ZIMBABWE ASSISTANCE PROGRAM IN MALARIA ANNUAL REPORT REPORTING PERIOD: OCT 1, 2018 – SEPT 30, 2019 SUBMISSION DATE: OCTOBER 30, 2019 Recommended Citation: ZAPIM Year Four Annual Report, October 1, 2018–September 30, 2019. Rockville, MD, U.S., and Harare, Zimbabwe. Zimbabwe Assistance Program in Malaria, Abt Associates. Contract and Task Order Number: AID-613-A-15-00010 Submitted to: United States Agency for International Development/President’s Malaria Initiative Submitted on: October 30, 2019 Abt Associates Inc. 1 6130 Executive Boulevard 1 1 Rockville, Maryland 20852 1 T. 301.347.5000 1 F. 301.913.9061 1 www.abtassociates.com Commented [EM1]: Audrey, please update the headings and Contents link to the ToC (same for tables and figures). Ensure all headings and sub-headings are consistent. Please also check that it is single LIST OF FIGURES ............................................................................................................................................................iii spacing throughout the doc and left-justified text unless it is a table or graphic or something. LIST OF TABLES .............................................................................................................................................................. iv ABBREVIATIONS AND ACRONYMS ................................................................................................................................... v 1. Executive Summary ............................................................................................................................................1 2. Background .........................................................................................................................................................4 2.1 Project Design.................................................................................................................................... 4 2.2 Zimbabwe Operating Context ........................................................................................................ 4 3. Technical Strategy ..............................................................................................................................................7 3.1 Target Districts for Implementation ............................................................................................. 7 3.2 Capacity Building ............................................................................................................................... 9 3.3 Community-Based Approach .......................................................................................................... 9 3.4 Using Data for Decision Making .................................................................................................... 10 3.5 Coordination and Integration of Activities for Impact and Sustainability ............................. 10 3.6 ZAPIM Quality Improvement ....................................................................................................... 10 3.7 Innovative Use of Digital Technology .......................................................................................... 11 3.8 Sustainability .................................................................................................................................... 11 4. Technical Activities .......................................................................................................................................... 13 4.1 Clinical Case Management ............................................................................................................ 13 4.1.1 Malaria case management and MIP trainings ......................................................................................................... 13 4.1.2 Malaria clinical mentorship ........................................................................................................................................ 14 4.1.3 Malaria death audit meetings .................................................................................................................................... 22 4.2 Community Case Management .................................................................................................... 23 4.2.1 CCM & MIP trainings .................................................................................................................................................. 24 4.2.2 Post training follow up ............................................................................................................................................... 26 4.2.3 Supportive supervision ............................................................................................................................................... 26 4.2.4 VHW Review meetings .............................................................................................................................................. 28 4.2.5 Issues/areas for improvement of the CCM program ......................................................................................... 29 4.2.6 procurements for VHWs .......................................................................................................................................... 30 4.2.7 A success story related to CCM activities in Mbire.......................................................................................... 31 4.3 Long Lasting Insecticide Treated Nets ........................................................................................ 31 4.3.1 Mass Distribution ......................................................................................................................................................... 32 4.3.2 Continuous Distribution of LLINs .......................................................................................................................... 44 4.4 Social and Behavioral Change Communication ......................................................................... 47 SBCC Areas of Intervention ...................................................................................................................... 47 4.4.1 Branding of the NMCP ............................................................................................................................................... 48 4.4.2 Development, printing and dissemination of malaria SBCC materials and communication facilitation tools 48 4.4.3 Development and broadcasting of multimedia malaria communications (radio and audio)..................... 49 4.4.4 ADVOCACY FOR ACTION ON MALARIA CONTROL AND ELIMINATION BY COMMUNITIES, COMMUNITY LEADERS AND STAKEHOLDERS – WORLD MALARIA DAY ...................................................... 50 4.4.5 Evidence gathering for improved SBCC programming ...................................................................................... 50 4.4.6 Production and publishing of NMCP reports on various thematic areas ..................................................... 51 i 4.4.7 Community Based SBCC ACTIVITIES ................................................................................................................... 51 PARTICIPATION OF HCCS IN OUTREACH EDUCATION SESSIONS WITH COMMUNITIES .......................................... 56 CHALLENGES .................................................................................................................................................... 62 4.5 Monitoring & Evaluation/Operations Research .......................................................................... 62 4.5.1 Assessment of Drivers of Continuing Malaria Transmission in Angwa Ward, Mbire District, Mashonaland Central Province ................................................................................................................................................ 62 4.5.2 National Malaria SM&E Plan ...................................................................................................................................... 63 4.5.3 EPR Preparedness and Response Guidelines ........................................................................................................ 63 4.5.4 Malaria SM&E Training Manual ................................................................................................................................. 63 4.5.5 CDCS .............................................................................................................................................................................. 64 4.5.6 MIS Alternative ............................................................................................................................................................. 64 4.5.7 Document and Review Training Gaps by Thematic Area ................................................................................. 65 4.5.8 Net Durability Study at Month 36 ........................................................................................................................... 65 4.5.9 Provincial Malaria Review Meetings ........................................................................................................................ 65 4.5.10 DQAs ........................................................................................................................................................................ 65 4.5.11 Weekly VHW Mobile Reporting Pilot in Mbire District .............................................................................. 66 4.5.12 RDT Registers for VHWs ...................................................................................................................................