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Progress of RBM Implementation in Sudan

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Progress of RBM Implementation in Sudan

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    1. FIFTH INTERCOUNTRY MEETING OF NATIONAL MALARIA PROGRAMME MANAGERS COUNTRIES OF MODERATE TO HIGH MALARIA ENDIMICITY CAIRO, EGYPT 29 31 MAY ?2005 Progress of RBM Implementation in Sudan Dr E. M. Malik (NMCP) Dr A. Suliman (Gazera) Dr M. Wais (WHO/RBM) Khartoum, May 2005

    2. FIFTH INTERCOUNTRY MEETING OF NATIONAL MALARIA PROGRAMME MANAGERS COUNTRIES OF MODERATE TO HIGH MALARIA ENDIMICITY CAIRO, EGYPT 29 31 MAY ?2005 Malaria Burden

    3. FIFTH INTERCOUNTRY MEETING OF NATIONAL MALARIA PROGRAMME MANAGERS COUNTRIES OF MODERATE TO HIGH MALARIA ENDIMICITY CAIRO, EGYPT 29 31 MAY ?2005

    4. FIFTH INTERCOUNTRY MEETING OF NATIONAL MALARIA PROGRAMME MANAGERS COUNTRIES OF MODERATE TO HIGH MALARIA ENDIMICITY CAIRO, EGYPT 29 31 MAY ?2005 Case management - drug efficacy studies , drug policy CQ to ACT ASU+SP, ART+LUM.. ART or Q Artesunate Supp Pregnancy: Efficacy studies: 4 sites for ASU+SP 2 sites for ART+LUM Evidence-based change COHRED Printing and distribution of guideline booklets and posters Training at all level

    5. FIFTH INTERCOUNTRY MEETING OF NATIONAL MALARIA PROGRAMME MANAGERS COUNTRIES OF MODERATE TO HIGH MALARIA ENDIMICITY CAIRO, EGYPT 29 31 MAY ?2005 ACT availability and affordability 1st line: ASU+SP Public: CMS, RDF (Khart.) Private: 3 companies Two local manufactures 2nd line: ART+LUM Public and private ASU sup. One company 1st line price: Children: $2 -3.2 Adult: $3 -4 Major cities at states/ localities GFATM R2R5

    6. FIFTH INTERCOUNTRY MEETING OF NATIONAL MALARIA PROGRAMME MANAGERS COUNTRIES OF MODERATE TO HIGH MALARIA ENDIMICITY CAIRO, EGYPT 29 31 MAY ?2005 3 X 3: An active approach to improve microscopy 2. Intervene: Training supervision S&E A: 2 visits/ year, Supplies B: 4 visits/ year, 4 days training and S&E. C: 6 visits/ year, 6 days training and S&E

    7. FIFTH INTERCOUNTRY MEETING OF NATIONAL MALARIA PROGRAMME MANAGERS COUNTRIES OF MODERATE TO HIGH MALARIA ENDIMICITY CAIRO, EGYPT 29 31 MAY ?2005 Vector control interventions ITNs 2004: 165,000 LLNs Unicef and WHO 5 states (map) Private sector: 270,000 ITNs NGOs 2005: 180,000 LLNs from unicef GF: 300,000 LLNs Private

    8. FIFTH INTERCOUNTRY MEETING OF NATIONAL MALARIA PROGRAMME MANAGERS COUNTRIES OF MODERATE TO HIGH MALARIA ENDIMICITY CAIRO, EGYPT 29 31 MAY ?2005 Vector control interventions IRS and others IRS implemented as planned in 4 areas out of 6 Larviciding continued in urban areas Larvivarous fish (Gambusia affinis): Irrigated areas Khartoum: depends on it by 70%... Inter-sectoral committee formedbut no meetings yet Integration with other communicable diseases at district level July 2005

    9. FIFTH INTERCOUNTRY MEETING OF NATIONAL MALARIA PROGRAMME MANAGERS COUNTRIES OF MODERATE TO HIGH MALARIA ENDIMICITY CAIRO, EGYPT 29 31 MAY ?2005 Epidemics control Weekly reports from sentinel sites.. Buffer stock Forecasting project No epidemics detected in 2004

    10. FIFTH INTERCOUNTRY MEETING OF NATIONAL MALARIA PROGRAMME MANAGERS COUNTRIES OF MODERATE TO HIGH MALARIA ENDIMICITY CAIRO, EGYPT 29 31 MAY ?2005 Strengthening malaria M&E National M&E workshop Regional workshop Focal point for M&E: National and 4 states M&E plan and indicators developed Workshop to endorse Planned surveys: GF base-line survey. PAPFAM: ???

    11. FIFTH INTERCOUNTRY MEETING OF NATIONAL MALARIA PROGRAMME MANAGERS COUNTRIES OF MODERATE TO HIGH MALARIA ENDIMICITY CAIRO, EGYPT 29 31 MAY ?2005 Partnership, resource mobilization and advocacy 68% of planned budget received 60% of budget from GOS at all level Community paid for dugs (almost 50% of budget) GFATM R2

    12. FIFTH INTERCOUNTRY MEETING OF NATIONAL MALARIA PROGRAMME MANAGERS COUNTRIES OF MODERATE TO HIGH MALARIA ENDIMICITY CAIRO, EGYPT 29 31 MAY ?2005 Partnership, resource mobilization and advocacy: Africa Malaria Day

    13. FIFTH INTERCOUNTRY MEETING OF NATIONAL MALARIA PROGRAMME MANAGERS COUNTRIES OF MODERATE TO HIGH MALARIA ENDIMICITY CAIRO, EGYPT 29 31 MAY ?2005

    14. FIFTH INTERCOUNTRY MEETING OF NATIONAL MALARIA PROGRAMME MANAGERS COUNTRIES OF MODERATE TO HIGH MALARIA ENDIMICITY CAIRO, EGYPT 29 31 MAY ?2005 Malaria control at border areas: distribution of 20,000 LLNs

    15. FIFTH INTERCOUNTRY MEETING OF NATIONAL MALARIA PROGRAMME MANAGERS COUNTRIES OF MODERATE TO HIGH MALARIA ENDIMICITY CAIRO, EGYPT 29 31 MAY ?2005 Malaria control at border areas: Collaboration with Egypt

    16. FIFTH INTERCOUNTRY MEETING OF NATIONAL MALARIA PROGRAMME MANAGERS COUNTRIES OF MODERATE TO HIGH MALARIA ENDIMICITY CAIRO, EGYPT 29 31 MAY ?2005 Human Resource Development Recruitment of basic required staff at 19 States Integrated CDC at 30 district (in 5 states) Higher Diploma in Malariology at BNRTI: 65% of State coordinators Current patch (5 from the south) At last two years on the job Msc offers for those willing Regional training at Iran.. Ongoing on-the-job training Others training Malaria Microscopy at Sinnar Continued Staff Development at all levels: Quarterly planning review meetings Reading assignment on specific malaria topic on monthly basis.assessment with voluntary exam.

    17. FIFTH INTERCOUNTRY MEETING OF NATIONAL MALARIA PROGRAMME MANAGERS COUNTRIES OF MODERATE TO HIGH MALARIA ENDIMICITY CAIRO, EGYPT 29 31 MAY ?2005 Operational research Monitoring AMD resistance 6 sites (ASU+SP/ ART+LUM) Monitoring AMD resistance 2 states (all insecticides) EMRO/TDR grants Treatment-seeking behaviour ITNs SIT: Tropical institute, IEA, NMCP Biological control: Effects of environmental and ecological activities on the use of G. affinis in Gazera irrigated area Others: Support for students and researchers

    18. FIFTH INTERCOUNTRY MEETING OF NATIONAL MALARIA PROGRAMME MANAGERS COUNTRIES OF MODERATE TO HIGH MALARIA ENDIMICITY CAIRO, EGYPT 29 31 MAY ?2005 Conclusion Achievements Sustaining political and partner interest Malaria free areas Khartoum and Gazera Drug change policy Systematic distribution of LLNs through COMBI Capacity building Increased access to south IPT, ACT Challenges / the way forward Improving access to ACT Free malaria treatment HMM Improving malaria diagnostic facilities Meeting the demands after peace agreement in the south

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