DEFEAT MALARIA Defeat Malaria Quarterly Performance Report From October 01, 2017 to December 31, 2017 Submission Date: January 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). Table of Contents List of Tables ----------------------------------------------------------------------------------------------------------------- ii List of Figures ---------------------------------------------------------------------------------------------------------------- iii ACRONYMS AND ABBREVIATIONS --------------------------------------------------------------------------------- iv Executive Summary --------------------------------------------------------------------------------------------------------- 6 Defeat Malaria Goal and Objectives ------------------------------------------------------------------------------------ 7 Summary of Key Achievements (October – December 2017) ---------------------------------------------------- 9 Interventions and Achievements on Core Areas of Strategic Focus --------------------------------------------- 11 1. Achieving and sustaining scale of proven interventions through community and private sector engagement ----------------------------------------------------------------------------------------------------------- 11 2. Use of strategic information to adapt to changing epidemiology ------------------------------------ 21 3. Improving Myanmar’s capacity to collect and use information --------------------------------------- 24 4. Building capacity and health systems strengthening ----------------------------------------------------- 26 5. Strengthening capacity of the NMCP and Ethnic Health Organizations (EHOs) ------------------ 29 Challenges ------------------------------------------------------------------------------------------------------------------- 32 Cost Share ------------------------------------------------------------------------------------------------------------------ 33 Annexes --------------------------------------------------------------------------------------------------------------------- 34 Annex 1 – Case Finding and Management ------------------------------------------------------------------------- 34 Annex 2 – Active case detection by mobile team ---------------------------------------------------------------- 37 Annex 3 – Monthly meeting ------------------------------------------------------------------------------------------ 39 Annex 4 – Supervision and monitoring ----------------------------------------------------------------------------- 40 Annex 5 – Reporting status of VMWs/PPs ------------------------------------------------------------------------ 41 Annex 6 – Clinical audit ----------------------------------------------------------------------------------------------- 42 Annex 7 – Stock out monitoring at the time of monitoring visits -------------------------------------------- 43 Annex 8 – Capacity building ------------------------------------------------------------------------------------------ 46 Annex 9 – BCC --------------------------------------------------------------------------------------------------------- 48 Annex 10 – Advocacy meeting --------------------------------------------------------------------------------------- 51 Annex 11 – Performance Indicators -------------------------------------------------------------------------------- 52 i List of Tables Table 1: Project area coverage as of December 31, 2017 ....................................................................................... 8 Table 2: Summary of case finding and management by approach (From October to December 2017) .... 12 Table 3: State/Region wise summary of case finding and management (From October 2017 to December 2017) ................................................................................................................................................................................... 12 Table 4: Summary of DOT (from October to December 2017) ......................................................................... 13 Table 5: LLIN distribution at village-level (October to December 2017) ......................................................... 17 Table 6: LLIN distribution at worksites (from October 2016 to December 2017) ........................................ 18 Table 7: Monitoring of LLIN coverage and utilization (from July to September 2017) .................................. 19 Table 8: Case Detection and Positive status in Letpan Village for past 4 Years period ................................. 22 Table 9: Summary of cost share ................................................................................................................................... 33 Table 10: Summary of Case Finding and Management by Township (from October 2017 to December 2017) – Mobile Team Approach .................................................................................................................................. 34 Table 11: Summary of Case Finding and Management by Township (from October 2017 to December 2017) – VMW Approach ............................................................................................................................................... 35 Table 12: Summary of Case Finding and Management by Township (from October 2017 to December 2017) – Private Provider Approach ............................................................................................................................ 36 Table 13: Summary of active case detection in project villages and work sites (from October 2017 to December 2017) .............................................................................................................................................................. 37 Table 14: Summary of active case detection in non-project villages and work sites (from October 2017 to December 2017) ......................................................................................................................................................... 38 Table 15: Summary of VMW/PP monthly meeting (from October 2017 to December 2017) .................... 39 Table 16: Summary of supervision and monitoring visits to VMWs/PPs (from October 2017 to December 2017) .............................................................................................................................................................. 40 Table 17: Reporting status of VMWs/PPs (from October 2017 to December 2017) .................................... 41 Table 18: Summary of clinical audit (from October 2017 to December 2017) ............................................... 42 Table 19: Summary of stock out monitoring at the time of monitoring visits and on-site data collection (from October 2017 to December 2017) ................................................................................................................. 43 Table 20: Summary of stock out monitoring at monthly meeting (from October 2017 to December 2017) ................................................................................................................................................................................... 44 Table 21: Number of VMWs/PPs trained on case management (from October 2017 to December 2017) .............................................................................................................................................................................................. 46 Table 22: Number of VMWs/PPs trained on diagnosis (from October 2017 to December 2017) ............ 46 Table 23: Number of people reached through Individual Interpersonal communication and Group Health Talks by Mobile Team, VMWs and PPs (from October 2017 to December 2017) ........................................ 48 Table 24: Number of people reached through individual interpersonal communication (IPC) and Group Health Talks by Private Providers only (from October 2017 to December 2017) ......................................... 49 Table 25: Advocacy meetings (from October 2016 to December 2017) .......................................................... 51 Table 26: Performance Indicators Tracking Table (from October 2016 to December 2017) ..................... 52 ii List of Figures Figure 1: Map showing coverage of Defeat Malaria ................................................................................................... 8 Figure 2: Number of people disaggregated by gender, reached through IPC by VMWs/PPs (From October 2017 to December 2017 .............................................................................................................................. 16 Figure 3: Facebook page cover (mobile phone) ...................................................................................................... 16 Figure 4: Distribution of forest goers kits at Htee Kaw Htaw village, Myawaddy, Kayin .............................. 20 Figure 5: Blood samples were coded and air-dried by Research Assistant at samples collection site, Lower Zin Kaung village ................................................................................................................................................