Zanzibar Overcoming challenges to maintain SUFI

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ZanzibarOvercoming challenges to maintain SUFI

• EARN Annual Coordination for Implementation
  Support Meeting Arusha, Tanzania
• Abdullah Ali
• Ali Omar and Salhiya A

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LLINs/ITNs household ownership and conventional
net re-treatment rate
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Re-treatment rate and the LLIN/ITNs Ownership
over the set MTSP and Abuja Targets
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Vulnerable groups sleeping under LLIN/ITNs last
night, through the MTSP and Abuja targets by 2008
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Number of Sprayed Houses and Coverage 2006-2007
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IPTp Coverage
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Access to appropriate treatment ACT

• 100 of the population - via Public HFs
• 21 of malaria cases treated within 24hrs with
  ACT far from the national target!

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• OUTCOME INDICATORS

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OPD Malaria Probably cases (Confirmed and none
confirmed) per 1000 of the population
ACT Introduction
LLIN Scaling up
IRS
Multiple Interventions National wide
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Proportion of malaria confirmed cases
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ACT
LLINs
IRS
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RBM Survey 2007 Malaria Prevalence in the
communities by broad age group

• Under-fives with history of fever in the previous
  two weeks 0.5 (5/1097) had positive slides.
• Asymptomatic under-fives 0.4 (4/1026) had
  positive results.
• Pregnant women none (0/984 ) had positive
  slides.
• Five years and above 1.1 (59/5,543) had
  parasites in their blood
• Overall prevalence 0.8 (68/8650)

From Control to elimination
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Programme Support Costs

• PSM
• BCC
• ME
• HMIS

Business Plan
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Partners active in country

• GFATM
• PMI
• WHO
• UNICEF
• ITALIAN GOV
• RESEARCH INSTITUTIONS
• GOV OF ZANZIBAR
• GENERAL COMMUNITY

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Challenges

• Financial gap 2009, 2010 on wards
• M E and Surveillance in low endemicity
• Human resources

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Global Fund Grants Performance

• Round One Completed May 2006,
• Rating A Successfully implemented
• Round Four ending 2008 Rating A
• Progressing well
• Round 7
• Category 3 to be revised for re-submission

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Overcoming Challenges

• Resource Mobilization
• Support to revise GF round 7 proposal
• Enhance strong partnership in malaria control
• MOH to develop sustainable mechanism for staff
  retention in collaboration with partners
• MOH to increase national investment on malaria
• Deploy skilled personnel in ME and surveillance
• Provision of TA and support when required

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Assistance from Partnership

• Study tour for Zanzibar and Eritrea
• to EMRO (Muscat Oman) to exchange ideas and
  learn about malaria elimination techniques.
• Harmonization working Group to facilitate this!

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• Thank you for your time