Stop Malaria Project. Introduction to NMCP. 3 rd February 2009

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Stop Malaria Project Introduction to NMCP 3 rd February 2009

SMP 5-Year Overview 1 October, 2008 30 September, 2013 45 districts Year 1: 13 districts Year 2: 25 districts Year 3 5: 45 districts Focus on: Prevention (LLIN, IPTp) Case management (HBMF, severe malaria, diagnostics) Capacity strengthening (coordination, M&E, supportive supervision) Community mobilization and communication

Stop Malaria Partnership JHU/CCP: management, project monitoring and evaluation, BCC, supportive supervision Malaria Consortium: malaria technical lead, training, logistics, NMCP M&E capacity building, policy support, commodity procurement CDFU: community mobilization IDI: training in severe malaria management, diagnostic testing UHMG: LLIN distribution

Result 1: Improve and Implement Malaria Prevention Programs in Support of the National Malaria Strategy Existing policies and guidelines reviewed and updated for prevention IPT Policy update Support ITN Policy and Strategy update IPT2 uptake increased Improve supply management Drinking water availability Service provider attitudes & perceptions Communication Supply and use of LLINs increased among target populations Routine distribution through ANC and PHA services Time limited campaigns Communication

Result 2: Improve & implement malaria diagnosis and treatment activities in support of the National Malaria Strategy Support HBMF in highly endemic areas Improve service provider s capacity to manage severe malaria Malaria diagnostic capacity and services improved District capacity and community/facility linkages strengthened

Result 3: Improve the capacity of the NMCP to monitor/evaluate interventions Support NMCP M&E sub-unit Improve and expand the NMCP M&E database Strengthen NMCP district supervision system Coordinate with key partners

Masindi Kasese Hoima Kibaale Kiboga Luwero Apac Mukono KAMPALA Mubende Kabarole Nebbi Arua Gulu Adjumani Kabale Rakai Sembabule Masaka Kalangala Jinja Iganga Tororo Pallisa Kumi Katakwi Moroto Kotido Kitgum Soroti Lira Mpigi Bushenyi Kamuli Ntungamo Moyo Kamwenge Kyenjojo Yumbe Pader Sironko Nakapiripirit Bugiri Mayuge Wakiso Kisoro Koboko Nyadi Amuru Kaabong Abim Dokolo Oyam Amuria Buliisa Nakaseke Mityana Kiruhura Ibanda Mbarara Isingiro Namu- tumba Kaliro Lyantonde Kapchorwa IRS MCP HIPS SMP Yr1 comprehensive SMP Yr1 non-comprehensive SMP Yr2+ USAID/PMI supported districts

Management Structure Chief of Party M&E specialist (at NMCP) Communication specialist Senior Malaria Advisor / Dep. Chief of Party Field Operations Manager Finance Manager Accountant M&E / IT Admin/driver technical operations finance Zonal Support Structure Central Region (13 districts) Kampala 2 Tech officers 2 Tech assists 1 Ops officer West Region (3 districts) From Hoima 1 Tech officers 1 Tech assists 1 Ops officer Mid-west Region (4 districts) Hoima 1 Tech officers 1 Tech assists 1 Ops officer South-west Region (7 districts) From Kampala 1 Tech officers 1 Tech assists 1 Ops officer Teso Region (6 districts) Soroti 1 Tech officers 1 Tech assists 1 Ops officer East Region (12 districts) Jinja 2 Tech officers 2 Tech assists 1 Ops officer District Implementing Partners Local Government bodies, Community Based Organisations, Faith Based Organisations, etc

Stop Malaria Offices Head Office and Central Region Office Located at MC Kampala Dedicated offices Sharing of some facilities (meeting rooms, internet, reception etc) Other Zonal Offices (Year Two onwards) Jinja, Soroti and Hoima offices

Key Year One Activities Project Start-Up Activities Staffing Office set up Work plan, PMP, logo and branding and marking plan Rapid district assessments Integrated project communication plan IR 1: Malaria prevention New policies for IPT and LLINs District communication toolkits developed for MIP (and LLIN use) IPTp strengthened in 13 districts LLIN distribution system designed LLIN mass campaigns as directed by NMCP/PMI (not budgeted for)

Key Year One Activities IR 2: Malaria diagnosis and treatment HBMF with ACTs supported in 5 districts Severe malaria management strengthened in 5 districts Diagnostic strengthening (laboratory focus) Supportive supervision strengthened in 13 districts Community mobilization methodology and training materials developed IR 3: NMCP capacity building M&E Officer seconded to NMCP NMCP M&E plan and updated database Capacity building plan for NMCP staff Strengthened coordination among national malaria partners

Key Year One Activities Project M&E PMP and results framework Data collection tools and database Quarterly and annual reports

District UP- HOLD Total Population (2007) Expected Pregnancies Children < 5yrs HOSP IV III II all HF Pregnancies over 4 yrs KAYUNGA 320,000 16,000 64,640 1 2 8 12 23 72,594 KIBOGA 277,400 13,870 56,035 1 2 13 23 39 62,930 LUWERO 1 381,300 19,065 77,023 1 3 19 31 54 86,500 MASAKA 797,400 39,870 161,075 3 8 18 51 80 180,894 MITYANA 1 283,400 14,170 57,247 1 3 12 29 45 64,291 MPIGI 430,000 21,500 86,860 2 2 29 28 61 97,548 MUBENDE 1 499,500 24,975 100,899 1 2 11 32 46 113,314 MUKONO 892,600 44,630 180,305 5 4 23 42 74 202,491 NAKASEKE 1 159,200 7,960 32,158 2 1 7 10 20 36,115 NAKASONGOLA 138,700 6,935 28,017 1 1 10 19 31 31,465 RAKAI 1 435,600 21,780 87,991 2 2 22 61 87 98,818 SSEMBABULE 195,600 9,780 39,511-2 7 15 24 44,373 WAKISO 1 1,096,000 54,800 221,392 4 5 32 57 98 248,633 TOTAL 6 5,906,700 295,335 1,193,153 24 37 211 410 682 1,339,966

Year One: Population to reach Population: 5.9m Under-fives: 1.2m Pregnant women: 0.3m Health facilities: 682 Budget: $1.6m (27 cents per person)

Support to NMCP M&E Specialist seconded to NMCP Review and finalize M&E plan Develop consensus for costed implementation plan Review capacity of MNCP M&E sub-unit team Identify training needs and develop capacity building plan Conduct on-the-job and formal training sessions

Support to NMCP Assess and strengthen NMCP s current support supervision system Procure IT equipment Improve data management and utilization at the district level (HMIS) Improve ITN monitoring system