1. 1 Roadmap to Achieve 31.12.2011 RBM Targets ERITREA January 2011 – December 2011

2. 2 Country Summary (Interventions & Services) Population at Risk: 2.73 million Interventi on Operational objectives/targets for 2011 Need to end 2011Already covered Funded and expected to be distributed before end of 2011 Commodity Gap (Quantity) Financial Gap (USD) LLINs (Universal Access) To achieve universal coverage 1 net for 2 persons for the community and one net each for pregnant women * Define how universal coverage target was calaulated e.g. 1 net for 1.8 persons Mass Campaign: Total number of nets required to reach the operational target 1,091,000 nets Mass Campaign: 274,406 nets # based on number of nets already distributed in last three years Mass Campaign: Total number of nets for which financing is already pledged 1,091,000 nets No GapNo gap Routine distribution: Total number of nets required to reach pregnant women through ANC = 109,000 nets ) Routine distribution: 109,290 nets distributed through ANC # based on number of nets already distributed in last three years Routine distribution: Total number of nets for which financing is already pledged 109,000 for ANC No GapNo gap Total nets needed in 2011 = 1.2 million Total nets already distributed = 383,696 Total nets where financing is already pledged 1.2 million No gap

3. 3 Country Summary (Interventions & Services) Interventi on Operational objectives/targets for 2011 Need to end 2011 Already covered Funded and expected to be distributed before end of 2011 Commodity Gap (Quantity) Financial Gap (USD) ACTs To sustain Universal coverage* of malaria treatment with ACTs) Coverage target is the whole population. *define universal coverage target e.g. whole population, population treated through the public health services and private sector etc) Total number of doses to be made available during the year 190,997.9 Doses already in stock (2,975 doses) Number of doses for which financing is already pledged or committed 190,997.9 No gap

4. 4 Country Summary (Interventions & Services) (Cont'd ) Interventio n Operational objectives/targets for 2011 Need to end 2011 Already covered Funded and expected to be distributed before end of 2011 Commodity Gap (Quantity) Financial Gap (USD) IRSDefine target coverage by country To sustain coverage of 90% of the targeted population through spraying of 75,000 structures total number of structures to be sprayed = 75,000 protecting 90% of the population 300,000 people at risk of malaria $16 per structure sprayed. 1.2 million No gapNo Gap RDTs and microscopy To sustain universal coverage* of parasitological diagnosis of suspected malaria cases Coverage is whole population including malaria suspected cases from community and facility levels. *define coverage target e.g. whole population, population treated through the public health services and private sector etc 9,943 of 30 tests 12,200 of 30 tests 9,943 of 30 tests No Gap 100,000Microscopy tests already in stock Number of microscopy tests for which financing is already pledged or committed No Gap 100,00050,000100,000No Gap

5. 5 Country Summary (Interventions &Services) (Cont'd ) InterventionOperational objectives/targets for 2011 Need to end 2011 Already covered Funded and expected to be distributed before end of 2011 Commodity Gap (Quantity) Financial Gap (USD) IPTpNA

6. 6 Country Summary (Cross cutting issues) InterventionOperational targets/Objectives for 2011 Strategies/ActionsResource requirement (USD) Available budget (USD) Budget Gap (USD) M&E Surveillance, monitoring and evaluation Supervision, training, meeting, etc 1,000,000 No Gap BCC/IECBCC Community outreach and mass media, etc. Sensitizing people through different channels 490,000 No Gap Human Resources (Cap Bldg) Health workforce,trainings1.46 million No Gap Insert others as required e.g. CSS, HSS, OR HSS/Service deliveryInformation system, service delivery, med. Products, vaccines and technology, 3 million No Gap

7. 7 Assumptions for calculating the needs (Quantity and Funding) to achieve 2011 Targets Justify the assumptions used for calculating the targets e.g. Universal Coverage for LLINs is planned at the end of Year 3 (2013) therefore a pro-rata has been calculated for 2011 e.g. Net coverage calculated based on 1.8 persons per net and a net attrition rate of 8% year 1, 20% year 2 and 50% year 3; routine nets based on 90% of pregnant women accessing ANC Parasitological diagnosis targets all age groups with 20% microscopy and 80% RDTs targeting 100 % of population attending public health services (includes health facilities and community case management)

8. 8 Implementation Plan - LLINs Major action / Output / Milestone TIMEFRAME JFMAMJJASOND Meetings at zonal and sub-zonal levels with administrators, health workers and other implementing partners XX Campaigns to the public by mass media & through seminarsXX Distribution of LLINs to ZonesXXXX Distribution of LLINs to the communityXXXX Distribution of LLINs to ANC attendeesXXXXXXXXXXXX

9. 9 Implementation Plan - IRS Major action / Output / Milestone TIMEFRAME JFMAMJJASOND Procurement of Insecticide/DDTXX Training of track drivers and store keepersX Distribution of insecticide to the zonesXX Training of sprayersXXX Spraying of structuresXXX Compilation of reportsX

10. 10 Implementation Plan – Case Mgt Major action / Output / Milestone TIMEFRAME JFMAMJJASOND Procurement of ACTs, quinine, primaquine and RDTsXXX Production and distribution of treatment guidelines and chartsXXXXXX Refresher training of health workers on case management of uncomplicated and severe malariaXXXXXX Strengthening of pharmaco-vigilance systemXXXXXXXXXXXX Training of CHAs and Malaria Women Action Groups on diagnosis and treatment of malariaXXXXXX

11. 11 Implementation Plan – IPTp Major action / Output / Milestone TIMEFRAME JFMAMJJASOND NA

12. 12 Implementation Plan – Cross cutting Major action / Output / Milestone TIMEFRAME JFMAMJJASOND M&E (Plan and undertake Lot Quality Assurance Survey (LQAS) )XXX Procure and distribute 20 ambulancesXXX Diploma studies in Public HealthXXXXXXXXXXXX Provide Internet Services to the staff at the MoH HQs.XXXXXXXXXXXX

13. 13 LLIN resources available to achieve the 2011 targets (including timing of disbursements) Funds available (USD)Source of funding CommentTIMEFRAME JFMAMJJASOND Funds [$6,180,650] to procure [1,236,130] of LLINs GFATM Malaria Rds 6 & 9 $5,582,505 GF9+ $598,145 GF6] [1,116,501GF9+ 119,629 GF6] LLINs XXXXXX Funds ($1,236,130) to deliver (1,236,130) LLINs GFATM Malaria Rds 6 & 9 One dollar for each netXXXXXX Case Management resources available to achieve the 2011 targets Funds available (USD)Source of fundingCommentTIMEFRAME JFMAMJJASOND Funds to procure [190,997.9 doses] of ACTs ($ 132,986) GFATM Rd 6For procurement and distribute XXX Funds to deliver (190,997.9 doses) of ACTs GFATM Rd 6Fund included in the above line XXX Funds to procure [9,943 of 30 tests Rd6] of RDTs GFATM Rd 6The fund is $ 268,986 XXX Funds to deliver (9,943 of 30 tests Rd6.) of RDTs GFATM Rd 6Fund included in the procurement. XXX

14. 14 IRS resources available to achieve the 2011 targets Funds available (USD)Source of fundingCommentTIMEFRAME JFMAMJJASOND Funds [$ 1.2 million] to spray 75,000 structures GFATM Rds 6 & 9Cost includes all operational activities XXXXXXXXXXXX IPTp resources available to achieve the 2011 targets Funds available (USD)Source of fundingCommentTIMEFRAME JFMAMJJASOND NA Cross-cutting resources available to achieve the 2011 targets Funds available (USD)Source of fundingCommentTIMEFRAME JFMAMJJASOND $ 3,000,000GFATM Round 93 components of HSS XXXXXXXXXXXX $1.46 millionGFATM Rds 6 & 9Capacity building XXXXXXXXXXXX

15. 15 Summary of technical assistance needs to end 2011 Area of Need Type of support requiredResources available Source of funding TIMEFRAME JFMAMJJASOND LLINs IRS Looking for Alternative insecticide to DDT RBM/WHOXXXXXXXXXX ACTUpdating of AMDs guidelineGFATMWHOXXX RDTs/micro scopy To determine the quality of the existing RDTs RBM/WHOXXX Cross cutting Evaluation of the existing communication strategy & malaria promotional messages & materials GFATMWHOXXX Program Managemen t/Partnership s GF Grant Implementati on other1 Insectary/Entomology & Epidemiology experts 2 compilation/documentation of 10 years’ malaria report (achievements) 1 GFATM Malaria Rds 6&9 2 1 GFATM Malaria Rds 6 &9 2 RBM/WHO XXXXX XXXX XXXX XXXXXXXX

16. 16 Summary of rate-limiting factors/solutions over the next 12 months - threats Potential threats to achieving targets 1 Technical experts on Entomology & Epidemiology 2 Entomology/Insectary equipments for the three entomology labs. 3 Cross-border malaria issues 4 Concerns of complacence of the public considering the dramatic reduction of malaria over the last ten years. 5 QA/QC issues regarding quality issues of insecticides and LLINs in particular. 6 7 8