Zimbabwe ALMA Quarterly Report

Quarter One, 2013

Scorecard for Accountability and Action

Key
Malaria transmission is seasonal in Zimbabwe with about 60% of the population at risk. The annual reported number of malaria cases in 2011 was 319,935 with 451 deaths.
Target achieved or on track Progress but more effort required Not on track No data/Not applicable

Zimbabwe ALMA Quarterly Report, Quarter One, 2013

Progress
Zimbabwe has made steady progress in scaling-up malaria control interventions and has been successful in attracting resources through the Global Fund, including through Rounds 8 and 10. Zimbabwe has recently banned oral artemisinin-based monotherapies from the country. Zimbabwe has introduced a policy on Community Case Management of malaria but has yet to introduce a policy on Community Case Management of pneumonia. Zimbabwe has increased the coverage of tracer MNCH interventions, in particular PMTCT and DPT3. It is one of the top 10 high-mortality countries globally with a steep annual rate of reduction in under-five mortality rate.

Impact
The annual reported number of malaria cases in 2011 was 319,935 with 451 deaths.

Key Challenge
Delays and under-reporting of malaria cases and deaths from the National Health Information System, leading to inconsistent reporting on malaria mortality data.

Previous Key Recommended Actions

Objective Action Item Suggested completion timeframe Q1 2013 Progress Comments - key activities/accomplishments since last quarterly report ACT and RDT financing gaps have been filled

Address funding

Optimise quality of care

Enact high level policy and strategy change

Prioritize the filling of funding gaps to ensure universal coverage of essential malaria control interventions is sustained Ensure all facilities are baby friendly by implementing the ten steps to successful breastfeeding, providing follow-up support to breastfeeding mothers and enhancing community awareness Expand Community Case Management to include pneumonia treatment with antibiotics

Q1 2013

Yellow

Country is implementing community based IYCF counseling and communication

Q1 2013

Yellow

Integrated community case management of childhood illness is policy but implementation is lagging for pneumonia, especially in comparison to malaria

Key
Action achieved Some progress No progress Deliverable not yet due