1 Roadmap to Achieve 31.12.2011 RBM Targets Liberia January 2011 – December 2011 Liberia

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Roadmap to Achieve 31.12.2011 RBM Targets

Liberia

January 2011 – December 2011Liberia

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Country Summary (Interventions & Services)Population at Risk: 3,703,430

Intervention

Operational objectives/targets

for

2011

Need to end 2011 Already covered in 2010

Funded and expected to be

distributed before end of

2011

Commodity Gap (Quantity)

Financial Gap (USD)

LLINs (Universal Access)

To increase the use of Insecticide Treated Nets (LLIN) among the whole population, especially vulnerable groups such as pregnant women and children under five, to 80% by 31st December 2010 and sustain this use through 2015

* Define how universal coverage target was

calculated e.g. 1 net for 1.8 persons

Mass Campaign:

Total number of nets required to reach the

operational target

741,400

Mass Campaign:Active nets

already in the community#

2,520,060

Procurement on-

going for 80,000

nets from Malaria

no more/UNICEF

to be distributed

before Dec. 2010

Mass Campaign:

Total number of nets for which

financing is already pledged

257,162 (PMI)

+

607,162 (GF)

=

864,324

Mass Campaign:

Number of nets for which financing has

to be mobilized to achieve the

operational target within

2011

0

Distribution cost:

$666,552

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Country Summary (Interventions & Services)Population at Risk: 3,703,430

Intervention

Operational objectives/targets

for

2011

Need to end 2011 Already covered in 2010



2011


Financial Gap (USD)

LLINs (Universal Access)

To increase the use of Insecticide Treated Nets (LLIN) among the whole population, especially vulnerable groups such as pregnant women and children under five, to 80% by 31st December 2010 and sustain this use through 2015

* Define how universal coverage target was

calculated e.g. 1 net for 1.8 persons

Routine distribution:

Total number of nets required to reach the

operational target (state what target

group is e.g. pregnant women

through ANC)

Total=185,172

GF= 92,586

+

PMI=92,586


Active nets already in the community#

# based on number of

nets already distributed

in last three years

60,000


Total number of nets for which


Total=185,172

GF= 92,586

+

PMI=92,586


Total number of nets for

which financing is

already pledged

0

0

Total nets needed in 2011

926,572

Total nets already

distributed =2,580,060

Total nets where financing is

already pledged

1,049,496

Total gap =0) 0

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Country Summary (Interventions & Services)

Intervention Operational

objectives/targets for

2011

Need to end 2011 Already covered



2011


Financial Gap (USD)

ACTs To sustain Universal coverage* of malaria treatment with ACTs

To increase access to prompt and effective ACT treatment for 80% of the population by 31st December 2010 and sustain this reduction through 2015

*define universal coverage target e.g. whole population, population treated

through the public health services and private sector etc)

Total number of doses to be made available during

the year

5,905,490

Public sector & Community (54%)=3,188,965

+

Services by private sector (46%)=2,716,525

Doses already in stock

1,900,000

Number of doses for which financing is already pledged or committed

1,00,000(PMI)

+

589,087 (GF)

=

1,589,087

Number of doses for which additional financing has to be mobilized to achieve the planned operational target

4,839,087

$3,112, 984

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Country Summary (Interventions &Services) (Cont'd )Intervention Operational objectives/targets

for

2011

Need to end 2011

Already covered

Funded and expected to be distributed before end of 2011


Financial Gap (USD)

RDTs and microscopy

To expand coverage of parasitological diagnosis to a

given level (if Universal coverage is not feasible within 2011)

At least 80% of patients with uncomplicated malaria receive early diagnosis and are provided with prompt and effective treatment according to MOH&SW guidelines.

At least 65% of patients with complicated or severe malaria are diagnosed in a timely manner and receive correct treatment according to MOH&SW guidelines.

Total number of RDTs to be

made available during the year

8,960,000

RDTs already in

stock

325,000

No. of RDTs for which financing is already pledged

or committed

1,000,000 (GF)

+

2,950,000 (PMI)

Total=3,950,000

No. of RDTs for which additional financing has to be mobilized to achieve the planned operational target

5,010,000

3,256,500Total number of

microscopy tests to be

made available during the year

1,181,098 (20% of total cases will be microscopic

tested)

Microscopy tests

already in stock

Number of microscopy tests

for which financing is

already pledged or committed

No. of microscopy tests

for which additional

financing has to be mobilized to

achieve the planned

operational target

Total diagnosis target

N/A

total diagnostics already in

stock

N/A

Total diagnostics already pledged

N/A

Total gap in diagnostics

N/A

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Country Summary (Interventions &Services) (Cont'd )

Intervention Operational objectives/targets for

2011

Need to end 2011

Already covered



Financial Gap (USD)

IRS To expand coverage to a given level of X% of the population through spraying of X structures

To increase the population protected by indoor residual spraying (IRS) from 5% in 2009 to 40% in 2010 and 2011 and scale up to full coverage by 2015 after evaluation of the first three years of use.

Total number of structures to be sprayed protecting Y% of the population

80,000 (11% of the population)

Cost per structure sprayed.

$32.00

52,647 which is 420,532 pop. protected

Total number of structures for which financing is already pledged or committed

80,000

Number of structures for which additional financing has to be mobilized to achieve the planned operational target

Negotiation with private sector companies on-going to spray additional structures

Not available

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Country Summary (Interventions &Services) (Cont'd )

Intervention Operational objectives/targets for

2011

Need to end 2011

Already covered in 2010



Financial Gap (USD)

IPTp To sustain Universal coverage (if Universal coverage already achieved by 2010)

To increase the use of Intermittent Preventive Treatment (IPT) among pregnant women in Liberia to 80% by 31st December 2010 and sustain this use through 2015

Total number of doses to be

made available during the

year to cover X% of

pregnant women

1,133250 for 85% of

pregnant women

(157,000)

Doses already in

stock

127,800

Number of doses for which


or committed

570,000

Number of doses for

which additional

financing has to be

mobilized to achieve the

planned operational

target

563,250

$11,265.00

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Country Summary (Cross cutting issues)

Intervention Operational targets/Objectives for

2011

Strategies/Actions Resource requirement

(USD)

Available budget

(USD)

Budget Gap

(USD)

M&E Malaria Indicator Survey

Provide the information data for the biannual and annual review of program activities and the Annual NMCP Malaria Report.

Trained at least 30 county M&E officers in data management and will have trained at least one M&E officer for each County Hospital (In Country training)

Post-distribution surveys for LLINs

Costing & validation of National M&E Plan

Conduct MIS

Quarterly Monitoring,

conducting mini surveys, End Use Verification (EUV)

Conduct in country training for 30 M&E

officers

Determine ownership and utilization

2,000,000

98,600.00

9,325

50,000

35,000

1,500,000

49,357 (GF)

80,000.00 (PMI)

0

0

0

500,000

00

9,325

0

35,000

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2011


(USD)

Available budget

(USD)

Budget Gap

(USD)

M&E Conduct health facility based survey

$65,000 0 65,000

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2011


(USD)

Available budget

(USD)

Budget Gap

(USD)

BCC/IEC Improve knowledge and behaviourr regarding prevention and treatment of malaria among the general population to at least 80% by December 2013 and to sustain this level thought 2015

Carry on awareness and

behaviour change(social

mobilization/advocacy, child-to-child communication,

mass media, peer education etc.

$532,000.00 1,400,000 (PMI) 0

Human Resources (Cap Bldg)

Insert others as required e.g. CSS, HSS, OR

Contribute to the ten year plan for an efficient and effective public health supply chain in Liberia

$2,000,000.00 750,000 (PMI)

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Assumptions for calculating the needs (Quantity and Funding) to achieve 2011 Targets

Justify the assumptions used for calculating the targets

LLINs

• Universal Coverage for LLINs is planned at the end of (2010) therefore net coverage calculated based on 3 nets per household of 5 persons; routine nets based on 85% of pregnant women accessing ANC and 1 nets per pregnant woman.

IRS

• IRS Household coverage in targeted districts based on LMIS 2009 malaria prevalence;

• Based on the NMCP strategic plan for IVM “To increase the population protected by indoor residual spraying (IRS) from 5% in 2009 to 40% in 2010 and 2011 and scale up to full coverage by 2015 after evaluation of the first three years of use”.

•

Assumptions for calculating the needs (Quantity and Funding) to achieve 2011 Targets

ACT & RDTs/microscopy

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Assumptions Used to Calculate ACTs & RDTs

Population @ 2.1% growth rate 3,703,430

Population of pregnant women @ 5% 185,172

Population of under 5 @ 17.7 % 655,507

Population of 5 to 14 years 29.50% 1,092,512

Population of Adults (others) @ 47.8% 1,770,240

Episodes

Episodes for under 5 4

Episodes for 5 to 14 years 4

Episodes for Pregnant women 2

Episodes for others 1

RDT

Impact Factor of RDT of treatment 2

Planned National Coverage 85%

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Implementation Plan - LLINs

Major action / Output / Milestone

TIMEFRAME

J F M A M J J A S O N D

Procure sufficient LLINs to allow door-to-door distribution with“hang-up”, “keep up” and follow up campaigns X X X X X

Conduct Post distribution surveys X X

Quarterly routine monitoring of LLINs X X X

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LLIN resources available to achieve the 2011 targets (including timing of disbursements)

Funds available (USD) Source of funding Comment TIMEFRAME


Funds [$2,100,000] to procure [350,000] of LLINs

PMI Order has been placed for PMI LLINs for 2010.

X X X X

Funds [$1,465,000] to procure [368,415] of LLINs

Global Fund Global Fund phase II R7 approved grant not sign yet

Funds ($437,500) to deliver (350,000) of LLINs

PMI X X X X

Funds ($460,518.75) to deliver (368,415) of LLINs

Global Fund

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Implementation Plan - IRS


TIMEFRAME


Environment Assessment X X

Mapping and Geographical Reconnaissance X X

Procurement and supply management x X X

Training and Capacity building x X

Conducting Indoor Residual Spraying In targeted communities x X X

Conduct community feed back meetings to obtain lessons learned and best practices for inclusion in future IRS interventions X

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IRS resources available to achieve the 2011 targets



Funds [4,000,000] to spray [80,000] of structures

PMI X X X X X X X

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Implementation Plan – Case Mgt


TIMEFRAME


Train facility and community-level health workers, caregivers, and pharmacy owners and staff in case management and referral according to the MOH&SW guidelines;

X x x x

Train additional cadres, general Community Health Volunteers (gCHVs) and staff of community IMCI programs in malaria case management with ACTs;

x x x x

Ensure that all health training institutions include malaria case management in their curriculum;

X X

Engage the private sector on mechanisms of ACT rollout including social marketing;

x x x

Train staff of all facilities in improved diagnosis of malaria by RDT and/or microscopy and monitor the quality of the microscopic diagnosis;

x x x x

Improve the procurement, distribution, and monitoring of usage of antimalarial drugs and diagnostics to prevent stock-outs at all levels;

x x x

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Case Management resources available to achieve the 2011 targets

Funds available (USD) Source of funding

Comment TIMEFRAME


Funds to procure [1,000,000] of ACTs

PMI Funds already committed by PMI in MOP 2010 x X

Funds [$706,904,40]

to procure [589,087] of ACTs

Global Fund Funds already committed in GF Round 7 Phase II

Funds to deliver (2,950,000) of ACTs

PMI Funds provided for logistics under SPS

Funds to deliver (1,000,000) of ACTs

Global Fund Information not available

Funds to procure [[2,950,000] of RDTs

PMI Information not available X x

Funds to procure [1,00,000] of RDTs


Funds to deliver [2,950,000] of RDTs

PMI Information not available

Funds to deliver [1,000,000] of RDTs


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Implementation Plan – IPTp


TIMEFRAME


Train health workers for management or referral of malaria in pregnancy including administration of IPT according to MOH&SW guidelines;

X x x x

Include training in MIP in all pre-service health professionals training programs (physician, nursing, midwifery, physician assistants, pharmacy, et al);

x x x X

Train the TTMs in the management of malaria in pregnancy;

X x x x

Train TTMs and gCHV on BCC strategies to promote the regular use of LLINs by pregnant women and early care seeking from appropriate providers for case management;

x x x X

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IPTp resources available to achieve the 2011 targets



Funds [$11,400.00] to procure [570,000] of IPTp doses for 85% pw

Global Fund Global fund Round 7 Phase II not yet sign

x x

Funds to distribute [570,000] of IPTp doses

Global Fund Global fund Round 7 Phase II not yet sign

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Implementation Plan – Cross cutting


TIMEFRAME


Effective management of malaria control activities and the use of evidence-based information for policy planning by the National Malaria interventions

X X

Improve knowledge, attitude and practice on malaria control and prevention

X

Strengthen the Health System X X

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Cross-cutting resources available to achieve the 2011 targets



$1,500,000.00 PMI Partial amount for LMIS in 2011. 500,000 outstanding

$532,000.00 PMI Amount to support NMCP IEC/BCC activities

$80,000.00 PMI Amount to cover the cost of End Use Verification activities

$98,600.00 GF Amount to cover the cost of quarterly monitoring to health facilities and mini surveys

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Summary of technical assistance needs to end 2011

Area of Need Type of support required

Resources available

Source of funding

TIMEFRAME


LLINs

IRS Integration of IRS to private sector and roll out to the entire population

0 RBM, PMI

ACT Private sector and community Case Management roll out

0 RBM, PMI x x x

RDTs/microscopy Parasitological diagnosis and IMCI integration

0 WHO X X X

Cross cutting Review, revised IEC/BCC Strategy.

Finalization of National M&E Plan

0 PMI X X X

Program Management / Partnerships

GF Grant Implementation

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Summary of rate-limiting factors/solutions over the next 12 months - threats

Potential threats to achieving targets

Supply Chain System not fully functional

Delay in the implementation of Private Sector rollout of ACTs

Inadequate Funding for BCC and M&E

Documents

1 Roadmap to Achieve 31.12.2011 RBM Targets Liberia January 2011 – December 2011 Liberia