2017 ANNUAL REPORT NATIONAL MALARIA CONTROL PROGRAMME GHANA HEALTH SERVICE February, 2018 Acknowledgement The National Malaria Control Programme wishes to express its gratitude to the following persons and institutions for their support during the year under review: • All health workers, public and private, who are working tirelessly to help control malaria in the country • Anglogold Ashanti • DFID • GFATM (The Global Fund to fight HIV/AIDS, TB and Malaria) • Humanities International • MalariaCare • VectorWorks • Malaria Consortium, • Malaria No More-UK • Municipals/Metropolitan/Districts Assemblies, • Regional Coordinating Councils, • Regional Health Directorates, • Roll Back Malaria, • The Country Coordinating Mechanism (CCM) • UNICEF • USAID (PMI, Malaria Care, GHSC-PSM, Systems for Health, & Communicate for Health), • WHO • World Bank Abbreviations ACSM Advocacy Communication and Social Mobilization ACT Artemisinin-Based Combination Therapy ADDRO Anglican Diocesan Relief Organization ADRs Adverse Drug Reactions AGA Anglogold Ashanti AGAMal Anglogold Ashanti Malaria Control Program Ltd AIDS Auto Immune Deficiency Syndrome AIRS Africa Indoor Residual Spraying Project AL Artermether-Lumefantrine AMFm Affordable Medicines Facility-Malaria ANC Antenatal Clinic AQ Amodiaquine AS Artesunate AS-AQ/AA Artesunate +Amodiaquine ATM Aids Tuberculosis and Malaria BCC Behaviour Change Communication CBAs Community-Based Agents CBO Community-Based Organization CCM Country Coordinating Mechanism CCM Country Coordinating Mechanism CD Continuous Distribution CDC Centre for Disease Control and Prevention CFR Case fatality rate CHAG Christian Health Association of Ghana CHIM Centre for Health Information Management CHN Community Health Nurse CHO Community Health Officer CHPS Community Based Health Planning Services CHQ Chloroquine CHV Community Health Volunteers CI Confidence Interval CLU Clinical Lab Unit CPPA Community Pharmacist Practice Association CS Circuit Supervisors CWC Child Welfare Clinic DDE District Directors of Education DDT Dichlorodiphenyltrichloroethane DHD District Health Director DHIMS District Health Information Management System DHMT District Health Management Team DHS Demographic and Health Survey DMFP District Malaria Focal Person DQA Data Quality Audit DSS Demographic Surveillance Systems ECAMM External Competency Assessment in Malaria Microscopy EDTS Electronic Data Transmission System EMR Electronic Medical Records EPA Environmental Protection Agency FDA Food and Drugs Authority FHG Fionet Health Ghana FLB First Line Buyers GES Ghana Education Service GF Global Fund GHS Ghana Health Services GSS Ghana Statistical Service HAMS Hospital Accounting Management system HBC Home-Based Care HF Health Facility HH Household HIO Health Information Officer HIS Health Information Systems HIV Human Immunodeficiency Virus HIV/AIDS Human Immunodeficiency Virus / Acquired Immunodeficiency HMIS Health Management Information Systems HMM Home Management of Malaria HTRA Hard-To-Reach Areas iCCM Integrated Community Case Management IDSR Integrated Disease Surveillance and Response IEC Information, Education and Communication IMCI Integrated Management of Childhood Illnesses IPD In-Patient Department IPT Intermittent Preventive Treatment IPTp Intermittent Preventive Treatment for Pregnant Women IRM Insecticide Resistance Monitoring IRS Indoor Residual Spraying ITN Insecticide-Treated Net KHRC Kintampo Health Research Centre KNUST Kwame Nkrumah University for Science and Technology LLIN Long Lasting Insecticidal Net LMIS Logistic Management Information System LPF Late Parasitological Failure M&E Monitoring and Evaluation MaVCOC Malaria Vector Control Oversight Committee MCM Malaria Case Management MDGs Millennium Development Goals MDRT Malaria Diagnostic Refresher Training MICS Multiple Indicator Cluster Surveys MIP Malaria in Pregnancy MIPc Malaria in Pregnancy Consortium MIS Malaria Indicator Survey MO Medical Officer MOFA Ministry of Food and Agriculture MoH Ministry of Health MoU Memorandum of Understanding MPR Malaria Programme Review NAMS National Archive of Malaria Slides NGO Non-Governmental Organization NHIA National Health Insurance Authority NHIS National Health Insurance Scheme NIRMOP National Insecticide Resistance Monitoring Partnership NMCC National Malaria Communication sub-Committee NMCP National Malaria Control Programme NMIMR Noguchi Memorial Institute for Medical Research OPD Out-Patients Department OTCMS Over-the-counter medicine sellers OTSS Outreach Training and Support Supervision PA Physician Assistant PATH Program for Appropriate Technology in Health PBC Produce Buying Company PBO Piperonyl Butoxide Pf Plasmodium falciparum Pm Plasmodium malariae PM Pirimiphos methyl PMD Point Mass Distribution PMI President’s Malaria Initiative PMI The U.S. President’s Malaria Initiative Po Plasmodium Ovale POW Programme of Work PPME Policy Planning Monitoring and Evaluation PPMED Policy planning Monitoring and Evaluation Department PPQ Piperaquine PQ Primaquine PR Principal Recipient PSCM Private Sector Copayment Mechanism PSD Procurement and Supply Division PSGh Pharmaceutical Society of Ghana PSM Procurement and Supply Management PT Proficiency Testing PU Procurement Unit PUDR Progress Update Disbarment Report Pv Plasmodium vivax PW Pregnant Woman Q Quinine QA Quality Assurance QAACT Quality Assured Artemisinine-Based Combination Therapy QC Quality Control RBM Roll Back Malaria RDTs Rapid Diagnostic Tests RHIO Regional Heath Information Officer RIA Rapid Impact Assessment RM Resource Mobilization RMFP Regional Malaria Focal Person RMS Regional Medical Store RSM&E Research Surveillance Monitoring and Evaluation S4H System for Health SBCC Social Behaviour Change Communication SCMP Supply Chain Master Plan SDP Service Delivery Point SHEPs School Health Evaluation Programs SHOPS Strengthening Health Outcomes through Private Sector SMC Seasonal Malaria Chemoprevention SOP Standard Operating Protocol SP Sulfadoxine-Pyrimethamine SPMDP Society for Private Medical and Dental Practitioners Association SSDM Supply Stores and Drug Management T3 Test Treat and Track TB Tuberculosis TF Treatment Failure TPR Test Positivity Rate UC Universal Coverage UG University of Ghana, Legon UNICEF United Nations Children’s Fund USAID United States Agency for International Development WHO World Health Organization WMR World Malaria Report Table of Contents Acknowledgement .......................................................................................................................... 2 Abbreviations .................................................................................................................................. 3 Table of Contents .......................................................................................................................... 11 List of tables .................................................................................................................................. 12 List of figures ................................................................................................................................ 14 Executive Summary ...................................................................................................................... 16 CHAPTER ONE ........................................................................................................................... 19 1.0 Background ............................................................................................................................. 19 1.1 Programme Objectives ............................................................................................................ 19 1.2 Priority Areas for 2017 ........................................................................................................... 20 1.2.1 Vector Control ..................................................................................................................... 20 1.2.2 Malaria Case Management .................................................................................................. 20 1.2.3 Malaria in Pregnancy (MIP) ................................................................................................ 20 1.2.4 Malaria Diagnosis ................................................................................................................ 21 1.2.5 Administration and Finance ................................................................................................. 21 1.2.6 Procurement and Supply Management (PSM) .................................................................... 21 1.2.7 Research, Surveillance, Monitoring and Evaluation............................................................ 21 1.2.8 Social And Behaviour Change Communication (SBCC) .................................................... 22 1.3 Targets for January to December 2017 ................................................................................... 22 CHAPTER TWO .......................................................................................................................... 26 2.0 Activities planned and carried out .......................................................................................... 26 2.1 Case Management ................................................................................................................... 26 Malaria Case Management ........................................................................................................... 26 Diagnosis......................................................................................................................................