Rotary Kalulushi II Malaria Project

August 2012
Rotary Kalulushi II
Malaria Project
A partnership to help eliminate malaria in
Zambian communities
AN OPPORTUNITY FOR PARTNERSHIP
For Rotary Clubs in the U.S. and Zambia
WORLD VISION REPRESENTATIVES
Kim Lorenz
Rotary Liaison
World Vision, Inc.
34834 Weyerhaeuser Way South
Federal Way, Washington 98063
David Owens
Chief Development Officer
Corporate Engagement
World Vision, Inc.
34834 Weyerhaeuser Way South
Federal Way, Washington 98063
KALULUSHI II
PROJECT
Table of contents
1
Executive summary
2
The need
3
Our joint response
Project goal and objectives
Methods and activities
Target beneficiaries
Key partnerships and collaborations
12
Funding plan
12 Sustainability strategy
12 Monitoring and evaluation
13 Why World Vision?
World Vision’s technical strengths/experience in Zambia
Our community development approach
14 Forging a Rotary/Path/World Vision partnership
15
Conclusion
Appendix A: Map of project area
Appendix B: Net beneficiary communities
Appendix C: Partnership roles
Appendix D: Project budget
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KALULUSHI II
MALARIA PROJECT
Glossary of Terms and Acronyms
AAAS Association for the Advancement of Science
ADP
An Area Development Program is World Vision’s 12- to 18-year community-based
transformational development model. There are 40 such programs in Zambia.
AIDS Acquired immunodeficiency syndrome
CHW Community health worker (community-based volunteer health workers trained
in basic health)
CSO
Central Statistical Office (Zambia)
DHO District Health Office/Officers
ECR
Expanded Church Response to HIV/AIDS Trust in Zambia
HIV
Human immunodeficiency virus, the virus that causes AIDS
IEC
Information, education, and communication
IRS
Indoor residual spraying (of insecticide)
LLIN Long-lasting, insecticide-treated net
MACEPA Malaria Control and Evaluation Partnership in Africa—a PATH program
MoH
Ministry of Health
NMCC The National Malaria Control Center—a department of the Zambia MoH that
focuses on malaria prevention and control
PATH Program for Appropriate Technology in Health
RBM
Roll Back Malaria—a global consortium creating a framework to implement
coordinated action against malaria, with which the MoH and NMCC collaborate
STEPS OVC Sustainability Through Economic Strengthening, Prevention and Support
for Orphans and Vulnerable Children, Youth and Other Vulnerable Populations (a
USAID-funded multiyear project in Zambia)
USAID United States Agency for International Development
ZRMSC Zambia Rotary Malaria Steering Committee—the malaria programming
body of Rotarians in Zambia.
ROTARY
KALULUSHI II
MALARIA PROJECT
Project profile
Project Name
Rotary Kalulushi II Malaria Project
Project Number
Project Location
Project Goal and Outcomes
Kalulushi and Lufwanyama districts
Goal: Reduce illness and death due to malaria among targeted communities in
Lufwanyama and Kalulushi districts by providing long-lasting, insecticide-treated
nets (LLINS) to ensure coverage of 87 percent of households.
Outcome 1: Increased coverage and use of personal protective measures
including indoor residual spraying (IRS) and LLINs
Outcome 2: Increased access to adequate and effective drugs and treatment at
health facility and community levels for 10,000 people, including intermittent
preventive treatment (IPT) for 2,200 pregnant women
Outcome 3: Increased awareness and practice of malaria control and
prevention in the community
Geographical Position
Project Area Inhabitants
Target Population
Major Ethnic and Religious
Groups
Estimated Life of Project
Estimated Project Budget
Number of Staff
Anticipated Funding
Source(s)
Project Manager and
Contact Information
Date Design Document
Prepared and Estimated
Start Date
Kalulushi and Lufwanyama are both situated in the Copperbelt province
of Zambia. The geographic coordinates of Kalulushi are 12°50' 0" South,
28°5' 0" East, while Lufwanyama lies approximately 12°46ƍ S 0" and
27°32' 0" East.
The population of Kalulushi is estimated at 96,206, while that of
Lufwanyama is 75,542 (CSO, 2011).
The project will target 20,000 poor and vulnerable households in
malaria-endemic settlement areas in Kalulushi and Lufwanyama as
recommended by the respective District Health Offices (DHOs).
The predominant ethnic groupings in Lufwanyama are the Lamba under
Chief Shibuchinga and Chieftainess Shimukunami. Kalulushi has a more
multiethnic population, among them the Lamba, Bemba, Lunda, Luvale,
and Kaonde.
June 1, 2013 to December 31, 2013
$721,059
11 World Vision, 13 Expanded Church Response to HIV/AIDS Trust in
Zambia (ECR), 4 DHO, and 30 Rotarian volunteers
Rotary Club of Federal Way and other area clubs and World Vision,
Incorporated (WVUS).
Project Manager: Kalimansi Sinyangwe – Team Leader, Lufwanyama Area
Development Program, World Vision Zambia
Contact Person: Mudukula Mukubi – World Vision Zambia
Email: [email protected]
Prepared and submitted on: August 28, 2012
Expected Start Date: June 1, 2013
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KALULUSHI II
MALARIA PROJECT
Executive summary
Rotary and World Vision have a history of successfully collaborating on projects
in Haiti, Angola, Ethiopia, Ghana, Kenya, Uganda, and other areas. Rotary
clubs have worked with the Rotary Foundation on many of these projects to
obtain additional funding matches from the foundation and from district
designated funding. The local host clubs have worked closely with local
World Vision staff in these countries to complete significant projects that have
improved the lives of children and families in the communities served. In
Zambia, the Zambia Rotary Malaria Steering Committee (ZRMSC) has worked
closely with the National Malaria Control Center (NMCC) and the Malaria
Control and Evaluation Partnership in Africa (MACEPA) on malaria-control
projects, particularly within the framework of the Roll Back Malaria campaign.
World Vision Zambia has agreed to join this Rotary-driven collaboration, and
has been chosen to head up another substantial malaria project, while
World Vision United States has agreed to match all Rotary fundraising efforts.
The female Anopheles mosquito’s bite
can infect humans with a parasite
that causes malaria. This tiny
half-inch menace is often referred
to as the “ deadliest animal” in the
world—and especially in Africa.
IN THE TIME IT TAKES TO
SECURE AN INFANT IN
A CAR SEAT, MALARIA
HAS TAKEN THE LIFE
OF AN AFRICAN CHILD.
EVERY 45 TO 60 SECONDS
A FAMILY IN AFRICA IS
DEVASTATED BY THE LOSS
OF A PRECIOUS CHILD TO
MALARIA, A PREVENTABLE
AND TREATABLE DISEASE.
Many of these successful secular and faith-based collaborations were endorsed and
promoted at a recent forum, “How Faith-Based and Secular Organizations Partner
for Better Global Health,” hosted in Seattle by the Global Health Alliance. It was
repeatedly noted that it often is faith-based organizations that have the feet on the
ground, the trust, and respect of all religions in the program areas.
Speaker Bill Gates, Sr., stated, “Partner with the partner that already has the
expertise and feet on the ground.” Gary Darmstadt added, “Everything we do
is through partnerships, any barriers need to be removed, [so we can] focus on
the good that can be done.” Darmstadt is the Bill & Melinda Gates Foundation
director of family health.
At a meeting on May 25 in Lusaka, the ZRMSC, in collaboration with the
Rotary Club of Federal Way, met with World Vision Zambia and World Vision
U.S. to explore the possibility of a malaria prevention partnership. This proposal
is the product of a joint effort to implement a malaria prevention project in
Kalulushi and Lufwanyama in Zambia’s Copperbelt province.
A partnership with Rotary, the Program for Appropriate Technology in Health
(PATH), the Ministry of Health, and World Vision will result in the $721,059
Kalulushi II Malaria Prevention Project. This six-month project will run from
June 2013 through December 2013. Its goal is to reduce illness and death from
malaria among targeted areas in Lufwanyama and Kalulushi districts through
the following:
• Increased coverage and use of personal protective measures that include
indoor residual spraying (IRS) and long-lasting, insecticide-treated nets
(LLINs)
• Increased access to adequate and effective drugs and treatment at health
facilities and in communities for 10,000 people, including intermittent
preventive therapy (IPT) for 2,200 pregnant women
• Increased awareness and practice of malaria control and prevention in the
communities
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KALULUSHI II
MALARIA PROJECT
The Rotary Kalulushi II Malaria Project is targeting 20,000 households and
2,800 people in boarding institutions (such as schools and health facilities)
for nets and spraying. That also includes increased access to malaria treatment
through enhanced community-base case management, with a special focus on
pregnant women and children younger than 5.
© 2010 Wor ld V ision
Although the meeting in May included discussions of providing significant
coverage for institutional beneficiaries, such as health facilities and boarding
schools, further collaboration with the Ministry of Health (MoH) resulted in
restructuring that facet of the project. The gaps in coverage identified by the
MoH totaled just eight institutions in the project area: five health facilities and
three boarding schools. This has enabled project design—with encouragement
from the MoH and MACEPA—to make institutional coverage a smaller,
secondary piece of the project, and allow for more intensive coverage of at-risk
households.
Zambian children in Kalulushi will
have plenty to smile about when
malaria nets provided through
the Rotary Kalulushi II Malaria
Project give them peaceful nights
and malaria-free days.
The sponsoring club will be Rotary Club of Federal Way, working with Rotary
Club of Seattle and other Rotary clubs in the U.S. The host club will be Kalulushi
Rotary Club of Zambia, which also will provide a portion of the funding. The
project will distribute 60,000 LLINs to Kalulushi and Lufwanyama households,
and 5,000 more to prenatal clinics and other institutions, providing malaria
protection for approximately 122,800 people. This will increase net coverage in
these communities from 60 percent to 87 percent.
Rotary and World Vision’s experience and passion, when combined with the
technical knowledge of the Ministry of Health’s NMCC, District Health
Offices, and MACEPA, will create a formidable force in the battle against
malaria and its devastating effects on families.
World Vision was asked to be the lead agency and be directly responsible
for operations in Lufwanyama, where it has an Area Development Program
(ADP). Because Kalulushi falls outside of World Vision’s program footprint,
operations there will be subgranted to the Expanded Church Response to HIV/
AIDS Trust in Zambia (ECR), a local organization with extensive experience
in malaria programming. The Rotary Club of Kalulushi and other Zambian
Rotary clubs also will participate in these project interventions, with advisory and
technical support from the NMCC and MACEPA.
The project’s $721,0059 budget will be funded by Seattle-area Rotary clubs and
other Rotary clubs in the U.S., World Vision U.S., and Zambian Rotary clubs,
led by the Rotary Club of Kalulushi. Private funding and/or in-kind services also
are anticipated from a mining company and other corporate entities in Zambia.
The need
In the time it takes to secure an infant in a car seat, malaria has taken the life
of an African child. Every 45 to 60 seconds a family in Africa is devastated
by the loss of a precious child to malaria, a preventable and treatable disease.
Ninety-one percent of all malaria deaths worldwide occur in Africa, where
765 million people are at risk of malaria. This disease also is responsible for
$12 billion of lost productivity annually in Africa alone.
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It is estimated that there are nearly 4 million malaria cases diagnosed every year
in Zambia, with the disease contributing to 36 percent of hospital admissions
and outpatient visits annually (NMCC, 2011). At least half of all those who die
from malaria in Zambia are children younger than 5, while 50 percent of hospital
admissions for children in that age group are due to malaria.
In addition, malaria accounts for 20 percent of maternal deaths (UNICEF,
2011). Pregnant women and children younger than 5 are most vulnerable to
malaria, which can cause miscarriage in pregnant women, low birth-weight
infants, and other complications. Malaria spread by the female Anopheles
mosquito can result in death within hours or a few days of infection, especially
in those with poor immunity such as children, pregnant women, and people
with AIDS. Those who survive repeated, or even just one severe episode of
malaria can suffer from a range of lasting physical and mental disabilities.
“THERE IS NO OTHER WAY TO
INVEST TAXPAYER DOLLARS
AND SAVE HUMAN LIFE AT
SUCH A HIGH RETURN ON
INVESTMENT … [NETS ARE]
ONE OF THE BEST BUYS WE
HAVE IF OUR GOAL IS TO BUY
LIFE FOR VERY VULNERABLE
KIDS.”
—Dr. Rajiv Shah, administrator for
the U.S. Agency for International
Development, speaking about the
role of long-lasting, insecticide-treated
mosquito nets in the global effort to
eradicate malaria
Sadly, it is this population, already poor and vulnerable, that struggles most
with malaria and its effects. Contributing factors include:
• High levels of malaria transmission by mosquitoes because the efforts of
malaria prevention and control agencies cannot keep up with the need.
• Despite tremendous efforts to extend malaria interventions throughout
the country, interventions such as LLINs require sustaining high levels of
coverage over time. Inadequate resources make this is difficult, however. The
net coverage for Kalulushi and Lufwanyama as of June 2012 was estimated at
60 percent, leaving approximately 28,000 households without bed nets.
• Awareness levels for malaria are low among the target population. Knowledge,
attitudes, and practices that perpetuate malaria remain rampant, including
living in or near mosquito-infested areas such as wetlands, growing mosquitoattracting grassy crops around homesteads, or even ignoring malaria
altogether (Association for the Advancement of Science, 2002). Most people
do not recognize the symptoms or understand the dangers of malaria (they
often think they have a cold, influenza, or other common infection). They
also might live far from healthcare facilities, and instead go to local medicine
sellers or traditional healers for advice.
Our joint response
The National Malaria Indicator Survey of 2010 proposes to prioritize the
Copperbelt province for net distribution, among other interventions, making
this a timely and apt response to a pressing need.
This proposal is a follow-up to Kalulushi I, which was implemented in 2011 by the
Rotary Club of Kalulushi District 5030 (match) with support from Rotary Club
Federal Way, Seattle 4, Shoreline, University District, Emerald City, and Edmonds
Daybreakers. The project builds on the NMCC strategy and through it, a
partnership comprising World Vision, Rotary, and other players seeks to implement
the Kalulushi II Malaria Prevention Project. Kalulushi II will provide LLINs,
indoor spraying, malaria tests and medicines, improved malaria stakeholder
coordination, and increased malaria prevention awareness to families, boarding
schools, health centers, and other targeted institutional facilities in Lufwanyama
ADP and Kalulushi district in the Copperbelt province of Zambia.
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MALARIA PROJECT
Keeping pregnant
women safe
Intermittent preventive
therapy for pregnant
women consists of
administering a dose of
anti-malarial drug at least
twice during pregnancy,
regardless of whether or
not the woman is infected.
The drug is administered
under supervision during
prenatal care visits.
Sulfadoxine-pyrimethamine
is the drug currently
recommended by the
World Health Organization
because of its safety and
efficacy in pregnancy.
While there are a number of organizations working on malaria prevention and
control in the two districts, there is need for better coordination to enhance
collective efforts and resources. This project will improve coordination and
collaboration among nongovernmental organizations, District Health Offices
(DHOs), partners, community leaders, and volunteer health workers. This is
expected to result in improved efficacy by limiting duplication of interventions
and improving sustainability.
Kalulushi II will conduct a mass distribution of nets in selected areas to cover
mostly homes, plus a few boarding schools and health centers. It is expected
that increased net coverage will reduce the mosquito population, leading to a
reduction in malaria cases. The project will promote correct hanging of nets
and education on their proper use. It has been proven that the nets are not
affective against malaria if:
• The net is not hung properly covering the bed
• The net has holes
• The net has not been treated
• Some part of the sleeper’s body is outside the net at night
The project also will carry out a community awareness campaign on malaria.
Increased public awareness can improve the likelihood of recognizing malaria
symptoms, seeking immediate medical treatment, and prompting communities
living far from healthcare facilities to:
• Take initiative for prevention and treatment
• Manage their environment
• Avoid mosquito-infested settlements
• Arrange transportation of patients to health facilities
• Avoid local medicine sellers or traditional healers
Project goal and objectives
Project Goal: Reduce illness and death due to malaria in Kalulushi and
Lufwanyama districts by providing long-lasting, insecticide-treated bed nets to
87 percent of individuals in the target areas through:
Outcome 1: Increased coverage and use of personal protective measures
including indoor residual spraying and nets
Outcome 2: Increased access to adequate and effective drugs and treatment at
health facility and community levels for 10,000 people, including intermittent
preventive treatment for 2,200 pregnant women
Outcome 3: Increased awareness and practice of malaria control and
prevention in the community
Methods and activities
The following activities will be implemented:
Outcome 1: Increased coverage and use of personal protective measures,
including indoor residual spraying and long-lasting, insecticide-treated nets
Output 1.1: 2,200 nets provided at no cost to health centers for distribution to
pregnant women attending prenatal clinics
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World Vision, in consultation with the MoH through the Lufwanyama and
Kalulushi DHOs, will deliver the nets to selected health facilities, where
government health staff will give them to mothers and guardians attending
prenatal clinics and growth monitoring sessions for children younger than 5.
Nets that work
Output 1.2: Mass distribution and hanging of nets in 20,000 homes
The nets to be distributed in this
project are long-lasting, insecticidetreated nets that measure 160 cm. x
150 cm. x 180 cm. manufactured by
Vestergaard Frandsen. The PermaNet
allows user to wash the nets without
affecting the effectiveness of the
deltamethrin impregnated in the
polyester fabric.
This activity will be carried out by 120 community health workers (CHWs),
trained by the MoH and other partners, including World Vision Zambia. The
MoH will provide supervision. Activities will include:
According to standards set by the
World Health Organization (WHO),
a net is considered to be long-lasting
when it retains its effectiveness
without re-treatment for at least
20 standard washes under WHO
conditions, or three years of use in
field conditions.
• (Re)orient 120 CHWs in net distribution
• Distribute 60,000 nets to households in the targeted communities
• Hang 60,000 nets (by CHWs) in 20,000 homes
• Hang 2,800 nets in targeted boarding schools and health facilities
• Monitor use of nets (done by CHWs) in beneficiary homes
• Monitor use of nets in beneficiary institutions
Output 1.3: Systematic IRS in 60 percent of targeted homes and institutions
The project will recruit trained CHWs who carried out IRS in the two districts
in 2010 and 2011 to spray all homes and targeted institutions, in consultation
with relevant authorities in charge of those facilities. Sprayers used in 2010
and 2011 will be mobilized with the help of the Rotary Club of Kalulushi and
the DHOs. Additional sprayers will be recruited if necessary. The homes to be
sprayed will be selected based on NMCC guidelines. Activities will include:
• Procure IRS equipment and chemicals
• Train 10 DHO supervisors on IRS
Maximizing impact
The World Health Organization
Commission on Macroeconomics
estimated that significant investments
in health can lead to a direct return
each year of more than eight times the
investment made in nets. Returns on
investment include:
• Reduced absenteeism and
productivity among the
workforce, and ensuing increased
household income
• Reduced burden on the health
system over time by reducing
mortality among healthcare
workers and reducing the
inpatient and outpatient burden
of malaria
The Global Fund 2010 Innovation and
Impact report
• Train 60 CHWs spray operators on IRS
• Conduct IRS in 2,000 housing units and 200 living spaces in boarding
schools and health facilities that admit patients
Outcome 2: Increased access to adequate and eff ective drugs and treatment
at health facility and community levels for 10,000 people, including
intermittent preventive treatment for 2,200 pregnant women
Due to low numbers of qualified health workers in the health centers, the project
will promote community-based case management of malaria using community
health workers trained by the MoH and other partners. The focus will be on
providing malaria rapid diagnostic test kits and first-line treatment protocols to
community health workers to enable them to administer treatment, especially in
children younger than 5 and pregnant women.
Output 2.1: Health facility and community-level health workers (including
caregivers) are identified and (re)trained in malaria case management
To improve access to treatment for malaria, the project will work with the MoH
to conduct an assessment to identify health facility and community health
workers already trained to administer treatment. Additional health facility
workers and community health workers will be trained on malaria treatment to
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MALARIA PROJECT
cover gaps. The training will be facilitated by the MoH with support from the NMCC.
Activities will include:
• Procure training kits for malaria case management
• (Re)orient 30 health facility medical officers on case management of malaria
• Train supervisory staff on supervision techniques to enable them to effectively
monitor, evaluate, and continuously teach health workers to correctly manage
malaria, including in pregnancy
• (Re)orient 90 CHWs on malaria case management
Output 2.2: 10,000 people (children and adults) treated for malaria
Rapid diagnostic tests and first-line drugs for treating malaria will be procured through
World Vision’s gifts-in-kind resources and distributed primarily to community health
workers and facility health workers in healthcare centers. The CHWs will require regular
supervision from facility health workers; the project will conduct a separate training for
supervisors. Activities will include:
• Procure 10,000 rapid diagnostic tests and malaria kits in consultation with DHOs
• Distribute 10,000 rapid diagnostic tests and malaria treatment kits to health
facilities in communities
• Hold (refresher) training for community health workers on malaria community case
management
• Conduct (by CHWs) malaria community case management
• Conduct (by professional health workers) malaria-in-pregnancy case management
• Supervise/mentor community health workers (by health facility workers)
Output 2.3: Access to intermittent presumptive treatment for 2,200 pregnant women
Activities will include:
• Hold (refresher) training for professional health workers on malaria-in-pregnancy
case management
• Hold (refresher) training for community health workers on malaria-in-pregnancy
case management
• Train CHWs and health facility workers to provide IPT and malaria-in-pregnancy
case management to 2,200 women
© 2012 Wor ld V ision
Outcome 3: Increased awareness and practice of malaria
control and prevention in the community.
Building local capacity to manage long-term malaria prevention
initiatives involves training trainers who will then go out into their
communities to share information on prevention, diagnosis, and
treatment.
Limited knowledge of malaria is one of the key contributing
factors hindering effective malaria control in Zambia. To address
this, the project will promote public education and awareness
on all aspects of malaria control. Materials are available for
malaria education, and the project will obtain them from the
NMCC and PATH’s MACEPA. An information, education, and
communication (IEC) working group will be created to include
the MoH, World Vision Zambia, PATH, and the Zambia Rotary
Malaria Steering Committee to test and adapt existing malaria
awareness messages to make them strong and clear enough to
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MALARIA PROJECT
influence behavior change. Dissemination will be done through the IEC division of
the MoH, media, the Ministry of Education, and community leaders.
Output 3.1: Malaria IEC materials mobilized, tested, and disseminated
• Establish an IEC working group to review and update available IEC materials and
develop and test new IEC materials
• Print 600 T-shirts and caps with malaria messages
A tool that works
• Display malaria messages on billboards
According to the Lancet Child
Survival Series, the top two
interventions saving lives today are
mosquito nets and early initiation of
breast-feeding for infants. UNICEF
states that treated nets can reduce
overall child mortality by up to 20
per cent. There is evidence that
bed nets, when consistently and
correctly used, can save 6 lives
per year for every 1,000 children
sleeping under them.
• Print and distribute malaria posters with malaria messages
• Produce audiovisual malaria jingles for radio and TV
• Secure air time for audiovisual malaria jingles on radio and TV
• Conduct malaria sensitization using community performing arts
• Conduct malaria sensitization using community leaders
Monitoring and evaluation
The project will be monitored and evaluated for reporting purposes and to track program
effectiveness through these activities:
• A baseline survey before the project starts
• Door-to-door monitoring of net hanging and use (by CHWs)
80
• Documentation of lessons learned and best practices
70
• Monthly data captured at the community and health facility levels by CHWs,
environmental health technologists of the DHOs, World Vision, the ECR monitoring
and evaluation team, and the Zambian Rotary Malaria Steering Committee
60
Percentofmalaria
casedecreasesince
netdistributions
50
40
FiveͲyeargoal
30
20
10
0
Zambia Mozambique
Kenya
These very early results are based
on a one-year comparison in
Zambia, and briefer two- to fourmonth comparisons in Mozambique
and Kenya. These results are
measured against the Roll Back
Malaria goal of reducing malaria
cases by 75 percent by 2015,
• Final evaluation
Target beneficiaries
Kalulushi has 19,885 households and a population of 96,206, and Lufwanyama
has 16,363 households and a population of 75,542 (CSO, 2011). The project will
target 20,000 households (approximately 120,000 family members) in Kalulushi and
Lufwanyama as well as approximately 2,800 people in boarding schools and health
facilities. These nets will bring coverage levels up to 87 percent from 60 percent. An
assessment will be conducted to determine household need. This will help identify
specific target communities and the number of recipients in each district. The beneficiary
communities will be chosen based on their incidence of malaria as determined by district
and health facility records. The project will have a special emphasis targeting 2,200
pregnant women.
The project originally planned to provide nets to a large number of boarding schools and
health centers, but the Ministry of Health identified only three schools and five health
centers for this project.
7
A volunteer distributes nets house to house
in Zambia. He’s carrying a hammer, nails,
and twine, as well as nets, to make sure
nets are properly hung and used. Education
plays a pivotal role in the project, helping
trained volunteers teach their neighbors how
important it is to use the nets to prevent
malaria and save lives.
2,200nets
distributedto
pregnantwomen
Output1.3
Systematicspraying
in60percentofthe
targetedhomesand
boardingfacilities
Output1.2
Massdistribution
andhangingofnets
in20,000homesof
targetbeneficiaries
Healthworkers
(re)trainedin
malariacase
management
Output2.1
10,000people
treatedĨŽƌmalaria
Output2.2
AccesstoIPTfor
2,200pregnant
women
Output2.3
Increasedaccesstoadequateandeffectivedrugsandtreatment
for10,000people,includingIPTfor2,200pregnantwomen
Increasedcoverageanduseofindoorresidualsprayingand
longͲlasting,insecticideͲtreatedbednets
Output1.1
Outcome2
Outcome1
ReduceillnessanddeathfrommalariainLufwanyamaandKalulushiby
providingLLINsto87percentofindividualsinthetargetedareas.
© 2011 Wor ld V ision
MalariaIEC
materialsmobilized,
tested,and
disseminated
Output3.1
Increased
awarenessand
practiceofmalaria
controland
prevention
Outcome3
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Key partnerships and collaborations
Partner profiles and roles
Rotary Club of Kalulushi has a record of successful malaria interventions—including a net
distribution this past year—as well as a dedicated group of members who have demonstrated
the diligence required to initiate and complete projects. Rotary Club of Kalulushi has
extensive experience in malaria prevention and control projects such as this one (Kalulushi
I). The Kalulushi club has successfully executed mass net distribution and indoor residual
spraying projects in conjunction with NMCC as part of the Roll Back Malaria campaign.
This club will serve as the local sponsoring club for the project, file all applications and
reports, and handle communication with the ZRMSC and World Vision as required.
This club will coordinate all fundraising in its district and surrounding districts, and
establish a separate bank account for all funds contributed to this project. The Rotary
Club of Kalulushi also will take the lead role in promoting education and obtaining
financial or in-kind support from local entities in Kalulushi and Lufwanyama districts,
including, among others, the Chibuluma Mine. The club will participate in planning
and review meetings, monitor activities, and provide technical backstopping to field staff.
Its volunteers will be involved in field-level implementation activities when possible.
Rotary Club of Federal Way and its members serve each other and the world,
transforming communities locally and globally. Its International Service Committee
serves to fulfill Rotary’s mission of “advancing international understanding, goodwill,
and peace.” The committee is responsible for selecting projects that impact the health,
education, and welfare of less advantaged people in other countries, with a particular
emphasis on youth. The Rotary Club of Federal Way, with Rotary Club of Seattle, and
other Rotary clubs in the region, along with a match from the Rotary Foundation, will
provide the Rotary portion of funding for this project. This club also will coordinate the
funding effort from all Rotary clubs in the United States. It will review and monitor all
activities in this project, and provide technical guidance and expertise from its wealth of
experience and volunteers.
The Program for Appropriate Technology in Health (PATH) takes a multifaceted
approach to fighting malaria. It collaborates with national and global partners to develop
strategies to eliminate malaria by bringing together public- and private-sector partners
to accelerate the development of malaria vaccines, and working to create a steady,
affordable, and high-quality supply of drugs for malaria treatment. With funding from
the Bill & Melinda Gates Foundation, PATH in 2004 established the Malaria Control
and Evaluation Partnership in Africa (MACEPA). This program is a leader in the
fight against malaria, working with national governments and program partners in subSaharan Africa to rapidly achieve and sustain high coverage of life-saving interventions,
improve surveillance, and provide data that empowers countries to pursue malaria
elimination. Alongside these partners, MACEPA is charting the way forward for the
global community to end malaria illnesses and deaths in Africa altogether. In Zambia,
MACEPA supports the NMCC and partners with planning and data collection for
maximizing malaria control intervention coverage and malaria burden reduction. It has
been working in Zambia providing technical assistance and support since 2005.
9
ROTARY
KALULUSHI II
MALARIA PROJECT
Expanded Church Response to HIV/AIDS Trust in Zambia (ECR) is a Christian
umbrella organization supporting faith-based responses to HIV. Formed in 2003 by
church leaders in Zambia, ECR provides information and improves skills on HIV
prevention to its member organizations in Zambia. It also advocates for and supports
the church as a source of attitudinal and behavioral change in the community, especially
with respect to decreasing stigma and discrimination toward people living with HIV and
AIDS. Furthermore, ECR advocates for and supports the church’s poverty-reduction
efforts and works to catalyze a comprehensive, coordinated response from Christian
institutions and churches in every community in Zambia.
ECR is a member of the Sustainability Through Economic Strengthening, Prevention, and
Support for Orphans and Vulnerable Children, Youth, and Other Vulnerable Populations
(STEPS OVC) consortium, with experience in supporting community initiatives for
malaria prevention and control. World Vision Zambia and ECR have proven to be good
partners in operating past projects. Because it has presence in Kalulushi, ECR will be the
main implementing partner in that district, where it will work with the Rotary Club of
Kalulushi, the District Health Office, NMCC, and MACEPA to facilitate community
mobilization, net distribution, volunteer training, and raising malaria awareness.
The National Malaria Control Center is the body of the Ministry of Health mandated
to carry out malaria prevention and treatment programs countrywide. The NMCC has
been providing life-saving malaria commodities, including:
• Distribution of more than 8 million insecticide-treated mosquito nets since 2003
• Indoor spraying in every Zambian district
• Preventive medicine for pregnant women and life-saving medicine nationwide for
those suffering from malaria
• Rapid malaria tests nationwide
The NMCC will provide overall technical guidance for the design of specific interventions
for this project, including stakeholder coordination, logistics planning, participation in
monitoring, and backstopping. Under monitoring, the NMCC will provide detailed
information on the baseline survey and ensure participating health facilities and district
health centers have the necessary equipment for the diagnosis of malaria, which is essential
for the accuracy of monitoring and evaluation information.
The District Health Office is the city administration of the healthcare system in Zambia.
Reporting to the Provincial Health Office, the DHO manages hospitals and healthcare
facilities at the district level. It is headed by the District Medical Officer, who oversees
the planning, resource procurement, and implementation of all health programs in
each district. The DHOs of Kalulushi and Lufwanyama have been involved in malaria
programs before, including Kalulushi I, which was implemented in both districts in
2010 and 2011. The DHOs will direct the participation of all the health facilities in the
target areas and through them, the huge resource of community health workers who
support healthcare delivery at the community level. The DHOs will recommend specific
settlements and institutions to which priority should be given. They also will:
• Lead the design and implementation of the indoor residual spraying campaign
• Provide facilitators for all training activities in the project
• Make available medical personnel to provide supervision to community health
workers carrying out community case management of malaria, including
intermittent presumptive treatment for pregnant women
10
ROTARY
KALULUSHI II
MALARIA PROJECT
• Facilitate the integration of the project into ongoing operations of the MoH
• Provide health facility staff to monitor the technical aspects of the project
World Vision (in the U.S. and in Zambia) is a Christian humanitarian organization
dedicated to working with children, families, and their communities worldwide to reach
their full potential by tackling the causes of poverty and injustice. We serve all people,
regardless of religion, race, ethnicity, or gender.
World Vision provides emergency assistance to children and families affected by natural
disasters and civil conflict, works with communities to develop long-term solutions to
alleviate poverty, and advocates for justice on behalf of the poor. World Vision serves
millions of people in nearly 100 countries around the world.
Our passion is for the world’s poorest children. To help secure a better future for
each child, we focus on lasting, community-based transformation. We partner with
individuals and communities, empowering them to develop sustainable access to clean
water, food supplies, healthcare, education, and economic opportunities.
Ninety percent of World Vision’s 44,000 staff members come from the region or area
where they work. Our local presence and community partnerships enable us to create
sustainable and effective solutions to chronic poverty. World Vision remains in most
project areas from 12 to 18 years, or until we can safely leave without jeopardizing the
advancements that have been made.
World Vision’s work is funded by a variety of private, foundation, government, and giftin-kind donations that exceed $2.6 billion annually. The organization comprises separate,
affiliated entities in nearly 100 countries, bound together by a Covenant of Partnership.
Though World Vision is motivated by our faith in Jesus Christ to serve alongside the
poor and oppressed as a demonstration of God’s unconditional love for all people, we do
not proselytize. World Vision has signed the International Red Cross Code of Conduct
and abides by SPHERE protocols that prohibit proselytizing. We also have been
instrumental in the formation of InterAction, which guides and oversees the work of
sponsorship agencies. Groups that are part of InterAction (like World Vision) agree not
to proselytize.
World Vision Zambia (with field office headquarters in Lusaka, Zambia) has extensive
experience, expertise, professional staff, infrastructure, and government connections as
a result of operating for more than 31 years in Zambia’s various development sectors.
World Vision’s expertise is especially valuable in enhancing community participation
and ensuring contractors do quality work that adheres to international and donor
standards. World Vision Zambia and the Rotary Club of Kalulushi will facilitate project
implementation in the field.
A committee will be established with two representatives of World Vision Zambia and
one member each from Rotary Club of Kalulushi, ECR, MACEPA, and NMCC.
This committee will provide leadership and guidance to the project, and oversee its
implementation. All payments of Rotary funds expended in this project will be approved by
a representative of Rotary Club of Kalulushi. World Vision Zambia will provide the needed
financial and project reporting to all partners covered in the Memorandum of Understanding
as well as to World Vision U.S. staff members, who will finalize reports to the partners.
11
ROTARY
KALULUSHI II
MALARIA PROJECT
Project staffing
The staff dedicated to implementing Kalulushi II include World Vision, ECR, District
Health Office employees and Rotary volunteers. It breaks down like this:
Rotarians
DHO
ECR
World Vision
0
30
4
0
13
0
11
0
Staff
Volunteers
Funding plan
Partner
Amount
Rotary Clubs
$86,000
Rotary Districts
$86,000
Rotary International
$128,000
World Vision match
$421,059
Local companies
Total
TBD
$721,059
Sustainability strategy
Sustainability of interventions and improvements will be achieved by enhancing district
and local capacity to expand and ensure access to malaria prevention and control
for poor households in mosquito-endemic zones. The District Malaria Coordination
Committee is expected to continue functioning after the six-month project ends. It will
be responsible for mobilizing resources, coordinating malaria control and prevention
efforts, facilitating distribution of insecticide-treated nets, and other malaria prevention
and control efforts. The committee will receive technical support from World Vision’s
Lufwanyama ADP staff, Rotary Club of Kalulushi, and District Health Offices.
All aspects of the project, technical as well as educational, will establish a solid
foundation to keep health-seeking behaviors in place long after the project ends. It is
expected that when funding stops, Lufwanyama ADP will continue providing support
to the communities in Lufwanyama, while ECR will continue to facilitate communitydriven initiatives in Kalulushi. Establishing or strengthening organized community
structures and community participation at all stages will enhance project ownership
and sustainability. However, adoption of healthy practices and change of behavior is
part of the learning, empowerment, and capacity development required to improve
health conditions of families and strengthen household livelihood security (parents
can’t work if they’re ill or home caring for sick children).
Monitoring and evaluation
A monitoring plan will be designed based on project indicators. A baseline survey will be
completed by World Vision Zambia and ECR in collaboration with MACEPA, NMCC,
12
ROTARY
KALULUSHI II
MALARIA PROJECT
and the two District Health Offices. The health advisor for Lufwanyama ADP will provide
project monitoring. In addition, the ADP manager and the World Vision Northern Regional
operations manager will collaborate with designated officials from Rotary Club of Kalulushi,
DHOs, and MACEPA to closely monitor project activities and achievements through regular
review meetings. An evaluation of the project’s impacts will be conducted at the end of six
months, as changes in health-seeking behaviors and decreases in malaria cases usually take a
minimum of one or two years to conclusively reflect results.
Why World Vision?
World Vision has made the fight against malaria a top priority as part of its multifaceted
approach to guaranteeing child well-being outcomes. No child should die because her
family can’t afford something as simple as a mosquito net. World Vision has a dedicated
supply chain system involving the shipment of hundreds of containers of products
around the world each year. In Zambia, a dedicated distribution center in Lusaka
ensures the professional handling of several different commodities that are distributed
across the country to 40 ADPs in 26 districts across all 10 provinces.
© 2010 Wor ld V ision
World Vision has an active ADP in Lufwanyama, and has partnered there with the
Churches Health Association of Zambia to implement the Lufwanyama Child
Survival Project, aimed at improving the health status of children younger than 5
through a variety of interventions that included malaria prevention. Every World Vision
ADP in Zambia has health staff and development facilitators who work in collaboration
with the Ministry of Health, as well as regional health staff for northern Zambia. We
also have demonstrated significant success in attracting thousands of volunteers, who
will work side-by-side in this distribution effort with local Rotarians and World Vision
Zambia staff.
Though World Vision does not have active programming in Kalulushi, there is an
experienced partner in ECR, which has operations in the area and with whom World
Vision can work to successfully collaborate on this malaria prevention project.
World Vision’s technical strengths/experience in Zambia
The Reaching HIV and AIDS-Affected People with Integrated Development and
Support (RAPIDS), model and World Vision’s staff expertise made STEPS distributions
a “best practice ever,” according to government officials. “The exercise was done with
so much efficiency and coordination amongst all the stakeholders involved. Through
monitoring, we were able to see that the Neighborhood Health Committees were all
trained and gave the households LLINs based on their need,” said Cecilia Katebe,
principal net officer at the Zambia NMCC.
A sampling of other experience in Zambia that has developed World Vision’s capacity to
implement malaria projects and make us a major player in this battle includes:
• A 2009/2010 partnership with Against Malaria to distribute 300,000 nets to
100,000 households.
• In 2010, we distributed 300,000 nets in 12 districts through Operation Safety Net.
• In 2011, we distributed 1 million nets through STEPS, which covered the entire
province of Luapula, and two districts in the Eastern province.
13
ROTARY
KALULUSHI II
MALARIA PROJECT
Our experienced staff —from the global leadership level to the field—and strong
relationships with collaborating international organizations fighting the war against
malaria, make World Vision distinctly qualified to implement malaria interventions.
With six decades of experience bringing help and hope to those in need, our lifechanging work employs some 44,000 people in nearly 100 countries, including more
than 750 experienced staff members in Zambia.
World Vision works with a host of national and international entities, including
the President’s Malaria Initiative, Malaria No More, and national governments and
ministries of health. We also are a delegate on the Roll Back Malaria board and serve on
its Harmonization and Advocacy working groups.
Our community development approach
World Vision’s health projects usually are implemented within ADPs, which focus on a
cluster of communities in a contiguous geographic area. World Vision brings together
stakeholders in the region to identify and prioritize needs. The ADP concept typically
integrates malaria prevention, primary healthcare, food security, education and literacy,
and economic development. This development model is successful because its projects
are built on needs and strengths identified by local leaders and residents. ADPs are
funded and staffed for 12 to 18 years, assuring long-term supervision and monitoring,
leading to sustainability.
Rotarians desire to participate in projects in ADP areas because they can rest assured all
other sectors required to eventually lift these communities out of poverty are addressed
when World Vision remains in these areas after joint projects with Rotary are completed.
Most often, World Vision works in areas where poverty and need are the greatest; and
the same holds true for Rotarians. When Rotary and World Vision work in collaboration
with each other and government health officials, we are able to maximize impact—
in this case, to develop a program that adheres to the NMCC’s plan for Zambia.
Rotary clubs have demonstrated success in bringing collaborating entities together, as
demonstrated in this project, to work closely with local indigenous staff and volunteers.
Forging a Rotary/PATH/
World Vision partnership
A child dying every 45 to 60 seconds from a preventable disease is unacceptable.
Science journals and researchers around the globe declare that the mosquito is the
deadliest animal in the world, responsible for 655,000 deaths in 2010. At just 2
milligrams in weight and half an inch in length, it leaves in its wake hardship and grief
most of us can only imagine.
World Vision and Rotary have made the fight against malaria a top priority in their
work because we both refuse to accept its impact on children. No child should die
for lack of something as simple as a mosquito net. To protect children, World Vision,
PATH, and Rotary clubs are fighting to eliminate malaria where we can make a
tangible, sustainable difference. We invite you to play a key role in this dynamic
partnership, as we battle malaria in Zambia, and continue to build on past success.
14
ROTARY
KALULUSHI II
MALARIA PROJECT
Conclusion
In this project, World Vision, PATH, local and international Rotary clubs, and
other collaborating agencies and organizations propose an intervention to save lives,
particularly in children younger than 5 and pregnant women. Malaria is a major
contributor to illness and death in Zambia, and many who survive have lifelong
challenges that affect their productive livelihood. Each of this project’s partners wants
to build a better world for Zambia’s children and families living in poverty, who are
exposed to malaria every day. World Vision has extensive experience carrying out
malaria prevention and control projects in Zambia, a strong presence in the communities
where we work, and a project design that will bring life-changing improvement to
thousands of Zambians, as we work hand-in-hand with local Rotary clubs.
P.O. Box 9716
Federal Way, WA 98063-9716
worldvision.org
ZMB12FECPRO_Rotary_8.29.12
© 2011 World Vision, Inc.
World Vision is a Christian humanitarian organization dedicated to working with children, families, and their communities
worldwide to reach their full potential by tackling the causes of poverty and injustice. Motivated by our faith in Jesus Christ,
we serve alongside the poor and oppressed as a demonstration of God’s unconditional love for all people. World Vision serves
all people, regardless of religion, race, ethnicity, or gender.
15
APPENDIX A: MAP OF PROJECT AREA
APPENDIX B: BENEFICIARY COMMUNITIES
Kalulushi
Chembe Central
Denovan
Ichimpe Central
Kalisha
Kankobwe
Mwambashi A
Mwambashi B
Mwambashi C
Sabina
Twafweniko
Twashuka
Zamclay
Luywanyama
Bulaya
Chikabuke
Chinemu
Fungulwe
Kapilamikwa
Lumpuma
Mukumbo
Mukutuma
Mushingashi
Shimukunami
St Joseph’s
St Mary’s
Chief Nkana
Zambia Rotary Malaria Steering Committee
World Vision Zambia
World Vision United States
Rotary Club Federal Way and Seattle-area clubs
Rotary Club of Kalulushi
PATH/MACEPA
Zambian District Health Office
Ministry of Health/National Malaria Control Center
Expanded Church Response
Agency
Partnership roles
Advisory
Design
Monitoring
Review and/or
Implementation
Role
Fundraising
and/or logistics
Coordination
APPENDIX C: PARTNERSHIP ROLES
Target
65,000LLINsby
June30,2013
2,200pregnant
Deliver2,200LLINstohealthcentersfordistributionatno womenreceive
costtopregnantwomenattendingprenatalclinics
LLINsbyAugust
2013
DistributeLLINstopregnantwomenduringprenatalclinics
1.1.3
Hangingof60,000LLINsbyCHWsin20,000beneficiary
homes
Hangingof2,800LLINsintargetboardingplaces
MonitoringuseofLLINsbyCHWsinbeneficiaryhomes
MonitoringuseofLLINsinbeneficiaryboarding
institutions
1.2.3
1.2.4
1.2.5
1.2.6
1.00
1.00
1.00
$1.00 PerLLIN
Train60CHWssprayoperatorsonIRS
Dwelling
ConductIRSin2,000housingunitsand200dwellingunits DonebyOctober
$5.00
unit
inboardingschoolsandadmissionhealthfacilities
31,2013
1.3.4
1.3.5
Intervention1.3 CommunityͲbasedcasemanagementofmalaria
Activitiesfor1.3
SummaryofOutcomes
Increasedaccesstoadequateandeffectivedrugsand
treatmentathealthfacilityandcommunitylevelsfor
Outcome2
10,000people,includingitermittentpreventive
treatment(IPT)for2,200pregnantwomen
Healthfacilityandcommunitylevelhealthworkers
Output2.1 (includingcaregivers)identifiedand(re)trainedonmalaria
casemanagement
Activitiesfor2.1
SummaryofOutcomes
Train10DHOsupervisorsonIRS
$ 30,000.00 Unit
DonebyJuly10,
$700.00 Workshop
2013
DonebyJuly15,
$1,000.00 Workshop
2013
2,800byOct.31,
$0.20 PerLLIN
2013
3visitseachto
10%oftarget
$1.20 Pervisit
homes
3visitseachto
10%oftarget
$20.00 Pervisit
boardingspaces
100% 3
1.00
100% 2,200
100% 1
1.00
100% 1
1.00
2.00
10% 100
100% 2,000
3.00
3.00
100% 2,800
100% 15
100% 60,000
100% 1
1.00
10.00
4.00
$1,000.00 Workshop
EachCHWhangs
$120.00 PerCHW
500LLINs
4training
workshops
60,000bySept.
2013
100% 1
100% 1
100% 1
4.00
$28,600Shipment
$55,600Lotdist
$2,000.00 Workshop
100% 2,200
1.00
$28,600
$55,600
$215,800
100%
100%
100%
Numbers RotaryCost Rotary%
100% 65,000
%
$1.00 PerLLIN
Freq.
1.00
Variable
$3.32 Unit
Cost
1.3.2
Output1.3
Systematicindoorresidualspraying(IRS)inthetarget
homesandboardingfacilities
Activitiesfor1.3
SummaryofOutcomes
ProcureIRSequipmentandchemicals
1.3.1
Distributionof60,000LLINsincommunitylocations
1.2.2
Internationalshippingfornets
InͲcountrytransportofnets
MassdistributionandhangingofLLINsin20,000homesof
Output1.2
targetbeneficiaries
(Re)orient120communityhealthworkers(CHWs)inLLIN
1.2.1
distribution
1.1.4
1.1.5
1.1.2
65,000nets
65,000nets
SummaryofOutcomes
Procure65,000conicaldoubleLLINs
Activitiesfor1.1
1.1.1
2,200netsprovidedatnocosttohealthcentersfor
distributiontopregnantwomenattendingprenatalclinics
Output1.1
Intervention1.1
Outcome1
ProjectGoal
SummaryofOutcomes
ReduceillnessanddeathduetomalariainKalulushiand
LufwanyamadistrictsbyprovidinglongͲlasting,insecticideͲ
treatedbednets(LLINs)to87percentofindividualsin
targetareas
Increasedcoverageanduseofpersonalprotective
measuresincludingindoorresidualsprayingandnets
Massdistributionofnets
RotaryKalulushiIIMalariaProject
Title
$11,000
$3,000
$1,400
$30,000
$600
$7,200
$560
$18,000
$60,000
$4,000
$8,000
$2,200
WVcost
100%
100%
100%
100%
100%
100%
100%
100%
100%
100%
100%
100%
WV%
Partners
Partners
$11,000 MoH,NMCC
$3,000 MoH,NMCC
$1,400 WV(supportedbyMoH,NMCC)
$30,000 WV(supportedbyMoH,NMCC)
$600 WV,ECR(SupportbyMoHCHWs)
$7,200 WV,ECR(SupportbyMoHCHWs)
$560 WV,ECR(withZRMSCvolunteers)
$18,000 WV,ECR(withZRMSCvolunteers)
$60,000 WV,ECR(withMoH)
$4,000 WV
$28,600
$55,600
$8,000 WV
$2,200 WV
$215,800 WV
Totalcost
APPENDIX D: PROJECT BUDGET PAGE 1
SummaryofOutcomes
(Re)orient90CHWsoncasemanagementofmalaria
(Re)orient30healthfacilitymedicalofficersoncase
managementofmalaria
Trainsupervisorystaffonsupervisiontechniquesto
enablethemtoeffectivelymonitor,
evaluate,andteachhealthworkerstocorrectlymanage
malariaandmalariaͲinͲpregnancy
Procuretrainingkitsforcasemanagementofmalaria
Cost
Variable
Freq.
$50.00 Participant 3.00
DonebyAugust
10,2013
CHWsandhealthfacilityworkersprovideIPTandmalariaͲ
inͲpregnancycasemanagementfor2,200women
2.3.3
Print600TͲshirtsandcapswithmalariamessages
Displaymalariamessagesonbillboards
Printanddistributemalariaposters
ProduceaudiovisualjinglesforradioandTV
PlayaudiovisualjinglesonradioandTV
Conductmalariasensistizationusingcommunity
performingarts
Conductmalariasensistizationusingcommunityleaders
Theprojectadministrationisadequateandtimely
3.1.3
3.1.4
3.1.5
3.1.6
3.1.7
3.1.8
Outcome4
1.00
1.00
$3.00 Poster
$5,000.00 Perjingle
30community
opinionleaders
$20.00 Community 3.00
3.00
3.00
6.00
100% 30
100% 15
100% 150
100% 3
100% 600
100% 600
100% 20
1.00
100% 3
$100.00 Billboard
1.00
0%
100% 90
100% 30
100% 30
100% 15
100%
$30.00 Set
$500.00 Meeting
3timesdailyon3
$20.00 Perday
stations
15community
centersineach $500.00 Event
district
3keysmessages
Purchaseand
print
EstablishIECworkinggrouptoreviewandupdateavailable
Designmeetings
materialsanddevelopandtestnewmaterials
3.1.2
3.1.1
2200 1.00
90CHWstrained $100.00 Participant 1.00
Refreshertrainingforcommunityhealthworkerson
malariaͲinͲpregnancycasemanagement
2.3.2
$Ͳ
30staffmembers
$100.00 Participant 1.00
trained
6.00
1monthlyvisitto
eachhealth
$10.00 Pervisit
facilityandCHW
Refreshertrainingforprofessionalhealthworkerson
malariaͲinͲpregnancycasemanagement
1.00
Health
$Ͳ
facility
2.3.1
1.00
$Ͳ CHW
AccesstoIPTandmalariaͲinͲpregnancycase
managementfor2,200pregnantwomen
2.00
$3,000.00 Workshop
Output2.3
100% 10,000
1.00
$1.00 Kit
100% 2
10,000
$Ͳ Kit
100% 95
100% 35
$100.00 Participant 3.00
Procurementof10,000rapiddiagnostictests(RDTs)and
DonebyJuly1,
malariakitsinconsultationwiththeDistrictHealthOffice
2013
(DHO)
Distributionof10,000RDTsandmalariatreatmentkitsto DonebyJuly10,
2013
healthfacilitiesincommunities
Refreshertrainingforcommunityhealthworkerson
DonebyJuly15,
communitycasemanagementofmalaria
2013
Communityhealthworkersconductingcommunitycase 10,000byDec.
managementofmalaria
15,2013
Professionalhealthworkersconductingcasemanagement 2,200casesby
ofmalariaͲinͲpregnancy
Dec.15,2013
Increasedawarenessandpracticeofmalariacontroland
preventioninthecommunity
Intervention3.1 Behaviorchangecommunication
Malariainformation,education,andcommunication
Output3.1
(IEC)materialsmobilized,tested,anddisseminated
Activitiesfor3.1
SummaryofOutcomes
Numbers RotaryCost Rotary%
Doneby10July
2013
Regularsupervision/mentoringofcommunityhealth
workersbyhealthfacilityworkers
Outcome3
%
100% 1
100% 35
1.00
DonebyJuly31,
$75.00 Participant 3.00
2013
$2,000.00 Unit
2.2.6
2.2.5
2.2.4
2.2.3
2.2.2
2.2.1
Output2.2 10,000people(childrenandadults)treatedformalaria
2.1.4
2.1.3
2.1.2
2.1.1
Title
$1,800
$22,500
$9,000
$15,000
$1,800
$12,000
$18,000
$1,500
$9,000
$3,000
$1,800
$12,000
$10,000
$14,250
$10,500
$7,875
$2,000
WVcost
100%
100%
100%
100%
100%
100%
100%
100%
100%
100%
100%
100%
100%
100%
100%
100%
100%
WV%
Partners
$1,800 WV,MoH
$22,500 WV,MoH
$9,000 WVsupportedbyMoH/Rotary
$15,000 MoH,NMCC
$12,000 WV,Rotary,MoH
WV,EC(SupportedbyMoH,NMCC,
$1,800
MACEPA)
$18,000 WV,ECR
$1,500 WV(supportedbyMoH,NMCC)
$0 MoH
$9,000 WV(supportedbyMoH,NMCC)
$3,000 WV(supportedbyMoH,NMCC)
$1,800 MoH
$0 MoH
$0 WV(supportedbyMoH,NMCC)
$12,000 WV(supportedbyMoH,NMCC)
$10,000 WV(supportedbyMoH,NMCC)
$0 WV(supportedbyMoH,NMCC)
$14,250 WV,ECR
$10,500 MoH
$7,875 WV(supportedbyMoH,NMCC)
$2,000 WV(supportedbyMoH,NMCC)
Totalcost
APPENDIX D: PROJECT BUDGET PAGE 2
ECRStaffCosts
Programmanager
Drivers
Coordinator
Administrativeofficer
WVStaffCosts
Programmanager
Developmentfacilitator
Accountant
Monitoringandevaluationofficer
Driver
Totaldirectcosts
Generalandadministrativecosts
Output4.2
4.2.1
4.2.2
4.2.3
4.2.4
Output4.3
4.3.1
4.3.2
4.3.3
4.3.5
4.3.6
4.3.7
4.3.8
TotalEligibleCosts
SummaryofOutcomes
Administrativearecostsarepaidinfull
Projectlaunch
Procuremotorcycle(2units)
Motorcyclemaintenance
Pickupmaintenance(2units)
Fuel
Paylicencesandinsurance(pickup)
Paylicencesandinsurance(motorcycle)
Bankcharges
Title
Output4.1
4.1.1
4.1.2
4.1.3
4.1.4
4.1.5
4.1.6
4.1.7
4.1.8
At10%
2motorcycles
Oils/lubricants
Service
Variable
30%
50%
50%
40%
30%
30%
10%
50%
50%
6.00
6.00
6.00
6.00
6.00
$4,240.00 Month
$2,261.00 Month
$2,238.00 Month
$850.00 Month
$700.00 Month
100%
100%
100%
25%
100%
100%
100%
100%
1.00
1.00
3.00
3.00
6.00
6.00
6.00
6.00
6.00
6.00
6.00
6.00
%
Freq.
$3,469.00 Month
$612.00 Month
$1,837.00 Month
$1,224.00 Month
$5,000.00 Event
$6,000.00 Unit
$100.00 Month
$200.00 Month
$400.00 Month
$20.00 Month
$10.00 Month
$40.00 Month
Cost
1
1
1
1
1
1
1
1
1
1
2
2
2
2
2
2
1
$300,000
Numbers RotaryCost Rotary%
$421,059
$7,632
$4,070
$1,343
$2,550
$2,100
$355,508
$65,551
$6,244
$1,836
$5,511
$2,938
$5,000
$12,000
$600
$300
$4,800
$240
$120
$240
WVcost
WV%
ECR
ECR
ECR
ECR
WV
WV
WV
WV,ECR
WV,ECR
WV,ECR
WV,ECR
WV
$721,059 WV
$7,632 WV
$4,070 WV
$1,343 WV
$2,550 WV
$2,100 WV
$655,508 WV
$65,551 WV
$6,244
$1,836
$5,511
$2,938
$5,000
$12,000
$600
$300
$4,800
$240
$120
$240
Totalcost
Partners
APPENDIX D: PROJECT BUDGET PAGE 3