Cambodia Malaria Elimination Project Quarterly Report (FY18Q3) CAMBODIA MALARIA ELIMINATION PROJECT Cambodia Malaria Elimination Project Quarterly Progress Report- Year 2, Quarter 3 April - June 2018 Submission Date: July 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 (FY18Q3) TABLE OF CONTENTS TABLE OF CONTENTS ................................................................................................... iii 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.................8 2.3 Objective 3: Strengthen national malaria surveillance systems and M&E appropriate for malaria elimination and control activities ............................................ 14 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 .......... 16 3. Project Management ................................................................................................. 18 Oversight and Coordination ................................................................................................................................ 18 Procurement ........................................................................................................................................................... 20 Financial Management ......................................................................................................................................... 20 Human Resource Management .......................................................................................................................... 21 4. Resolving challenges from FY18 Q2 ................................................................ 23 5. Challenges and actions taken or proposed .................................................... 23 6. Plans for next Quarter and upcoming events ............................................... 24 i Cambodia Malaria Elimination Project Quarterly Report (FY18Q3) 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 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 PLN Pailin 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 (FY18Q3) 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. Until Year 2 Quarter 2, CMEP implemented activities 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)). During FY18 Quarter 3 (April to June 2018), CMEP expanded to three additional ODs (two ODs in Pursat Province: Bakan and Sampov Meas, and 1 OD in Pailin Province: Pailin OD). Three transitional ODs graduated to elimination ODs (BTB, MRS and TMK), and Pailin initially started as an elimination OD. See Figure 1. CMEP’s work in all 9 ODs started on 1 May 2018. As the transition did not commence until 1 May 2018, the report also provides activity progress for April for the initial 6 target ODs. There are some limitations with data collected in the new ODs due to human resource issues, tool training/orientation and readiness of government counterparts In all 9 ODs, CMEP conducted the following activities in Q3: . 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 meetings and supervision visits. 18393 of suspected cases tested with 5122 positive cases confirmed and all cases received appropriate treatment according to National Treatment Guidelines. Overall, in 4 elimination ODs in Battambang province, 57% of cases were notified in 1 day (SPL=100%), 35% investigated within 3 days (SPL=100%), and 25% responded to within 7 days (SPL=100%). CMEP responses to Pursat ODs situation in Q3 including cross checking data, updating the cases daily and weekly, intensifying services at all points of care, the setting up of touchpoint and peer educator volunteers (for Phnom Kravanh and Krakor ODs) . Due to the changes in PRAKAS (Ministerial order) for PP testing and treating restrictions, CMEP along with counterparts enforced the PRAKAS in bi-monthly meetings, and more emphasis was given on reference and BCC activities. Continued LLIN and LLIHN mass distribution to villages with an annual parasite incidence (API) >5 per 1,000 population covering 295 villages with 62,563 nets distributed in 9 ODs, 44,952 LLINs and 17,611 LLIHNs. Conducted systematic administration of single low dose primaquine for confirmed P. falciparum (Pf)/mixed cases treating 297/420 (70.7%) of cases in 6 target ODs. 1 Cambodia Malaria Elimination Project Quarterly Report (FY18Q3) . Provided a five-day entomology training for 10 HF staff and 20 VMWs as entomology field technicians . Supported CNM technical unit to conduct 27 planned supervision visits to 9 ODs PITTfinalQ3.xlsx Progress against each performance indicator is presented in the file attached. Figure 1. CMEP Summary of Activity Progress (April-June 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. *Note on Objective 1 reporting: Progress is reported for the 5 elimination ODs where possible (although very few activities have started in Pailin OD). For some activities, SPL OD is reported separately, especially where there is insufficient data for the new elimination ODs. Task 1. Pre-implementation situational analysis of current malaria elimination operations in SPL: 2 Cambodia Malaria Elimination Project Quarterly Report (FY18Q3) Rapid Situational Analysis and Needs Assessment Report1: Situational Analysis was undertaken for Pailin OD and submitted in Q3 which is currently under review. STTA, Edward Broughton, arrived on 23 April 2018 for