1. Swaziland Ministry of Health Swaziland’s Roadmap to Achieve RBM Targets January-December 2011

2. Country Summary InterventionObjectives 2011Need to 2011 Already covered Expected before end of 2010 Gap LLINs (Universal Access) To ensure vector control coverage in all households in malarias regions through the Indoor Residual Spraying (IRS) and Long- Lasting Insecticide-Treated Nets (LLINs) Distribution campaign 91,72521,74469,981 (GF)0 ACTs To improve case management by treating all RDT- or microscopy-confirmed malaria cases with ACT 4,375 doses2,460 doses1,917 doses0 IRS To decrease malaria morbidity and mortality by suppressing vector activity and interrupting malaria transmission Insecticides, equipment and human resource 93,003 structures >100,000 structures41,095 RDTs To improve case management by treating all RDT- or microscopy-confirmed malaria cases with ACT Malaria Bundles 9,500 250 9,500 101 6,000 99 0000 IPTpN/A M&E The objective of an M&E system is to enable the effective management of a programme MIS82,620 0 BCC/IEC To provide the total population and travellers with malaria IEC Population in malaria risk area 38,032.110 Human Resources To strengthen programme management and implementation of intervention (financial need)3,382,4833,382,4820

3. Implementation Plan - LLINs Period Major action/output/milestoneQuantities/Amount January Summary of previous season (stock count, etc)-4 Quarter 69,981 February Quantification and specification March Prepare and send requisition for Tendering91,725 April Procurement of LLINs91,725 May Delivery of LLIN June Procurement of protective clothing, engagement of net distributors 18,000 (USD) for 12 net distributers July Conduct community mobilization campaigns30,000 (USD) for IEC materials August Training of net distributors and spraying and LLIN distribution commences September-December Spraying and distribution

4. Implementation Plan - IRS Period Major action/output/milestoneQuantities/Amount JanuarySpraying from previous year continues 120,000 (USD) salaries FebruarySpraying ends MarchStock count of existing insecticide AprilServicing of equipment MayTendering process (submission, evaluation) JuneAppear before the tender board committee JulyOrdering of insecticides and equipment 09,589 (USD) for insecticides AugustEngagement of spray personnel 34 spray personnel SeptemberConduct community sensitization campaign 1 per locality OctoberSpraying continues 1,000,000 (USD) salaries, car maintenance, fuel November-DecemberSpraying continues

5. Challenges 2010-2011 Late disbursement of funds delay implementation of planned activities thus targets are not met Lengthy tendering, procurement and delivery processes Staff attrition Lack of availability of local suppliers to procure commodities like LLINS, ACTs as well as RDTs Lack of data reporting tools for consumption of commodities

6. Technical Assistance Needs 2010-2011 Area of NeedType of support requiredFrom WhoBy LLINsDevelopment of LLIN guidelinesOctober 2010WHO IRSDevelopment of IRS guidelinesOctober 2010WHO ACTTechnical assistance on development of database system for ACT/ RDT consumption October 2010WHO Case ManagementTechnical assistance on how best to engage private sector on case management protocols December 2010WHO Case ManagementCapacity building course for case management coordinator January-December 2011WHO Program Management/ Partnerships Programme review Technical assistance on MIS report writing due in November 2010 August-September 2011 November 2010 WHO/ SARN/ SADC