Malaria Control and Evaluation Partnership for Africa (MACEPA) National Scale-up of Malaria Prevention and Control A Learning Community

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Malaria Control and Evaluation Partnership for
Africa (MACEPA)National Scale-up of Malaria
Prevention and ControlA Learning Community
RBM Board Meeting May 2007
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MACEPA 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

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MACEPA 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

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MACEPA 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

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Planning, Resourcing, Implementing, Monitoring
and Evaluating
Resourcing
Planning
Program Performance Improvement
Advocacy for National Sustainability
Advocacy for Global Sustainability
Implementing
Monitoring Evaluating
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ZambiaNational 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

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Zambia Malaria Program Costs
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Zambia Malaria Program Funding
Current committed funding
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Program Implementation -- ITNs
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Program Implementation -- PECM
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Program Implementation -- PIP
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Monitoring 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)

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ZambiaProgram 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

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Program 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

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MACEPA 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

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MACEPA 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

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Global 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
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Partners 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

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Partners 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