Report from the Global Malaria Programme Malaria Policy Advisory Committee Geneva, Switzerland Dr Pedro L. Alonso, Director 17 October 2017
GMP Strategy - Core Roles
I. Strategic questions • Global Vector Control Response 2017 - 2030 • Unanimously welcomed by 70 th WHA in May 2017 • Available in all UN languages • Strategic Advisory Group on malaria Eradication • paper discussed by Executive Board • Clarifies terminology and affirmed the Organization’s long -standing commitment to eradication • Next SAG meeting Nov 30 – Dec 1
I. Strategic questions • Analysis on malaria mortality • Where, why and how to respond • WHO Global Observatory on Health R&D • Anaemia and malaria
II. Normative guidance (since last report)
II. Normative guidance (since last report)
II. Normative guidance (since last report)
II. Normative guidance (since last report) • Strengthening Dissemination • New web page showcasing latest guidance • Webinars for country staff and partners and available on website; powerpoint available to facilitate discussion
II. Normative guidance (TEGs and ERGs) Completed in 2017 Planned in 2017 & 2018 • Surveillance Monitoring & Evaluation • Vector Control Advisory Group - TEG - Feb Oct • Vector Control TEG - Mar • Vector Control TEG - Nov • Design of epidemiological trials for • Chemotherapy TEG – Dec vector control products - April • Coverage gaps and impact ERG - • Submicroscopic infections ERG – May Dec • Vector Control Advisory Group - April • Malaria mortality estimates ERG • Drug Efficacy and Response TEG – – 2018 June • • Malaria MDA in areas of 2 nd ERG on Deployment of PBO + Pyrethroid nets – June moderate transmission ERG – • Malaria in Pregnancy outside of 2018 Africa ERG – July • Border malaria ERG – 2018 • Comparative Effectiveness of Vector • Malaria control in complex Control Tools ERG – Sept emergencies - 2018
III. Technical Support & Capacity Building • Technical support provided to countries • Surveillance strengthening (41 countries) • Elimination and outbreak investigation • Updating treatment guidelines • Therapeutic efficacy studies • Malaria programme reviews and updates to national strategic plans (12 countries) • Review and technical input to Global Fund concept notes (50 countries) • Emergencies – Nigeria, South Sudan and Yemen
III. Technical Support & Capacity Building (cont.) Operational support • Malaria Vaccine Implementation Programme • Rapid Access Expansion Programme • Northeast Nigeria • South Sudan
III. Technical Support & Capacity Building (cont.) The simplicity in theory of prophylaxis against malaria is only equalled by its difficulty in practice. Sir Leonard Rogers
Capacity Building • Strengthening WHO capacity • PAHO • AFRO (francophone and anglophone) • SEARO • Strengthening country capacity • TES training and workshops (25 countries) • Surveillance trainings (38 countries in AFRO, EMRO & WPRO) • Malaria Elimination (11 countries Asia/Pacific w/JIPD) • Entomological surveillance and IVM (EMRO – Nov) • African Network on Vector Resistance (16 countries)
IV. Surveillance Improving routine data reporting and analysis • Surveillance manual – to be launched Q4 2017 • Surveillance assessments tools – to be updated Q4 2017 • DHIS 2 malaria modules – completed with data standards for burden reduction and elimination conducted • Regional databases – WPR done, for Q4 2017 (SEAR, AFR, EMR) • World Malaria Report - Substantial systemization of WMR data reporting and analytical approaches
V. Keeping score • World Malaria Report • 29 November launch by DG in New Delhi • Supplement on India • Drug and Insecticide resistance • Parasite resistance in GMS – new Q&A online • Mapping tool
V. Keeping score - GMP website www.who.int/malaria • Our most critical information dissemination tool • Document center provides instant access to key publications • For the period 1 Jan to 30 Sept 2017 , visits to the GMP site reached 718,123 , up from: • 618,346 for the same period in 2016 ( +16% ) • 479,011 for the same period in 2015 ( +50% )
V. Keeping score - Visits to HTM websites 800,000 700,000 600,000 500,000 GMP HIV 400,000 TB NTD 300,000 Hepatitis 200,000 100,000 - 2014 2015 2016 2017
Other GMP updates • World Malaria Day – high-level forum with Dr Moeti • Ashgabat Statement – Europe commits to staying malaria free • UNGA side event – leaders commit support for malaria
Achieving impact Achieving Impact by 2020 : • 40% reduction in morbidity and mortality • Elimination in 10 countries • Prevention of re establishment Europe 100% Western Pacific 58% South-East Asia 54% South-East Asia 46% Americas 31% Americas 37% Western Pacific 30% African 31% African 21% Eastern Mediterranean 6% Eastern Mediterranean 11% World 29% World 21% 40 of 91 countries on track 39 of 91 countries on track 10 already zero deaths
A problem to be solved not simply a task to be performed
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