Title: Malaria Control and Evaluation Partnership for Africa (MACEPA) National Scale-up of Malaria Prevention and Control A Learning Community
1Malaria Control and Evaluation Partnership for
Africa (MACEPA)National Scale-up of Malaria
Prevention and ControlA Learning Community
RBM Board Meeting May 2007
2MACEPA Scaling Up and Learning
- MACEPA Assumptions and Principles
- Zambia and MACEPA 2005-2007
- Learning Community for Scale Up for Impact
- Realities of the 3-Ones and SUFI
-
3MACEPA Assumptions
- National success in malaria control for health
and economic impact is key to establishing
credibility of investments by RBM partners - With appropriate support and leadership, country
partnerships can control malaria at national
scale - A multi-country African partnership around
success in national scale up is a powerful case
for sustaining resources for malaria control
4MACEPA Principles
- MACEPA Promotes National Scale-up for Impact
(SUFI) with program evaluation and documentation - MACEPA Supports The 3-Ones at national scale to
build country ownership and programming
excellence - MACEPA Partners Works within national programs
to support capacity of government and their
partners to implement and document the national
malaria SUFI strategy
5Planning, Resourcing, Implementing, Monitoring
and Evaluating
Resourcing
Planning
Program Performance Improvement
Advocacy for National Sustainability
Advocacy for Global Sustainability
Implementing
Monitoring Evaluating
6ZambiaNational Malaria Strategic Planning
- 2006-2011 National Malaria Strategic Plan
developed by Zambia partners with Government - Explicit adoption of 3-Ones
- Goal reduce malaria mortality by 50 by 2010
- Target gt80 program coverage of each
intervention in all district by 2008 early focus
on prevention coverage
7Zambia Malaria Program Costs
8Zambia Malaria Program Funding
Current committed funding
9Program Implementation -- ITNs
10Program Implementation -- PECM
11Program Implementation -- PIP
12Monitoring Evaluation
- National Malaria Control ME plan updated and
disseminated - 10 district sentinel district network developed
- Supported coordination of malaria ME with
national HMIS and sector ME systems - Supported conduct of 1st RBM MERG Malaria
Indicator Survey (MIS) - Supported coordination of ME with partners for
single reporting system (Second of the 3-Ones)
13ZambiaProgram Implementation 2006 MIS
- ITN 50 own, 23 reg. use doubling from 2001
- IRS 34 coverage in 15 target districts
- Prev in Preg 62 received 2 doses IPT
- PECM lt35 coverage no change since 2001
Coartem use low - Knowledge of malaria prevention control high
- Baselines for anemia and parasitemia established
14Program Advocacy
- Strengthen Zambia advocacy and communications
capacity - Develop and disseminate documentation of Zambia
SUFI experiences -- promote Zambia as a pace
setter in malaria control in Africa - The story of country success is the critical
basis for advocacy - The Africa voice must be prominent in telling the
success story
15MACEPA Building a SUFI Learning Community
- MACEPA has the opportunity to work with
additional countries - Many countries now have multiple partners and
considerable funding to scale up malaria control - These countries/partners are facing common
challenges in implementation sharing approaches
is an important opportunity
16MACEPA Criteria for Learning Community
- Zambia and 4 countries
- Political will/climate that embraces SUFI
approach - Country proximity and the country- and
partner-perceived value and relevance of their
regional collaboration - Representation of key partners already investing
in malaria control
17Global Fund PMI WB per-capita funding levels
(estimated) for malaria control in African
Countries
Mauritania
Mauritania
Mali
Mali
Niger
Niger
Eritrea
Chad
Chad
Senegal
Senegal
Sudan
Sudan
The Gambia
Burkina Faso
Djibouti
Guinea Bissau
Guinea
Guinea
Benin
Nigeria
Nigeria
Sierra Leone
Sierra Leone
Ethiopia
Ethiopia
Togo
Cote d'Ivoire
Ghana
Liberia
Liberia
Central African Rep
Cameroun
Somalia
EARN
Eq Guinea
Uganda
Uganda
Kenya
Kenya
Congo
Congo
Rwanda
Congo, DRC
Congo, DRC
Burundi
Tanzania
Tanzania
Angola
Angola
Malawi
Malawi
Zambia
Zambia
Mozambique
Mozambique
Zimbabwe
Zimbabwe
Madagascar
Madagascar
Botswana
Botswana
Namibia
Namibia
Swaziland
SARN
South Africa
Lesotho
18Partners Learning How to 3-Ones MACEPA
Learning Community
- Support countries to work together to share
programming approaches - Build shared program support systems (e.g. annual
planning, supply chain management, ME) - Foster national capacity to advocate for their
programs
19Partners Committed to SUFIthe clock is ticking
- RBM Partners have lt3 years to demonstrate
national program impact - Scale-up is stressing national systems and,
weRBM Partnersmust work together to limit the
transaction costs of support - Critical investments
- Strengthening RBM WGs and SRNs
- Supporting robust PRIME systems capacity
- Building evidence-based advocacy to sustain
funding