ZIMBABWE ASSISTANCE PROGRAM IN MALARIA ANNUAL REPORT REPORTING PERIOD: OCTOBER 1, 2016–SEPTEMBER 30, 2017 SUBMISSION DATE: JANUARY 3, 2018 Recommended Citation: ZAPIM Year Two Annual Report, October 1, 2016–September 30, 2017. Bethesda, 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, 2017 Re-Submitted on: December 15, 2017 Re-Submitted on: January 2, 2018 Abt Associates 1 4550 Montgomery Avenue 1 Suite 800 North 1 Bethesda, Maryland 20814 1 T. 301.347.5000 1 F. 301.913.9061 1 www.abtassociates.com CONTENTS Contents .........................................................................................................................................................................................iii List of Figures ................................................................................................................................................................................ iv List of Tables ................................................................................................................................................................................... v Abbreviations and Acronyms ...................................................................................................................................................... vii 1. Executive Summary ............................................................................................................................................................... 1 2. Background ............................................................................................................................................................................. 2 3. Activities ................................................................................................................................................................................. 3 3.1 Staffing and Management ............................................................................................................................................. 3 3.2 Conferences, Retreats, and Meetings .......................................................................................................................... 3 4. Technical Activities ................................................................................................................................................................ 7 4.1 Case Management And Malaria In Pregnancy .......................................................................................................... 7 4.1.1 Community Case Management ...................................................................................................................................................................... 11 4.2 Long-Lasting Insecticide Treated Nets ........................................................................................................................ 27 4.2.1 Mass Distribution Review ................................................................................................................................................................................ 27 4.2.2 Continuous Distribution .................................................................................................................................................................................. 29 4.3 Social and Behavioral Change Communication ......................................................................................................... 44 4.4 Malaria Communication Strategy Development and Printing ................................................................................... 44 4.4.6 Conferences and Capacity Development .................................................................................................................................................... 53 4.5 Monitoring & Evaluation/Operations Research ......................................................................................................... 65 5. Gender .................................................................................................................................................................................. 72 6. Environmental Compliance ................................................................................................................................................ 73 7. Child Safeguarding ............................................................................................................................................................... 74 8. Short-Term Technical Assistance ...................................................................................................................................... 75 9. Challenges, Lessons Learned And Recommendations ..................................................................................................... 76 9.1 Challenges ...................................................................................................................................................................... 76 9.2 Lessons Learned and Recommendations .................................................................................................................. 77 Annex A: PMP Indicator/Year 2 Milestone Matrix ................................................................................................................. 79 iii LIST OF FIGURES Figure 1: Malaria case observation at VHW household ........................................................................................................ 18 Figure 2: Improvised medicine storage box and sharps boxes at Chabwino Village and Chipunza farm, March 13, 2017 ........................................................................................................................................................................................ 20 Figure 3: Comparison of reported positive malaria cases at the facility and in the community in Goromonzi district, January to July 2017 ..................................................................................................................................................... 21 Figure 4: Rutope health facility VHW presentation ................................................................................................................ 26 Figure 5: Some of the key malaria products ZAPIM printed and distributed in Year 2: support materials documenting SBCC strategy, guidelines for implementation of rectangular LLIN introduction to communities, VHW toolkits for educating communities on malaria, and messaging clothing items for commemorative events ... 44 Figure 6: Malaria strategy document and communication guideline for introduction of rectangular LLINs are key resources for SBCC implementers at all levels to implement quality programs ......................................................... 46 Figure 7: Linking acceptance of IRS to healthy families and protected homes ............................................................... 46 Figure 8: Local voices and participation leading to improved malaria services - Fishermen in Binga District ............. 49 Figure 9: Easy to operate, solar powered digital audio player used for audio bible in Mbire District was also recommended for the malaria audio book ........................................................................................................................... 52 Figure 10: Local resource persons in Chapoto develop their own script for a malaria audio book .............................. 52 Figure 11: Sensitization session for school children on emergency malaria situation in Mount Darwin ......................... 53 Figure 12: Poster presented in the poster session of the RBM SBCC working groups fourth annual general meeting in Dar es Salaam ......................................................................................................................................................... 54 Figure 13: Participant attending PMET workshop ................................................................................................................... 56 Figure 14: Mr. Chipiri in the center demonstrating teamwork during ToT workshop ......................................................... 57 Figure 15: Participants following the discussion during the dialogue meeting .................................................................. 58 Figure 16: Participants showing the phases of the CAC process ........................................................................................ 59 Figure 17: EHT for Angwa clinic, Mr. Tembo, sharing A problem tree looking at non-use of LLINs malaria data to inform planning ........................................................................................................................................................................... 62 Figure 18: Draft community action plans: one addressing early booking and the other LLIN utilization ...................... 63 Figure 19: Mashonaland East health workers successfully completed IDSR training at Macheke Hotel, with some participants holding their training certificates ............................................................................................................. 69 iv LIST OF TABLES Table 1: Distribution of Zimbabwean CM and MIP trainees per province by gender (January-June 2017) supported