Summary of Services
Vector control is looking at long lasting insecticide net (LLIN) procurement, supply and distribution base on 3 year recycle process in particular priority areas. LLIN distributions last year were carried out in 4 provinces in 12 health zones. Only one health zone was incomplete due to disaster evacuation -state of emergency in Penama, Ambae Island. Nevertheless the overall coverage was 93% and ratio per net per person was 1:22. Another activity that was implemented under vector control is malaria outbreak and response. This activity mainly focuses on high burden province like MALAMPA and SANMA, the number of cases exiting threshold triggering outbreak investigation.
With the case management and diagnosis activity is mainly based on trainings, supervisory visit and repairs of microscopy. Supervisory visit were done twice in each hospital were Malaria laboratory are located such as Lenakel hospital, VCH, Northern provincial hospital, Norsup, Lolowai hospital and mini Torba hospital. All the microscopist attending trainings for Quality assurance for Diagnosis and treatment. The national Reference microscopist doing the maintaining on microscopy and assess the facilities. Case management trainings for health workers were also part of diagnosis and case management activity.
Surveillance, monitoring and evaluation are under elimination and responsible for DHIS2 and reporting training, routine national supervisory visit to provincial offices and annual MAP review planning and budgeting meeting. All these activities were achieved.
While program management looking at procurement, repairs, and supplies with office admirations equipment’s. These activities looking at supporting and strengthening the management and leadership of the program.
Objectives
NMSP Objective 1 - To maintain universal coverage with LLINs for the whole population of Vanuatu and accelerate reduction in malaria transmission in selected areas using IRS
NMSP Objective 2 – To achieve 100% testing of suspected malaria cases by microscopy or RDT and provide prompt treatment and care for 100% of confirmed malaria cases according to the Guidelines for Treatment of Malaria in Vanuatu
NMSP Objective 3 – Once a province has entered the elimination phase, to investigate and manage all malaria cases and identify, investigate and manage foci of infection according to national Guidelines for Malaria Elimination
Program Management Objective – To strengthen Malaria Program leadership and management capacity at provincial and national level to plan, deliver and report on malaria interventions in a well-coordinated, efficient and timely manner
Means of Service Delivery
The program continued scale up of the LLIN distribution in order to maintain LLIN coverage and provide effective preventive measures for the population in priority areas. These are some of the service delivery activities such as;
- Procurement
- Supply management
- Operational planning
- Distribution
- Monitoring
- And information management.
Case management covers all activities related to diagnosis and treatment of malaria. These are some of the means of services delivery;
- Trainings
- Supervisory visit
- Repairs of microscopy
- Stock management – RDT & Coartem
NMSP Objective 3 – Once a province has entered the elimination phase, to investigate and manage all malaria cases and identify, investigate and manage foci of infection according to national Guidelines for Malaria Elimination.
- Case investigation / classification
- Foci control and management (& response)
- Foci investigated, classified every year >Target 100%
- Case detection –PCD, ACD (& response)
- The case management information is registered in the Monthly Malaria Line Lists (MMLL) and includes results captured from the Rapid Diagnostic Tests (RDTs) and Microscopy blood test registers, as well as patient treatment data from the inpatient and outpatient treatment registers.
- All this data is compiled and summarized in the MMLL which are channelled from health facilities to Provincial office every month. The provinces then enter the MMLL data into a central operating system (DHIS2) on a monthly basis.