Background Stop Malaria is the flagship USAID/PMI malaria project in Uganda Goal: To assist the Government of Uganda in reaching the PMI and Roll Back Malaria (RBM) goal of reducing malaria-related mortality by 70% by 2015 Geographic focus: Central, Hoima and Teso regions (34 districts)
Prevention Case management Capacity building ITN distribution IPTp Diagnosis Severe malaria HMIS Support supervision Behavior change communication NATIONAL DISTRICT. HF & CMTY Scope Policy and coordination
9+ POLICIES AND GUIDELINES DEVELOPED
Integrated Malaria Control Policy (2011) Malaria Program Review (2011) and Mid-Term Review (2014) National Implementation Guidelines for Parasite- Based Diagnosis for Malaria (2013) Integrated MiP Manual and ANC LLIN Distribution Guidelines (2011) Data Quality Assessment Guidelines (2012) Data Use Training Manuals (2012) NMCP Planning (Annual Work Plan 2011/12 & 2012/13), Strategic Plan 2010/15, M&E Plan 2010/15, 3 year plan 2010/13)
INCREASED IPT2 UPTAKE (HMIS ) IPT2 uptake increased from 39% in Year 1 to 60% in Year 7.
INCREASED TESTING RATES Testing among children under five increased from 44% in Year 3 to 81% in Year 7.
IMPROVED HMIS REPORTING
IMPROVED HMIS REPORTING (2) Complete reporting of HMIS data from district to national level increased from 65% in Year 2 to 99% in Year 7.
INCREASED NET USE AND TREATMENT- SEEKING BEHAVIORS THROUGH BCC Those exposed to the “Stop Malaria in Your Community” campaign were more likely to sleep under a net and seek treatment for malaria. The Music, Dance and Drama competitions reached over 8 million school children with malaria messages. (Joint BCC Survey 2012)
MAXIMIZED THE IMPACT OF PROVEN INTERVENTIONS THROUGH BCC Providers exposed to T&T were more likely to test children, adhere to test results and communicate better with caregivers. Exposure to T&T associated with increased trust in negative test results among caregivers. Exposure to the net care and repair campaign associated with having a net in usable condition..
Lessons Learned District-led DQA and availability of new HMIS tools is critical to improved HMIS quality. Availability of IPTp commodities and trained ANC health workers increase IPTp uptake. Supervision and mentorship improves health worker’s practices. High-level leadership put malaria prevention on national headlines.
Challenges Faced Some gaps like shortages in staffing, blood for transfusion of severe anemia cases, and occasional stock-outs affect malaria services. These were beyond the means of health facilities or SMP to address. Lack of appropriate HMIS tools at the lower level affects the quality of data and consequently decision making. Limited monitoring of policy implementation at lower levels by national level supervisors.
Recommendations Integrate project activities into district planning. Monitor policy implementation at facility level. Increase the focus on communities. Discuss and use the data to target high burden communities and low-performing facilities. Scale up ANC and other continuous distribution channels to ensure uninterrupted universal coverage.
Conclusion SMP has laid a foundation for malaria control efforts. – Encouragingly high coverage for nets, testing and IPTp – Complete and timely HMIS reporting – Development and roll out of key policies – Improved knowledge and skills of HW and families NMCP, districts and partners should consolidate gains. – Utilize lessons from the evaluations & review meetings. – Ensure commodities are continuously available – Use improved testing rates to identify and reach communities with the highest burden