DEFEAT MALARIA Defeat Malaria Quarterly Performance Report From April 01, 2018 to June 30, 2018 Submission Date: July 31, 2018 Agreement Number: AID-482-A-16-00003 Agreement Period: August 15, 2016 to August 14, 2021 AOR Name: Dr. Monti Feliciano Submitted by: May Aung Lin, Chief of Party University of Research Co., LLC. Room 602, 6th Floor, Shwe Than Lwin Condominium New University Ave. Rd., Bahan Township Yangon, Myanmar 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 List of Tables ------------------------------------------------------------------------------------------------------ iii List of Figures ----------------------------------------------------------------------------------------------------- iv ACRONYMS AND ABBREVIATIONS ----------------------------------------------------------------------- v Executive Summary ---------------------------------------------------------------------------------------------- 7 Defeat Malaria Goal and Objectives -------------------------------------------------------------------------- 8 Summary of Key Achievements (From April 2018 to June 2018) ------------------------------------- 10 Interventions and Achievements on Core Areas of Strategic Focus ---------------------------------- 12 1. Achieving and sustaining scale of proven interventions through community and private sector engagement ---------------------------------------------------------------------------------------- 12 2. Use of strategic information to adapt to changing epidemiology --------------------------- 22 3. Progress of malaria elimination activities in three pilot townships in Southern Rakhine State ---------------------------------------------------------------------------------------------------------- 22 4. Improving Myanmar’s capacity to collect and use information ----------------------------- 30 5. Building capacity and health systems strengthening ------------------------------------------- 36 6. Strengthening capacity of the NMCP and Ethnic Health Organizations (EHOs) -------- 39 Challenges -------------------------------------------------------------------------------------------------------- 42 Annexes ----------------------------------------------------------------------------------------------------------- 43 Annex 1 – Case Finding and Management --------------------------------------------------------------- 43 Annex 2 – Active case detection by mobile team ----------------------------------------------------- 44 Annex 3 – Monthly meeting -------------------------------------------------------------------------------- 45 Annex 4 – Supervision and monitoring ------------------------------------------------------------------ 46 Annex 5 – Reporting status of VMWs/PPs -------------------------------------------------------------- 47 Annex 6 – Clinical audit ------------------------------------------------------------------------------------- 48 Annex 7 – Stock out monitoring at the time of monitoring visits ---------------------------------- 49 Annex 8 – Capacity building ------------------------------------------------------------------------------- 51 Annex 9 – BCC ----------------------------------------------------------------------------------------------- 52 Annex 10 - Study tour to Sampov Loun District, Battambang Province in Cambodia --------- 53 Annex 11 – Performance Indicators ---------------------------------------------------------------------- 54 ii List of Tables Table 1: Project area coverage as of June 30, 2018 .................................................................................. 9 Table 2: Summary of case finding and management by different case detection agents (April to June 2018) ........................................................................................................................................................ 13 Table 3: State/Region wise summary of case finding and management (From April to June 2018) ........................................................................................................................................................................... 13 Table 4: Summary of DOT (from April to June 2018) .......................................................................... 14 Table 5: State/Region wise LLIN mass distribution at village-level (from April to June 2018) .... 18 Table 6: LLIN distribution at worksites (from April to June 2018).................................................... 19 Table 7: Monitoring of LLIN coverage and utilization (from April to June 2018) ........................... 19 Table 8: Risks among different groups ...................................................................................................... 22 Table 9: Conducting Malaria Elimination Advocacy Meeting and Quarterly MECC Meeting ...... 23 Table 10: Capacity Building Training for Malaria Elimination in Three Pilot Townships ............... 23 Table 11: Reporting status of all reporting units (villages/worksites) in Toungup, Munaung, and Ramree Townships, Jan – June 2018 ......................................................................................................... 25 Table 12: Surveillance report – Case detection, notification, investigation, and classification in Toungup Township (Jan – Jun 2018) ......................................................................................................... 27 Table 13: Surveillance report – Case detection, notification, investigation, and classification in Ramree Township (Jan – Jun 2018) ........................................................................................................... 27 Table 14: Surveillance report – Case detection, notification, investigation, and classification in Munaung Township (Jan – Jun 2018) ......................................................................................................... 28 Table 15: Provider based surveillance report (Jan – June 2018) ......................................................... 29 Table 16: LLIN distribution in Elimination Townships from April to June 2018 ............................. 29 Table 17: Gender related indicators and their current status............................................................. 35 Table 18: Summary of QAQI activities and actions to be taken (From April to June 2018) ....... 36 Table 19: Township wise summary of case finding and management by different case detection agents (from April to June 2018) ............................................................................................................... 43 Table 20: Summary of active case detection in project villages and work sites (from April to June 2018) ........................................................................................................................................................ 44 Table 21: Summary of active case detection in non-project villages and work sites (from April to June 2018) ........................................................................................................................................................ 44 Table 22: Summary of VMW/PP monthly meeting (from April to June 2018) ................................ 45 Table 23: Summary of supervision and monitoring visits to VMWs/PPs (from April to June 2018) ........................................................................................................................................................................... 46 Table 24: Reporting status of VMWs/PPs (from April to June 2018) ................................................ 47 Table 25: Summary of clinical audit (from April to June 2018) ........................................................... 48 Table 26: Summary of stock out monitoring at the time of monitoring visits and on-site data collection (from April to June 2018) ......................................................................................................... 49 Table 27: Summary of stock out monitoring at monthly meeting (from April to June 2018)...... 50 Table 28: Number of VMWs/PPs trained on case management (from April to June 2018) ......... 51 Table 29: Number of VMWs/PPs trained on diagnosis (from April to June 2018) ......................... 51 Table 30: Number of people reached through IPC and Group Health Talks by Mobile Team, VMWs and PPs (From April to June 2018) .............................................................................................. 52 iii Table 31: Number of people reached through IPC and Group Health Talks by Private Providers only (From April to June 2018) .................................................................................................................. 53 Table 32: Performance Indicators Tracking Table (From April to June 2018) ................................ 54 List of Figures Figure 1: Map showing coverage of Defeat Malaria .................................................................................. 9 Figure 2: Number of people disaggregated by gender, reached through IPC by VMWs/PPs (From April to June 2018) ........................................................................................................................... 17 Figure 3: Message about malaria elimination on Defeat Malaria Facebook Page ............................. 17 Figure 4: Focus Group Discussion with Karen forest goers at Arr Mo village close to Thailand border, Dawei Township