August 2012 Rotary Kalulushi II Malaria Projectrotarianmalariapartners.org/wp-content/uploads/2015/02/ZMB12FECPR… · Th e Rotary Kalulushi II Malaria Project is targeting 20,000

Rotary Kalulushi II Malaria ProjectA partnership to help eliminate malaria in Zambian communities

AN OPPORTUNITY FOR PARTNERSHIP

For Rotary Clubs in the U.S. and ZambiaWORLD VISION REPRESENTATIVESKim LorenzRotary LiaisonWorld Vision, Inc.34834 Weyerhaeuser Way SouthFederal Way, Washington 98063

David OwensChief Development OfficerCorporate EngagementWorld Vision, Inc.34834 Weyerhaeuser Way SouthFederal Way, Washington 98063

August 2012

KALULUSHI II PROJECT

Table of contents1 Executive summary2 Th e need3 Our joint response Project goal and objectives Methods and activities Target benefi ciaries Key partnerships and collaborations

12 Funding plan 12 Sustainability strategy 12 Monitoring and evaluation 13 Why World Vision? World Vision’s technical strengths/experience in Zambia Our community development approach

14 Forging a Rotary/Path/World Vision partnership 15 Conclusion

Appendix A: Map of project area Appendix B: Net benefi ciary communitiesAppendix C: Partnership rolesAppendix D: Project budget

ROTARYKALULUSHI II MALARIA PROJECT Glossary of Terms and Acronyms

AAAS Association for the Advancement of Science

ADP An Area Development Program is World Vision’s 12- to 18-year community-based transformational development model. Th ere are 40 such programs in Zambia.

AIDS Acquired immunodefi ciency syndrome

CHW Community health worker (community-based volunteer health workers trained in basic health)

CSO Central Statistical Offi ce (Zambia)

DHO District Health Offi ce/Offi cers

ECR Expanded Church Response to HIV/AIDS Trust in Zambia

HIV Human immunodefi ciency virus, the virus that causes AIDS

IEC Information, education, and communication

IRS Indoor residual spraying (of insecticide)

LLIN Long-lasting, insecticide-treated net

MACEPA Malaria Control and Evaluation Partnership in Africa—a PATH program

MoH Ministry of Health

NMCC Th e National Malaria Control Center—a department of the Zambia MoH that focuses on malaria prevention and control

PATH Program for Appropriate Technology in Health

RBM Roll Back Malaria—a global consortium creating a framework to implement coordinated action against malaria, with which the MoH and NMCC collaborate

STEPS OVC Sustainability Th rough Economic Strengthening, Prevention and Support for Orphans and Vulnerable Children, Youth and Other Vulnerable Populations (a USAID-funded multiyear project in Zambia)

USAID United States Agency for International Development

ZRMSC Zambia Rotary Malaria Steering Committee—the malaria programming body of Rotarians in Zambia.

ROTARY KALULUSHI II MALARIA PROJECT

Project Name Rotary Kalulushi II Malaria Project

Project Number Project Location Kalulushi and Lufwanyama districts Project Goal and Outcomes Goal: Reduce illness and death due to malaria among targeted communities in

Lufwanyama and Kalulushi districts by providing long-lasting, insecticide-treated nets (LLINS) to ensure coverage of 87 percent of households.

Outcome 1: Increased coverage and use of personal protective measures including indoor residual spraying (IRS) and LLINs

Outcome 2: Increased access to adequate and effective drugs and treatment at health facility and community levels for 10,000 people, including intermittent preventive treatment (IPT) for 2,200 pregnant women

Outcome 3: Increased awareness and practice of malaria control and prevention in the community

Geographical Position Kalulushi and Lufwanyama are both situated in the Copperbelt province of Zambia. The geographic coordinates of Kalulushi are 12°50' 0" South, 28°5' 0" East, while Lufwanyama lies approximately 12°46 S 0" and 27°32' 0" East.

Project Area Inhabitants The population of Kalulushi is estimated at 96,206, while that of Lufwanyama is 75,542 (CSO, 2011).

Target Population The project will target 20,000 poor and vulnerable households in malaria-endemic settlement areas in Kalulushi and Lufwanyama as recommended by the respective District Health Offices (DHOs).

Major Ethnic and Religious Groups

The predominant ethnic groupings in Lufwanyama are the Lamba under Chief Shibuchinga and Chieftainess Shimukunami. Kalulushi has a more multiethnic population, among them the Lamba, Bemba, Lunda, Luvale, and Kaonde.

Estimated Life of Project June 1, 2013 to December 31, 2013 Estimated Project Budget $721,059 Number of Staff 11 World Vision, 13 Expanded Church Response to HIV/AIDS Trust in

Zambia (ECR), 4 DHO, and 30 Rotarian volunteers Anticipated Funding Source(s)

Rotary Club of Federal Way and other area clubs and World Vision, Incorporated (WVUS).

Project Manager and Contact Information

Project Manager: Kalimansi Sinyangwe – Team Leader, Lufwanyama Area Development Program, World Vision Zambia Contact Person: Mudukula Mukubi – World Vision Zambia Email: [email protected]

Date Design Document Prepared and Estimated Start Date

Prepared and submitted on: August 28, 2012 Expected Start Date: June 1, 2013

Project profile


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Executive summaryRotary and World Vision have a history of successfully collaborating on projects in Haiti, Angola, Ethiopia, Ghana, Kenya, Uganda, and other areas. Rotary clubs have worked with the Rotary Foundation on many of these projects to obtain additional funding matches from the foundation and from district designated funding. Th e local host clubs have worked closely with local World Vision staff in these countries to complete signifi cant projects that have improved the lives of children and families in the communities served. In Zambia, the Zambia Rotary Malaria Steering Committee (ZRMSC) has worked closely with the National Malaria Control Center (NMCC) and the Malaria Control and Evaluation Partnership in Africa (MACEPA) on malaria-control projects, particularly within the framework of the Roll Back Malaria campaign. World Vision Zambia has agreed to join this Rotary-driven collaboration, and has been chosen to head up another substantial malaria project, while World Vision United States has agreed to match all Rotary fundraising eff orts.

Many of these successful secular and faith-based collaborations were endorsed and promoted at a recent forum, “How Faith-Based and Secular Organizations Partner for Better Global Health,” hosted in Seattle by the Global Health Alliance. It was repeatedly noted that it often is faith-based organizations that have the feet on the ground, the trust, and respect of all religions in the program areas.

Speaker Bill Gates, Sr., stated, “Partner with the partner that already has the expertise and feet on the ground.” Gary Darmstadt added, “Everything we do is through partnerships, any barriers need to be removed, [so we can] focus on the good that can be done.” Darmstadt is the Bill & Melinda Gates Foundation director of family health.

At a meeting on May 25 in Lusaka, the ZRMSC, in collaboration with the Rotary Club of Federal Way, met with World Vision Zambia and World Vision U.S. to explore the possibility of a malaria prevention partnership. Th is proposal is the product of a joint eff ort to implement a malaria prevention project in Kalulushi and Lufwanyama in Zambia’s Copperbelt province.

A partnership with Rotary, the Program for Appropriate Technology in Health (PATH), the Ministry of Health, and World Vision will result in the $721,059 Kalulushi II Malaria Prevention Project. Th is six-month project will run from June 2013 through December 2013. Its goal is to reduce illness and death from malaria among targeted areas in Lufwanyama and Kalulushi districts through the following:

• Increased coverage and use of personal protective measures that include indoor residual spraying (IRS) and long-lasting, insecticide-treated nets (LLINs)

• Increased access to adequate and effective drugs and treatment at health facilities and in communities for 10,000 people, including intermittent preventive therapy (IPT) for 2,200 pregnant women

• Increased awareness and practice of malaria control and prevention in the communities

Th e female Anopheles mosquito’s bite can infect humans with a parasite that causes malaria. Th is tiny half-inch menace is often referred to as the “deadliest animal” in the world—and especially in Africa.

IN THE TIME IT TAKES TO SECURE AN INFANT IN A CAR SEAT, MALARIA HAS TAKEN THE LIFE OF AN AFRICAN CHILD. EVERY 45 TO 60 SECONDS A FAMILY IN AFRICA IS DEVASTATED BY THE LOSS OF A PRECIOUS CHILD TO MALARIA, A PREVENTABLE AND TREATABLE DISEASE.


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Th e Rotary Kalulushi II Malaria Project is targeting 20,000 households and 2,800 people in boarding institutions (such as schools and health facilities) for nets and spraying. Th at also includes increased access to malaria treatment through enhanced community-base case management, with a special focus on pregnant women and children younger than 5.

Although the meeting in May included discussions of providing signifi cant coverage for institutional benefi ciaries, such as health facilities and boarding schools, further collaboration with the Ministry of Health (MoH) resulted in restructuring that facet of the project. Th e gaps in coverage identifi ed by the MoH totaled just eight institutions in the project area: fi ve health facilities and three boarding schools. Th is has enabled project design—with encouragement from the MoH and MACEPA—to make institutional coverage a smaller, secondary piece of the project, and allow for more intensive coverage of at-risk households.

Th e sponsoring club will be Rotary Club of Federal Way, working with Rotary Club of Seattle and other Rotary clubs in the U.S. Th e host club will be Kalulushi Rotary Club of Zambia, which also will provide a portion of the funding. Th e project will distribute 60,000 LLINs to Kalulushi and Lufwanyama households, and 5,000 more to prenatal clinics and other institutions, providing malaria protection for approximately 122,800 people. Th is will increase net coverage in these communities from 60 percent to 87 percent.

Rotary and World Vision’s experience and passion, when combined with the technical knowledge of the Ministry of Health’s NMCC, District Health Offi ces, and MACEPA, will create a formidable force in the battle against malaria and its devastating eff ects on families.

World Vision was asked to be the lead agency and be directly responsible for operations in Lufwanyama, where it has an Area Development Program (ADP). Because Kalulushi falls outside of World Vision’s program footprint, operations there will be subgranted to the Expanded Church Response to HIV/AIDS Trust in Zambia (ECR), a local organization with extensive experience in malaria programming. Th e Rotary Club of Kalulushi and other Zambian Rotary clubs also will participate in these project interventions, with advisory and technical support from the NMCC and MACEPA.

Th e project’s $721,0059 budget will be funded by Seattle-area Rotary clubs and other Rotary clubs in the U.S., World Vision U.S., and Zambian Rotary clubs, led by the Rotary Club of Kalulushi. Private funding and/or in-kind services also are anticipated from a mining company and other corporate entities in Zambia.

The needIn the time it takes to secure an infant in a car seat, malaria has taken the life of an African child. Every 45 to 60 seconds a family in Africa is devastated by the loss of a precious child to malaria, a preventable and treatable disease. Ninety-one percent of all malaria deaths worldwide occur in Africa, where 765 million people are at risk of malaria. Th is disease also is responsible for $12 billion of lost productivity annually in Africa alone.

Zambian children in Kalulushi will have plenty to smile about when malaria nets provided through the Rotary Kalulushi II Malaria Project give them peaceful nights and malaria-free days.

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It is estimated that there are nearly 4 million malaria cases diagnosed every year in Zambia, with the disease contributing to 36 percent of hospital admissions and outpatient visits annually (NMCC, 2011). At least half of all those who die from malaria in Zambia are children younger than 5, while 50 percent of hospital admissions for children in that age group are due to malaria.

In addition, malaria accounts for 20 percent of maternal deaths (UNICEF, 2011). Pregnant women and children younger than 5 are most vulnerable to malaria, which can cause miscarriage in pregnant women, low birth-weight infants, and other complications. Malaria spread by the female Anopheles mosquito can result in death within hours or a few days of infection, especially in those with poor immunity such as children, pregnant women, and people with AIDS. Th ose who survive repeated, or even just one severe episode of malaria can suff er from a range of lasting physical and mental disabilities.

Sadly, it is this population, already poor and vulnerable, that struggles most with malaria and its eff ects. Contributing factors include:

• High levels of malaria transmission by mosquitoes because the efforts of malaria prevention and control agencies cannot keep up with the need.

• Despite tremendous efforts to extend malaria interventions throughout the country, interventions such as LLINs require sustaining high levels of coverage over time. Inadequate resources make this is difficult, however. The net coverage for Kalulushi and Lufwanyama as of June 2012 was estimated at 60 percent, leaving approximately 28,000 households without bed nets.

• Awareness levels for malaria are low among the target population. Knowledge, attitudes, and practices that perpetuate malaria remain rampant, including living in or near mosquito-infested areas such as wetlands, growing mosquito-attracting grassy crops around homesteads, or even ignoring malaria altogether (Association for the Advancement of Science, 2002). Most people do not recognize the symptoms or understand the dangers of malaria (they often think they have a cold, influenza, or other common infection). They also might live far from healthcare facilities, and instead go to local medicine sellers or traditional healers for advice.

Our joint responseTh e National Malaria Indicator Survey of 2010 proposes to prioritize the Copperbelt province for net distribution, among other interventions, making this a timely and apt response to a pressing need.

Th is proposal is a follow-up to Kalulushi I, which was implemented in 2011 by the Rotary Club of Kalulushi District 5030 (match) with support from Rotary Club Federal Way, Seattle 4, Shoreline, University District, Emerald City, and Edmonds Daybreakers. Th e project builds on the NMCC strategy and through it, a partnership comprising World Vision, Rotary, and other players seeks to implement the Kalulushi II Malaria Prevention Project. Kalulushi II will provide LLINs, indoor spraying, malaria tests and medicines, improved malaria stakeholder coordination, and increased malaria prevention awareness to families, boarding schools, health centers, and other targeted institutional facilities in Lufwanyama ADP and Kalulushi district in the Copperbelt province of Zambia.

“THERE IS NO OTHER WAY TO

INVEST TAXPAYER DOLLARS

AND SAVE HUMAN LIFE AT

SUCH A HIGH RETURN ON

INVESTMENT … [NETS ARE]

ONE OF THE BEST BUYS WE

HAVE IF OUR GOAL IS TO BUY

LIFE FOR VERY VULNERABLE

KIDS.”

—Dr. Rajiv Shah, administrator for

the U.S. Agency for International

Development, speaking about the

role of long-lasting, insecticide-treated

mosquito nets in the global effort to

eradicate malaria

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While there are a number of organizations working on malaria prevention and control in the two districts, there is need for better coordination to enhance collective eff orts and resources. Th is project will improve coordination and collaboration among nongovernmental organizations, District Health Offi ces (DHOs), partners, community leaders, and volunteer health workers. Th is is expected to result in improved effi cacy by limiting duplication of interventions and improving sustainability.

Kalulushi II will conduct a mass distribution of nets in selected areas to cover mostly homes, plus a few boarding schools and health centers. It is expected that increased net coverage will reduce the mosquito population, leading to a reduction in malaria cases. Th e project will promote correct hanging of nets and education on their proper use. It has been proven that the nets are not aff ective against malaria if:

• The net is not hung properly covering the bed• The net has holes• The net has not been treated • Some part of the sleeper’s body is outside the net at night

Th e project also will carry out a community awareness campaign on malaria. Increased public awareness can improve the likelihood of recognizing malaria symptoms, seeking immediate medical treatment, and prompting communities living far from healthcare facilities to:

• Take initiative for prevention and treatment• Manage their environment• Avoid mosquito-infested settlements• Arrange transportation of patients to health facilities• Avoid local medicine sellers or traditional healers

Project goal and objectivesProject Goal: Reduce illness and death due to malaria in Kalulushi and Lufwanyama districts by providing long-lasting, insecticide-treated bed nets to 87 percent of individuals in the target areas through:

Outcome 1: Increased coverage and use of personal protective measures including indoor residual spraying and nets

Outcome 2: Increased access to adequate and eff ective drugs and treatment at health facility and community levels for 10,000 people, including intermittent preventive treatment for 2,200 pregnant women

Outcome 3: Increased awareness and practice of malaria control and prevention in the community

Methods and activitiesTh e following activities will be implemented:

Outcome 1: Increased coverage and use of personal protective measures, including indoor residual spraying and long-lasting, insecticide-treated nets

Output 1.1: 2,200 nets provided at no cost to health centers for distribution to pregnant women attending prenatal clinics


Keeping pregnant women safeIntermittent preventive therapy for pregnant women consists of administering a dose of anti-malarial drug at least twice during pregnancy, regardless of whether or not the woman is infected. The drug is administered under supervision during prenatal care visits. Sulfadoxine-pyrimethamine is the drug currently recommended by the World Health Organization because of its safety and efficacy in pregnancy.

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World Vision, in consultation with the MoH through the Lufwanyama and Kalulushi DHOs, will deliver the nets to selected health facilities, where government health staff will give them to mothers and guardians attending prenatal clinics and growth monitoring sessions for children younger than 5.

Output 1.2: Mass distribution and hanging of nets in 20,000 homes

Th is activity will be carried out by 120 community health workers (CHWs), trained by the MoH and other partners, including World Vision Zambia. Th e MoH will provide supervision. Activities will include:

• (Re)orient 120 CHWs in net distribution

• Distribute 60,000 nets to households in the targeted communities

• Hang 60,000 nets (by CHWs) in 20,000 homes

• Hang 2,800 nets in targeted boarding schools and health facilities

• Monitor use of nets (done by CHWs) in beneficiary homes

• Monitor use of nets in beneficiary institutions

Output 1.3: Systematic IRS in 60 percent of targeted homes and institutions

Th e project will recruit trained CHWs who carried out IRS in the two districts in 2010 and 2011 to spray all homes and targeted institutions, in consultation with relevant authorities in charge of those facilities. Sprayers used in 2010 and 2011 will be mobilized with the help of the Rotary Club of Kalulushi and the DHOs. Additional sprayers will be recruited if necessary. Th e homes to be sprayed will be selected based on NMCC guidelines. Activities will include:

• Procure IRS equipment and chemicals

• Train 10 DHO supervisors on IRS

• Train 60 CHWs spray operators on IRS

• Conduct IRS in 2,000 housing units and 200 living spaces in boarding schools and health facilities that admit patients

Outcome 2: Increased access to adequate and eff ective drugs and treatment at health facility and community levels for 10,000 people, including intermittent preventive treatment for 2,200 pregnant women

Due to low numbers of qualifi ed health workers in the health centers, the project will promote community-based case management of malaria using community health workers trained by the MoH and other partners. Th e focus will be on providing malaria rapid diagnostic test kits and fi rst-line treatment protocols to community health workers to enable them to administer treatment, especially in children younger than 5 and pregnant women.

Output 2.1: Health facility and community-level health workers (including caregivers) are identifi ed and (re)trained in malaria case management

To improve access to treatment for malaria, the project will work with the MoH to conduct an assessment to identify health facility and community health workers already trained to administer treatment. Additional health facility workers and community health workers will be trained on malaria treatment to

Maximizing impact

The World Health Organization Commission on Macroeconomics estimated that signifi cant investments in health can lead to a direct return each year of more than eight times the investment made in nets. Returns on investment include:

• Reduced absenteeism and productivity among the workforce, and ensuing increased household income

• Reduced burden on the health system over time by reducing mortality among healthcare workers and reducing the inpatient and outpatient burden of malaria

The Global Fund 2010 Innovation and Impact report

Nets that work

The nets to be distributed in this project are long-lasting, insecticide-treated nets that measure 160 cm. x 150 cm. x 180 cm. manufactured by Vestergaard Frandsen. The PermaNet allows user to wash the nets without affecting the effectiveness of the deltamethrin impregnated in the polyester fabric.

According to standards set by the World Health Organization (WHO), a net is considered to be long-lasting when it retains its effectiveness without re-treatment for at least 20 standard washes under WHO conditions, or three years of use in fi eld conditions.

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cover gaps. Th e training will be facilitated by the MoH with support from the NMCC. Activities will include:

• Procure training kits for malaria case management

• (Re)orient 30 health facility medical officers on case management of malaria

• Train supervisory staff on supervision techniques to enable them to effectively monitor, evaluate, and continuously teach health workers to correctly manage malaria, including in pregnancy

• (Re)orient 90 CHWs on malaria case management

Output 2.2: 10,000 people (children and adults) treated for malaria

Rapid diagnostic tests and fi rst-line drugs for treating malaria will be procured through World Vision’s gifts-in-kind resources and distributed primarily to community health workers and facility health workers in healthcare centers. Th e CHWs will require regular supervision from facility health workers; the project will conduct a separate training for supervisors. Activities will include:

• Procure 10,000 rapid diagnostic tests and malaria kits in consultation with DHOs

• Distribute 10,000 rapid diagnostic tests and malaria treatment kits to health facilities in communities

• Hold (refresher) training for community health workers on malaria community case management

• Conduct (by CHWs) malaria community case management

• Conduct (by professional health workers) malaria-in-pregnancy case management

• Supervise/mentor community health workers (by health facility workers)

Output 2.3: Access to intermittent presumptive treatment for 2,200 pregnant women

Activities will include:

• Hold (refresher) training for professional health workers on malaria-in-pregnancy case management

• Hold (refresher) training for community health workers on malaria-in-pregnancy case management

• Train CHWs and health facility workers to provide IPT and malaria-in-pregnancy case management to 2,200 women

Outcome 3: Increased awareness and practice of malaria control and prevention in the community.

Limited knowledge of malaria is one of the key contributing factors hindering eff ective malaria control in Zambia. To address this, the project will promote public education and awareness on all aspects of malaria control. Materials are available for malaria education, and the project will obtain them from the NMCC and PATH’s MACEPA. An information, education, and communication (IEC) working group will be created to include the MoH, World Vision Zambia, PATH, and the Zambia Rotary Malaria Steering Committee to test and adapt existing malaria awareness messages to make them strong and clear enough to


Building local capacity to manage long-term malaria prevention initiatives involves training trainers who will then go out into their communities to share information on prevention, diagnosis, and treatment.

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infl uence behavior change. Dissemination will be done through the IEC division of the MoH, media, the Ministry of Education, and community leaders.

Output 3.1: Malaria IEC materials mobilized, tested, and disseminated

• Establish an IEC working group to review and update available IEC materials and develop and test new IEC materials

• Print 600 T-shirts and caps with malaria messages

• Display malaria messages on billboards

• Print and distribute malaria posters with malaria messages

• Produce audiovisual malaria jingles for radio and TV

• Secure air time for audiovisual malaria jingles on radio and TV

• Conduct malaria sensitization using community performing arts

• Conduct malaria sensitization using community leaders

Monitoring and evaluationTh e project will be monitored and evaluated for reporting purposes and to track program eff ectiveness through these activities:

• A baseline survey before the project starts

• Door-to-door monitoring of net hanging and use (by CHWs)

• Documentation of lessons learned and best practices

• Monthly data captured at the community and health facility levels by CHWs, environmental health technologists of the DHOs, World Vision, the ECR monitoring and evaluation team, and the Zambian Rotary Malaria Steering Committee

• Final evaluation

Target beneficiariesKalulushi has 19,885 households and a population of 96,206, and Lufwanyama has 16,363 households and a population of 75,542 (CSO, 2011). Th e project will target 20,000 households (approximately 120,000 family members) in Kalulushi and Lufwanyama as well as approximately 2,800 people in boarding schools and health facilities. Th ese nets will bring coverage levels up to 87 percent from 60 percent. An assessment will be conducted to determine household need. Th is will help identify specifi c target communities and the number of recipients in each district. Th e benefi ciary communities will be chosen based on their incidence of malaria as determined by district and health facility records. Th e project will have a special emphasis targeting 2,200 pregnant women.

Th e project originally planned to provide nets to a large number of boarding schools and health centers, but the Ministry of Health identifi ed only three schools and fi ve health centers for this project.


0

10

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30

40

50

60

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Zambia Mozambique Kenya

Percent of malariacase decrease sincenet distributions

Five year goal

These very early results are based on a one-year comparison in Zambia, and briefer two- to four-month comparisons in Mozambique and Kenya. These results are measured against the Roll Back Malaria goal of reducing malaria cases by 75 percent by 2015,

A tool that works

According to the Lancet Child Survival Series, the top two interventions saving lives today are mosquito nets and early initiation of breast-feeding for infants. UNICEF states that treated nets can reduce overall child mortality by up to 20 per cent. There is evidence that bed nets, when consistently and correctly used, can save 6 lives per year for every 1,000 children sleeping under them.

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A volunteer distributes nets house to house in Zambia. He’s carrying a hammer, nails, and twine, as well as nets, to make sure nets are properly hung and used. Education plays a pivotal role in the project, helping trained volunteers teach their neighbors how important it is to use the nets to prevent malaria and save lives.

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Key partnerships and collaborationsPartner profiles and roles

Rotary Club of Kalulushi has a record of successful malaria interventions—including a net distribution this past year—as well as a dedicated group of members who have demonstrated the diligence required to initiate and complete projects. Rotary Club of Kalulushi has extensive experience in malaria prevention and control projects such as this one (Kalulushi I). Th e Kalulushi club has successfully executed mass net distribution and indoor residual spraying projects in conjunction with NMCC as part of the Roll Back Malaria campaign. Th is club will serve as the local sponsoring club for the project, fi le all applications and reports, and handle communication with the ZRMSC and World Vision as required.

Th is club will coordinate all fundraising in its district and surrounding districts, and establish a separate bank account for all funds contributed to this project. Th e Rotary Club of Kalulushi also will take the lead role in promoting education and obtaining fi nancial or in-kind support from local entities in Kalulushi and Lufwanyama districts, including, among others, the Chibuluma Mine. Th e club will participate in planning and review meetings, monitor activities, and provide technical backstopping to fi eld staff . Its volunteers will be involved in fi eld-level implementation activities when possible.

Rotary Club of Federal Way and its members serve each other and the world, transforming communities locally and globally. Its International Service Committee serves to fulfi ll Rotary’s mission of “advancing international understanding, goodwill, and peace.” Th e committee is responsible for selecting projects that impact the health, education, and welfare of less advantaged people in other countries, with a particular emphasis on youth. Th e Rotary Club of Federal Way, with Rotary Club of Seattle, and other Rotary clubs in the region, along with a match from the Rotary Foundation, will provide the Rotary portion of funding for this project. Th is club also will coordinate the funding eff ort from all Rotary clubs in the United States. It will review and monitor all activities in this project, and provide technical guidance and expertise from its wealth of experience and volunteers.

Th e Program for Appropriate Technology in Health (PATH) takes a multifaceted approach to fi ghting malaria. It collaborates with national and global partners to develop strategies to eliminate malaria by bringing together public- and private-sector partners to accelerate the development of malaria vaccines, and working to create a steady, aff ordable, and high-quality supply of drugs for malaria treatment. With funding from the Bill & Melinda Gates Foundation, PATH in 2004 established the Malaria Control and Evaluation Partnership in Africa (MACEPA). Th is program is a leader in the fi ght against malaria, working with national governments and program partners in sub-Saharan Africa to rapidly achieve and sustain high coverage of life-saving interventions, improve surveillance, and provide data that empowers countries to pursue malaria elimination. Alongside these partners, MACEPA is charting the way forward for the global community to end malaria illnesses and deaths in Africa altogether. In Zambia, MACEPA supports the NMCC and partners with planning and data collection for maximizing malaria control intervention coverage and malaria burden reduction. It has been working in Zambia providing technical assistance and support since 2005.



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Expanded Church Response to HIV/AIDS Trust in Zambia (ECR) is a Christian umbrella organization supporting faith-based responses to HIV. Formed in 2003 by church leaders in Zambia, ECR provides information and improves skills on HIV prevention to its member organizations in Zambia. It also advocates for and supports the church as a source of attitudinal and behavioral change in the community, especially with respect to decreasing stigma and discrimination toward people living with HIV and AIDS. Furthermore, ECR advocates for and supports the church’s poverty-reduction eff orts and works to catalyze a comprehensive, coordinated response from Christian institutions and churches in every community in Zambia.

ECR is a member of the Sustainability Th rough Economic Strengthening, Prevention, and Support for Orphans and Vulnerable Children, Youth, and Other Vulnerable Populations (STEPS OVC) consortium, with experience in supporting community initiatives for malaria prevention and control. World Vision Zambia and ECR have proven to be good partners in operating past projects. Because it has presence in Kalulushi, ECR will be the main implementing partner in that district, where it will work with the Rotary Club of Kalulushi, the District Health Offi ce, NMCC, and MACEPA to facilitate community mobilization, net distribution, volunteer training, and raising malaria awareness.

Th e National Malaria Control Center is the body of the Ministry of Health mandated to carry out malaria prevention and treatment programs countrywide. Th e NMCC has been providing life-saving malaria commodities, including:

• Distribution of more than 8 million insecticide-treated mosquito nets since 2003• Indoor spraying in every Zambian district• Preventive medicine for pregnant women and life-saving medicine nationwide for

those suffering from malaria• Rapid malaria tests nationwide

Th e NMCC will provide overall technical guidance for the design of specifi c interventions for this project, including stakeholder coordination, logistics planning, participation in monitoring, and backstopping. Under monitoring, the NMCC will provide detailed information on the baseline survey and ensure participating health facilities and district health centers have the necessary equipment for the diagnosis of malaria, which is essential for the accuracy of monitoring and evaluation information.

Th e District Health Offi ce is the city administration of the healthcare system in Zambia. Reporting to the Provincial Health Offi ce, the DHO manages hospitals and healthcare facilities at the district level. It is headed by the District Medical Offi cer, who oversees the planning, resource procurement, and implementation of all health programs in each district. Th e DHOs of Kalulushi and Lufwanyama have been involved in malaria programs before, including Kalulushi I, which was implemented in both districts in 2010 and 2011. Th e DHOs will direct the participation of all the health facilities in the target areas and through them, the huge resource of community health workers who support healthcare delivery at the community level. Th e DHOs will recommend specifi c settlements and institutions to which priority should be given. Th ey also will:

• Lead the design and implementation of the indoor residual spraying campaign

• Provide facilitators for all training activities in the project

• Make available medical personnel to provide supervision to community health workers carrying out community case management of malaria, including intermittent presumptive treatment for pregnant women

11

• Facilitate the integration of the project into ongoing operations of the MoH

• Provide health facility staff to monitor the technical aspects of the project

World Vision (in the U.S. and in Zambia) is a Christian humanitarian organization dedicated to working with children, families, and their communities worldwide to reach their full potential by tackling the causes of poverty and injustice. We serve all people, regardless of religion, race, ethnicity, or gender.

World Vision provides emergency assistance to children and families aff ected by natural disasters and civil confl ict, works with communities to develop long-term solutions to alleviate poverty, and advocates for justice on behalf of the poor. World Vision serves millions of people in nearly 100 countries around the world.

Our passion is for the world’s poorest children. To help secure a better future for each child, we focus on lasting, community-based transformation. We partner with individuals and communities, empowering them to develop sustainable access to clean water, food supplies, healthcare, education, and economic opportunities.

Ninety percent of World Vision’s 44,000 staff members come from the region or area where they work. Our local presence and community partnerships enable us to create sustainable and eff ective solutions to chronic poverty. World Vision remains in most project areas from 12 to 18 years, or until we can safely leave without jeopardizing the advancements that have been made.

World Vision’s work is funded by a variety of private, foundation, government, and gift-in-kind donations that exceed $2.6 billion annually. Th e organization comprises separate, affi liated entities in nearly 100 countries, bound together by a Covenant of Partnership.

Th ough World Vision is motivated by our faith in Jesus Christ to serve alongside the poor and oppressed as a demonstration of God’s unconditional love for all people, we do not proselytize. World Vision has signed the International Red Cross Code of Conduct and abides by SPHERE protocols that prohibit proselytizing. We also have been instrumental in the formation of InterAction, which guides and oversees the work of sponsorship agencies. Groups that are part of InterAction (like World Vision) agree not to proselytize.

World Vision Zambia (with fi eld offi ce headquarters in Lusaka, Zambia) has extensive experience, expertise, professional staff , infrastructure, and government connections as a result of operating for more than 31 years in Zambia’s various development sectors. World Vision’s expertise is especially valuable in enhancing community participation and ensuring contractors do quality work that adheres to international and donor standards. World Vision Zambia and the Rotary Club of Kalulushi will facilitate project implementation in the fi eld.

A committee will be established with two representatives of World Vision Zambia and one member each from Rotary Club of Kalulushi, ECR, MACEPA, and NMCC. Th is committee will provide leadership and guidance to the project, and oversee its implementation. All payments of Rotary funds expended in this project will be approved by a representative of Rotary Club of Kalulushi. World Vision Zambia will provide the needed fi nancial and project reporting to all partners covered in the Memorandum of Understanding as well as to World Vision U.S. staff members, who will fi nalize reports to the partners.



12

Project staffing

Th e staff dedicated to implementing Kalulushi II include World Vision, ECR, District Health Offi ce employees and Rotary volunteers. It breaks down like this:

Rotarians DHO ECR World Vision

Staff 0 4 13 11Volunteers 30 0 0 0

Funding plan

Sustainability strategySustainability of interventions and improvements will be achieved by enhancing district and local capacity to expand and ensure access to malaria prevention and control for poor households in mosquito-endemic zones. Th e District Malaria Coordination Committee is expected to continue functioning after the six-month project ends. It will be responsible for mobilizing resources, coordinating malaria control and prevention eff orts, facilitating distribution of insecticide-treated nets, and other malaria prevention and control eff orts. Th e committee will receive technical support from World Vision’s Lufwanyama ADP staff , Rotary Club of Kalulushi, and District Health Offi ces.

All aspects of the project, technical as well as educational, will establish a solid foundation to keep health-seeking behaviors in place long after the project ends. It is expected that when funding stops, Lufwanyama ADP will continue providing support to the communities in Lufwanyama, while ECR will continue to facilitate community-driven initiatives in Kalulushi. Establishing or strengthening organized community structures and community participation at all stages will enhance project ownership and sustainability. However, adoption of healthy practices and change of behavior is part of the learning, empowerment, and capacity development required to improve health conditions of families and strengthen household livelihood security (parents can’t work if they’re ill or home caring for sick children).

Monitoring and evaluationA monitoring plan will be designed based on project indicators. A baseline survey will be completed by World Vision Zambia and ECR in collaboration with MACEPA, NMCC,


Partner AmountRotary Clubs $86,000

Rotary Districts $86,000

Rotary International $128,000

World Vision match $421,059

Local companies TBD

Total $721,059


13

and the two District Health Offi ces. Th e health advisor for Lufwanyama ADP will provide project monitoring. In addition, the ADP manager and the World Vision Northern Regional operations manager will collaborate with designated offi cials from Rotary Club of Kalulushi, DHOs, and MACEPA to closely monitor project activities and achievements through regular review meetings. An evaluation of the project’s impacts will be conducted at the end of six months, as changes in health-seeking behaviors and decreases in malaria cases usually take a minimum of one or two years to conclusively refl ect results.

Why World Vision?World Vision has made the fi ght against malaria a top priority as part of its multifaceted approach to guaranteeing child well-being outcomes. No child should die because her family can’t aff ord something as simple as a mosquito net. World Vision has a dedicated supply chain system involving the shipment of hundreds of containers of products around the world each year. In Zambia, a dedicated distribution center in Lusaka ensures the professional handling of several diff erent commodities that are distributed across the country to 40 ADPs in 26 districts across all 10 provinces.

World Vision has an active ADP in Lufwanyama, and has partnered there with the Churches Health Association of Zambia to implement the Lufwanyama Child Survival Project, aimed at improving the health status of children younger than 5 through a variety of interventions that included malaria prevention. Every World Vision ADP in Zambia has health staff and development facilitators who work in collaboration with the Ministry of Health, as well as regional health staff for northern Zambia. We also have demonstrated signifi cant success in attracting thousands of volunteers, who will work side-by-side in this distribution eff ort with local Rotarians and World Vision Zambia staff .

Th ough World Vision does not have active programming in Kalulushi, there is an experienced partner in ECR, which has operations in the area and with whom World Vision can work to successfully collaborate on this malaria prevention project.

World Vision’s technical strengths/experience in ZambiaTh e Reaching HIV and AIDS-Aff ected People with Integrated Development and Support (RAPIDS), model and World Vision’s staff expertise made STEPS distributions a “best practice ever,” according to government offi cials. “Th e exercise was done with so much effi ciency and coordination amongst all the stakeholders involved. Th rough monitoring, we were able to see that the Neighborhood Health Committees were all trained and gave the households LLINs based on their need,” said Cecilia Katebe, principal net offi cer at the Zambia NMCC.

A sampling of other experience in Zambia that has developed World Vision’s capacity to implement malaria projects and make us a major player in this battle includes:

• A 2009/2010 partnership with Against Malaria to distribute 300,000 nets to 100,000 households.

• In 2010, we distributed 300,000 nets in 12 districts through Operation Safety Net.

• In 2011, we distributed 1 million nets through STEPS, which covered the entire province of Luapula, and two districts in the Eastern province.

© 2

010

Wo

rld

Vis

ion


Our experienced staff —from the global leadership level to the fi eld—and strong relationships with collaborating international organizations fi ghting the war against malaria, make World Vision distinctly qualifi ed to implement malaria interventions. With six decades of experience bringing help and hope to those in need, our life-changing work employs some 44,000 people in nearly 100 countries, including more than 750 experienced staff members in Zambia.

World Vision works with a host of national and international entities, including the President’s Malaria Initiative, Malaria No More, and national governments and ministries of health. We also are a delegate on the Roll Back Malaria board and serve on its Harmonization and Advocacy working groups.

Our community development approachWorld Vision’s health projects usually are implemented within ADPs, which focus on a cluster of communities in a contiguous geographic area. World Vision brings together stakeholders in the region to identify and prioritize needs. Th e ADP concept typically integrates malaria prevention, primary healthcare, food security, education and literacy, and economic development. Th is development model is successful because its projects are built on needs and strengths identifi ed by local leaders and residents. ADPs are funded and staff ed for 12 to 18 years, assuring long-term supervision and monitoring, leading to sustainability.

Rotarians desire to participate in projects in ADP areas because they can rest assured all other sectors required to eventually lift these communities out of poverty are addressed when World Vision remains in these areas after joint projects with Rotary are completed. Most often, World Vision works in areas where poverty and need are the greatest; and the same holds true for Rotarians. When Rotary and World Vision work in collaboration with each other and government health offi cials, we are able to maximize impact—in this case, to develop a program that adheres to the NMCC’s plan for Zambia. Rotary clubs have demonstrated success in bringing collaborating entities together, as demonstrated in this project, to work closely with local indigenous staff and volunteers.

Forging a Rotary/PATH/World Vision partnershipA child dying every 45 to 60 seconds from a preventable disease is unacceptable.

Science journals and researchers around the globe declare that the mosquito is the deadliest animal in the world, responsible for 655,000 deaths in 2010. At just 2 milligrams in weight and half an inch in length, it leaves in its wake hardship and grief most of us can only imagine.

World Vision and Rotary have made the fi ght against malaria a top priority in their work because we both refuse to accept its impact on children. No child should die for lack of something as simple as a mosquito net. To protect children, World Vision, PATH, and Rotary clubs are fi ghting to eliminate malaria where we can make a tangible, sustainable diff erence. We invite you to play a key role in this dynamic partnership, as we battle malaria in Zambia, and continue to build on past success.

14

P.O. Box 9716Federal Way, WA 98063-9716 worldvision.org

World Vision is a Christian humanitarian organization dedicated to working with children, families, and their communities worldwide to reach their full potential by tackling the causes of poverty and injustice. Motivated by our faith in Jesus Christ, we serve alongside the poor and oppressed as a demonstration of God’s unconditional love for all people. World Vision serves all people, regardless of religion, race, ethnicity, or gender.

15

ZMB12FECPRO_Rotary_8.29.12

© 2011 World Vision, Inc.

ConclusionIn this project, World Vision, PATH, local and international Rotary clubs, and other collaborating agencies and organizations propose an intervention to save lives, particularly in children younger than 5 and pregnant women. Malaria is a major contributor to illness and death in Zambia, and many who survive have lifelong challenges that aff ect their productive livelihood. Each of this project’s partners wants to build a better world for Zambia’s children and families living in poverty, who are exposed to malaria every day. World Vision has extensive experience carrying out malaria prevention and control projects in Zambia, a strong presence in the communities where we work, and a project design that will bring life-changing improvement to thousands of Zambians, as we work hand-in-hand with local Rotary clubs.


APPENDIX A: MAP OF PROJECT AREA

APPENDIX B: BENEFICIARY COMMUNITIES

KalulushiChembe Central

Denovan

Ichimpe Central

Kalisha

Kankobwe

Mwambashi A

Mwambashi B

Mwambashi C

Sabina

Twafweniko

Twashuka

Zamclay

LuywanyamaBulaya

Chikabuke

Chinemu

Fungulwe

Kapilamikwa

Lumpuma

Mukumbo

Mukutuma

Mushingashi

Shimukunami

St Joseph’s

St Mary’s

Chief Nkana

APPENDIX C: PARTNERSHIP ROLES

Coo

rdin

atio

n an

d/or

logi

stic

s

Expa

nded

Chu

rch

Res

pons

e

Min

istr

y of

Hea

lth/N

atio

nal M

alar

ia C

ontr

ol C

ente

r

Zam

bian

Dis

tric

t H

ealth

Offi

ce

PAT

H/M

AC

EPA

Rot

ary

Clu

b of

Kal

ulus

hi

Rot

ary

Clu

b Fe

dera

l Way

and

Sea

ttle

-are

a cl

ubs

Wor

ld V

isio

n U

nite

d St

ates

Wor

ld V

isio

n Z

ambi

a

Zam

bia

Rot

ary

Mal

aria

Ste

erin

g C

omm

ittee

Age

ncy

Rol

e

Adv

isor

yD

esig

nR

evie

w a

nd/o

r M

onit

orin

gIm

plem

enta

tion

Fund

rais

ing

Part

ners

hip

ro

les

APPENDIX D: PROJECT BUDGET PAGE 1Title

Summaryof

Outcomes

Cost

Varia

ble

Freq

.%

Num

bers

Rotary

Cost

Rotary

%WVcost

WV%

Totalcost

Partne

rs

ProjectG

oal

Redu

ceillne

ssandde

athdu

eto

malariainKalulushiand

Lufw

anyamadistrictsby

providinglong

lasting,insecticide

treatedbe

dne

ts(LLINs)to

87pe

rcen

tofind

ividualsin

tar get

areas

Outcome1

Increasedcoverage

anduseof

person

alprotectiv

emeasuresincluding

indo

orresidu

alspraying

andne

tsInterven

tion1.1

Massd

istrib

utionof

net s

Outpu

t1.1

2,20

0ne

tsprovided

atno

costto

health

centersfor

distrib

utionto

pregnant

wom

enattend

ingpren

atalclinics

Activ

ities

for1

.1Summaryof

Outcomes

Target

Partne

rs

1.1.1

Procure65

,000

conicaldou

bleLLINs

65,000

LLINsb

yJune

30,2013

$3.32

Unit

1.00

100%

65,000

$215

,800

100%

$215

,800

WV

1.1.2

Deliver

2,20

0LLINstohe

alth

centersfor

distrib

utionat

nocostto

pregnant

wom

enattend

ingpren

atalclinics

2,20

0pregnant

wom

enreceive

LLINsb

yAu

gust

2013

$1.00

PerLLIN

1.00

100%

2,20

0$2

,200

100%

$2,200

WV

1.1.3

Distrib

uteLLINstopregnant

wom

endu

ringpren

atalclinics

$2,00

0.00

Worksho

p4.00

100%

1$8

,000

100%

$8,000

WV

1.1.4

Internationalshipp

ingforn

ets

65,000

nets

$28,60

0Shipmen

t1.00

100%

1$2

8,600

100%

$28,600

1.1.5

Incoun

trytransporto

fnets

65,000

nets

$55,60

0Lotd

ist1.00

100%

1$5

5,600

100%

$55,600

Outpu

t1.2

Massd

istrib

utionandhangingof

LLINsin20

,000

homes

o ftarget

bene

ficiarie

s

1.2.1

(Re)orient

120commun

ityhe

alth

workers(CHW

s)inLLIN

distrib

ution

4training

worksho

ps$

1,00

0.00

Worksho

p4.00

100%

1$4

,000

100%

$4,000

WV

1.2.2

Distrib

utionof

60,000

LLINsincommun

itylocatio

ns60

,000

bySept.

2013

$1.00

PerLLIN

1.00

100%

60,000

$60,00

010

0%$6

0,00

0WV,

ECR(w

ithMoH

)

1.2.3

Hangingof

60,000

LLINsb

yCH

Wsin20

,000

bene

ficiary

homes

Each

CHW

hangs

500LLINs

$12

0.00

PerC

HW10

.00

100%

15$1

8,00

010

0%$1

8,00

0WV,

ECR(w

ithZRMSC

volunteers)

1.2.4

Hangingof

2,80

0LLINsintarget

boarding

places

2,80

0by

Oct.31,

2013

$0.20

PerLLIN

1.00

100%

2,80

0$5

6010

0%$5

60WV,

ECR(w

ithZRMSC

volunteers)

1.2.5

Mon

itorin

guseof

LLINsb

yCH

Wsinbe

neficiary

homes

3visitse

achto

10%of

target

homes

$1.20

Perv

isit

3.00

100%

2,00

0$7

,200

100%

$7,200

WV,

ECR(Sup

portby

MoH

CHWs)

1.2.6

Mon

itorin

guseof

LLINsinbe

neficiary

boarding

institu

tions

3visitse

achto

10%of

target

boarding

spaces

$20

.00

Perv

isit

3.00

10%

100

$600

100%

$600

WV,

ECR(Sup

portby

MoH

CHWs)

Outpu

t1.3

System

aticindo

orresidu

alspraying

(IRS)inthetarget

homes

andbo

arding

facilities

Activ

ities

for1

.3Summaryof

Outcomes

1.3.1

ProcureIRSeq

uipm

enta

ndchem

icals

30,000

.00

$Unit

1.00

100%

1$3

0,000

100%

$30,000WV(sup

ported

byMoH

,NMCC

)

1.3.2

Train10

DHOsupe

rviso

rson

IRS

Done

byJuly10

,20

13$

700.00

Worksho

p2.00

100%

1$1

,400

100%

$1,400

WV(sup

ported

byMoH

,NMCC

)

1.3.4

Train60

CHWsspray

operatorso

nIRS

Done

byJuly15

,20

13$

1,00

0.00

Worksho

p1.00

100%

3$3

,000

100%

$3,000

MoH

,NMCC

1.3.5

Cond

uctIRS

in2,00

0ho

usingun

itsand20

0dw

ellingun

itsinbo

arding

scho

olsa

ndadmissionhe

alth

facilities

Done

byOctob

er31

,201

3$

5.00

Dwelling

unit

1.00

100%

2,20

0$1

1,00

010

0%$1

1,00

0MoH

,NMCC

Interven

tion1.3

Commun

itybasedcase

managem

ento

fmalari a

Activ

ities

for1

.3Summaryof

Outcomes

Outcome2

Increasedaccess

toad

equa

tean

deffectivedrugsa

ndtreatm

enta

thealth

facilityan

dcommun

itylevelsfor

10,000

peop

le,including

iterm

itten

tpreventive

treatm

ent (IPT)

for2

,200

pregna

ntwom

en

Outpu

t2.1

Health

facilityandcommun

itylevelhealth

workers

(includ

ingcaregivers)ide

ntified

and(re)traine

don

malaria

case

mana gem

ent

Activ

ities

for2

.1Summaryof

Outcomes

Rotary

KalulushiIIM

alariaProject


Summaryof

Outcomes

Cost

Varia

ble

Freq

.%

Num

bers

Rotary

Cost

Rotary

%WVcost

WV%

Totalcost

Partne

rs

2.1.1

Procuretraining

kitsforcasemanagem

ento

fmalaria

$2,00

0.00

Unit

1.00

100%

1$2

,000

100%

$2,000

WV(sup

ported

byMoH

,NMCC

)

2.1.2

(Re)orient

30he

alth

facilitymed

icalofficerso

ncase

managem

ento

fmalaria

Done

byJuly31

,20

13$

75.00

Participant

3.00

100%

35$7

,875

100%

$7,875

WV(sup

ported

byMoH

,NMCC

)

2.1.3

Trainsupe

rviso

rystaffo

nsupe

rvision

techniqu

esto

enablethem

toeffectivelymon

itor,

evaluate,and

teachhe

alth

workersto

correctly

manage

malariaandmalaria

inpregnancy

Done

by10

July

2013

$10

0.00

Participant

3.00

100%

35$1

0,50

010

0%$1

0,50

0MoH

2.1.4

(Re)orient

90CH

Wso

ncase

managem

ento

fmalaria

Done

byAu

gust

10,201

3$

50.00

Participant

3.00

100%

95$1

4,25

010

0%$1

4,25

0WV,

ECR

Outpu

t2.2

10,000

peop

le(childrenandadults)treated

form

alaria

2.2.1

Procurem

ento

f10,00

0rapiddiagno

stictests(RD

Ts)and

malariakitsinconsultatio

nwith

theDistrictH

ealth

Office

(DHO

)

Done

byJuly1,

2013

$Kit

10,000

$0WV(sup

ported

byMoH

,NMCC

)

2.2.2

Distrib

utionof

10,000

RDTs

andmalariatreatm

entk

itsto

health

facilitiesincommun

ities

Done

byJuly10

,20

13$

1.00

Kit

1.00

100%

10,000

$10,00

010

0%$1

0,00

0WV(sup

ported

byMoH

,NMCC

)

2.2.3

Refreshe

rtrainingforcom

mun

ityhe

alth

workerson

commun

itycase

managem

ento

fmalari a

Done

byJuly15

,20

13$

3,00

0.00

Worksho

p2.00

100%

2$1

2,00

010

0%$1

2,00

0WV(sup

ported

byMoH

,NMCC

)

2.2.4

Commun

ityhe

alth

workerscond

uctin

gcommun

itycase

managem

ento

fmalaria

10,000

byDe

c.15

,201

3$

CHW

1.00

100%

$0WV(sup

ported

byMoH

,NMCC

)

2.2.5

Professio

nalhealth

workerscond

uctin

gcase

managem

ent

ofmalaria

inpregnancy

2,20

0casesb

yDe

c.15

,201

3$

Health

facility

1.00

100%

15$0

MoH

2.2.6

Regularsupe

rvision

/men

torin

gof

commun

ityhe

alth

workersby

health

facilityworkers

1mon

thlyvisit

toeach

health

facilityandCH

W$

10.00

Perv

isit

6.00

100%

30$1

,800

100%

$1,800

MoH

Outpu

t2.3

Access

toIPTan

dmalaria

inpregna

ncycase

man

agem

entfor

2,20

0pregna

ntwom

en

2.3.1

Refreshe

rtrainingforp

rofessionalhealth

workerson

malaria

inpregnancycase

managem

ent

30staffm

embe

rstraine

d$

100.00

Participant

1.00

100%

30$3

,000

100%

$3,000

WV(sup

ported

byMoH

,NMCC

)

2.3.2

Refreshe

rtrainingforcom

mun

ityhe

alth

workerson

malaria

inpregnancycase

managem

ent

90CH

Wstrained

$10

0.00

Participant

1.00

100%

90$9

,000

100%

$9,000

WV(sup

ported

byMoH

,NMCC

)

2.3.3

CHWsa

ndhe

alth

facilityworkersprovideIPTandmalaria

inpregnancycase

managem

entfor

2,20

0wom

en$

2200

1.00

0%$0

MoH

Outcome3

Increasedaw

aren

essa

ndpracticeof

malariacontroland

preven

tioninthecommun

ityInterven

tion3.1

Behavior

change

commun

ication

Outpu

t3.1

Malariainform

ation,

education,

andcommun

ication

(IEC)

materialsmob

ilized,

tested

,and

dissem

inated

Activ

ities

for3

.1Summaryof

Outcomes

3.1.1

Establish

IECworking

grou

pto

review

andup

date

available

materialsandde

velopandtestne

wmaterials

Desig

nmeetin

gs$

500.00

Meetin

g1.00

100%

3$1

,500

100%

$1,500

WV(sup

ported

byMoH

,NMCC

)

3.1.2

Print6

00Tshirtsa

ndcaps

with

malariamessages

Purchase

and

print

$30

.00

Set

1.00

100%

600

$18,00

010

0%$1

8,00

0WV,

ECR

3.1.3

Displaymalariamessageso

nbillboards

$10

0.00

Billboard

6.00

100%

20$1

2,000

100%

$12,000WV,

Rotary,M

oH

3.1.4

Printa

nddistrib

utemalariapo

sters

$3.00

Poster

1.00

100%

600

$1,800

100%

$1,800

WV,

EC(Sup

ported

byMoH

,NMCC

,MAC

EPA)

3.1.5

Prod

uceaudiovisu

aljingles

forradioandTV

3keys

messages

$5,00

0.00

Perjingle

1.00

100%

3$1

5,00

010

0%$1

5,00

0MoH

,NMCC

3.1.6

Play

audiovisu

aljingles

onradioandTV

3tim

esdaily

on3

stations

$20

.00

Perd

ay3.00

100%

150

$9,000

100%

$9,000

WVsupp

ortedby

MoH

/Rotary

3.1.7

Cond

uctm

alariasensistiza

tionusingcommun

itype

rformingarts

15commun

itycentersineach

district

$50

0.00

Even

t3.00

100%

15$2

2,50

010

0%$2

2,50

0WV,

MoH

3.1.8

Cond

uctm

alariasensistiza

tionusingcommun

ityleaders

30commun

ityop

inionleaders

$20

.00

Commun

ity3.00

100%

30$1

,800

100%

$1,800

WV,

MoH

Outcome4

Theproject a

dministrationisad

equa

tean

dtim

ely


Summaryof

Outcomes

Cost

Varia

ble

Freq

.%

Num

bers

Rotary

Cost

Rotary

%WVcost

WV%

Totalcost

Partne

rsOutpu

t4.1

Administrativearecostsa

repa

idinfull

4.1.1

Projectlaunch

$5,00

0.00

Even

t1.00

100%

1$5

,000

$5,000

WV

4.1.2

Procuremotorcycle(2

units)

2motorcycles

$6,00

0.00

Unit

1.00

100%

2$1

2,000

$12,000WV

4.1.3

Motorcyclemainten

anc e

Oils/lu

bricants

$10

0.00

Mon

th3.00

100%

2$6

00$6

00WV

4.1.4

Pickup

mainten

ance

(2un

its)

Service

$20

0.00

Mon

th3.00

25%

2$3

00$3

00WV,

ECR

4.1.5

Fuel

$40

0.00

Mon

th6.00

100%

2$4

,80 0

$4,800

WV,

ECR

4.1.6

Paylicen

cesa

ndinsurance(pickup )

$20

.00

Mon

th6.00

100%

2$2

40$2

40WV,

ECR

4.1.7

Paylicen

cesa

ndinsurance(m

otorcycle )

$10

.00

Mon

th6.00

100%

2$1

20$1

20WV,

ECR

4.1.8

Bank

charges

$40

.00

Mon

th6.00

100%

1$2

40$2

40WV

Outpu

t4.2

ECRStaffC

osts

4.2.1

Program

manager

$3,46

9.00

Mon

th6.00

30%

1$6

,244

$6,244

ECR

4.2.2

Drivers

$61

2.00

Mon

th6.00

50%

1$1

,83 6

$1,836

ECR

4.2.3

Coordinator

$1,83

7.00

Mon

th6.00

50%

1$5

,511

$5,511

ECR

4.2.4

Administrativ

eoffice r

$1,22

4.00

Mon

th6.00

40%

1$2

,938

$2,938

ECR

Outpu

t4.3

WVStaffC

osts

4.3.1

Program

manage r

$4,24

0.00

Mon

th6.00

30%

1$7

,632

$7,632

WV

4.3.2

Developm

entfacilitator

$2,26

1.00

Mon

th6.00

30%

1$4

,070

$4,070

WV

4.3.3

Accoun

tant

$2,23

8.00

Mon

th6.00

10%

1$1

,343

$1,343

WV

4.3.5

Mon

itorin

gandevaluatio

noffice r

$85

0.00

Mon

th6.00

50%

1$2

,550

$2,550

WV

4.3.6

Driver

$70

0.00

Mon

th6.00

50%

1$2

,10 0

$2,100

WV

4.3.7

Totaldire

ctcosts

$300

,000

$355

,508

$655

,508

WV

4.3.8

Gene

raland

administrativ

ecosts

At10

%$6

5,55

1$6

5,55

1WV

TotalEligibleCo

sts

$421

,059

$721

,059

WV

Documents

August 2012 Rotary Kalulushi II Malaria Projectrotarianmalariapartners.org/wp-content/uploads/2015/02/ZMB12FECPR… · Th e Rotary Kalulushi II Malaria Project is targeting 20,000