Progress of RBM Implementation in Sudan

1. FIFTH INTERCOUNTRY MEETING OF NATIONAL MALARIA PROGRAMME MANAGERS COUNTRIES OF MODERATE TO HIGH MALARIA ENDIMICITY CAIRO, EGYPT 29 � 31 MAY ?2005 Progress of RBM Implementation in Sudan Dr E. M. Malik (NMCP) Dr A. Suliman (Gazera) Dr M. Wais (WHO/RBM) Khartoum, May 2005

2. FIFTH INTERCOUNTRY MEETING OF NATIONAL MALARIA PROGRAMME MANAGERS COUNTRIES OF MODERATE TO HIGH MALARIA ENDIMICITY CAIRO, EGYPT 29 � 31 MAY ?2005 Malaria Burden�

3. FIFTH INTERCOUNTRY MEETING OF NATIONAL MALARIA PROGRAMME MANAGERS COUNTRIES OF MODERATE TO HIGH MALARIA ENDIMICITY CAIRO, EGYPT 29 � 31 MAY ?2005

4. FIFTH INTERCOUNTRY MEETING OF NATIONAL MALARIA PROGRAMME MANAGERS COUNTRIES OF MODERATE TO HIGH MALARIA ENDIMICITY CAIRO, EGYPT 29 � 31 MAY ?2005 Case management - drug efficacy studies , drug policy CQ to ACT� ASU+SP, ART+LUM.. ART or Q� Artesunate Supp Pregnancy: Efficacy studies: 4 sites for ASU+SP 2 sites for ART+LUM Evidence-based change� COHRED Printing and distribution of guideline booklets and posters� Training at all level�

5. FIFTH INTERCOUNTRY MEETING OF NATIONAL MALARIA PROGRAMME MANAGERS COUNTRIES OF MODERATE TO HIGH MALARIA ENDIMICITY CAIRO, EGYPT 29 � 31 MAY ?2005 ACT availability and affordability� 1st line: �ASU+SP� Public: CMS, RDF (Khart.) Private: 3 companies� Two local manufactures� 2nd line: �ART+LUM� Public and private� ASU sup. One company 1st line price: Children: $2 -3.2 Adult: $3 -4 Major cities at states/ localities� GFATM R2�R5�

6. FIFTH INTERCOUNTRY MEETING OF NATIONAL MALARIA PROGRAMME MANAGERS COUNTRIES OF MODERATE TO HIGH MALARIA ENDIMICITY CAIRO, EGYPT 29 � 31 MAY ?2005 3 X 3: An active approach to improve microscopy 2. Intervene: Training supervision S&E� A: 2 visits/ year, Supplies� B: 4 visits/ year, 4 days training and S&E. C: 6 visits/ year, 6 days training and S&E�

7. FIFTH INTERCOUNTRY MEETING OF NATIONAL MALARIA PROGRAMME MANAGERS COUNTRIES OF MODERATE TO HIGH MALARIA ENDIMICITY CAIRO, EGYPT 29 � 31 MAY ?2005 Vector control interventions�ITNs 2004: 165,000 LLNs Unicef and WHO� 5 states (map�) Private sector: 270,000 ITNs NGOs� 2005: 180,000 LLNs from unicef� GF: 300,000 LLNs� Private�

8. FIFTH INTERCOUNTRY MEETING OF NATIONAL MALARIA PROGRAMME MANAGERS COUNTRIES OF MODERATE TO HIGH MALARIA ENDIMICITY CAIRO, EGYPT 29 � 31 MAY ?2005 Vector control interventions�IRS and others� IRS implemented as planned in 4 areas out of 6� Larviciding continued in urban areas� Larvivarous fish (Gambusia affinis): Irrigated areas� Khartoum: depends on it by 70%... Inter-sectoral committee formed�but no meetings yet� Integration with other communicable diseases at district level� July 2005

9. FIFTH INTERCOUNTRY MEETING OF NATIONAL MALARIA PROGRAMME MANAGERS COUNTRIES OF MODERATE TO HIGH MALARIA ENDIMICITY CAIRO, EGYPT 29 � 31 MAY ?2005 Epidemics control Weekly reports from sentinel sites.. Buffer stock� Forecasting project� No epidemics detected in 2004�

10. FIFTH INTERCOUNTRY MEETING OF NATIONAL MALARIA PROGRAMME MANAGERS COUNTRIES OF MODERATE TO HIGH MALARIA ENDIMICITY CAIRO, EGYPT 29 � 31 MAY ?2005 Strengthening malaria M&E � National M&E workshop� Regional workshop� Focal point for M&E: National and 4 states� M&E plan and indicators developed� Workshop to endorse� Planned surveys: GF base-line survey�. PAPFAM: ???

11. FIFTH INTERCOUNTRY MEETING OF NATIONAL MALARIA PROGRAMME MANAGERS COUNTRIES OF MODERATE TO HIGH MALARIA ENDIMICITY CAIRO, EGYPT 29 � 31 MAY ?2005 Partnership, resource mobilization and advocacy 68% of planned budget received� 60% of budget from GOS at all level� Community paid for dugs (almost 50% of budget) GFATM R2�

12. FIFTH INTERCOUNTRY MEETING OF NATIONAL MALARIA PROGRAMME MANAGERS COUNTRIES OF MODERATE TO HIGH MALARIA ENDIMICITY CAIRO, EGYPT 29 � 31 MAY ?2005 Partnership, resource mobilization and advocacy: Africa Malaria Day

13. FIFTH INTERCOUNTRY MEETING OF NATIONAL MALARIA PROGRAMME MANAGERS COUNTRIES OF MODERATE TO HIGH MALARIA ENDIMICITY CAIRO, EGYPT 29 � 31 MAY ?2005

14. FIFTH INTERCOUNTRY MEETING OF NATIONAL MALARIA PROGRAMME MANAGERS COUNTRIES OF MODERATE TO HIGH MALARIA ENDIMICITY CAIRO, EGYPT 29 � 31 MAY ?2005 Malaria control at border areas:distribution of 20,000 LLNs

15. FIFTH INTERCOUNTRY MEETING OF NATIONAL MALARIA PROGRAMME MANAGERS COUNTRIES OF MODERATE TO HIGH MALARIA ENDIMICITY CAIRO, EGYPT 29 � 31 MAY ?2005 Malaria control at border areas:Collaboration with Egypt

16. FIFTH INTERCOUNTRY MEETING OF NATIONAL MALARIA PROGRAMME MANAGERS COUNTRIES OF MODERATE TO HIGH MALARIA ENDIMICITY CAIRO, EGYPT 29 � 31 MAY ?2005 Human Resource Development Recruitment of basic required staff at 19 States� Integrated CDC at 30 district (in 5 states)� Higher Diploma in Malariology at BNRTI: 65% of State coordinators � Current patch (5 from the south�) At last two years on the job � Msc offers for those willing � Regional training at Iran.. Ongoing on-the-job training Others training� Malaria Microscopy at Sinnar� Continued Staff Development at all levels: Quarterly planning review meetings� Reading assignment on specific malaria topic on monthly basis�.assessment with voluntary exam.

17. FIFTH INTERCOUNTRY MEETING OF NATIONAL MALARIA PROGRAMME MANAGERS COUNTRIES OF MODERATE TO HIGH MALARIA ENDIMICITY CAIRO, EGYPT 29 � 31 MAY ?2005 Operational research Monitoring AMD resistance� 6 sites (ASU+SP/ ART+LUM) Monitoring AMD resistance� 2 states (all insecticides)� EMRO/TDR grants� Treatment-seeking behaviour� ITNs� SIT: Tropical institute, IEA, NMCP� Biological control: Effects of environmental and ecological activities on the use of G. affinis in Gazera irrigated area Others: Support for students and researchers

18. FIFTH INTERCOUNTRY MEETING OF NATIONAL MALARIA PROGRAMME MANAGERS COUNTRIES OF MODERATE TO HIGH MALARIA ENDIMICITY CAIRO, EGYPT 29 � 31 MAY ?2005 Conclusion Achievements Sustaining political and partner interest� Malaria free areas� Khartoum and Gazera Drug change policy� Systematic distribution of LLNs through COMBI� Capacity building� Increased access to south� IPT, ACT� Challenges / the way forward Improving access to ACT� Free malaria treatment HMM� Improving malaria diagnostic facilities� Meeting the demands after peace agreement in the south�