Cambodia Malaria Elimination Project Quarterly Report (FY18Q2) CAMBODIA MALARIA ELIMINATION PROJECT Cambodia Malaria Elimination Project Quarterly Progress Report- Year 2, Quarter 2 January - March, 2018 Submission Date: April 30, 2018 Contract Number: AID-442-C-17-00001 Contract Period: October 26, 2016 to October 25, 2021 COR: Rida Slot Alternate COR: Gunawardena Dissanayake Submitted by: Sharon Thangadurai, Chief of Party University of Research Co., LLC. House #10, Street No. 214, Sangkat Cheychumneas, Khan Duan Penh, 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). Cambodia Malaria Elimination Project Quarterly Report (FY18Q2) TABLE OF CONTENTS Acronyms .................................................................................................................................. iv 1. Introduction ....................................................................................................................... 1 2. Progress Toward achieving CMEP OBJECTIVES .......................................................... 2 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. ............. 2 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 .................... 7 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 2.5 Project Management ....................................................................................................... 18 Oversight and Coordination .................................................................................................. 18 Procurement .......................................................................................................................... 19 Financial Management .......................................................................................................... 19 Human Resource Management ............................................................................................. 20 3. Resolving challenges from FY18 Q1 .............................................................................. 21 4. Challenges and actions taken or proposed ...................................................................... 21 5. Plans for next Quarter and upcoming events .................................................................. 22 i Cambodia Malaria Elimination Project Quarterly Report (FY18Q2) ACRONYMS ACT Artemisinin-based Combination Therapies AOP Annual Operational Plan SBCC Social and Behavior Change Communication BKN Bakan BTB Battambang CAP-Malaria Control and Prevention of Malaria CMEP Cambodia Malaria Elimination Project CBO / CSO Community Based Organization / Civil Society Organization CDC Centers for Disease Control and Prevention CNM Cambodia National Malaria Center COP / DCOP Chief of Party /Deputy Chief of Party COR Contracting Officer’s Representative EDAT Early Diagnosis and Treatment EMMP Environmental Mitigation and Monitoring Plan GSSHealth Global Scientific Solutions for Health GUC Grants Under Contract HF Health Facility HPA Health Poverty Action IDQA Internal Data Quality Assessment IPC Interpersonal Communication ITN Insecticide-Treated Net KKR Krakor LLIN / LLIHN Long Lasting Insecticidal Net / Hammock Net M&E Monitoring and Evaluation MC Malaria Consortium MEAF Malaria Elimination Action Framework 2016-2020 MMP Mobile and Migrant Populations MMW Mobile Malaria Worker MoH Ministry of Health MOP Malaria Operational Plan MRS Maung Russey NAMRU-2 Naval Medical Research Unit-2 OD / ODMS Operational Health District / OD Malaria Supervisor PERSUAP Pesticide Evaluation Report and Safer Use Action Plan PHD / PMS Provincial Health Department / Provincial Malaria Supervisor PKV Phnom Kravanh PMI President’s Malaria Initiative PP Private Provider PPM Private Public Mix PMP Performance Management Plan PSK Population Services Khmer RDT Rapid Diagnostic Tests STA Senior Technical Advisor SOP Standard Operating Procedure SPL Sampov Loun 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 VHSG Village Health Support Group WHO World Health Organization i Cambodia Malaria Elimination Project Quarterly Report (FY18Q2) 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 OD and support its dissemination & 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. Quarter 2 of Year 2 activities were implemented in four ODs in Battambang Province (Sampov Loun (SPL), Battambang (BTB), Maung Russey (MRS), Thmar Kaul (TMK)) and two ODs in Pursat Province (Phnom Kravanh (PKV) and Krakor (KKR)). In FY18 Quarter 2 (January to March 2018), CMEP after its modification approval initiated its expansion discussion and spanning to three additional ODs (two ODs in Pursat (Bakan and Sampan Mov) and 1 OD in Pailin) (Figure 1(b) shows the change from 6 to 9 OD’s). CMEP and partners continued full-scale implementation of activities for the 6 OD scenario as follows in Q2 : . Provided support to a network of health facilities (HFs), village/mobile malaria workers (V/MMWs) and private providers (PPs) in case management and malaria surveillance through regular monthly meetings and supervision visits. Initiated insecticide treated net (ITN) mass distribution to villages with an Annual Parasite Incidence (API) >5 per 1,000 population . Conducted systematic administration of single low dose primaquine for confirmed P. falciparum (Pf)/mixed cases in all 6 target ODs . Elaborated a two-day basic entomology training program for OD/Provincial Health Department (PHD) malaria supervisors . Supported CNM and ODs/HFs to conduct planned supervision visits to VMWs and PPs . Collaborated with partners on supporting implementation of a new surveillance strategy adopted by CNM in FY2017. 1 Cambodia Malaria Elimination Project Quarterly Report (FY18Q2) CMEPindicatorsFY18 Progress against each performance indicator is presented in the file attached . Q2.xlsx Figure 1. CMEP Summary of Activity Progress (January-March 2018) 2. PROGRESS TOWARD ACHIEVING CMEP OBJECTIVES 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. Task 1. Pre-implementation situational analysis of current malaria elimination operations in SPL: Rapid Situational Analysis and Needs Assessment Report1: In Q2, the scope of work for a short term technical advisor (to conduct the costing analysis to evaluate the programmatic effectiveness, scalability and cost of the malaria elimination operations in SPL) was finalized. The international consultant was then sourced by URC and was scheduled to arrive in country on 23rd April to carry out the work (for 8 days). An additional local consultant may also be provided to support the work of the international consultant (this 1 Activity 1,1.1. was completed in Year 1 and is not applicable to the FY18 Q2 reporting period 2 Cambodia Malaria Elimination Project Quarterly Report (FY18Q2) will be confirmed in Q3). [Act 1.1.2.] Task 2. Sustain universal Long Lasting Insecticidal Net (LLIN) coverage: Mass distribution: In support of CNM/Global Fund/UNOPS initiative for a nationwide ITN mass distribution campaign, in FY18 Q2, CMEP supported the distribution of ITNs to target populations in 13 villages (API >5) in SPL OD. The distribution is based on the CNM established national ratio (1 net per 1.8 persons for residents, 1 net per 1 worker for MMPs). SPL OD received a total of 23,900 ITNs (18,000 LLINs, and 5,900 LLIHNs) from CNM for mass distribution in 2018 for both residents and MMPs. By the end of Q2, 22,996 ITNs purchased by other partners (17,150 LLINs and 5,846 LLIHNs) were distributed (also mass distribution). The remaining ITNs will be distributed in Q3 (Apr-Jun), when crop plantation begins, which will benefit MMP workers. Ensure continuous distribution of LLINs: In line with the updated list, CMEP’s target for continuous LLIN distribution was 86 villages in SPL OD [Act 1.2.3]. In SPL OD, CMEP had no plan to deploy ITNs