DEFEAT MALARIA DEFEAT MALARIA ACTIV ITY QUARTERLY PERFORMANCE REPORT FISCAL YEAR 2020 QUARTER 1 (OCTOBER 1, 2019 TO DECEMBER 31, 2019) 2020 QUARTERLY PERFORMANCE REPORT Submission Date: January 30, 2020 Agreement Number: AID-482-A-16-00003 Agreement Period: August 15, 2016 to August 14, 2021 AOR Name: Dr. Nu Nu Khin Submitted by: May Aung Lin, Chief of Party University Research Co., LLC. Room 602, 6th Floor, Shwe Than Lwin Condominium New University Ave. Rd., BahanTownship Yangon, Myanmar Email: [email protected] CONTACT INFORMATION Dr. May Aung Lin, Chief of Party, Defeat Malaria [email protected] Office Phone/Fax: + 95 1 559 593, + 011 220 658, Mobile: + 959 7324 1930 Dr. Kyaw Myint Tun, M & E Technical Advisor, Defeat Malaria [email protected] Office Phone /Fax: +95 1 559 593, +011 220 658 Mobile: + 959 503 9861 THIS DOCUMENT WAS PRODUCED BY UNIVERSITY RESEARCH CO., LLC (URC) FOR REVIEW AND APPROVAL BY THE UNITED STATES AGENCY FOR INTERNATIONAL DEVELOPMENT (USAID). DEFEAT MALARIA Defeat Malaria is a USAID-funded project with the goal to reduce the malaria burden and control artemisinin- resistant malaria in the targeted areas, thereby contrib- uting to the long-term national goal of eliminating ma- laria in Myanmar. Defeat Malaria has four core objec- tives, including: Objective 1: Achieve and maintain universal cover- age of at-risk populations with proven vector control and case management interventions, while pro- moting the testing of new tools and approaches. Objective 2: Strengthen the malaria surveillance sys- tem to comprehensively monitor progress and in- form the deployment and targeting of appropriate responses and strategies. Objective 3: Enhance technical and operational ca- pacity of the NMCP and other health service provid- ers at all levels of service provision. Objective 4: Promote the involvement of communi- ties, private healthcare providers, private companies and state-owned enterprises in malaria control and elimination initiatives. DEFEAT MALARIA FY 2020 QUARTER 1 KEY ACHIEVEMENTS Testing & Case Finding 64,808 people were tested for malaria Health Communication 46,941 people, including 7,112 of whom migrants, were reached through 686 were positive cases interpersonal communication Total Positivity Rate: 1.06% Treatment Completion Preventive Commodities 514 individuals were Distributed 34,259 LLINs enrolled in DOT treatment; to villages, worksites, and 97.7% of enrolled cases women attending completed DOT treatment ante-natal care clinics Diagnostic and Treatment Commodities Capacity Building Distributed 52,400 RDTs 1, 194 health workers and 785 ACTs received initial training to Defeat Malaria storage on malaria diagnostics sites to safeguard and case management continuous and on-time 1,187 health workers delivery of malaria health received training on Integrated Community care services Malaria Volunteers DEFEAT MALARIA QUARTERLY PERFORMANCE REPORT FY 2020 Q1 Table of Contents ACRONYMS AND ABBREVIATIONS ........................................................................................................................ III EXECUTIVE SUMMARY ........................................................................................................................................... 1 INTRODUCTION ..................................................................................................................................................... 3 FISCAL YEAR 2020 QUARTER 1: ACTIVITIES BY OBJECTIVES .................................................................................... 5 OBJECTIVE 1: ACHIEVE AND MAINTAIN UNIVERSAL COVERAGE OF AT-RISK POPULATIONS WITH PROVEN VECTOR CONTROL AND CASE MANAGEMENT INTERVENTIONS, WHILE PROMOTING THE TESTING OF NEW TOOLS AND APPROACHES............................................... 5 OBJECTIVE 2: STRENGTHEN THE MALARIA SURVEILLANCE SYSTEM TO COMPREHENSIVELY MONITOR PROGRESS AND INFORM THE DEPLOYMENT AND TARGETING OF APPROPRIATE RESPONSES AND STRATEGIES. .......................................................................... 11 OBJECTIVE 3: ENHANCE TECHNICAL AND OPERATIONAL CAPACITY OF THE NMCP AND OTHER HEALTH SERVICE PROVIDERS AT ALL LEVELS OF SERVICE PROVISION................................................................................................................................................... 16 OBJECTIVE 4: PROMOTE THE INVOLVEMENT OF COMMUNITIES, PRIVATE HEALTHCARE PROVIDERS, PRIVATE COMPANIES AND STATE- OWNED ENTERPRISES IN MALARIA CONTROL AND ELIMINATION INITIATIVES .............................................................................. 18 ANNEX 1: SITUATION OF RAKHINE STATE ............................................................................................................ 21 ANNEX 2: ENTOMOLOGICAL ASSESSMENTS ......................................................................................................... 22 ANNEX 3: QUARTERLY REPORT ON PILOT MALARIA ELIMINATION ACTIVITIES .................................................... 24 ANNEXES 4.A PMI-USAID ADVOCATE TO HE MINISTER OF MOHS ABOUT PMI SUPPORTS FOR MALARIA ELIMINATION ....................................................................................................................................................... 28 ANNEXES 4.B DEFEAT MALARIA ADVOCATED TO PERMANENT SECRETARY OF MOHS ABOUT PILOT MALARIA ELIMINATION ACTIVITIES ..................................................................................................................................... 28 ANNEXES 4.C USAID/PMI BOOTH DISPLAYED AT NATIONAL LEVEL MALARIA ELIMINATION LAUNCHING ............ 29 ANNEX 5: KNOWLEDGE TRANSLATION ABOUT COST ANALYSIS AND PROJECTION .............................................. 30 ANNEX 6: MALARIA CASE CLASSIFICATION CALCULATOR ..................................................................................... 31 ANNEX 7: SOCIO-BEHAVIOR CHANGE COMMUNICATION .................................................................................... 32 ANNEX 8: FACTORS ASSOCIATED WITH ADHERENCE TO PRIMAQUINE 8-WEEK REGIMEN AMONG P. VIVAXI CASES ............................................................................................................................................................................ 33 ANNEXES 9: COMMUNITY ENGAGEMENT ACTIVITIES (OCT 2019 – DEC 2019) ...................................................... 34 ANNEX 10: CASE FINDING AND MANAGEMENT OF ALL TOWNSHIPS BY DIFFERENT APPROACHES (OCT -DEC 2019) ............................................................................................................................................................................ 35 ANNEX 11: ACTIVE CASE DETECTION BY MOBILE TEAM (OCT-DEC 2019) .............................................................. 36 ANNEX 12: VMWS/PPS MEETINGS (OCT-DEC 2019) ............................................................................................. 37 ANNEX 13: SUPERVISION AND MONITORING (OCT-DEC 2019) ............................................................................. 38 ANNEX 14: REPORTING STATUS OF VMWS AND PPS (OCT-DEC 2019) .................................................................. 39 ANNEX 15: CLINICAL AUDIT (OCT-DEC 2019) ........................................................................................................ 40 ANNEX 16: STOCK OUT MONITORING AT THE TIME OF MONITORING VISITS (OCT-DEC 2019) ............................. 41 ANNEX 17: STOCK OUT MONITORING AT MONTHLY MEETING (OCT-DEC 2019) .................................................. 42 ANNEX 18: CAPACITY BUILDING ON MALARIA DIAGNOSIS (OCT-DEC 2019) ......................................................... 43 ANNEX 19: CAPACITY BUILDING ON CASE MANAGEMENT (OCT-DEC 2019) ......................................................... 44 ANNEX 20: CAPACITY BUILDING ON INTEGRATED COMMUNITY MALARIA VOLUNTEER (OCT-DEC 2019) ............ 45 ANNEX 21: BEHAVIOR CHANGE COMMUNICATION (OCT-DEC 2019) .................................................................... 46 ANNEX 22: PERFORMANCE INDICATORS (OCT-DEC 2019) .................................................................................... 47 Page | i DEFEAT MALARIA QUARTERLY PERFORMANCE REPORT FY 2020 Q1 Figures: Figure 1: Geographic spread of Defeat Malaria activities in Myanmar as of December 2019 ..................... 3 Figure 2: RDT Distribution from the Central Warehouse to State/Region and EHO (Oct - Dec 2019) .......... 5 Figure 3: ACT Distribution from the Central Warehouse to State/Region and EHO (Oct - Dec 2019........... 5 Figure 4: Malaria testing and positive cases by providers ............................................................................ 9 Figure 5: Reporting status of VMWs/PPs by State and Region ................................................................... 13 Figure 6: Routine Data Quality Assessment Status (Oct-Dec 2019) ........................................................... 14 Tables: Table 1: Project area coverage as of December 2019 .................................................................................. 3 Table 2: Long lasting insecticide net (LLIN) distribution at villages (Oct 2019 - Dec 2019) .......................... 7 Table 3: LLIN distribution at worksites (Oct 2019 – Dec 2019) ..................................................................... 7 Table 4: LLIN Coverage and Utilization by Defeat Malaria State/Region (Oct 2019 - Dec 2019) ................. 8 Table 5: Malaria testing by Defeat Malaria covered state/region (Oct 2019 – Dec 2019) ..........................