This Malaria Operational Plan has been approved by the U.S. Global Malaria Coordinator and reflects collaborative discussions with the national malaria control programs and partners in country. The final funding available to support the plan outlined here is pending final FY 2017 appropriation. If any further changes are made to this plan it will be reflected in a revised posting. PRESIDENT’S MALARIA INITIATIVE GREATER MEKONG SUB-REGION Malaria Operational Plan FY 2017 1 TABLE OF CONTENTS I. EXECUTIVE SUMMARY ..................................................................................................... 7 II. INTRODUCTION ................................................................................................................. 12 1. Greater Mekong Sub-region Malaria Operational Plan ................................................. 12 2. Malaria situation in the GMS ......................................................................................... 13 3. Strategic updates in the GMS ......................................................................................... 18 4. Integration, collaboration, and coordination .................................................................. 19 5. PMI goal, objectives, strategic areas, and key indicators............................................... 25 6. Progress on coverage/impact indicators to date in the GMS ......................................... 26 III. THAILAND and REGIONAL .............................................................................................. 29 (A) Strategy........................................................................................................................... 29 1. Introduction .................................................................................................................... 29 2. Malaria situation in Thailand / Regional ........................................................................ 30 3. Country health system delivery structure and MOH organization ................................. 36 4. National malaria control and elimination strategy ......................................................... 38 5. Updates in the strategy section ....................................................................................... 40 6. Integration, collaboration, and coordination .................................................................. 41 7. Progress on coverage/impact indicators to date ............................................................. 43 (B) Operational Plan ................................................................................................................ 45 1. Vector monitoring and control ....................................................................................... 45 2. Malaria in pregnancy ...................................................................................................... 51 3. Case management ........................................................................................................... 53 4. Health system strengthening and capacity building ....................................................... 64 5. Social and behavior change communication .................................................................. 67 6. Surveillance, monitoring, and evaluation ....................................................................... 69 7. Operational research ....................................................................................................... 74 8. Staffing and administration ............................................................................................ 74 Table 1: Budget Breakdown by Mechanism ......................................................................... 76 Table 2: Budget Breakdown by Activity ................................................................................ 0 IV. BURMA .................................................................................................................................. 0 (A) Strategy............................................................................................................................. 0 1. Malaria situation in Burma ............................................................................................... 0 2. Country health system delivery structure and MOH organization ................................... 3 3. National malaria control strategy ..................................................................................... 4 4. Updates in the strategy section ......................................................................................... 7 5. Integration, collaboration, and coordination .................................................................... 7 6. Progress on coverage/impact indicators to date ............................................................... 9 (B) Operational Plan ............................................................................................................. 11 1. Vector monitoring and control ....................................................................................... 11 2 2. Malaria in pregnancy ...................................................................................................... 18 3. Case management ........................................................................................................... 21 4. Health system strengthening and capacity building ....................................................... 33 5. Social and behavior change communication .................................................................. 37 6. Surveillance, monitoring, and evaluation ....................................................................... 40 7. Operational research ....................................................................................................... 45 8. Staffing and administration ............................................................................................ 46 Table 1: Budget Breakdown by Mechanism ......................................................................... 48 Table 2: Budget Breakdown by Activity ................................................................................ 0 V. CAMBODIA ........................................................................................................................... 0 (A) Strategy............................................................................................................................. 0 1. Malaria situation in Cambodia ......................................................................................... 0 2. Country health system delivery structure and MOH organization ................................... 2 3. National malaria control strategy ..................................................................................... 3 4. Integration, collaboration, and coordination .................................................................... 5 5. Progress on coverage/impact indicators to date ............................................................... 7 6. Challenges and opportunities .............................................................................................. 7 (B) Operational Plan ............................................................................................................. 10 1. Vector monitoring and control ....................................................................................... 10 2. Malaria in pregnancy ...................................................................................................... 14 3. Case management ........................................................................................................... 16 4. Health system strengthening and capacity building ....................................................... 25 5. Social and behavior change communication .................................................................. 29 6. Surveillance, monitoring, and evaluation ....................................................................... 31 7. Operational research ....................................................................................................... 37 8. Staffing and administration ............................................................................................ 38 Table 1: Budget Breakdown by Mechanism ......................................................................... 40 Table 2: Budget Breakdown by Activity ................................................................................ 0 3 ABBREVIATIONS AND ACRONYMS 3DF Three Diseases Fund 3MDG Three Millennium Development Goal ACPR Adequate clinical and parasitological response ACT Artemisinin-based combination therapy ACTMalaria Asian Collaborative Training Network for Malaria ADB Asian Development Bank AFRIMS Armed Forces Research Institute of Medical Sciences AL Artemether-lumefantrine ANC Antenatal care API Annual parasite index APLMA Asia-Pacific Leaders Malaria Alliance APMEN Asia-Pacific Malaria Elimination Network AS-MQ Artesunate-mefloquine ASEAN Association of Southeast Asian Nations BMGF Bill & Melinda Gates Foundation BOE Bureau of Epidemiology (Thailand) BVBD Bureau of Vector-Borne Diseases (Thailand) CDC U.S. Centers for Disease Control and Prevention CMPE Centre for Malaria, Parasitology, and Entomology (Lao People’s Democratic Republic) CMS Cambodia Malaria Survey CMSD Central Medical Store Depot (Burma) CNM National Centre for Parasitology, Entomology, and Malaria (Cambodia) CQ Chloroquine