Malaria Action Program for States (MAPS) Project

Malaria Action Program for States (MAPS)

Introduction
Malaria Action Program for States (MAPS) Five-year USAID award with funds from the President Malaria Initiative (PMI) Managed by a consortium: FHI360 (formerly Academy for Educational Development), Malaria Consortium and Health Partners International Project States: Cross River, Nasarawa and Zamfara Benue, Ebonyi and Oyo Kogi

Malaria Action Program for States (MAPS)

Result Framework

Malaria Action Program for States (MAPS) 3

Intermediate Results (IRs)

IR 1: Increased access to malaria prevention interventions Long Lasting Insecticidal Nets Intermittent Preventive Treatment for Malaria in pregnancy
IR 2: Improved malaria diagnosis and treatment services Parasite based Diagnosis (mRDTs and microscopy) Treatment IR 3: Increased awareness, knowledge of malaria prevention and treatment services

Malaria Action Program for States (MAPS)

Intermediate Results (IRs)

IR 4: Improved capacity for malaria program management at the State and LGA level

IR 5: Strengthened management Information System for malaria at facility, LGA, State and national levels

Malaria Action Program for States (MAPS)

IR 1: Increased access to malaria prevention interventions.(1)

Long Lasting Insecticidal Nets Increase ownership of nets within the household Hanging & maintenance of nets Promote net use
Strategies/Approaches: Campaigns (Stand-alone, Integrated, Top-Up) Continuous/Routine Ante natal Care clinics Community Directed Interventions Schoolbased distributions

Malaria Action Program for States (MAPS)

IR 1(2)
Intermittent Preventive Treatment (IPT) Aims to increase utilization of malaria prevention services during pregnancy Strategies/Activities: Forecasting of commodities (SP) Procure and distribute SP (gap filling) Supporting system strengthening-logistics Build capacity of providers Monitoring and reporting of utilization Explore community structures

Malaria Action Program for States (MAPS)

IR 2: Increased malaria diagnosis and treatment services

Prompt diagnosis and effective treatment of malaria

Policies and guidelines issues addressed at National and states Forecast commodity need (gap filling) Distribute (mRDTs, microscopes & supplies, ACTs, Quinine, Artesunate Inj) (In collaboration with DELIVER) Build capacity of providers using service delivery modules Commodity management within health facilities in the focal states QA, certification and accreditation Support for Malaria Commodity Logistics System

Malaria Action Program for States (MAPS)

IR 3: Increased awareness, knowledge of malaria prevention and treatment services

Cross cutting intervention for malaria control Establish forum for addressing issues in communications for malaria Develop/update ACSM frameworks, guidelines, manuals. Production of IEC materials (adopt, adapt) Community structures identified and engaged Build capacity of implementers Implement Use Campaign in focal states Engage CBOs to implement community activities

Malaria Action Program for States (MAPS)

IR 4: Improved capacity for malaria program management at the State and LGA level
Support policy and guideline development process Identify challenges to effective management Support development of Annual Operational Plans Build capacity of managers/personnel on malaria control Support institutionalizing of supervision Coordination of partnerships within states Identify and implement activities for system strengthening Support for supply chain management at states

Malaria Action Program for States (MAPS)

IR 5: Strengthened management Information System for malaria at facility, LGA, State and national levels
Malaria situation analysis in the state Set up and maintain DHIS Build capacity on data management (National and State) Support DQA in states Implementation Research (in collaboration with NetWorks) Support for malaria Sentinel Sites in the states Introduce GATHERdata (using mobile technology) Strategic information management (all levels)

Malaria Action Program for States (MAPS)

Coverage and Implementation Strategy

State:
-MoH, -10 3oHFs -114 2oHFs

BCC (Mass media, advocacy) Capacity Building Commodity distribution Service delivery training BCC (IPC, MAPCOL) School Health

LGA :
- All 114 LGAs - 3o PHCs/LGA

Community
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Integrated Community Case management Community dialogue IPC

Malaria Action Program for States (MAPS)

Scale, Scope and Implementation Strategy

Background:
Combined population of 6 MAPS states 23,359,849 Total LGAs114 Total HF 3,209 Kogi state has just been added

Strategic Approach Addressing the availability and correct and consistent utilisation of LLINs parallel to improving retention and maintenance Scaling up uptake of SP for IPTp while discouraging its use for treatment Addressing ACT availability and advocate for removal of monotherapies and Chloroquine from circulation to prevent their use Strengthening programme management, M&E and ACSM

18-May-12

Malaria Action Program for States (MAPS)

Scale, Scope and Implementation Strategy Cont.

In each LGA MAPS will work in 4 HFs (3 primary and 1 secondary) Criteria for PHC selection e.g. catchment area and patient turnover among others Full compliments of activities at HFs- e.g. commodity distribution, capacity building, support to M&E, ACSM and the community component of MAPS activities. Targeted approach towards commodity distribution and usee.g. LLINs, preference to vulnerable groups (pregnant women, CU5, PLWHA)

18-May-12

Malaria Action Program for States (MAPS)

Scale, Scope and Implementation Strategy Cont.

Community Level: Use Ward and Village Development Committees, CDDs, CBOs Community based Malaria focal person where appropriate Linkage between HF and community-CHEW Grants to CBOs and FBOs Policy and oversight functions: support policy dialogue particularly at state level Supportive supervision Quality Assurance Supervision from LGA to facility level

18-May-12

Malaria Action Program for States (MAPS)

Scale, Scope and Implementation Strategy Cont

Engaging the Private Sector: MAPS work mainly public sector based Mapping of commercial sector partners to be done-LLIN availability etc Creating linkages with communities

Leveraging other efforts: MAPS will collaborate and adapt its strategies to existing functional structures within the project states Cluster system in Zamfara CDDs in Nasarawa Work with other USAID funded projects-DELIVER, NEtWorks, ESMPIN, IMaD, C-Change etc
18-May-12

Malaria Action Program for States (MAPS)

Partnership/Collaboration
Government FMoH/NMCP- policies MoH/SMCP- approval for implementation DELIVER/USAID Procurement, Supply Chain Management NetWork/USAID Net distribution system, Net Retention Surveys, Net maintenance Global Fund/AMFm Malaria grant- PRs, SRs: ACOMIN Other USAID IPs SFH, ARFH, C-Change, SIDHAS, Other donors/Projects: DFID- PRRINN/MNCH- Zamfara CIDA- CRS
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Malaria Action Program for States (MAPS)

State Project Team

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Malaria Action Program for States (MAPS)

Summary.
Our goal: Reduce malaria related burden Strategies: Increase utilization of malaria prevention and treatment services in Nigeria; ensuring improved program management and monitoring and evaluation We have our strengths ..... Opportunity is to build on existing partnerships at National, States and LGAs.

Malaria Action Program for States (MAPS)

Thank you

18-May-12

Malaria Action Program for States (MAPS)