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MALARIA CONTROL PROGRAMME: ROLL BACK MALARIA INITIATIVE

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Securing Financial Support: At the federal level through PC-1 ... financial support would be managed through revised federal and provincial PC-1 ... – PowerPoint PPT presentation

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Title: MALARIA CONTROL PROGRAMME: ROLL BACK MALARIA INITIATIVE


1
MALARIA CONTROL PROGRAMMEROLL BACK MALARIA
INITIATIVE
Draft National Strategic Action Plan for ITN
Promotion and implementation 2004-2008
(Pakistan)
2
Major Vector Borne Diseases
  • MALARIA
  • LEISHMANIASIS

3
ITN IMPLEMENTATION
  • VISION
  • 54 of the Households in the highly endemic
    districts would have at least one ITN by the year
    2008
  • GOAL
  • To reduce malaria and leishmaniasis burden in
    Pakistan using ITNs as a key intervention
  • OVERALL OBJECTIVE
  • Increase use of ITNs by all household members in
    the target areas.

4
Cont..
  • OUTCOME 
  • 1. 54 of households in the 23 endemic
    districts with RBM components in place will
    have at least one ITN by the end of 2008 by
    adopting and implementing effective strategies.
  • 2. 50 of nets used by the households are
    effectively re-treated with insecticides by the
    end of 2008.

5
Cont/
  • The first phase would be based on the
    implementation and promotion of ITNs through
    public-private partnership involving three major
    NGOs in the country.
  • Building upon the lessons learnt from this
    initial implementation (pilot phase) the
    expansion of ITNs would be gradually enhanced in
    a further phased manner by involving more
    partners including public sector and mobilizing
    commercial sector.

6
Cont/
  • The public sector would take lead role in
    facilitating the NGOs and commercial sector by
    ensuring conducive environment.

7
PRODUCTS and ACTIVITIES
  • Outcome 1 54 of households in the 23 endemic
    districts with RBM components in place will have
    at least ITN by the end of 2008 by adopting and
    implementing effective strategies.
  • Mechanisms for identifying target population are
    developed
  • Public/private, private/private partnerships
    being developed.

8
Cont/
  • ITN distribution systems and mechanisms to be
    developed.
  • ITN promotion plan is being developed, using
    communication for behavioural impact methodology.
  • Models and guidelines for targeting subsidies are
    being established. Procurement strategies are
    developed.

9
Cont/..
  • Outcome 2 50 of nets used by target
    populations are effectively treated with
    insecticides by the end of 2008.
  • Initial treatment need to be ensured
  • Accessible and functional ways and means for
    treatment / re-treatment to be identified.
  • BCC strategy developed.

10
OPERATIONAL STRATEGIES
  • Implementation by Public Sector
  • Political Commitment
  •  
  • At the national level, policy makers in the
    Planning Commission, Ministry of Health and
    Ministry of Finance have shown their commitment
    by making Malaria control a high priority and by
    ensuring that the programme has adequate funds.

11
Cont/
  • Securing Financial Support
  • At the federal level through PC-1
  •  
  •     With the support from WHO in the form of JPRM
    and GFATM,
  •  
  • Additional financial support would be managed
    through revised federal and provincial PC-1 and
    with donor assistance.
  • Various donors including WHO, USAID, DFID,
    UNICEF, JICA, GFATM, etc would be approached.

12
Cont/..
  • Integration to Primary Health Care
  • The roles and responsibilities and the mechanisms
    to introduce the ITNs through primary health care
    structure including the outreach community health
    workers such as Lady health workers, vaccinators,
    etc need to be evolved through a consultative
    process.
  •  

13
  • Availability of ITNs
  • Purchase of LLNs of proven quality would be made
    initially from the international market. However
    the local manufacturers would be encouraged.
  • Various incentives such as providing technical
    expertise, advice, removing or minimizing import
    taxes/duties on raw materials for ITNs, etc would
    be discussed and offered to the local
    manufacturers.

14
  • Category-Specific Training
  • The district level institutions (such as
    District Health Development Centers - DHDC) will
    be engaged to conduct training of LHWs and
    vaccinators in a district.

15
Supervision, Monitoring and Evaluation
  • The federal and the provincial malaria
    directorates will ensure in-time arrangements for
    monitoring and supervision such as logistic and
    technical support, protocols/ tools and
    indicators at the district level.
  • The district health office will use the district
    malaria staff to carry out the monitoring of the
    ITNs implementation.

16
Development of ITNs Materials including IEC
Material and Messages
  • The federal malaria directorate in collaboration
    with its partners will develop various
    context-sensitive guidelines, training materials
    and management tools for ITNs.
  • The federal MCP, with the help of partners, will
    continue revising the materials by incorporating
    evidence-based interventions.

17
Operational Research Initiatives
  • 1.Malaria endemicity and transmission in the
    various regions of the country.
  • 2-Demographic data the population at risk of
    malaria.
  • 3-To ensure effective distribution, preferences,
    affordability and use of ITNs in the community.
  • 4-KAP surveys to determine what topics
    promotional messages should focus and how best to
    promote ITNs.
  • 5-Constraints/determinants of ITNs use and
    community beliefs regarding ITNs.
  • 6. Research on Monitoring and Evaluation
    indicators 
  • 7 Research on Sourcing and Procurement
  •  

18
Implementation by Public-Private Mix
  • Private sector support to public sector
  • F   Sharing the implementation
  • F   Sharing the experiences and materials (IEC)
  • F     Sharing information
  • F Designing and conducting operational
    research
  •    Organizing support for advocacy and mass
    awareness campaigns

19
  • Public sector support to private sector
  • F   Sharing the technical advice/guidance
  • F     Sharing the training resources
  • F   Providing material support (ITNs and print
    materials), where feasible

20
Implementation by Commercial Sector
  •   Brand specific demand creation.
  •        Product development.
  • Distribution to general population at
    commercial price. 

21
Cont/
  • Establish Baseline
  • Develop and Implement a BBC strategy for ITNS
  • Develop and Implement a Marketing Strategy
  • Train the Sales Agents in Marketing
  • Sale of ITNs including mechanisms of reporting
    and monitoring channels
  • Third Party Evaluation

22
EXPANSION PLAN
Expansion subject to availability of
additional funds
23
  Total Net Implemented by year 2008 is
0.51million.
24
AVAILABLE FUNDING
25
WHAT NEXT ?
  • Review, refine, make consensus, finalization and
    endorsement of National ITN Strategic Action Plan
  • Operationalization of ITN strategy
  • Initiation of ITN implementation through GFATM

26
Directorate of Malaria Control
THANK YOU
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