1 Roadmap to Achieve RBM Targets Country January 2011 – December 2011 Botswana

2 Country Summary (Interventions & Services) Population at Risk: INSERT……… 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 sustain Universal coverage * (if Universal coverage already achieved by 2010) 1 net for 2 pupils * Define how universal coverage target was calaulated e.g. 1 net for 1.8 persons Routine distribution: Total number of nets required to reach the operational target (targeted group: pregnant women through ANC, infants with routine EPI) Mass Campaign: Active nets already in the community # = # based on number of nets already distributed in last three years Mass Campaign: Total number of nets for which financing is already pledged =0 Mass Campaign: Number of nets for which financing has to be mobilized to achieve the operational target within 2011 =0 Include funding total gap - Routine distribution: Active nets already in the community # =83480 # based on number of nets already distributed in last three years Routine distribution: Total number of nets which are available = Routine distribution: Number of nets for which financing has to be mobilized to achieve the operational target within 2011 =0 Include funding total gap - Total nets needed in 2011 = (Children under one) Total nets already distributed = Nets available = Total gap (number) = 0 Total gap (US$)

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) Universal Coverage =Population treated through the public health services *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 = Doses already in stock = Number of doses for which financing is already pledged or committed = Number of doses for which additional financing has to be mobilized to achieve the planned operational target = 0 -

4 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) IRSDefine target coverage by country To expand coverage to a given level of 100% of the population through spraying of structures Insert the total number of structures to be sprayed protecting Y% of the population Insert the cost per structure sprayed. =US$ 6 per structure Insert the number of structures which can sprayed using existing resources =0 Total number of structures for which financing is already pledged = Number of structures for which additional financing has to be mobilized to achieve the planned operational target RDTs and microscopy To sustain universal coverage* of parasitological diagnosis of suspected malaria cases Universal Coverage =Population treated through the public health services *define coverage target e.g. whole population, population treated through the public health services and private sector etc Total number of RDTs to be made available during the year = tests RDTs already in stock = tests No. of RDTs for which financing is already pledged or committed = tests No. of RDTs for which additional financing has to be mobilized to achieve the planned operational target = 0 0 Total number of microscopy tests to be made available during the year = slides Microscopy tests already in stock = slides Number of microscopy tests for which financing is already pledged or committed = No. of microscopy tests for which additional financing has to be mobilized to achieve the planned operational target = 0 Total diagnosis target = total diagnostics already in stock Total diagnostics already pledged Total gap in diagnostics =

5 Country Summary (Interventions &Services) (Cont'd ) (N/A) 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) IPTp To sustain Universal coverage (if Universal coverage already achieved by 2010) or To achieve universal coverage (if not yet achieved but feasible in 2011) or To expand coverage to a given level (if Universal coverage still not feasible within 2011) Total number of doses to be made available during the year to cover X % of pregnant women Doses already in stock Number of doses for which financing is already pledged or committed Number of doses for which additional financing has to be mobilized to achieve the planned operational target

6 Country Summary (Cross cutting issues) InterventionOperational targets/Objecti ves for 2011 Strategies/ActionsResource requirement (USD) Available budget (USD) Budget Gap (USD) M&E 1. To develop a robust surveillance system for tracking progress 2. To Reduce malaria incidence to less than 4/1000 population 1) Update malaria GIS database on foci, cases, vectors and parasite isolates 2) Conduct active case investigation/ contact tracing, in malaria free areas 3) Conduct entomological surveillance at established sentinel sites 4) Collect timely and complete weekly and monthly reports on malaria indicators BCC/IECStrengthen advocacy and IEC/BCC 1) Update councils and parliamentary committee, Ntlo- ya Dikgosi on malaria elimination 2) Publish malaria messages in newspapers,TV advert and radio jingles 3) Commemoration of malaria commemorative days (World Malaria day and SADC malaria week) 4) Support district malaria campaigns (LLINs, IRS)

Country Summary (Cross cutting issues) cont 7 InterventionOperational targets/Objecti ves for 2011 Strategies/ActionsResource requirement (USD) Available budget (USD) Budget Gap (USD) Human Resources (Cap Bldg) Strengthen human resources To train health workers on data management, case management, IRS, LLINS distribution and IEC/BCC for malaria elimination Insert others as required e.g. CSS, HSS, OR

8 Implementation Plan - LLINs Major action / Output / Milestone TIMEFRAME JFMAMJJASOND 1.Resource mobilisation for procurement XXXxxxxxxxxx 2. LLIN distribution xxx 3. LLIN hang up keep up campaign xxxx 4. Support visits to districts xxXxxxxx 5. Data entry and analysis of LLINs district xXxxx

9 Implementation Plan - IRS Major action / Output / Milestone TIMEFRAME JFMAMJJASOND Quantification and procurement of IRS chemicals (DDT/Pyrethroids) xxxx IRS community sensitisation and mobilisation campaign xxxx Training of spraymen and supervisors xx Conducting IRS campaign and collection of GPS points of householdsxxx Conduct Bio-Assays and sensitivity studies xxxxxxxxxxx Data entry and analysis of IRS exercise xx IRS review and planning (Geographic reconnaissance) x

10 Implementation Plan – Case Mgt Major action / Output / Milestone TIMEFRAME JFMAMJJASOND 1.Training of health workers xxxx 2. Quantification of drug requirements xx 3. Monitoring stock status of antimalarial drugs and commodities xxxxxxxxxxxx 4. Review of malaria deaths audit xxxxxxxx 5. Support and supervision of districts and health facilities xxxx 6. Develop SOPs for laboratory diagnosis and training x

11 Implementation Plan – IPTp (N/A) Major action / Output / Milestone TIMEFRAME JFMAMJJASOND

12 Implementation Plan – Cross cutting Major action / Output / Milestone TIMEFRAME JFMAMJJASOND 1. Finalise surveillance guidelines for malaria elimination including case based surveillancex 2. Train health workers on Case Based Surveillancex 3. Set up GIS data base of cases and focix 4. Plan for the malaria indicator surveyxxxxxx 5. Weekly monitoring of malaria casesxxxxxxxxxxxx 6. Support district malaria outbreak responsexxxxxxxxxxxx 7. Conduct entomological surveillancexxxxxxxxxxxx 8. Develop a concept note on larvicidingxxxxx 9. Collaborate with partners including research institutionsxxxxxxxxxxxx 10. Conduct KAPB studyxx

13 Summary of technical assistance needs to end 2011 Area of Need Type of support required Resources available Source of funding TIMEFRAME JFMAMJJASOND LLINsProcurement and distribution NoPartnersXXXXX IRSExpertise in the area of Indoor Residual Spraying evaluation and improvement DONEGoB, WHO, SARN X ACTReview of case Management Guidelines NoGoB, WHO, SARN RDTs/micr oscopy Setting up quality control and laboratory SOPs YesGoB, WHO, BOTUSA, HAVARD X Cross cutting 1.Financial and technical support to conduct malaria indicator survey 2. Technical support to conduct larviciding 3. Field visit to SA to get experience on active surveillance SARN, WHO, MACEPA, UB, GoB

14 Summary of rate-limiting factors/solutions over the next 12 months - threats Potential threats to achieving targets 1 Inadequate funding for LLIN distribution, procurement and community mobilisation 2 Technical expertise on larviciding 3 Setting up laboratory quality control quality assurance 4 Technical assistance with MIS