1. Zimbabwe New Global Fund Grant Launch Rainbow Towers - Harare
17 January 2018
Rainbow Towers - Harare

2. PMI Strategy 2015 - 2020 Vision A world without malaria Goal
Work with PMI-supported countries and partners to further reduce malaria deaths and substantially decrease malaria morbidity towards the long-term goal of elimination
PMI is guided by the current PMI Strategy
PMI continues to share the global long-term vision of a world without malaria and remains committed to working with PMI-supported countries and partners to further reduce mortality from malaria and to substantially decrease malaria morbidity.
For those countries who have had success in reducing morbidity and have appropriately shifted their strategies towards national or sub-national elimination, PMI will support those countries toward achieving those goals.

3. PMI’s Five Strategic Areas of Focus
Build on PMI successes to date and address challenges
Achieving and sustaining scale of proven interventions
Adapting to new epidemiology and incorporating new tools
Improving country capacity to collect and use information
Mitigating risks against the current malaria control gains
Building capacity and health systems
The 2015 – 2020 strategy is organized around five strategic areas of focus.
In order to achieve the targets we are setting forth, PMI will focus its support to countries in the five key areas shown on this slide.

4. PMI Country Funding: 2005 – 2016
in USD, millions
Greater Mekong Subregion
PMI was launched with a vision to rapidly increase funding in the initial years to reach the original goal of 15 PMI countries.
Further increases to now sustained levels have allowed PMI to expand beyond the original planned 15 countries.
PMI now supports programs in 22 countries in SS Africa and the Greater Mekong Subregion.
The FY17 budget appropriation for the US Federal Government is anticipated to be completed by Congress in April PMI remains ready to continue to partner with PMI countries to continue implementation of critically important malaria efforts together.
To tailor by country:
[Country] has received a total of over $[X million] since FY [XXXX] with an average annual budget of $[X million].
2005
2006
2007
2008
2009
2010
2011
2012
2013
2014
2015
2016
President Bush launches PMI
PMI begins operations
Lantos/
Hyde Act
Launch of U.S. Government Malaria Strategy
22 countries in Africa & Greater Mekong Subregion receiving PMI support
Launch of PMI strategy ( )

5. Continued Commitment to Current PMI Focus Countries
Angola
Benin
DRC
Ethiopia
Ghana
Guinea
Kenya
Liberia
Madagascar
Malawi
Mali
Mozambique
Nigeria
Rwanda
Senegal
Tanzania
Uganda
Zambia
Zimbabwe
PMI currently has programs in 19 focus countries in sub-Saharan Africa as well as two countries (Burma and Cambodia) and a regional program in the Greater Mekong Subregion.
Burma
Cambodia
Thailand regional program

6. The Strategy Builds on Progress from 2000-2015
The momentum exists because we – as a malaria control community – have demonstrated that it is possible to reduce the scourge of malaria. In fact, progress in combatting malaria over the past years represents one of the greatest success stories in the history of public health. You have likely seen this, but in case not, this graph from the most recent World Malaria Report illustrates declines in malaria incidence and death rates from 2000 to It is estimated that 6.2 million malaria deaths were averted between this period. Malaria is no longer the leading cause of death in children under five in Africa.
WHO estimates that 6.2 million malaria deaths were averted between
The estimated malaria mortality rate fell by 60% worldwide (66% in SSA) in all ages and by 65% worldwide (71% in SSA) in children under 5 years of age

7. Evidence of Dramatic Progress in PMI Focus Countries
Reductions in ACCM of children under five years of age
In eighteen PMI focus countries, we have seen impressive reductions in all cause child mortality, ranging from 8% in Benin to 67% in Rwanda.
It is critical that we continue to work together to achieve and demonstrate progress in coverage of malaria interventions and document their impact.
It is our ability to demonstrate progress and impact on malaria that will ensure ongoing support for PMI funding by Congress and the Administration.
Source: Nationwide household surveys

8. Evidence of Dramatic Progress in PMI Focus Countries
Improvements in percentage of reported malaria cases
confirmed by diagnostic test
The proportion of suspected malaria cases that are confirmed with laboratory tests and treated with a recommended antimalarial drug combination continues to increase in nearly all focus countries, with 15 countries reaching over 60 percent confirmation of malaria cases by diagnostic test, 10 of which exceed 80 percent confirmation.
[Note: Countries included on this slide are those for which there is data from at least Data sources: DHIS2/HMIS, implementing partners, NMCPs, and MOPs.]
Sources: DHIS2/HMIS, implementing partners, NMCPs, MOPs

9. Stay Focused: Our model serves us well
A foundation of PMI’s approach is support to countries for scale up of proven, evidenced-based interventions (e.g. LLINs, IPTp, diagnosis and treatment with ACTs, and SMC in parts of West Africa)
PMI will continue routine reviews of country budgets and pipelines and activity implementation progress, to ensure efficient and effective use of PMI resources
PMI continues to focus support on those interventions that are proven effective (ITNs, IRS, case management, and IPTp) – with the recent addition of SMC in West Africa.
PMI incorporates new tools into PMI country program implementation support following their global technical recommendation from WHO Global Malaria Programme.
A hallmark of PMI’s success is our careful review of budgets and pipelines, making adjustments as necessary. Ensuring continued efficient use of resources remains critical and remains of interest to the US Congress.

10. USG Support to National Malaria Programs – Through PMI and USG Contribution to the Global Fund
The USG, through PMI and the USG contribution to the Global Fund, provides approximately 50% of the resources for malaria control to endemic countries worldwide
The USG expects investments in PMI and Global Fund to be well-coordinated and synergetic, in order to maximize impact and achieve value for money
Therefore, PMI will continue to partner with NMCPs and the Global Fund to ensure that resources are programmed in a complementary manner
PMI leadership expects PMI and Global Fund-financed programs to be closely interlinked in all PMI focus countries.
PMI will continue to partner with NMCPs and the Global Fund to ensure that resources are programmed in a coordinated and complementary fashion to maximize the impact on the malaria burden at the country and global levels.
Because the Global Fund does not have in-country technical staff, PMI has played a leading role in providing interagency malaria expertise to help coordinate and advise on planning, implementation, and evaluation of malaria activities.
This has been especially critical in the area of commodities; in order to accurately forecast commodity needs, transparent accounting of commodities from all partners is needed.

11. President’s Malaria Initiative Zimbabwe Accomplishments and FY2017 / FY2018 Malaria Operational Plans

12. Malaria Trends in PMI-Supported IRS Districts, 2014-2016

13. PMI Funding in Zimbabwe

14. Planned Future Funding
FY 2017 MOP
15 million USD
Implementation October 2017 to September 2018
FY 2018 MOP
13.5 million USD (conservative planning budget)
Implementation October 2018 to September 2019

15. FY2017 & FY18 Planned Activities Vector Control - Entomology
Entomological surveillance and monitoring
Laboratory capacity building
Entomological supplies
FY $449,000

16. FY2017 & FY18 Planned Activities Vector Control - IRS
IRS with OPs and full package of support in 4 districts in Manicaland
Environmental compliance assessment
FY $4,533,687
IRS and full package of support in selected districts based on NMCP insecticide resistance management planning

17. FY2017 & FY18 Planned Activities Vector Control - LLINs
Procurement and distribution of approximately 800,000 LLINs through routine distribution
ITN durability monitoring
FY $2,700,000
Procurement and distribution of approximately 700,000 LLINs through routine distribution

18. FY2017 & FY18 Planned Activities Malaria in Pregnancy
Procure approximately 870,000 SP treatments
Procure approximately 3,300 clindamycin doses
FY $172,000

19. FY2017 & FY18 Planned Activities Case Management
Procure approximately 500,000 RDTs
Procure malaria diagnostic supplies
Training and supervision of HCWs and VHWs and launching mentorship pilot
Strengthen malaria diagnostic capacity
FY $2,035,313
Procure approximately 615,000 RDTs
Procure approximately 310,000 ACTs
Training and supervision of HCWs and VHWs

20. FY2017 & FY18 Planned Activities Pharmaceutical Management
Support for ZAPS and supply chain strengthening
FY $900,000

21. FY2017 & FY18 Planned Activities SBCC
Support malaria SBCC activities
FY $400,000

22. FY2017 & FY18 Planned Activities SM&E
End use verification exercises
Epidemic investigation and response
Support and facilitate SM&E activities
Supervision and quality assurance for SM&E
FY $610,000

23. FY2017 & FY18 Planned Activities Pre-elimination
Support for pre-elimination activities through activities already described (e.g. commodity distribution, SBCC, SM&E)
FY $100,000
Reactive case detection and foci investigation

24. Collaborate to Overcome Challenges
PMI is committed to collaboration and understanding:
where we are not making the progress we expect
program bottlenecks and working together
to tackle them
A key component of PMI’s commitment to achieving results is an honest commitment to working with partner countries to understand and then tackle challenges and bottlenecks that impede progress and desired results.

25. Thank You!
Questions?