The ZAPIM project has 5 main technical areas of intervention, these include:
Malaria case management (CM) and malaria in pregnancy (MIP), community case management, social behavior change communication (SBCC), long lasting insecticidal nets (LLINs), and monitoring and evaluation (M&E), operational research (OR) and malaria elimination activities in Lupane District Matabeleland North Province.
With an overarching goal of sustainable capacity building for the NMCP and in country partners, who we collaborate with at every step of the way.
ZAPIM’s CM and MiP work focused on providing capacity building to health care workers with on the job mentorship, development of standard guidelines with NMCP for malaria care, and review and use of data for decision making. A total of 1,700 facility based health care workers from 15 districts were trained. ZAPIM led the revision and updating of the malaria treatment chart in line with the new treatment guidelines, revised epidemic preparedness and response guidelines and the accompanying training materials. The project developed and piloted an on the job malaria clinical mentorship program, trained 25 mentors and mentored 134 health facilities workers from 25 health facilities in five malaria high burden districts. The mentorship program spread beyond ZAPIM supported districts to include Global Fund supported districts.
Community Case management support focused on early access to treatment by training 1,464 village health workers (VHWs) in CM and MIP to ensure quality testing and treatment for malaria at community level. These were drawn from the 15 ZAPIM supported districts. The community case management training was complemented by post training follow ups, district level supportive supervision, environmental health technician (EHT) led supportive supervision and VHW review meetings. ZAPIM advocated for improved supply of commodities to VHWs and provided medicine cabinets to 200 VHWs in Mbire for safe storage of medications. The training of VHWs complemented with constant supply of commodities and medicines led to VHWs providing care to up to 50% of the cases of malaria seen in some high burden areas hence reliving pressure on the under staffed and strained health facilities. ZAPIM launched an ODK cellphone based reporting of malaria data in Mbire and provided 186 cellphones and met the cost for the reporting. This improved the completeness and timeliness of reporting.
ZAPIM SBC support is focused at the national and community level, with a role on the national coordination of malaria messaging and then development and distribution of materials at the community level, based on the CAC cycle that identifies community level challenges with malaria issues and develops and implements plans to change behaviors or knowledge around malaria prevention, treatment and care. ZAPIM trained a total of 100 Health Centre Committees on the Community Action Cycle (CAC). As a result a total of 890 HCC members were capacitated on the CAC. These committees have managed to engage the communities in actively participating in malaria prevention and control activities. The main areas of focus have been encouraging early bookings by pregnant mothers, encouraging LLINs utilization and allowing their houses to be sprayed.
M&E focused on support for collecting and using data for decision making at the national level by developing SM&E capacity building; PMI project specific indicators and OR as requested by stakeholders. Survey/studies supported during the project period included a Net Durability Study, Malaria Indicator Survey, Mazowe End Line Survey, Drug Consumption study and the Angwa Assessment.