Roadmap to Achieve RBM Targets January 2011 – December 2011 [TANZANIA]

Country Summary InterventionObjectives 2011Need to 2011Already covered Funded and expected to be distributed before end 2010 Gap LLINs (Universal Access) 1. Distribution of free LLINs for universal coverage. (R8) (14.6 million LLINs) 15 regions3 regions 9 regions No gap ACTs 1.ACTs in public and Faith-based health facilities. (R 7, R9) 2. ACTs in private health facilities and drug outlets (AMFm) 1.16,000,000 USD 2.7,000,000 USD On going No gap IRS 1.IRS in lake zone (Kagera, Mwanza and Mara=17 districts) (PMI) 2.IRS in coastal zone (27 districts) Financial support 1. 7 distrists of Kagera region No gap USD 18,500,000 RDTs 1.Roll out of RDT use in whole country 2. Quality control of the RDT system 1.14 regions (+4 new regions) 2. To be determined 5 Regions6 regionsNo gap

Summary InterventionObjectives 2011 Need to 2011 Already covered Funded and expected to be distributed before end 2010 Gap IPTp Provide IPT for PW using SP 8.4 million (doses) On going No financial gap M&E MPR MIS 400,000 USD (financial need) 75,000 USD (to be provided by RBM) 325,000 USD Not yet known BCC/IEC BCC/IEC activities expected to be done in , 000 USD 400,000 USD Human Resources (Capacity Bldg) (financial need)

Summary InterventionObjectives 2011 Need to 2011 Already covered Funded and expected to be distributed before end 2010 Gap Entomological monitoring Monitoring of insecticides resistance in 13 selected sentinel sites 13 selected sentinel site No gap Larviciding 1.Establishme nt of a biolarvicides plant 2. Expansion of larviciding to cover whole Dar es Salaam region USD 22,307,688. USD 3,950,000 No gap USD 3,950,000

Implementation Plan – BCC Unit Period Major action/ output/ milestoneQuantities/Amount January Dissemination of Malaria Communication Strategy to regions and districts malaria focal person and development of district BCC plans 150,000 USD January Development of all partners harmonization Plan for implementation of BCC activities Jan- Dec Coordinate BCC Mass Media activities implementing partners 40,000 USD Jan - June Strengthening of Community Change Agents activities (CCAs) in villages –help to promote malaria control interventions at the grassroots level On going activity, cost covered by BCC implementing partners

Implementation Plan – BCC Unit… Period Major action/ output/ milestoneQuantities/Amount March, Sept Supervision of CCAs activities to selected districts 50,000 USD April Commemorate World Malaria Day 100,000 USD May Advocacy meeting to MPs and new top government leaders 150,000

Implementation Plan - LLINs Period Major action/ output/ milestoneQuantities/Amount January Logistics and Distribution of LLINs at no cost to the recipients 11,479,850 February Logistics and Distribution of LLINs at no cost to the recipients8,574, March Logistics and Distribution of LLINs at no cost to the recipients13,541,789 April Logistics and Distribution of LLINs at no cost to the recipients12,661,735 May Logistics and Distribution of LLINs at no cost to the recipients10,601,850

Implementation Plan – LLINs... Period Major action/ output/ milestone Quantities/ Amount June Hang up campaign and community sensitization on net useOn going July Hang up campaign and community sensitization on net useOn going August Hang up campaign and community sensitization on net useOn going September Hang up campaign and community sensitization on net useOn going October Hang up campaign and community sensitization on net useOn going November Hang up campaign and community sensitization on net useOn going December Hang up campaign and community sensitization on net useOn going

Implementation Plan - IRS Period Major action/ output/ milestoneQuantities/Amount January IRS logistics in lake zone February IRS logistics in lake zone March Spraying April Spraying May Spraying June IRS logistics July IRS logistics August IRS logistics SeptemberSpraying OctoberSpraying NovemberSpraying December IRS logistics

Implementation Plan – M & E Unit Period Major action/ output/ milestoneQuantities/Amount January Coordination meeting on M & E working group Supervisory visit to the districts to monitor malaria control activities In house activity 75,000 USD February Introduction of new malaria district database profile in access format existing 31 districts operating MDDB MarchRolling out of MDDB to new districts Not yet known April Orientation meeting to conduct MIS Field activity to conduct MIS METWG meeting May MIS activity Supervisory visit to the districts to monitor malaria control activities To be determined 75,000 USD

Implementation Plan – M & E Unit … Period Major action/ output/ milestoneQuantities/Amount June Supervisory visit to monitor the established MDDB MIS activity Not yet known July Data entry – MIS METWG meeting AugustPreliminary report – MIS September Final report on MIS

Implementation Plan – M & E Unit … Period Major action/ output/ milestoneQuantities/Amount October Supervisory visit to monitor the established MDDB Not yet known NovemberMETWG meeting DecemberAnnual report

Implementation Plan – Case Mgt Period Major action/ output/ milestoneQuantities/Amount January Commodity distribution of RDT and ACT Roll out of RDT training Coordination meeting on ACT/RDT working group Distribution; ACTs-1,120,000 doses each month mRDT- 660,000 tests (60,000 tests per region) Training; 11 regions expected to be completed February Coordination meeting on ACT/RDT working group Working group meeting done once per month Distribution; ACTs-1,120,000 doses each month mRDT- 660,000 tests (60,000 tests per region) 3 more regions in mRDT rolling out March Coordination meeting on ACT/RDT working group Rolling out of RDT training Working group meeting done once per month Distribution; ACTs-1,120,000 doses each month mRDT- 660,000 tests (60,000 tests per region) 3 more regions in mRDT rolling out April Coordination meeting on ACT/RDT working group Commodity distribution of RDT and ACT Working group meeting done once per month Distribution; ACTs-1,120,000 doses each month mRDT- 660,000 tests (60,000 tests per region) 3 more regions in mRDT rolling out

Implementation Plan – Case Mgt Period Major action/ output/ milestoneQuantities/Amount May Rolling out of RDT training Coordination meeting on ACT/RDT working group Working group meeting done once per month Distribution; ACTs-1,120,000 doses each month mRDT- 660,000 tests (60,000 tests per region) 3 more regions in mRDT rolling out June Roll out of RDT training Coordination meeting on ACT/RDT working group Working group meeting done once per month Distribution; ACTs-1,120,000 doses each month mRDT- 660,000 tests (60,000 tests per region) 3 more regions in mRDT rolling out July Coordination meeting on ACT/RDT working group Working group meeting done once per month Distribution; ACTs-1,120,000 doses each month mRDT- 660,000 tests (60,000 tests per region) 3 more regions in mRDT rolling out August Roll out of RDT training Coordination meeting on ACT/RDT working group Working group meeting done once per month Distribution; ACTs-1,120,000 doses each month mRDT- 660,000 tests (60,000 tests per region) 3 more regions in mRDT rolling out

Implementation Plan – Case Mgt… Period Major action/ output/ milestoneQuantities/Amount September Coordination meeting on ACT/RDT working group Working group meeting done once per month Distribution; ACTs-1,120,000 doses each month mRDT- 660,000 tests (60,000 tests per region) 3 more regions in mRDT rolling out October Coordination meeting on ACT/RDT working group Working group meeting done once per month Distribution; ACTs-1,120,000 doses each month mRDT- 660,000 tests (60,000 tests per region) 3 more regions in mRDT rolling out November Rolling out of RDT training Coordination meeting on ACT/RDT working group Working group meeting done once per month Distribution; ACTs-1,120,000 doses each month mRDT- 660,000 tests (60,000 tests per region) 3 more regions in mRDT rolling out December Roll out of RDT training Coordination meeting on ACT/RDT working group Working group meeting done once per month Distribution; ACTs-1,120,000 doses each month mRDT- 660,000 tests (60,000 tests per region) 3 more regions in mRDT rolling out

Implementation Plan - Others Period Major action/ output/ milestoneQuantities/Amount January Entomological monitoring February Entomological monitoring March Entomological monitoring April Entomological monitoring May Entomological monitoring June Entomological monitoring July Entomological monitoring August Entomological monitoring September Entomological monitoring October Entomological monitoring November Entomological monitoring December Entomological monitoring

Summary of rate-limiting factors over the next 17 months Delay in disbursement of funds Delays in procurement processes Inadequate Human resource/Staff attrition Availability of commodities on the market such as LLINS and ACTs as well as RDTs Financial gap for some interventions

Summary of technical assistance needs to end 2010 Area of Need Type of support requiredFrom Who LLINsTA to redefine keep up strategyWHO IRSTA expansion of IRSWHO ACT/mRDT Cross cuttingTechnical and financial support for MPR and upgrading malaria database WHO Program Management/ Partnerships