MALARIA ELIMINATION IN ZANZIBAR - Soper Strategies
MALARIA ELIMINATION IN ZANZIBAR - Soper Strategies
MALARIA ELIMINATION IN ZANZIBAR - Soper Strategies
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The ZMCP is relatively well staffed with departments responsible<br />
for the coordination–and sometimes implementation–of different<br />
activities related to the objectives of the strategic plan. The<br />
program is financially supported by the MOHSW and through<br />
funding from different grants that provide not only financial<br />
support but also technical assistance. Under the Global Fund<br />
Round 8 grant, the ZMCP has asked for technical assistance to<br />
strengthen its capacity in a number of areas, including quality<br />
control of laboratory services.<br />
�� QA/QC of laboratory services to ensure that the recent<br />
physical upgrade of the central referral laboratory is<br />
complemented by technical capacity upgrading for QA/QC<br />
in order strengthen the system and expand coverage to all<br />
private and public laboratories.<br />
�� Pharmaco-vigilance to allow the MOHSW to collect<br />
information on drug adverse events for not only antimalarial<br />
sbut also other products and provide the ZMCP and<br />
other relevant health sector programs with information for<br />
evidence-based decision making.<br />
�� Strengthening the HMIS at central and district level over a<br />
two year period.<br />
�� Community systems strengthening to develop a<br />
community-based BCC communications tool kit and train<br />
community and health facility resource persons in order<br />
2 | Operational Feasibility<br />
to ensure consistent activities (in terms of quality and<br />
effectiveness) at the community level and enhance linkages<br />
with the peripheral facilities.<br />
Although not elimination specific, all of the above will further<br />
enhance the ZMCP when moving towards elimination.<br />
More specific requirements for the ZMCP and the necessary<br />
strengthening related to these requirements are discussed below.<br />
REQUIREMENTS FOR AN <strong>ELIM<strong>IN</strong>ATION</strong> PROGRAM<br />
Historically, the GMEP was mainly focused on IRS, and<br />
the programmatic requirements for the elimination program<br />
were strongly related to the management of the spray teams<br />
at all levels by what was called the “Division of Operations”.<br />
Pampana (1969) further proposed a Division of Epidemiology<br />
(or Evaluation) and a Division of Administration composed of<br />
an entomological, parasitological, epidemiological, statistical<br />
and administrative, health education, and public relation section,<br />
respectively. He also stressed the importance of strong leadership<br />
and the need of independence of the NMEP, with preferably a<br />
direct management link between the director of the eradication<br />
program and senior management in the MOH.<br />
FIGURE 25: ORGANIZATIONAL CHART PROPOSED BY EMILIO PAMPANA <strong>IN</strong> “A TEXTBOOK OF <strong>MALARIA</strong> ERADICATION”, OXFORD UNIVERSITY PRESS, 1969<br />
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