1. Malaria Control and Evaluation Partnership for Africa (MACEPA) National Scale-up of Malaria Prevention and Control A Learning Community
RBM Board Meeting: May 2007

2. MACEPA: Scaling Up and Learning
MACEPA Assumptions and Principles
Zambia and MACEPA:
Learning Community for Scale Up for Impact
Realities of the 3-Ones and SUFI

3. MACEPA Assumptions
National success in malaria control for health and economic impact is key to establishing credibility of investments by RBM partners
With appropriate support and leadership, country partnerships can control malaria at national scale
A multi-country African partnership around success in national scale up is a powerful case for sustaining resources for malaria control

4. MACEPA Principles
MACEPA Promotes: National Scale-up for Impact (SUFI) with program evaluation and documentation
MACEPA Supports: The 3-Ones at national scale to build country ownership and programming excellence
MACEPA Partners: Works within national programs to support capacity of government and their partners to implement and document the national malaria SUFI strategy

5. Planning, Resourcing, Implementing, Monitoring and Evaluating
Program Performance Improvement
Advocacy for National Sustainability
Advocacy for Global Sustainability
Implementing
Monitoring& Evaluating

6. Zambia National Malaria Strategic Planning
National Malaria Strategic Plan developed by Zambia partners with Government
Explicit adoption of “3-Ones”
Goal: reduce malaria mortality by 50% by 2010
Target: >80% program coverage of each intervention in all district by 2008; early focus on prevention coverage

7. Zambia Malaria Program Costs

8. Zambia Malaria Program Funding
Current “committed” funding

9. Program Implementation -- ITNs

10. Program Implementation -- PECM

11. Program Implementation -- PIP

12. Monitoring & Evaluation
National Malaria Control M&E plan updated and disseminated
10 district sentinel district network developed
Supported coordination of malaria M&E with national HMIS and sector M&E systems
Supported conduct of 1st RBM MERG Malaria Indicator Survey (MIS)
Supported coordination of M&E with partners for single reporting system (Second of the “3-Ones”)

13. Zambia Program Implementation 2006 MIS
ITN: 50% own, 23% reg. use; doubling from 2001
IRS: 34% coverage in 15 target districts
Prev in Preg: 62% received 2+ doses IPT
PECM: <35% coverage; no change since 2001; Coartem use low
Knowledge of malaria prevention & control high
Baselines for anemia and parasitemia established

14. Program Advocacy
Strengthen Zambia advocacy and communications capacity
Develop and disseminate documentation of Zambia SUFI experiences -- promote Zambia as a pace setter in malaria control in Africa :
The story of country success is the critical basis for advocacy
The Africa voice must be prominent in telling the success story

15. MACEPA: Building a SUFI Learning Community
MACEPA has the opportunity to work with additional countries:
Many countries now have multiple partners and considerable funding to scale up malaria control
These countries/partners are facing common challenges in implementation – sharing approaches is an important opportunity

16. MACEPA Criteria for Learning Community
Zambia and 4+ countries:
Political will/climate that embraces SUFI approach
Country proximity and the country- and partner-perceived value and relevance of their regional collaboration
Representation of key partners already investing in malaria control

17. Global Fund + PMI + WB per-capita funding levels (estimated) for malaria control in African Countries
Mauritania
Mauritania
Mali
Mali
Niger
Niger
Chad
Chad
Eritrea
Senegal
Senegal
The Gambia
Sudan
Sudan
Guinea Bissau
Burkina Faso
Djibouti
Guinea
Guinea
Benin
Gabon
US$ 0.00 $ $ $ $ $
Global Fund + PMI+ WB summary country lifetime budgets per-capita population -- estimated
Sierra Leone
Sierra Leone
Nigeria
Nigeria
Cote d'Ivoire
Togo
Ethiopia
Ethiopia
Ghana
Liberia
Liberia
Central African Rep
Cameroun
Somalia
Eq Guinea
EARN
Uganda
Uganda
Kenya
Kenya
Congo
Congo
Rwanda
Congo, DRC
Congo, DRC
Burundi
Tanzania
Tanzania
Angola
Angola
Malawi
Malawi
Zambia
Zambia
Mozambique
Mozambique
Zimbabwe
Zimbabwe
Madagascar
Madagascar
Namibia
Namibia
Botswana
Botswana
Swaziland
SARN
South Africa
Lesotho

18. Partners Learning How to “3-Ones” MACEPA Learning Community
Support countries to work together to share programming approaches
Build shared program support systems (e.g. annual planning, supply chain management, M&E)
Foster national capacity to advocate for their programs

19. Partners Committed to SUFI …the clock is ticking
RBM Partners have <3 years to demonstrate national program impact
Scale-up is stressing national systems and, we…RBM Partners…must work together to limit the transaction costs of support
Critical investments:
Strengthening RBM WGs and SRNs
Supporting robust PRIME systems capacity
Building evidence-based advocacy to sustain funding