Regional Malaria Strategic Plan 20062010

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• Regional Malaria Strategic Plan 2006-2010

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Contents

• I. Introduction
• II. Situation of malaria in the countries of the
  WHO Eastern Mediterranean Region
• III. The Regional malaria control/elimination
  programme
• IV. Goal and objectives of malaria control and
  elimination in the Eastern Mediterranean Region
• V. Stratification of malaria problem in EMR
• VI. Regional Strategies for Malaria
  Control/Elimination, 2006-10
• VII. WHOs Role and Response
• VIII. The Role of Governments
• IX. The Role of Communities
• X. The Role of Multilateral and Bilateral
  Agencies
• XI. The Role of Non-Governmental Organizations
  and the Private Sector
• Estimated Budget
• 3 Annexes

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1. Introduction

• United Nations Millennium Development Goals
• reduction of maternal mortality by three quarters
  and child mortality by two thirds, of their
  current rates (goal ?2) as well as to halt and
  reverse the spread of HIV/AIDS, malaria and other
  major diseases (goal ?6).
• United Nations General Assembly in resolution
  59/256
• Decade (2001-2010) to Roll Back Malaria in
  Developing Countries, particularly in Africa
• WHA 58.2.
• urges Member States to establish national
  policies and operational plans to ensure that at
  least 80 of those at risk of, or suffering from,
  malaria benefit from major preventive and
  curative interventions by 2010 to ensure a
  reduction in the burden of malaria of at least
  50 by 2010 and 75 by 2015.

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II. Situation of malaria in EMR countries

• Geographical diversity of the region determines
  malaria variability in terms of endemicity,
  intensity of transmission and type of malaria
• Population at risk
• The reported and estimated morbidity

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111. The Regional malaria programme

• Achievements
• Staff , human capacity strengthening
• Resource mobilization activities
• Advocacy
• Publication

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Goal

• The goal of regional malaria programme is to
  reduce malaria to a level that is no longer a
  major cause of mortality, morbidity and a barrier
  to social and economic development

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Objectives - Group 1

• A Countries which have eliminated malaria
• B Countries with very limited malaria
  transmission in residual foci
• Objective
• To prevent re-establishment of malaria
  transmission in malaria-free countries and to
  eliminate residual foci of malaria in countries
  residual foci

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Objective Group 2

• Countries with low malaria burden limited to
  certain areas and with effective malaria programs
• Iraq, Islamic Republic of Iran and Saudi Arabia
  - with 19 of EMR population --
• Objective
• To eliminate malaria and prevent its
  reintroduction

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Group 3

• Countries with moderate/ high malaria burden,
  weak health system and or complex emergencies
• (Afghanistan, Djibouti, Pakistan, Somalia, Sudan,
  Yemen)
• Objective
• To halve the malaria burden (incidence, severity
  and mortality) by the end of year 2010

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Strategic approaches

• Strategic approach 1 Promote and facilitate
  access of populations at risk to reliable
  diagnosis and effective treatment of malaria
• Strategic approach 2 Promote and facilitate
  application of effective preventive measures
  against malaria for populations at risk
• Strategic approach 3 Support prevention and
  control of malaria in epidemic situations,
  complex emergency and urban settings
• Strategic approach 4 Support countries to
  strengthen the capacity of malaria control
  programme at national and district level in
  partnership with all relevant agencies
• Strategic approach 5 Support expansion and
  maintenance of malaria free areas and malaria
  elimination, wherever feasible
• Strategic approach 6 Strengthen malaria
  surveillance, ME system and operational research

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SA1 promote and facilitate access of pop at risk
to effective diagnosis and treatment

• Expected results
• By the end of 2007, all countries will have
  effective treatment policy including provision of
  effective, quality assured and safe antimalarial
  drugs
• By the end of 2010, all countries will provide
  reliable malaria lab diagnosis
• By the end of 2010 all malaria endemic countries
  will provide to all at risk population timely and
  effective treatment of uncomplicated and severe
  malaria

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Indicators

• Number of endemic countries with functional
  system for anti malarial drug resistance
  monitoring (in vivo and/or in vitro)
• Number of targeted countries which developed and
  implemented home/community based management of
  malaria
• Number of endemic countries developed polices and
  strategies to ensure private sector
  involvement/compliance in delivering quality
  treatment according to the national guidelines
• Number of endemic countries which provide
  effective malaria treatment for at least 80 of
  the population at risk
• Number of endemic countries that provide quality
  malaria lab diagnosis for at least 80 of the
  population at risk

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SA 2 Promote and facilitate application of
effective preventive measures against malaria for
populations at risk

• Expected results
• By the end of 2007, all countries will have
  developed an integrated vector management
  strategy
• By the end of 2007, all countries will have
  strengthened capacity to plan, implement,
  evaluate and monitor vector control interventions
  at all levels
• By the end of 2010, all countries will have
  implemented appropriate vector control measures
  especially IRS and ITNs and will have established
  entomological surveillance system
• By the end of 2007, all endemic countries will
  have implemented WHO recommended strategies for
  prevention of malaria and anemia among pregnant
  women, infants and other vulnerable groups in
  targeted areas

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SA2 Indicators

• No of countries developed national IVM strategy
• Number of countries with updated vector mapping
• Number of endemic countries reporting at least
  80 coverage of the selected VC methods in
  targeted areas
• Number of countries implementing WHO guidelines
  and recommendations on judicious use of
  insecticide for vector control
• Number of targeted countries implementing
  strategy for malaria prevention during pregnancy

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SA3 Support prevention and control of malaria in
epidemic situations, complex emergency, urban
settings

• Expected results
• By the end of 2007, all epidemic-prone countries
  will have implemented weekly malaria surveillance
  with appropriate epidemic thresholds in at least
  in 80 of epidemic-prone settings
• By the end of 2010, selected epidemic-prone
  countries will have implemented a suitable
  malaria early-warning system in selected
  epidemic-prone districts areas/districts
• By the end of 2010, all epidemic-prone countries
  will have implemented a national contingency plan
  for malaria epidemic preparedness and response
• By the end of 2010, Comprehensive malaria control
  strategies in complex emergency situations will
  have implemented by all involved partners

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SA 4 strengthen the capacity of malaria control
programme at all level in partnership with all
relevant agencies

• Expected results
• By the end of 2007, all countries will have
  improved institutional capacity for planning and
  management of malaria control
• By the end of 2010, all endemic countries will
  have strengthened human capacity on planning,
  implementation, monitoring and evaluation of
  malaria control at all levels
• BY the end of 2007, all endemic countries will
  have scaled up community based services for
  malaria prevention and treatment
• BY the end of 2007, countries will have developed
  national partnership, advocacy and IEC strategies
  according to local socio-cultural environment

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SA 5 Support expansion and maintenance of
malaria free areas and malaria elimination

• Expected results
• By 2007, countries in the region where
  interruption of malaria transmission is feasible
  will have developed and implemented malaria
  elimination strategy
• By 2010, countries which eliminated malaria will
  have maintained malaria free status the free
  status will be validated or certified, if needed
• Malaria free projects will be supported and
  expanded in selected malaria endemic countries

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SA6 Strengthen malaria surveillance, ME system
and operational research

• Expected results
• By the end of 2007, all countries will have
  developed and implemented malaria ME plan
• By the end of 2010, all countries will have
  strengthened integrated malaria surveillance
  system
• By the end of 2010, all countries will have the
  capacity to define priorities, design and conduct
  malaria operational research projects

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SA6 Indicators

• Number of countries implemented the malaria ME
  plan at national and sub-national levels
• Number countries reporting regularly on malaria
  burden
• Number of countries reporting on coverage of
  malaria control interventions
• Published biannual regional report on malaria
  burden and coverage of malaria control
  interventions
• Number of malaria operational research implemented

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SA4 Indicators

• Number of targeted countries with WHO field staff
• Number of countries with functional national
  malaria training and research centres
• Number of regional training courses and
  inter-country workshops (planning management,
  malaria lab diagnosis, case management, epidemics
  control, vector control and ME)
• Number of countries with developed community
  based system for deploying packages for malaria
  control
• Number of regional activities for promoting
  advocacy, partnership, coordination and resource
  mobilization
• Number of submitted/approved proposals to Global
  fund and other donors

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Estimated Budget

• US 45 million