Roadmap to Achieve RBM Targets September 2009 – December 2010

Country Summary InterventionUnits usedNeed to 2010Already covered Funded and expected to be distributed before end 2010 Gap LLINs (Universal Access – avg. 1 net for 2 pp) Nets = 856, ,704(nets distributed ) 436,704436,704, ACTsTreatments299,084,300 tabs No gap RDTsNumber of tests500,000300, ,000 IPTpWomen to be treated 67,345 No gap IRSFinancial / USDUDS 1,341,464.00USD 731,707.40USD 609, M&EFinancial / USDUSD 9,785 BCC/IECFinancial / USDUSD 182, Human Resources (incl Capacity Bldg) Financial / USDUSD 642, Other Population at risk: Please include ALL GF grants (new rounds, Ph II, RCC, etc) under negotiation (*) Please indicate if a grant is under negotiation

LLIN resources available to achieve the 2010 targets FUNDS AVAILABLE (US $)SOURCECOMMENT USD 121,952.00GRNThis amount of funds will depend on the total budget allocated to the Directorate. USD 191,609.00GFATMThis will depend on GFATM - R6 phase two budget approval and the RCC proposal. (*) Please indicate if funds are under negotiation

LLIN Ordering & Distribution to end 2010 Quantities (same as summary)436,704 Procurement datesProcurement will be in Nov Expected deliveryThe consignment expect to be in the country by April 2010 Planned Campaign Date (if applicable) Two weeks mass distribution campaign the last week and first week of July and August 2010 BCC / IEC (dates, types) Will commence in November 09 through out using audio visual, distribution of reading materials and awareness meetings with community and individuals. Community mobilization (dates, types) Will commence in November 2009 and run through out to December 2010 targeting more the malaria endemic regions in the country. Distribution (locations, dates, quantities, etc.) Mass distribution in all 34 health districts country wide for two weeks (the last week of July to the first of week of August 2010), a total of 436,704 will be distributed country wide. Distribution mechanisms (routine, integrated or stand alone campaign, house to house etc.) One mass distribution campaign at points to be identified (July-August 2010) and thereafter continue as routine at no cost through constituencies councilor offices and ANC clinics. Monitoring and evaluation (dates of surveys, types, etc.)

ACT resources available to achieve the 2010 targets FUNDS AVAILABLE (US $)SOURCECOMMENT USD 370,370.37GFATMFunds are available excluded the RCC proposal

Case management ACTs required (Quantity = same as summary. Please explain how calculated) ACT that are required 299,084,300 tabs for adults and children are included. This calculation based on the total number of cases expected to be treated in a year (if the 124,618 are cases expected/year x 24 tabs as a dose + 10% (children they are included in the expected cases to be treated/year, if on tablet is to be break either in half or quarters to fit the doses required for children). RDTs required (Quantity & please explain how calculated) RDTs required 3,115,460 the calculations was done as the above for ACTs, however in terms packs Namibia will requires 124,619 packs of 25 tests. Procurement schedulesBoth ACTs and RDTs the procurement will be in September BCC / IEC (dates, types)November 2009 throughout to December 2010 countrywide and will be carried out by conduct audio- visual shows, awareness meetings with communities, individuals organizations, sensitizations with influential leaders and distribution of printed IEC materials Distribution MechanismsThrough targeted areas such as schools, health facilities, border post and all recognized entry points and to individual community settlement offices, post offices and other public places. Drug Efficacy Monitoring (dates, how) Conducting efficacy studies in the selected health facilities as sentinel sites starting December2009- April 2010 (during the malaria season) Monitoring and evaluation (dates, types) Through supervisory visits health facility to facility looking into the availability of all commodities, verify the prescriptions and the procedures of RDTs usage and this will be cared out between November 2009 and April 2010.

IRS resources available to achieve the 2010 targets FUNDS AVAILABLE (US $)SOURCECOMMENT USD 2,175,556.00GRNThis amount of funds will depend on the total budget allocated to the Directorate. USD 1,445,001.32GFATMThe RCC proposal not yet approval but the submission done end July 2009

Indoor Residual Spraying Total Households targetedThe total target structures 861,590 DDT required (quantities)85,700Kg Pyrethroids required (quantities)3,547Kg Procurement schedulesProcurement of all IRS logistics and consumables starts in May to June 20210, (i. e. requisitions of disbursements of funds and placing the orders). In August is delivery of ordered insecticides consignments from contracted suppliers. Distribution (Locations)The distribution of IRS supplies to the malaria endemic regions will be in September 2010 Training (dates)All IRS trainings are planned to take place in September 2010 (from 2 nd – 4 th week in all nine regions). BCC / IEC (dates, types)August –December 2010, Mass media, Audio-visual, individuals, campaign meetings and distributions of leaf lets and posters Spraying (dates, locations)The actual spraying activities starts October 2009 to January 2010(one spray-cycle in malaria endemic regions) Monitoring and evaluation (bioassays, insecticide resistance etc) The monitoring of spray quality-bio assays will be carried out in January to February in all nine regions that carry out. Insecticides resistance will be carried out March to mid April 2010.

Intermittent Preventive Therapy Number of Pregnant women targetedNumber of pregnant women 67,345 for nine malaria endemic regions (country wide 107,554) SP doses required134, 690 (808,140 SP- tabs) Procurement schedulesOct 2009 Distribution modalities (ANC, etc.)Through antenatal clinic during the pregnant women’s visits. TrainingThere are continuous routine training programs of health workers on malaria case management, malaria epidemic monitoring & response and training on data management, monitoring and evaluation of IPT is a package especially in case management. BCC / IEC (dates, types)August –December 2010, Mass media, Audio-visual, individuals, campaign meetings and distributions of leaf lets and posters Monitoring and evaluationThrough malaria specific supervisory visits to health facility to facility looking into the availability of all commodities, verify the prescriptions and whether all procedures are followed correctly as per national policy and guidelines.

Other core interventions to be delivered by the end of 2010 Intervention (description)Dates Programme management re-orientation towards eliminationAugust March 2010 Cross border initiatives (Trans-Zambezi and Trans-Kunene)November 2009 to December 2010

Summary of rate-limiting factors over the next 17 months ProblemsSolutions Procurement delaysProcurement System Policies will be revised soon before end of 2009.

Summary of technical assistance needs over the next 17 months Needs & DatesPartner National RBM five years Strategic Plan review and development, January-March 2010 WHO UNICEF SMA National Vector Control guidelines finalization, November 2009-January 2010WHO UNICEF SMA MIS report writing and finalized, October 2009UNAM MACEPA WHO RBM National Programme re-view and re-orientation towards elimination imitative, February 2010 WHO SMA UNICEF