1 Roadmap to Achieve RBM Targets NIGERIA January 2011 – December 2011

2 Country Summary (Interventions & Services) Population at Risk: 164m Intervention Operational objectives/target s 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 maintain universal coverage by m nets to be distributed in Universal coverage calculated based on 2 nets per household(Average of 5 persons per household) Mass Campaign: 9.2miliion nets need to be distributed to reach the operational target.(Secured funding for nets) Mass Campaign: 53,081,919 nets are already in- country. Mass Campaign: Funding secured for 9.2m nets Mass Campaign: Number of nets for which financing has to be mobilized to achieve the operational target within 2011=None Include funding total gap=None Routine distribution: 8,202,740 nets to be distributed to Pregnant women and Children <5 through ANC and with routine EPI. Routine distribution: Not significant Routine distribution: Funding available for 8,202,740 nets Routine distribution: Number of nets for which financing has to be mobilized to achieve the operational target within 2011=None Include funding total gap=None Total nets needed in 2011 = 8,202,740 Total nets already distributed = 24,023,826 Total nets where financing is already pledged =8,202,740 nets Total gap (number) =None Total gap (US$)=None

3 Country Summary (Interventions & Services) Intervention 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) ACTsTo expand coverage of malaria treatment with ACTs to 80% of 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 is 107,461,946 ( 42,984,778 public, 64,477,168 private) 61,504,216 Number of doses for which financing is already pledged or committed 61,504,216 doses fully funded 45,957,730 doses additional financing has to be mobilized to achieve the planned operational target 41,554,977

4 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) IRSDefine target coverage by country= Total number of sprayable structure in the targeted area. To sustain coverage of 12%of the population through spraying of 3,277,687 Households The total number of structures to be sprayed protecting 12% of the population The cost per household sprayed.=$10 The number of structures which can sprayed using existing resources =3,277,687 Households Total number of structures for which financing is already pledged or committed =3,277,687 Households Number of structures for which additional financing has to be mobilized to achieve the planned operational target = None None RDTs and microscopy To expand coverage of parasitological diagnosis to 40% of whole population *define coverage target e.g. whole population, population treated through the public health services and private sector etc 42,984,779 RDTs Total number of RDTs to be made available during the year 21,903,671 Number of RDTs already pledged or committed 21,903,671 21,081,10820,000,000 Number of microscopes to be made available during the year 811 microscopes (for est. 10,746,195 tests in 2011) Microscope s already in stock 177 microscop es (est 3,230,250 tests in 2011) Number of microscopes for which financing is already pledged or committed 811 microscopes No. of microscopy tests for which additional financing has to be mobilized to achieve the planned operational target Nil Total diagnosis target 53,730,974 tests total diagnostics already in stock 21,616,592 tests Total diagnostics already pledged 53,730,974 tests Total gap in diagnostics Nil

5 Country Summary (Interventions &Services) (Cont'd ) InterventionOperational 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) IPTp To expand coverage to 80% of all pregnant women (if Universal coverage still not feasible within 2011) Total number of doses to be made available during the year to cover 80% of pregnant women 19,850,335 doses Doses already in stock N/A Number of doses for which financing is already pledged or committed 5,900,097 doses (WB, 2010, 2011) Number of doses for which additional financing has to be mobilized to achieve the planned operational target 13,950,238 doses $7,440,126

6 Country Summary (Cross cutting issues) Interventi on Operational targets/Objectives for 2011 Strategies/ActionsResource requireme nt (USD) Available budget (USD) Budget Gap (USD) M&E 80% of selected health facilities submitting timely and complete reports To strengthen the existing Joint M&E Framework and build capacity of the management structures to support the increased scope due to scale up in order to ensure improved results based monitoring. Strengthen routine data generation and flow from public/private facilities and communities to NHMIS Strengthen capacity for M&E at all levels Scale up support and networking for data generation and reporting from the community to health facility, LGA, state and federal levels. Strengthen data generation and sharing from periodic surveys 10,766,994 7,056,002 3,710,992 BCC/IECTo reach 80% population (Gate keepers, Individuals, Families, Communities) with BCC messages to improve positive behaviour change for malaria control interventions through advocacy, communication and social mobilization Reach 100% of population with messages on appropriate action for malaria prevention and treatment Advocacy BCC Mass media Outreaches Social mobilization - Post LLIN Campaign 4,662,50051,3154,611,185 Human Resources (Cap Bldg) Insert others as required e.g. CSS, HSS, OR To build the capacity of 175 environment Health officers on waste management in the 7 World bank Assisted states before the end of March, 2011 Environmental impact assessment in the 7 World Bank Assisted States 17,000,000 Nil

7 Assumptions for calculating the needs (Quantity and Funding) to achieve 2011 Targets Justify the assumptions used for calculating the targets LLIN –Pregnant women attending antenatal clinic will receive a LLIN at first attendance and children will receive LLIN on completion of DPT3. –routine nets based on 90% of pregnant women accessing ANC IRS –It is assumed that an average of 3 structures per household with an average of 270m for formal structures and 125m for informal structures and a proportion of 25% for formal structures. RDT/Microscopy –Parasitological diagnosis targets all age groups with 20% microscopy and 80% RDTs targeting 40 % of population attending public health services (includes health facilities and community case management) in 2011 IPTp –2 doses of SP was calculated for 80% coverage for estimated nos. of pregnant women derived as 5% of projected population for 2011 including 15% mark-up for women receiving more than 2 doses and 10% logistic mark-up. A cost of a dose of SP was set at $0.53. BCC –The number of households indicated in the country target for BCC is on the basis of the 90%(2011).It was also assumed that effect of the BCC will be cumulative; hence once the coverage of over 80% persons is attained by 2010, the subsequent BCC activities will be implemented as pockets of reinforcement of information.

8 Implementation Plan - LLINs Major action / Output / Milestone TIMEFRAME JFMAMJJASOND Continued advocacy in States for mass LLIN Campaign XXX Distribution of LLIN during mass LLIN CampaignXXXX Post LLIN Campaign in States -Mop up Campaign -Hang up campaignXXXXX Procurement of LLIN for routine distributionXX Distribution of LLIN for keep up phase during routine immunization, IMNCH week, ANCXXXXXXXXX LLIN Retention surveyXX

9 LLIN resources available to achieve the 2011 targets (including timing of disbursements) Funds available (USD)Source of fundingCommentTIMEFRAME JFMAMJJASOND 1.5m LLINs 2.0m LLINs DFID USAID (PMI, ) xxxxxxxxxxx

10 Implementation Plan - IRS Major action / Output / Milestone TIMEFRAME JFMAMJJASOND Baseline entomological surveyX Identify and conduct TOT for IRS ward level supervisorsX Recruitment and training of IRS Spray teamsX Mobilize communities for house sprayingXX Quantification and procurement of InsecticidesX Spraying in selected LGAsX Post spray entomologic monitoring ( Bio assay tests, residual monitoring)XXXXXX Evaluation survey ( Sentinel sites, KAP survey)XXXXXX Report writing and regular debriefing of IRS activitiesXXXXXXXXX Conduct and evaluation of the IRS programXX Conduct a planning and program reviewX

11 IRS resources available to achieve the 2011 targets Funds available (USD)Source of fundingCommentTIMEFRAME JFMAMJJASOND Funds [USD] to spray [no] of structures 3,277,687 $10 per households= 30,277,687 USD World Bank FGN/MDG State Government xx x x

12 Implementation Plan – Case Mgt Major action / Output / Milestone TIMEFRAME JFMAMJJASOND Request TA from PSM WG to develop harmonized and standardized database to monitor ACTs and RDTs scale upXX Request TA to resolves AMFm and RDT challengesX Mobilize resources to fill financial gap for ACT and RDT requirement.XX Scale up home and community management of MalariaXXXXXXXXXX Request TA to give direction for the establishment of sentinel surveillance sitesX TA for the development of RDT training manualX Improve capacity of health workers to effectively diagnose and treat MalariaXXXXXXX Training of health workers in secondary and tertiary facilities on management of severe malaria XXXXXXX Establish functional referral system for the management of several malaria -Training of PHC workersXXXXXXX Monitor the procurement and supply chain system for ACTs and RDTsXXXX

13 Case Management resources available to achieve the 2011 targets Funds available (USD)Source of fundingCommentTIMEFRAME JFMAMJJASOND Funds to procure [no] of ACTs 107,461,946 doses of ACTs $105,461,946 Enter Financing Organization FGN/MDG/States Global Fund World Bank xxxx Funds to deliver (no) of ACTs $2,636, FGN/MDG/States Global Fund World Bank xxxx Funds to procure [no] of RDTs $42,984,779 FGN/MDG/States Global Fund World Bank xxxx Funds to deliver (no.) of RDTs $5,931,900 FGN/MDG/States Global Fund World Bank xxxx

14 Implementation Plan – IPTp Major action / Output / Milestone TIMEFRAME JFMAMJJASOND Monitor the Procurement and Supply Chain system for Sulphadoxine PyrimethamineXXX Dissemination of policy and guidelines on Malaria in PregnancyXXX TA on Community implementation of IPT in pregnancyXX Meeting to update on orientation Package on Focused Antenatal Care (FANC)X Training of Trainers for National Facilitators on FANC-MIPX Zonal Training of Trainers workshop on FANCxx State training of Doctors and other health care workers providing Obstetrics carex State level training of trainers for ANC staff on MIPx

15 IPTp resources available to achieve the 2011 targets Funds available (USD)Source of fundingCommentTIMEFRAME JFMAMJJASOND Funds to procure [no] of IPTp doses for 8.2m Pw Appr 18,000,000 USD Enter financing Organization WB FGN State Governments DFID PMI xxxx Funds to distribute procure [no] of SP doses $1,800,000 WB FGN State Governments DFID PMI xxxx

16 Implementation Plan – Cross cutting Major action / Output / Milestone TIMEFRAME JFMAMJJASOND x Dissemination of findings and policy implications for 2010 MISx Commemoration of 2011 World Malaria Dayx Post LLIN campaign BCC activities in Statesxx Training of Journalists in Print and News Media on prevention and treatment of Malariaxxxxxx Training of clinic based service providers, religious and community leaders on ACSM(6 zonal training)xxxx Production, distribution and airing of communication support(IEC materials)xxxxxxxxxxxx Advocacy, policy and mass media interventionsxxxxxxxxxxxx Corporate communication and NMCP websitexxxx Operation researchxxxx Quarterly supervisory visit to the States xxxx Data generation and sharingxxx x

17 Cross-cutting resources available to achieve the 2011 targets Funds available (USD)Source of fundingCommentTIMEFRAME JFMAMJJASOND Monitoring and Evaluation 3,639,143 GF WB DFID PMI xxxxxxxxxxxX BCC/IEC 7, 800,000GF WB DFID PMI xxxxxxxxxxxx

18 Summary of technical assistance needs to end 2011 Area of Need Type of support required Resources available Source of funding TIMEFRAME JFMAMJJASOND LLINsNil IRSTraining, Operational Research, Bioassay See below ACTCommunity and Home management of Malaria See belowXx RDTs/Micr oscopyRDT scale up, Operational Research See belowX Cross cutting PSM HWG M&E –Training, Operational Research, See belowx Program Managem ent / Partnershi ps Nil GF Grant Implement ation AMFm – Supply management See belowx Total for TA AS ABOVE545,337GFATMX

19 Summary of rate-limiting factors/solutions over the next 12 months - threats Potential threats to achieving targets Possibility of delay In the release of funds for implementation. Possibility of delay in commodity delivery Surveillance, M&E: Delay and under-reporting Sub-optimal capacity at sub-national levels.