Year 5 work plan and budget was approved well ahead on time and this enabled CMEP team to start implementing the activity from day 1 of Year 5. The major activity conducted was the development of the OD Annual Operational Plan (AOP) on 13th October 2020 which was attended and facilitated by the Provincial Health Departmarts (PHDs) and OD staff. The OD staff took leadership and ownership by leading the AOP development process with the CMEP team just providing guidance and advice. Due to the 28th November COVID-19 case community transmission in Phnom Penh, there was complete lockdown of the surrounding areas in Phnom Penh (Boeung Keng Kang 1) and this led to the CMEP team to teleworking for two weeks. The CMEP field activities were also affected and most of the activities where people of 20 or more would gather were suspended, and the AOP development exercise for the Kep, Kampot and Koh Kong provinces was postponed and then completed virtually. It was hard for the CMEP team to carry out the Plasmodium vivax (P.v.) radical cure quantitative training in Battambang (BTB), Pailin (PLN), Pursat, Kep, Kampot, and Koh Kong, but CMEP was able to successfully conduct the trainings due to special approval from the Provincial Director. Similarly, the mass campaign experienced the same challenges and thus the activity in Phnom Kravanh (PKV) was postponed but was completed once it resumed. One of the key activities held in Quarter 1 (Q1) was the surveillance meeting which was held to revise and update the surveillance manual incorporating the chapter on P.v. case investigation and refining the foci investigation protocol. Despite having some COVID-19 restrictons, the CMEP team was still able to complete most of the Q1 Year 5 activities. One of the major events in Q1 was the US Ambassador W. Patrick Murphy’s visit to CMEP project in Pailin province. He visited Kracharb Health Center (HC) and was welcomed by the Pailin PHD Director and CMEP Chief of Party (COP), Mr. Sharon Thangadurai, and their respective teams. The Ambassador met the HC Chief and the team, visited the Outpatient Department (OPD), laboratory unit, and requested to test himself for malaria. He then met with 13 Village Malaria Workers (VMWs) and learned about their work and appreciated them for their contribution to eliminating malaria. The Ambassador appreciated the work of CMEP and applauded the VMWs commitment to provide services to malaria patients. The Ambassador also visited the health education session conducted by CMEP sub-grantee, Action for Health Development (AHEAD), and witnessed the session provided to more than 10 migrant workers who gathered at the HC. The ambassador expressed his happiness and appreciation to all of the workers for their great efforts in the journey to eliminate malaria in Cambodia. 1 Figure 1. CMEP Summary of Activity Progress (Oct.-Dec. 2020) CMEP conducted the following key activities in fiscal year 2021 (FY21) Q1: . 35,418 of suspected cases were tested with 212 positive cases confirmed and all cases received appropriate treatment according to the National Treatment Guidelines (NTG). In the seven CMEP elimination ODs in Battambang, Pailin and Pursat provinces, there were zero Plasmodium falciparum (P.f.)/mixed cases in Q1. There was a total of 22 P.v. cases in FY21 Q1. 21/22 (95%) of the P.v. species cases were notified within 1 day, 21/22 (95%) were investigated within 3 days, and 21/22 (95%) responded to within 7 days. In the partial elimination ODs, PKV and Krakor (KRK), there were zero P.f./mix cases in FY21 Q1. In Q1, 14 P.v. cases were identified in BTB and PLN provinces for P.v. radical cure treatment, of which 8 were tested for Glucose 6 Phosphate Dehydrogenase (G6PD) which found that 6 patients were normal and 2 were deficient.
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