1. 6th NTD STAG Global Working Group Meeting on M&E of Preventive Chemotherapy 9-11 February 2015 Salle B, Geneva NTD PCT M&E Western Pacific Region WPRO/MVP/NTD: N Dayanghirang, P Aratchige, E Christophel

2. WHO Western Pacific Region 28 of 37 countries & areas are endemic for one or more NTDs

3. Highlights from the Region - 1 Niue, Palau and Vanuatu submitted dossiers on the elimination of lymphatic filariasis as a public health problem –Cambodia, Cook Islands, Marshall Islands and Viet Nam will prepare dossiers in 2015 Papua New Guinea successfully conducted the 1 st LF MDA in New Ireland Province Solomon Islands successfully started 1 st school based deworming in the capital city in 2015

4. Highlights from the Region - 2 New Caledonia conducted LF evaluation in 2013. The current LF status of Malaysia and Brunei Darussalam will be examined in 2015. Tonga to start deworming in 2015 WASH and NTD (SCH) integrated activities to be piloted in Cambodia, Lao People’s Democratic Republic and Philippines

5. Highlights from the Region - 3 WP RPRG has reorganized and strengthened the ways of working to more effectively support countries. WPRO to keep members update through a newsletter. Through the regional meeting of WHO Collaborating Centers, support for NTDs strengthened and expanded (eg to Buruli ulcer). Western Pacific Regional Training on Integrated Neglected Tropical Diseases Programme Management was organized in Manila, 19-23 January 2015, which trained 24 nominees from 19 national NTD programmes

6. Western Pacific Regional Training on Integrated NTD programme management

7. NTDs amenable to PC in WPR - 1 Lymphatic Filariasis –Eliminated (3): China, Republic of Korea, and Solomon Islands –Dossier submitted (3): Niue, Palau and Vanuatu –Preparing dossiers (4): Cambodia, Cook Islands, Marshall Island, and Viet Nam –Post MDA (4): American Samoa, Kiribati, Tonga, Wallis and Futuna –MDA (11): Brunei Darussalam, Fiji, French Polynesia, Lao People’s Democratic Republic, Malaysia, Federated States of Micronesia, New Caledonia, Papua New Guinea, Philippines, Samoa, Tuvalu

8. : MDA : Eliminated : Post-MDA : Verification : Not started 2014 LF Endemicity and Active Programmes

9. NTDs amenable to PC in WPR- 2 Soil Transmitted Helminths –Mapping done, PC not started (2): Nauru and Tonga –PC started (7): China, Cook Islands, Fiji, Federated States of Micronesia, Philippines, Solomon Islands and Viet Nam –Reached target (6): Cambodia, Lao People’s Democratic Republic, Kiribati, Marshall Islands, Tuvalu and Vanuatu –Papua New Guinea, Samoa

10. : Endemic Soil-transmitted helminthiases : Active programme 2014

11. NTDs amenable to PC in WPR - 3 Schistosomiasis: China, Cambodia, Lao People’s Democratic Republic and Philippines Food-borne trematodes: China, Cambodia, Republic of Korea, Lao People’s Democratic Republic, Philippines and Viet Nam Trachoma: Australia, Cambodia, China, Fiji, Kiribati, Lao People’s Democratic Republic, Nauru, Papua New Guinea, Solomon Islands, Vanuatu and Viet Nam Yaws: Papua New Guinea, Solomon Islands, Vanuatu

12. NTD Partnerships in the WPR The Region has a large number of partnerships for NTDs However, a significant gap exists between the resources needed for the required scale up and the resources mobilized The Region requires continuous engagement with existing and new stakeholders to mobilize resources Coordination needs strengthening Asian Development Bank Bill and Melinda Gates Foundation Children Without Worms Eisai Fit for School/GIZ GAELF GNNTD Government of Japan GSK James Cook University JICA Johnson & Johnson NTD Support Centre RNAS+ Seoul National University Task Force for Global Health World Vision Australia USAID/FHI US-CDC And others.

13. Partners Funding: ADB, BMGF, Gov’t of Japan, JICA, Gov’t of Korea, USAID Drug Donations: Eisai, GSK, J&J, Merck, World Vision Australia Technical and Research: CWW, JCU, RNAS+, SNU, NTD Support Center, Task Force for Global Health, UNSW, USCDC Implementation: Fit for School, FHI360 Advocacy: GAELF, GNNTD

14. Sources of Support for WPR NTD Programmes Internal funding –Fully funded: AUS, BRU, CHN, KOR, MAA, FRP, ASM –Partly funded: all other countries with active programmes, at least in-kind contribution External funding –KCDC, Japan and USAID –NGOs

15. What happens if Investment is not made? Human suffering Disability Reversal of gains Continuing poverty Impeding development

16. Update on Progress of Treatments delivered, WPR, 2013 LFSTHSCHFBT # Requiring PC 11174/4At least 4 # Reported implementing PC 67 (SAC) and 7 (Pre-SAC) 33 # Persons treated 16 469 926 5 164 358 Pre-SAC 10 606 239 SAC 219 310131 845 Range of national coverage 68 – 92%6 – 100% PreSAC 5 – 99% SAC 44.3 – 100%

17. Impact Assessments, LF, WPR, 2013/2014 TypeWhereResults TAS 3Marshall Islands (2014)0% (0/1287) Cook Islands (2014)Passed (?/1996) TAS 1Kiribati (2014)Passed Fiji (2014)2 EUs passed Samoa (2013)2 of 3 EUs passed

18. PCT Data Management Practices - National M&E capabilities/capacity oSome capacity in place for LF, STH and SCH programmes oOther NTDs very weak oNTD programme staff need training on M&E oLack of standardized reporting forms and databases Flow and reporting of data oNeed to strengthen information from non-MoH sources oLittle information on efficiency and effectiveness Feedback mechanisms oUnknown how data goes from national programmes to district/IU level

19. PCT Data Management Practices – Regional M&E capabilities/capacity oRegional action plan 2012-2016 includes indicators, definitions, and targets oShortage of NTD staff in the Region Flow and reporting of data oSubmission of annual JAP provides information on coverage, prevalence, and impact o2013 data was presented during the 14 th RPRG meeting. Revisions are still coming. 2014 data is still incomplete. Feedback mechanisms oCommunication through WHO country offices oThrough programme managers meetings

20. PCT Data Quality Timeliness: oMost annual reports are in by July oUpdated reports sent throughout the year Completeness: oJAP requires programme managers to complete the information requested for LF, STH and SCH oDifficulty in reflecting the information from SCH programmes (as they target all ages at risk in endemic areas) oFBT is not reported through JAP Accuracy/validity: oVery few countries conducting coverage surveys Integrity: oConfidentiality and ownership issues including publication of the data/information - not yet addressed

21. Programme Evaluation RPRG annual meeting to review the progress in the Region National: –SCH review in Philippines, Cambodia and Lao PDR (2012) –STH reviews in Philippines and Viet Nam postponed

22. Priority M&E needs - 1 Regional needs –Training on integrated NTD M&E –Secure WHO posts: Regional NTD focal point Pacific Subregional NTD focal point Regional NTD M&E person

23. Priority M&E needs - 2 National needs –In general, as countries start to develop dossiers M&E needs increase both in “verification” and post MDA and post elimination surveillance –Philippines: Harmonize NTD databases and develop SCH M&E plan –PNG: integration of NTD M&E (i.e. LF, leprosy, STH, buruli ulcer) –M&E on intersectoral collaboration (i.e. animal health, education, WASH)

24. Victory in 2013/2014? Philippines –Population requiring LF MDA 21.8 million (2013) reduced from 29 million (2012) –Treated 17.4 million (2013) reduced from 18 million (2012) –79.8% (2013) coverage from 62%(2012) –Also started to prepare dossier with assistance from partners (RTI) Papua New Guinea –Conducted 1 st LF MDA in New Ireland Province (2014) Fiji – similar to Philippines

25. Thank you 18 www.wpro.who.int