FIFTH INTERCOUNTRY MEETING OF NATIONAL MALARIA PROGRAMME MANAGERS

1
Progress of RBM Implementation in Southern Sudan
in 2004
2
Updates on Malaria Burden

• Suspected clinical cases by region per year
• Regions 2002 2003 2004
• BGH 191,961 219,360 220,781
• Equtoria 126,430 173,674 139,676
• Nuba 7,928 10,904 16,842
• U/Nile 124,238 227,066 138,659
• Total 450,557 631,004 515,958
• (27) (28) (29)
• Total no.
• Of all causes 1,648,053 2,273,660 1,762,745

3
Updates on case management - drug efficacy
studies , drug policy
4
Updates on case management - drug efficacy
studies , drug policy
5
Updates on case management - drug efficacy
studies , drug policy

• 28 Day assessment of ASAQ Vs. AQ efficacy with
  PCR was finalized in Lui hospital
• ASAQ was recommended as 1st line TX for
  uncomplicated falciparum malaria
• The rationale of the assessment was to provide
  baseline data of the efficacy of the combination
  and the partner drug
• 126 patients had been enrolled for both arms and
  PCR analysis is under process in KEMRI (Kenya
  Medical Research Institute)

6
Updates on case management - diagnosis

• Rapid Diagnostic Test was recommended in the line
  of ACT for the PHCUs
• The first training of trainers course on malaria
  case management with focus on ACT and RDT was
  conducted for the partners funded by ECHO and
  GFATM
• Training on malaria diagnosis with focus on
  Microscopy and RDT was planned for Lab.
  Technicians

7
Updates on vector control interventions and
inter-sectoral coordination for vector control at
country level

• ITNs distribution in Southern Sudan in 2004
• BHG EQ. U/NILE
• IRC 25,600 0 6,400
• ADRA 7,350 7,350 14,000
• UNICEF 12,000 12,500 12,500
• MSF-H 1,575 0 5,000
• GOAL 1,500 0 0
• PSI 23,000 129,500 14,750
• OXFAM 0 0 24,000

8
Updates on vector control interventions and
inter-sectoral coordination for vector control at
country level

• 2003 2006
• TOT. ITN Projected POP. HH coverage
• BHG 114,983 4,831,629 14
• EQ 223,150 1,879,300 71
• U/N 137,875 2,239,497 37

9
Epidemics control

• Epidemic preparedness and plan for the epidemic
  prone areas will be in place for the next year
  2006.

10
Updates on strengthening malaria ME and
surveillance system

• Selection of focal points for ME was not done
• ME plan was developed for the GFATM
  sub-recipient partners only
• Malaria Indicators Survey budget from GFATM?

11
Partnership, resource mobilization and advocacy

• Anti malaria treatment policy change was done
  through partnership
• Development of ITN strategy was developed through
  partnership
• Training on updating health workers about AMD
  Policy and ACT advocacy was conducted through
  partnership

12
Partnership, resource mobilization and advocacy

• Resource was mobilized by developing proposal on
  Malaria control with focus on guidelines and
  Training to ECHO

13
Review of the progress on the malaria border
coordination

• There is no border coordination activity plan for
  Southern Sudan

14
Human Resource Development

• Main key activities Achievements
• Participation in Malaria control and its planning
  course in Iran where the focal point was trained

15
Operational research

• No operational research conducted in 2004

16
Conclusion

• Achievements
• Anti malaria drug policy change was finalized and
  implementation is in place
• ITN strategy is in place
• Resources was mobilized
• Partnership building was promoted
• Malaria Technical Working Group was formed

17
Conclusion

• Challenges
• Limited trained human resource in SPLM/SoH
• No national budget for the programme
• No regular budget from WHO
• Partners and staff turn over in the country
• GFATM for limited partners
• Way forward
• To mobilize more resource for national capacity
  building and establishment of malaria programme
  unit