"New Nets Project : What is the situation and what are we looking towards in terms of issues for deployment" - Dr Yacouba Savadogo - Vector ...

“New Nets Project : What is the situation
and what are we looking towards in terms
       of issues for deployment”

           Dr Yacouba Savadogo
                                       1

Malaria situation in Burkina Faso
                                    Trend of malaria incidence from 2012 to 2017 ( per
                                                           1000)
                              700
                                                                                         607
Cumulative Incidence (0/00)

                              600
                                                                              514
                              500                           463     451
                                        415       413
                              400

                              300

                              200

                              100

                               -
                                      An 2012   An 2013   An 2014 An 2015   An 2016   An 2017
                                                                Years

INSECTICIDES RESISTANCE IN BURKINA FASO

   Résistance aux pyréthrinoïdes (perméthrine et deltaméthrine ) au Burkina Faso (Dabiré et al,
                                             2012)

RESISTANCE AUX INSECTICIDES AU BURKINA FASO

 Résistance aux carbamates (bendiocarb, carbosulfan) et aux organophosphorés (Fenithrotion et
                   Chlorpyriphos-methyl) au Burkina Faso (Dabiré et al, 2012)

Spatial distribution of insecticide
          resistance (PY)

                          •   Irmapper 21/01/2019

Unitaid New Net Project
      (2018-2022)

Problem Statement
Decreasing efficacy of pyrethroid
insecticides threatens global gains in
malaria control
Project Goal
Establishment of a sustainable
market for a broader set of LLIN
tools, which perform in areas of
pyrethroid resistance

Project Outputs
#                       Output                           Partner
1 RCTs to generate evidence to support VCAG          LSTMH
  review.
2 Technical Assistance to ensure effective             AMP/PSI
  implementation of pilots and learning on operational
  aspects.
3 Evidence of effectiveness and cost-effectiveness   PATH
  generated during pilots.

4 Co-payment and other levers to enable pilots,      IVCC
  stimulate market and reduce price.                 (Project Lead)

2019 LLIN CAMPAIGN
❑LLIN Campaign in 2019 with support of GF &
 PMI;

❑ Multiproducts Campaign : Standards Net
 (mono treated net), PBO Net & Interceptor
 G2 Net

TYPES OF LLINs IN 2019 CAMPAIGN
   TYPES OF LLIN        QUANTITY

STANDARDS Nets        9 341 339

                      1 299 245
PBO Nets
                      1 533 618
INTERCEPTOR G2

TOTAL                12 174 202
                                      10

PROCHAINES
  REPARTITION OF TYPES ETAPES
                       OF MILD IN 2019
ACTIVITES                                         DATES              LIEUX

Relecture des documents de macroplanification     Déc 2018 et janv   PNLP
de la campagne avec l’ assistance technique de    2019
l’AMP)
Atelier de formation d’un pool de facilitateurs                      Ouagadougou
sur la micro planification

Tenue de la 1ère réunion du CMO                   03 décembre        PNLP

Appui aux DS pour l’élaboration des microplans    Janvier 209

Suivi de la livraison des MILDA dans les DS       À partir de janv
                                                  2019

                                                                                   4

CHALLENGES
• Reprogramming of the campaign ( distribution in two
  time) : Ordinaire & PBO in MAY AND IG2 in August
• Review and update of macroplanification documents;
• Additional ressource requirements for
  microplanification, logistic, communication, and
  monitoring;
• Technical Assistance (AMP, PMI)

                                                     12

CHALLENGES
• Respect of the chronogramme;
• Quality of household census;
• Development of communication plan taking account
  the repartition of type of LLIN
• Managing rumors at all level
• Storage areas for New Generation LLIN
• Transportation and distribution of LLIN in insecure
  areas

                                                   13

Impact evaluation: IG2 vs STANDARD
                                    ❖ Epidemiology
❖Entomology
                                    • compare trends in
• Longitunal study                      – malaria incidence
  –   Vector density                      rates passively
                                          reported CASE
  –   EIR                               – malaria
  –   Resistance level                    prevalence in
  –   Vector behaviour                    children under five
                                          years of.
      ❖ Anthropology
        – Gathering evidence on LLIN uptake and
          usage
        – time at risk of mosquito blood feeding
          and human activities not taking place
          under protection of an LLIN

OUTLOOK
• Micro-planning workshop

• Technical assistance (BCC & Logistic);

• Committee meeting;

• Household census in one time;

• Distribution in two times

• Evaluation is only done in IG2 zone no PBO net

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