BS SOBAZ Malaria Control Programme Zero Nalaria starts with Me aS —SoBAz NIGERIA uimirep MALARIA CONTROL PROGRAMME AUGUST, 2021 Km 20 PH-Aba Expressway Iriebe, Port Harcourt, Rivers State, Nigeria TEL: +2348055799659, 08088611334 E-mail: sobazlimited@yahoo.com, commercial@sobazgroup.com, SOBAZ NIGERIA LIMITED AUGUST 2022 1B SOBAZ Malaria Control Programme Zero Nalaria starts with Me Review and approval Record of the Present Document. ‘Action Name | Function ‘Approval Date Prepared by Roni au ebal HSSE Team hw Checked By Marae rot Ita| Medical Consultant iae| Reviewed S Retainership Clinic by ‘Approved Director by Nkeonity © Lass | Revision Statu: RE ATE aie 16/08/2021 Initial Draft Copy 2 17/08/2022 Revised Copy oy Ss SOBAZ NIGERIA LIMITED ‘AUGUST 2021B SOBAZ Malaria Control Programme Zero Malaria starts with Me TABLE OF CONTENTS Status Page Table of content INTRODUCTION AND BACKGROUND Introduction Background VISION AND MISSION Vision Mission LEADERSHIP AND COMMITMENT GOAL AND OBJECTIVES Goal of Malaria Control Programme Objectives of Malaria Control Programme MALARIA STRATEGIC ERADICATION PLAN. MPLEMENTATION OF MSEP PLAN EXPENSE BUDGET REFERENCE TSE SOBAZ NIGERIA LIMITED AUGUST 2021 3B SOBAZ ‘Malaria Control Programme Zero Malaria starts with Me INTRODUCTION Malaria has profoundly affected the health and well-being of the people of Nigeria as well as the economy and development of the country. Despite extensive success of the National Malaria Eradication Program in decreasing the burden of malaria in the country in recent years, treatment of individual cases, community efforts and elimination of the parasite reservoir, the disease keeps Tesurging as a result of decreased financial, private and political commitment to sustain and further advance the achievements attained in previous years. Since then, the country has been experiencing the same phenomenon of resurgence with the number of malaria cases fluctuating, characterized by occasional peaks. However, a reported decrease in confirmed cases reported recently prompted strong interest in determining and improving the overall strength of the malaria surveillance system including case detection, treatment and reporting, but, the challenges and context contributing to the malaria situation in Nigeria continue to evolve and the disease remains a major public health challenge in the country. As the international community reinforces its commitment to decrease the burden of malaria throughout the world as outlined in the Global Technical Strategy for Malaria 2016-2030, Plan of Action for Malaria Elimination 2016-2020 and targets set under the United Nations Millennium Development Goals (UN MDG) in 2000 and the United Nations Sustainable Development Goals (UN SDG) for 2030, Nigeria likewise renews its interest and commitment towards alleviating its people from the scourge of malaria. The disease is recognized as a priority health problem in the country’s National Health Sector Strategy (NHSS) and has received significant attention and funding from the government of Nigeria. Furthermore, substantial malaria control investments have been made in Sobaz in the context of the Malaria Strategic Eradication Plan {MSEP} championed by her HSSE Team. These Strategic Plan presents a major scale up of key interventions, draws from a robust evidence base and the experience in previous years. The Strategic Plan, which spans over an annual period, aims to achieve pre-elimination status and reduction of malaria and malaria related illnesses to zero in Sobaz. ‘the section below summarizes the background, vision, mission, goal, objectives, strategic directions, resources and performance framework required to implement the Malaria Strategic Eradication Plan (MSEP}. ‘SOBAZ NIGERIA LIMITED AUGUST 2021 4B SOBAZ Malaria Control Programme Zero Malaria starts with Me BACKGROUND Malaria is endemic in Nigeria with all year transmission and 97 percent of the Population at risk. Plasmodium falciparum is the predominant parasite species, mainly transmitted by Anopheles gambiae S.S., An. funestus and An. arabiensis. Prior to 2010, available data was insufficient to clearly micro stratify the country's malaria epidemiological profile. However, the 2010 Nigeria Malaria Indicators Survey (NMIS) revealed that malaria parasite prevalence is still high, with an average parasite prevalence of 42% among children under five years of age with zonal variations ranging from 27.6% in the South-east to 50.3% in the South-west zone. Thus, malaria remains an important cause of morbidity and mortality in Nigeria. Nigerian accounts for 32% of the global estimate of 655,000 malaria deaths annually in 2010 [WMR, 2012]. With an estimated population of 160 million, Nigeria has a large population at risk of malaria. However, children under five years of age and pregnant women are the most vulnerable to illness and death from malaria infection in Nigeria. The NMSP 2009-2013 delivered malaria control through three core interventions; prevention of malaria transmission through Integrated Vector Management (IVM) strategy; prompt diagnosis and adequate treatment of clinical cases at all levels and in all sectors of health care; and prevention and treatment of malaria in pregnancy. This strategy achieved increased resources from government and Partners with increased supply availability of antimalaria commodities, distribution of over 60 million long lasting insecticidal nets with massive influx of resources from donors to achieve universal access and universal coverage. Recent information has Provided evidence of a progress divergence of in-country variation in malaria endemicity [Snow et al, 2012]. Bayesian model-based geo-statistical methods were used to interpolate in space and time, age-corrected malaria point prevalence date in children 2-10 years old, to provide a prediction of malaria risk across Nigeria for the years 2000, 2005 and 2010 based on the effects of temperature, rainfall, distance to major rivers and urbanization [SNOW et al, 2012]. As at 2010, 85% of Nigerians lived in areas supporting mesoendemic transmission, 15% lived under conditions of hyper-holoendemicity and areas within FCT Abuja, Adamawa and Borno States support hypoendemicity. The recent MARA mapping (2000-2010) has shown some changes in the parasite risk patterns in the past decade with up to 19 of the 36 states and the federal capital falling within the national target of a 50% reduction in morbidity below year 2000. Efforts must be made to safe guard the gains and mitigate against loss in momentum, while further research is required to understand the driver of change of malaria prevalence. The trends identified indicate the need to carefully target interventions to address local needs in addition to strengthening surveillance in anticipation of changes in the epidemiology of malaria over the course of this strategic plan. —_—_.J SOBAZ NIGERIA LIMITED AUGUST 2021 eBS SOBAZ Malaria Control Programme Zero Malaria starts with Me VISION AND MISSION The Vision is to have a MALARIA FREE SOBAZ. The Mission is to provide equitable, comprehensive, cost effective, efficient and quality malaria control services ensuring transparency, accountability, employee satisfaction, community ownership and partnership. The Goal is to reduce malaria burden to pre-elimination levels and bring malaria and malaria-related illnesses to zero in Sobaz Nigeria Limited. Ss SOBAZ NIGERIA LIMITED ‘AuGusT 2021B SOBAZ ‘Malaria Control Programme Zero Malaria starts with Me LEADERSHIP AND COMMITMENT ‘The Management of SOBAZ NIGERIA LIMITED shall provide for visible leadership and commitment to Malaria Control Programme through; + Management shall engage Sobaz Retainership Clinic to make certain that the Programme is well understood and implemented. * Management shall support Sobaz Retainership Clinic with the requisites Tequired to implement the Malaria Strategic Eradication Plan {MSEP}. * Management shall ensure Staff especially Truck Drivers are provided with effective and well treated Long-Lasting Insecticidal Nets (LLINs) and insecticides to aid prevention from vector infectious diseases. + Management shall assign a Health officer to oversee implementation and keep records. + Management shall ensure Rapid Diagnostic Test (RDT) and compulsory periodic Malaria test are carried out on Staff and Contractors of interest. * Advice on the draw-up of Malaria Strategic Eradication Plan {MSEP} and implementation of the Malaria Control Programme. ‘* Management mandates continuous orientation of staff on the need to avoid Self diagnosis and medication through posters, meetings, flyers etc. ‘+ Management mandates the HSSE Team to ensure Monthly Meeting for Staff to educate them on the characteristics of the disease, symptoms, prevention measures and treatment strategies. * Management shall mandate Health Officer to ensure appropriate use of First Aid such as Analgesics to avoid abuse as persons are likely to use them as them unduly feeling for their temporary relief. * Recording of Malaria and Malaria related cases and presenting such information in a format appropriate for the use of the company to measure MSEP performances annually. * Management has a standing order to all staff/consultants and third party to treat Malaria symptoms seriously. + Senior manager shall attend MSEP meetings to deliberate on all issues relating to this programme. + Senior manager shall chair the monthly MSEP meetings. Management shall be committed to Malaria Control Programme through the provision of effective and efficient communications. * Responsibility shall be assigned to the HSSE Manager and necessary backing in terms of funds and authority. ‘* The team shall iook into performance of the Retainership Clinic as regards Malaria Control. —)])] ‘SOBAZ NIGERIA LIMITED AUGUST 2022 7+B SOBAZ Malaria Control Programme Zero Malaria starts with Me GOAL AND OBJECTIVES The Goal is to reduce malaria burden to pre-elimination levels and bring malaria- related illnesses and mortality to zero. The Objectives of this Malaria Control Programme are; 12 To ensure at least 98% of targeted population utilizes appropriate Preventive measures by 2023: Core technical strategies here include expanding access to insecticide treated materials. This will involve sustained distribution of Long-Lasting Insecticidal Nets (LLINs), significantly scaling up Indoor Residual Spraying (IRS) and expanding larval source ‘management (larviciding and environmental management). To test all care-seeking persons with suspected malaria using RDT or microscopy by 2023: This will be through a massive scale-up in the availability of facilities for parasitological confirmation (RDT and/or Microscopy) at all levels and Sobaz Branches/annexes. Policies will be updated as necessary and there will be systems in place to ensure quality of diagnostic products. To treat all individuals with confirmed malaria seen in or/and Sobaz facilities with effective anti-malarial drug and vaccine by 2023: This will be achieved by promoting availability of appropriate antimalarial medicines through free, subsidized systems, Malaria Management will be delivered through the Retainership Clinic using malaria case management as the driver for the Ward Minimum Health Package. Sobaz Retainership will be strengthened to deliver on the treatment objectives of severe malaria. To provide adequate information to Staff and Contractors such that at least 98% of her populace habitually takes appropriate malaria preventive and treatment measures as necessary by 2023: Evidence based innovative behavioral change communication messages delivered through multiple platforms will drive the efforts at pursuing the attainment of this objective. To ensure the timely availability of appropriate antimalarial medicines and commodities required for prevention and treatment of malaria to Sobaz Staffs and Contractors wherever they are needed by 2023: Forecasting and quantification will be strengthened, while efforts is made to ensure effective and efficient distributions systems that rides on completeness of the logistic management information systems. SOBAZ NIGERIA LIMITED AUGUST 2021 8BSB SOBAZ Malaria Control Programme ero Malaria starts with Me MALARIA STRATEGIC ERADICATION PLAN {MSEP} Sobaz Nigeria Limited Malaria Strategic Eradication Plan {MSEP} is deductively outlined hereunder as an active and ready tool to attain the objective of the Malaria Control Programme: 1. Prevention {P} vides distribution of Long-Lasting Insecticidal Nets (LLINs), increased Indoor Residual Spraying (IRS) and expanding larval source management (larviciding and environmental management). 2. Testing {T} all care seeking and suspected malaria victims within Sobaz sphere of reach using RDT, microscopy etc. 3. Treatment {T} of all confirmed cases seen in Sobaz facilities and annexes with effective anti-malarial drug/vaccine. 4. Adequate Information {Al} to staff and contractors such that they habitually employ malaria preventive and treatment measures. 5. Timely {T} availability of anti-malaria commodities for prevention and treatment of malaria and malaria related diseases. - SOBAZ NIGERIA LIMITED, AUGUST 2021, 9B SoBaz Malaria Controi Programme Zero Malaria starts with Me IMPLEMENTATION OF MSEP PLAN The implementation of Sobaz MSEP is in cognizance with our mantra - Zero ‘Malaria Starts with Me. The implementation of this plan aims at attaining broad Coverage levels for major interventions over the first 2 years and consolidating on these levels over the next two years of the Strategic plan in order to achieve malaria pre-elimination status. Thus, implementation will be based on adherence to; * Leadership and Responsibility: - responsiveness to broader health system Context and tailoring priority investments on high impact interventions responsive to the epidemiological context. * Transparency and broad stakeholder participation in the operationalization of this plan with efforts made to ensure good ascendency, transparent enrolment of Retainership Clinic(s); equitable access to malaria control resources; and performance monitoring and mutual accountability. There will be institutional strengthening for the MSEF planning, coordination, partnership and surveillance, especially within the context of anticipated changes in malaria epidemiology. * Provision is made for the conduct of Malaria Control Programme Review at the end of 2022: thereby providing opportunity for review of some of the strategies with emerging or evolving issues. * Implementation Framework: Core components of the implementation framework will include financing, programme coordination and management, service delivery for effective malaria control and evidence based decision making. The overarching philosophy will be that of additionality of resources and complementarity of corporate activities to deliver on common goals. SOBAZ NIGERIA LIMITED. AUGUST 2021 10B SOBAZz ‘Malaria Control Programme Zero Malaria starts with Me EXPENSE BUDGET Sobaz shall make certain consistent funds for attainment of the objectives of this Programme by setting aside more than 40% of her annual expense budget to the Malaria Control Programme and any other health related exercise as the ‘health and wholistic wellness of staff remains her key objective’. SOBAZ NIGERIA Lt AUGUST 2021BS soBaz ‘Malaria Control Programme Zero Malaria starts with Me REFERENCE MEDICALS ‘MOU with the medical consultant/Clinic Personnel Medical Certificate of Fitness First Aid Certification and Records FEDERAL MINISTERY OF HEALTH * National Malaria Strategic Plan SOBAZ NIGERIA LIMITED AUGUST 2021