National Malaria Control Programme (NMCP)
in collaboration with
MALARIA ACTION PROGRAM FOR STATES
(MAPS) PROJECT
Process notes
from
The Preparatory Meeting
of the Technical Support Team Facilitating the
Situation Analysis of Malaria Control efforts in
Cross-River, Nasarawa and Zamfara States
1
What is a Situation Analysis (SitAn) of Malaria Control?
A ‘snapshot’ of the current state of service delivery and programme management in
malaria control across the various levels (National, State, LGAs, Service Delivery
Points and Community). It is a quick but systematic and fairly comprehensive
assessment of the statutory and operational environment, management
arrangements, structures and the status of systems and resources in use (or
otherwise) for malaria control. It is NOT a survey.
Approaches used in the Situation Analysis
1)
2)
3)
4)
Desk Review (Phase 1)
Qualitative/ethnographic studies
Quantitative
Rapid in-depth Assessment
Techniques and Procedures
A technique is a process/method of applying a tool for the sake of accomplishing a
task or achieving a specific purpose. Examples include:
1. Institutional analysis
2. (In-depth) Interviews
- Structured interviews
- Semi Structured interviews
- Key Informant Interview (KII)
3.
4.
5.
6.
Inventory taking
Review of service records/statistics
(Participant) Observation
Meetings
- Entry
- Courtesy call
- Feedback
- Verification/validation
- Consensus
7. Group Discussion
- Focus Group Discussion (FGD)
o Facilitation
o Note taking
- Small group discussion
8. Brain storming
9. Free-listing
10. Mapping (Stakeholder, partner, Service Delivery Points (SDPs)
11. Stakeholder profiling
12. Activity profiling
13. Analytical generalisation
2
Some tools for the Situation Analysis
A tool is an instrument or work aid designed for a specific purpose; a means for
achieving an end when used correctly and applied appropriately. Examples include:
1.
2.
3.
4.
5.
6.
Topic guide
Reporting format
Questionnaires
Venn diagrams
SWOT analysis
Power point presentations
Some benefits of situational analysis
o Generates baseline information on malaria
o Evidence based policy formation/development/ strategic plan/ resource
allocation
o Better prioritization of interventions and malarial programme implementation
o Awareness creation on the severity of malaria
o Synergy within the Ministry/Agencies/development partners
o Guides design of programme
o Identifies areas of supports, resources/commodities & gaps & Interventions
o Improved quality of service
o Serves as a tool for advocacy
o Generates reference materials for training
Things that can go wrong in a Situational Analysis
o Budget Constraints
o Administrative bottlenecks
o Conflict of interest
o Withdrawal of a team member midcourse
o Unavailability of source documents/ targets group/individuals
o Poor planning/logistics inadequacies
o Insecurity/social unrest
o Poorly designed tools
o Natural disasters
o “Gatekeepers” resistance
3
Desk review (SitAn Phase 1)
A desk review (SitAn Phase 1) took place in July 2011. The specific objectives for the
desk review were:
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To assess the strengths, weaknesses and gaps in the functioning of the malaria
control programmes at state level.
To rapidly gather data required for the indicators (as outlined in the draft M&E
framework) in order to set baselines and targets, monitor and evaluate the
attainment of targets.
To review literature and gather data on what has been done and documented in
terms of malaria control.
To highlight the peculiarities in each of the states as it relates to malaria control
situation in that state.
To provide information to guide engagement with stakeholders
o Identification of priorities
o Stakeholder buy-in
A situation analysis of the monitoring and evaluation component was also conducted
at federal level.
Key findings from the recently concluded Desk Review
IR 1: Access to Malaria Prevention interventions increased
Campaign style LLIN distributions have been conducted in all three states.
Key findings include:
o In all three states campaign LLIN distributions were conducted after the start
of MAPS. In Nasarawa and Zamfara MAPS was a key partner in carrying out
the distribution.
o In all three states intervention leadership seems to have come from the
partners supporting the intervention rather than from the MoH. For example in
Cross Rivers the Red Cross was the key implementing partner and as a
result the distribution was conducted according to the IFRC standard Malaria
Tool Kit rather than using the NMCP designed distribution tools.
o Routine LLIN distribution systems are being planned in all three states under
Networks in collaboration with MAPS. Networks is also supporting Federal
level policy development for routine LLIN distribution as well as piloting novel
approaches to routine LLIN distribution in the three MAPS states.
o In Cross Rivers LLINs have been distributed in 9 of the 18 LGAs. Networks
has plans to complete the LLIN distribution in Cross Rivers as soon as the
LLINs are cleared through customs and arrive in Nasarawa.
o There was a perception that too few LLINs were available in Nasarawa State.
This may indicate the need of mop up activities in the state. Data from the
March/April 2011 MICS should be available by the end of 2011 and should
provide post distribution LLIN coverage data for Nasarawa State.
o WHO and UNICEF in Zamfara State both reported that some communities
were skipped during the LLIN distribution around the time of the elections (at
least some were skipped intentionally). Some of the communities who did not
receive LLINs are now apparently refusing to allow their children to be
vaccinated by UNICEF/WHO.
4

IPT is a weak or non-existent in all three states. The key bottleneck is a lack of
commodities. National SP procurement in 2010 represented only 25% of the
national targets. This will make it very difficult to assess downstream bottlenecks
in phase II. The absence of a reliable supply of SP means that practitioners
cannot include it as part of their routine practice. During phase II it will be
interesting to assess at health facility level whether patients are given
prescriptions for SP and sent to a private pharmacy in the absence of reliable
public sector supplies.
IR 2: Malaria Diagnosis and treatment improved

Malaria diagnosis is weak in all three states.
o RDTs are generally not available
o Microscopy is felt to take too long. Though a review of laboratory processing
times in Cross Rivers found that the processing times were reasonable. Even
senior NMCP staff note that if they were presented with a suspect malaria
case they would treat presumptively at the same time that they sent a slide to
the lab for microscopy.
o There is no evidence of any real discussion of rolling out integrated
community case management which would include provision of a respiratory
timer to diagnose pneumonia and provision of amoxicillin and Zinc/ORS for
treatment of pneumonia and diarrhea. The NMCP seemed quite interested in
exploring this approach. A concern was raised that patients tested with an
RDT and found to be negative might still be treated for malaria. Having
pneumonia diagnosis and treatment available at the community level should
allow for more rational use of medicines.

Case Management also suffers from unreliable and inadequate commodity
supply. This again has downstream effects making it difficult to assess other
bottlenecks blocking systems such as commodity distribution or the M&E system
o Nigeria’s 2008 Standard Treatment Guidelines need alignment with the
NMCP malaria treatment guidelines. Current Standard Treatment Guidelines
recommend use of rectal artesunate for every uncomplicated case of malaria
seen. This is not in line with NMCP guidance.
o Some consistency in pharmaceutical procurement is needed. In Zamfara for
example an ACT called Artequick was procured and contains Artemisinin in
combination with piperaquine.
o Quality Assurance and Control measures should be taken to safeguard the
drug supply from counterfeit anti-malarials. A 2011 WHO study found that
64% of Nigerian antimalarial samples did not meet international quality
standards.
Improved quality assurance is particularly important as
procurement for PHC is occurring at LGA or even health facility level where
there is no capacity to assess suppliers or test antimalarial products received.
o Reliable data for case management and commodity consumption is not
available making it quite challenging for the Ministry of Health to accurately
quantify requirements for commodity procurement quite challenging.
Key Gaps to be addressed for IR 1 and IR 2
1. Application of guidelines at all levels and reasons for deviations from
recommended practice
5
2. Feasibility of community level IPT
3. Use of RDTs/Microscopy for diagnosis of malaria. Acceptance of results
4. Reasons for supply chain failure
a. Routine LLIN
b. Diagnostics
c. ACTs
d. SP
5. Handling of Severe Malaria
6. Referral practices
7. Routine LLIN channels. Existing and potential channels
8. IRS linkages
9. Patient experiences of care for each service
IR 3: Awareness and knowledge of malaria prevention and treatment services
increased (BCC/ACSM)
NATIONAL MALARIA CONTROL PROGRAM (ACSM BRANCH)
Strengths/ Opportunities: adequately staffed, with 7 key staff and one consultant.
Has a lot of partner support and goodwill. Has credibility and acceptance among
states.
Weaknesses and gaps: lacks strategic focus, lacks technical capacity for planning
for ACSM, Program management, and for ACSM related campaigns. Too dependent
on partner support, lacks a system or the capacity for knowledge management. Has
failed to demonstrated leadership and set the National agenda.
Information on IR5 indicators: no study is available at the NMCP, partners who
might have, were unwilling to share.
CROSS RIVER STATE

Program and management profile
There is no staff dedicated for ACSM. In fact there is no staff with any technical
capacity in the program.

Strengths:
There is currently no area of ACSM intervention that can be considered strong.

Weaknesses/Gaps

Lack of technical capacity for ACSM and lack of HR for ACSM

Opportunities: large presence of partners, relatively strong local
NGOs and CSOs with vast experiences and technical capacity for ACSM
interventions and activities.

IR5 indicators: information not available
NASSARAWA STATE
Program profile
It is not capable of planning, managing or implementing any ACSM activity as it is
presently constituted.

Strengths:
There is currently no area of ACSM intervention that can be considered strong.

Weaknesses/Gaps

Not being seen to be respecting institutional arrangements and
communication lines especially as regards relating to supervising department.

Lack of technical capacity for ACSM and lack of HR for ACSM

Opportunities: there is a new and proactive leadership in the PHC
department that appreciates the challenges and is amenable to change.

IR5 indicators: not available
6
ZAMFARA STATE
Program profile
. The RBM is situated within the Public health department. It has an operational base
outside of the ministry but works well with the supervising department.

Strengths:
Experienced and credible leadership

Weaknesses and gaps:
Lack of technical capacity for ACSM and lack of HR for CASM

Opportunities:
Presence of some technical capacity within some state institutions and NGOs
IR5 indicators: not available
IR 4: Capacity for Malaria Program Management at the National & State–level
Improved
Policy
A wide spectrum of policy documents, frameworks and guidelines are available at
federal level. They include the National strategic plan (2009-2013); National policy
on malaria diagnosis and treatment and policy on control and prevention of malaria
during pregnancy. Others include National guidelines for home and community
management of malaria, Malaria in pregnancy guidelines and Guidelines for BCC
and IEC. Across the State however, there are no State specific Malaria policy or
guidelines and no evidence to suggest National Policies or guideline had been
adopted.
General Management (Major systems, Resource & Programme Management,
Service and Organisation, Personnel Management)
There are differences in the organizational set up of State Malaria Control
Programmes
- In Nasarawa and Zamfara, SMCPs are located in the SMOH while in Cross
River, the SMCP is in the Community Health Department of the Governor’s
office headed by a Special Adviser
 Annual reports were not prepared in any of the States
 Non-existence of explicit state-specific processes
 Cross River and Zamfara States have established SPHCDB or agency while
Nasarawa state claimed to have passed the bill to do so.
Capacity building
Although several malaria related training events have taken place, coherent human
resource plans are not in place. Similarly, documentation to show areas of training
organized, numbers trained and distribution are not available. Training opportunities
are usually limited to facilities identified for support under specific projects e.g. Global
Fund.
Planning and Budgeting
The SMCP in Nasarawa State has an operational plan for 2011 which is essentially a
list of activities with associated costs. In Cross River, there is no evidence of
planning and budgeting for malaria in the state (beyond a presentation shared with
the review team). Although all three States have some budgets for malaria related
activities, actual releases are rare or insignificant.
7
Financial Management
None of the three States provided a record of financial expenditure (by State,
partners or agencies) for malaria activities. In the same vein, they do not have a
malaria focused financial management system.
Supervision
The scope and type of supervision differ from State to State. Neither NMCP nor
SMCP undertakes Integrated Supportive Supervision.
Procurement and Supply Chain management
Across the States, there are different sources of commodities. Difficulty of forecasting
and quantification was noticed; supplies are irregular and inadequate and stock out
of LLINs, RDTs, SPs and ACTs is common place.
Coordination and Linkages
NMCP has developed a framework for coordination of malaria control activities in
Nigeria. At the national level, a Partner’s forum and Technical working Groups on
thematic issues as well as sub committees are operational. Collaborative Partners
include (WHO, WB, DFID/SuNMaP, GF, FHI, JSI Clinton Foundation, and GFTAM.
In Cross River State is currently developing a donor policy. Partners’ coordination is
assigned to International Donor support Agency (IDS); a semi autonomous institution
is located within the state planning commission. Coordination mechanisms for
malaria control are rather weak in Nasarawa and Zamfara States.
Engagement with Private Providers
Federal - no data on this in the report
State - no data on this in the report for the 3 states
Referrals
Federal – not reported
State Level – Not reported
IR 5: Management Information Systems for malaria at facility, state and National
level strengthened
At the NMCP, the M&E Plan and National Framework for M&E documents were not
readily available. These policy documents were also not adopted or adapted in the
MAPS states. The 2011 Federal Level Operational Plan review concluded that the
current M&E framework plan is both outdated and rarely used. The national system for
collecting routine data is the HMIS with data captured in the DHIS. Currently, the NMCP
has a parallel reporting process, capturing data using different tools and an Excel
Spreadsheet. The 2010 PMI report notes that there is a chronic weakness in the
NMCP’s reporting system. This vertical approach is reflected in the three MAPS states.
In Cross River State, little documentary evidence could be obtained from the RBM office.
Nevertheless, HMIS data reporting to the state show that private facilities generally do
not submit data to the state even though they represent 20% of health facilities in the
state. This therefore represents a crucial information gap in reporting and most likely will
contribute significantly to the underreporting of malaria data in the state. There is a
chronic capacity and materials resource shortage in the State HMIS unit. There is little or
no analysis conducted at either the RBM or HMIS office and supervision arrangements
are virtually non-existent. Through Global-Fund support, the DHIS is used to capture
8
data across 5 LGAs and facilities. LGA M&E’s capture this data electronically and send
them to the state while the state collate and send onward to the National. Data from this
system is consistently reported to the National on a monthly basis. However there was
no evidence of data analysis from the State HMIS (even for Global Fund data) or RBM
Office.
Only minimal documentary evidence could be obtained from the Nasarawa State RBM
office. State data is reported to the State RBM manager by the LGA RBM focal person
and then captured electronically in an Excel Spreadsheet. It was noted that the HMB
sends data directly to the MoH using the IDSR form. However at the MoH (DPRS), with
support from HSDP II, the state HMIS officer uses the DHIS to capture data reported in
the harmonized HMIS form. The HSDP Project Coordinator asserted that data returns
are often delayed, laden with errors and incomplete. This is in spite of having supported
the training of all LGA M&E officers and the provision of HMIS forms to all health
facilities in the state. The bottleneck identified was mainly a dearth of capacity at facility
level and some of these being located in hard-to-reach areas. None of the stakeholders
(i.e. HSDP Coordinator and RBM Office Manager) could readily present analyzed data
on reporting rates, timeliness and completeness of data collected.
The observation in Zamfara State was that the RBM office was weak in data capture and
reporting. The State RBM Office had not submitted data to the NMCP nor conducted any
supervision of LGAs since August 2010. A quick analysis of the reported data indicated
that 50% of LGAs reported data in the first quarter of 2011. The evidence suggests that
at least 75% of all reporting LGAs submit timely data to the RBM office and 2 LGAs
consistently submitting incomplete data. The State RBM programme neither supervises
data collection nor provides support in quality assurance. The reason given was
unavailability of logistics and transport. Contrariwise, the State HMIS unit has an
established M&E process supported by PRRINN-MNCH. The M&E process is
sufficiently decentralised to the LGA level, where LGA M&E assistants predominantly
undertake data capture. In Zamfara State, the SMoH HMIS team conducts monthly
facility monitoring. This started in March 2011 and has been consistent. While the
exercise is still paper-based, a system will be designed for capturing the data digitally.
The monitoring is conducted in four LGAs and 4 facilities per LGA. These are rotated
monthly until all LGAs are covered.
The key recommendation for Phase 2 analysis is to explore the overlap (data,
process and systems) between malaria M&E, HMIS and the IDSR and understand
how strengths from one unit might be leveraged for the malaria control program
M&E.
9
SitAn1 - Key Informants
Federal
Name
Godwin Ntadom
Mohammed Shaibu
Glory Obosunji –
Anne Ikwang
Lynda Ozor
Dr Durojaiye
Mrs Uko Ity
Designation
Director of Case Management and Drug Policy
Unit
Procurement Officer
Programme Officer, Prog. Management Unit,
Associate Director, Malaria
National Programme Officer, Malaria
Head of Program Management
Head of ACSM
Cross Rivers State
Name
Dr. Ugot
Bassey O Duke
Solomon Eny
Edmund Eddu
Uno E Ibe
Roy Ndoma-Egba
Designation
Special Adviser,
Programme Manager
Director of Medical Services
Director of Nursing Services
HMIS Officer
Special Advisor
Dr. Eyo Nsa
Programme Manager
Solomon Etah
Emmanuel
Efediuedzi
Bassey Igri Okon
Henry Igelle Onwe
Dr. Henry Ayuk
Emmanuel N.J.A
Mrs Alice Martin
Odey
Director, State Statistical Unit
Research Consultant/Manager
Organisation
Dept. of Community Health
RBM
SMoH
SMoH
SMoH
Dept. of International Donor
Support, MDGs
State Essential Drugs
Programme
State Planning Commission
Step-B Project, UNICAL
Research Consultant
State Logistics Officer
Zonal Manager
M&E Officer
Health Education Officer
UNICAL
YGC
FHI/GHAIN
Africare
SMOH
Nasarawa State
Name
Gladys Ogah
Abdullah O Akpaki
Mu’azu Adamu
Gosho
Emmanuel Mona
Yakubu Shade
Joshua
Gali Emmanuel
Florence Molokwu
Chuks Anthony
Albert Sogi Chigiyar
Bala Sani
Joseph A.Agu
Designation
Program Officer
Permanent Secretary
Project Manager, Health Systems
Development Project II
Director of Pharmaceutical Services
Deputy Director of Pharmaceutical
Services
Logistician, State Central Medical Stores
State Coordinator
State Representative
(civil society representative)
Director of Primary Health Care
Health Education Officer
Director PHC
RBM Manager
Organisation
NMCP
NMCP
NMCP
Deliver Project (JSI)
WHO
NMCP
NMCP
Organisation
The Carter Center
SMoH
World Bank Funded
SMoH
SHMB
SMoH
WHO
UNICEF
ACOMIN
Ministry of Local
Government
SMOH
SMOH
SMOH
10
Zamfara State
Name
Ahmadu Keku
Rilwann Mohammed
Anka
Hamisu A Dauran
Hassan R. Kuriya
Issah Mohammed
Buhari Mohammed
Jangeru
Kabiru Garaba Anka
Abdulah Suliman
Kabiru Mainasara
Sada Ibrahim
Shittu Abdu-Aguye
Salamatu Bako
Najibu Salah
Mohammed B
Marafa
B A Ayodele
Muhammad
Mustapha
Habib Yalwa
Ibrahim Bara
Nahude
Kabiru Garba
Adamu Abubakar
Kotorkoshi
Hajiya Dije Ahmad
Gusau
Usman Muhammad
Designation
Director of Public Health Services
Director of Inspectorate
Organisation
SMOH
SMOH
RBM Manager
Director of Planning and Research
Director of Pharmaceutical Services
Director of Street and Drainage Sanitation
SMOH
SMOH
SMOH
ZESA
Director Inspectorate and Enforcement
Department
Director of Operations
Director of Administration
Director General
Program Director
Clinical Officer
Program Officer
Programme Officer
ZESA
State Coordinator
Secretary
WHO
SHMB
Director, Medical Services
Director, Nusrsing Services
SHMB
SHMB
Coordinator
Coordinator
CEDI
CEDEX
Permanent Secretary
Ministry of Information
Director Information
Ministry of Information
ZESA
ZESA
ZESA
MCHIP
JAPIEGO/MCHIP
PPFN
WHO
11
Malaria control situation analysis (Phase 2)
The Malaria control situation analysis (Phase 2) commenced on the 1st of August
2011. The specific objectives as presented in the Terms of Reference (ToR) are:






To work closely with the NMCP, states and LGAs to assess the current
functioning of the Malaria control program in their states and LGAs.
To generate more detailed and specific evidence to determine the nature of
support and interventions to be rolled out at the national level and in each of the
states.
To provide information on the current malaria situation prior to project support
and interventions.
To highlight the peculiarities of the various states in terms of their malaria
situation (fill up gaps not provided by the desk review).
To elicit information required to set, monitor and evaluate the attainment of
indicators and targets. (fill up gaps not provided by the desk review).
To provide information to guide engagement with stakeholders (fill up gaps not
provided by the desk review)
o Identification of priorities
o Stakeholder buy-in
The participatory assessment process will act as a capacity building activity for the
state personnel as well as an important part of the engagement process with the
states.
Process
The Technical Support Team will undertake the assignment in a manner which
entrenches efficiency and Value for Money (VFM).
Efficiency
Efficiency is ensuring that the SitAn is done in the right manner. It involves
minimising the time, money, effort and other resources needed to complete the
assignment and deliver on the expected outputs.
Value for Money (VFM)
The measure of benefit derived from every purchase or every sum of money spent
on the SitAn. Value for money extends beyond minimum input. It aims to derive
maximum efficiency and effectiveness on any money spent.
Schedule and timeline
1st – 9th August 2011
o
o
o
o
o
Planning / Preparatory meeting of the Technical
Support Team in Abuja (29)
Three (3) Senior officials from NMCP
Ten (10) MAPS staff (Abuja and all 3 States)
Three (3) Thematic (Lead) Consultants
Twelve (12) National Consultants (3 for M&E, 3 for Malaria,3 for BCC/ACSM
and 3 for Health System Strengthening)
One (1) overall team lead
12
Achievements
o Team building and composition of State specific SitAn2 technical support
teams
o Identification of data/information gaps left by the desk review
o A shared understanding of how to fill the gaps so identified
o A shared understanding of the SitAn2 process and key activities
o Tools development (State, LGA, Service Delivery Points and Community
level)
o Briefing the MAPS team (Abuja and States) on logistics
o Preparation to implement the SitAn2 process and key activities across the 3
focal States
10th August 2011
Travel to Cross-River, Nasarawa & Zamfara States
11th August 2011
Entry meetings/courtesy calls
12th August 2011
Stakeholders’ consultation meeting
Stakeholders to be invited

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

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

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

Permanent Secretary, MOH
Permanent Secretary, Ministry of Local Government Affairs
Special Advisor to the Governor on Health
Directors of (Public Health, Disease Control, Nursing, PHC, Pharmacy)
Directors (Med/Lab, Nursing services)
Chairman/Chief Executive, State Hospital Management Board
Director PHC, Ministry of Local Government Affairs
Director, School health Services, Ministry of Education
Reproductive Health Coordinator (SMoH)
Chairman, Guild of Medical Doctors
Medical Directors, tertiary institutions
Chairman, House of Assembly Committee on Health
Director, Planning, Research & Statistics, SMoH
Representatives of development partners and implementing agencies
RBM Manager
State Health Educator
State Logistician (SMoH)
NUJ State Chairman
Chairman NAWOJ State Chapter
ACOMIN State Coordinator
Director of Community Development (MOYSD)
State Director NOA
Objectives
o
o
o
o
o
Shared Understanding of the Mission of the SA
Site Collection
Solicit support for the mission
Discuss list and release of state officials
Secure buying-in & ownership
13
Agenda
o
o
o
Introduce MAPS (1 pager) – SC
Introduction to the SitAn2 Mission (1 pager) – Tech Team Leader
Discussion of State participation in the SitAn2 Mission
17 to 20 are expected to attend a one-day orientation. Only 12 will be
selected to participate in the field work
o
Discussion of the criteria for site selection (Venn Diagramming)
Reach each of the 3 Senatorial Zones
2 rural, 2 urban LGAs
The Municipal LGA should be strongly recommended
o
Advance notice/Invitation of all participants at the Stakeholders’ consultation
meeting attend the Preliminary Feedback Meeting scheduled for Monday,
22nd August 2011
13th August 2011
Preparation for orientation workshop
15th August 2011
State team orientation workshop
In each State, 17 to 20 participants are expected to attend a one-day orientation.
Only 12 will be selected to participate in the field work. The training will expose the
participants to:
o
o
o
o
o
Team building and composition of LGA specific SitAn2 teams
A shared understanding of the SitAn2 process and key activities
How to administer field work/data collection tools (State, LGA, and Service
Delivery Points and Community level).
Basic principles and processes of Focus Group Discussions
Preparation to implement the SitAn2 process and key activities at State level
and in the 4 LGAs selected at the Consultation meeting.
16th August 2011
Visit to state and tertiary facilities/departure to
distant LGAs
Persons to contact at state level
1. SMOH
DPRS
SA RBM
State RBM Manager
DPHC/director Disease control (DCC)
Director of Finance
State Logistician
Director Pharmaceutical Services
HSDP II – Project Manager
State Medical Store/Essential Drug (Director/Manager)
State Focal Person, Reproductive Health/Safe Motherhood
State Epidemiologist
State M&E Officer
14
2. State Primary Health Care Board/Agency
Chief Executive
Director, PHC
3. HMB
Chief Executive
4. MOI
Director of Information/
State Director (National Orientation Agency)
5. Ministry of Youth & Social Dev – Director of community development
6. Ministry of Education – Director in HIV/Malaria
Director, School health Services
7. Local Government Service Commission
- Director/Desk officer PHC
8. ANCOM State Coordinator
9. State Chairman, NAPEP
10. State coordinator WHO/UNICEF
11. State Team leader PRRINN-MNCH
12. Planned Parenthood Federation of Nigeria (Manager)
13. Chairman, Guild of Medical Directors
14. Zonal/Regional Manager – SFH
15. MDG Program Manager
16. Africare Manager
17. Chairman Association of community pharmacists of Nigeria
18. President NMA
Tertiary Level
o
o
o
o
o
o
o
o
CMD
CNO/Director of Nursing Services
Director of Pharmaceuticals
Head of ANC
Head of Records (HMIS)
HOD Lab
Store In-Charge
HOD Pediatrics
17th August 2011
Visit to LGA/SDPs
Once the PHC facilities have been identified,
arrangements must commence for FGD
communities
Persons to contact – LGA level
1.
2.
3.
4.
5.
6.
7.
8.
PHC Coordinator/Director
Malaria Focal Person
M&E
DSNO
Health Educator
LGA Store Officer
Supervisory Councillor for health
Safe motherhood / RH coordinator
15
9. Director social & Community Development
10. LGA Logistician
Secondary
o Medical Director
o CNO In-Charge
o Pharmacist (or Pharmacy Technician/ In-Charge)
o Head of ANC
o Head of Records
o HOD Lab
o HOD Pediatrics
18th August 2011
Visit to PHC/Community
Sources of information at the Community level

Male Heads of Households (Resident in the community; have a child less
than 5 years old; as much as possible, )
 Heads of households
 Role Model Care-givers
 Traditional Leaders
 PMVs
 CBOs
 FBOs
 CBDs
 TBA
 WDCs/HDCs
Primary
o OIC
o Pharmacy Technician
o Lab Technician
o Records Officer
Private
o HD/CEO
o Community Pharmacists
o Private Labs
19th August 2011
Preliminary data analysis
20th August 2011
Preparation for preliminary feedback
22nd August 2011
Preliminary feedback
23rd August 2011
Travel to Abuja
16
-
Technical Support Team Members’ Bug List
Abusive Language
Gossip
Domineering members
Absenteeism/lateness
Inactive/passive/lazy members
Interrupting people – ie.e lack of respect for others’ opininon
Bullying
Differential
Lack of trust
Poor timing
Nagging
Garrulous
Hidden agenda
Pugnacious
Pessimistic
Intolerant
Pettiness
Secretive
Kolomental
Argumentative
Highly Irritable
Egocentric/selfishness
Rigidity
Intransigent
Unscrupulous activity
Mischief
Shoddiness
Impatient
Truancy
Ground Rules for State Technical Support Teams
-
Respect for leadership
Maximum support & cooperation for leadership
Intra/Intra Communication
Adequate feed back
Tolerance & patience
Adequate briefing an de-briefing necessary
Plan, organize & share responsibilities ahead of time
Mutual respect among all & form
Firm leadership
Leader must be generous!
17
Post field work activities
Wed 24th
Joint meeting and debrief
th
Thurs 25
Joint meeting and debrief
Frid 26th
Report writing
Sat 27th
Report writing
Sun 28th
Rest
Monday 29th Report writing
Tues 30th
Report writing
st
Wed 31
Report writing
Sept (Thurs) 1st
Travel home
Assignment ends 31st August
18
STATE TEAM COMPOSITION FOR THE MAPS SITUATION ANALYSIS PHASE 2
STATE
MAPS
NMCP
Team Leader
BCC
HSS
Malariologist
M&E
Nasarawa
Omini Effiong
Donald Ordu
Steve Moore
Obasi
Ogbonnaya
Teraver Abiem
Dr Ismaila
Watila
Chidimma
Anyanwu
Festus Okoh
Adamu Imam
Stalin
Ewoigbokhan
Samsu
Gombwer
Dr Bamgboye
Afolabi
Terpase Aluka
Tim Obot
Adebusoye
Anifalaje
Adebusola
Oyeyemi
Dr Saka Jimoh
Dr Yahaya
Habibu Bala
Kufre Okop
Zamfara
Cross River
Dr Veronica
Momoh
19
National Malaria Control Programme (NMCP) in collaboration with
MALARIA ACTION PROGRAM FOR STATES (MAPS) PROJECT
Situation Analysis Preparatory Meeting, Abuja, August 1st to 9th, 2011
COMPREHENSIVE LIST OF PARTICIPANTS
CONTACT
S/N
NAME
DESIGNATION/SPECIALTY
LOCATION
1
Tim Obot
Programme Management
NMCP,FMOH, Abuja
2
Ordu D. A
Assistant Director
NMCP, FMOH, Abuja
3
Okoh Festus
M&E Officer
NMCP, FMOH, Abuja
4
5
6
7
8
9
10
Oluwole Adeusi
Omini Effiong
Dr Veronica Momoh
Uwem Inyang
Dr Francis Akwash
Dr Maleghemi Sylvester
Dr Cherima J. Yakubu
Implementation Director
BCC Advisor
Capacity Building Advisor
Malaria Technical Advisor
MAPS State Coordinator
MAPS State Coordinator
MAPS State Coordinator
MAPS Abuja
MAPS Abuja
MAPS Abuja
MAPS Abuja
Nasarawa
Cross River
Zamfara
11
12
13
Thomas Ohobu
Bassey Nsa
Dr Loveday Nkwogu
BCC/CM Officer
BCC/CM Officer
Management, M& E Capacity
Building Officer
Nasarawa
CRS
MAPS/Cross River
E-MAIL & PHONE
timobot@yahoo.com
08059658072
donordu@yahoo.com
08035742025, 08056281604
festok2002@gmail.com
08059216883, 08068959143
oadeusi@fhi360.org
eomini@fhi360.org 08039712552
veroiyamabo@yahoo.com 08033275829
inyangue@yahoo.com 08064820988
akwash03@yahoo.com 08035959229
tojumaleghemi@yahoo.com 08068961070
drjoelsafemotherhood@yahoo.com
07036244967
tohobu@fhi360.org 08051257014
bnsa@fhi360.org 07069433838
drloveday1@yahoo.com 08033259039
20
CONTACT
S/N
14
NAME
DESIGNATION/SPECIALTY
LOCATION
M& E Specialist
Anambra
15
Dr Chidimma
Anyanwu
Aluka Terpase
M&E/HMIS Consultant
16
Kufre Okop
Senior M&E, Specialist
HISP-NG(Health Information
Systems Programme)
Development Empowerment and,
Advocacy, Centre (DEAC), Abuja
17
Adebusola Oyeyemi
Consultant
IBADAN
18
MD/CEO
19
Stalin E.
Ewoigbokhan
Obasi Ogbonnaya
Consultant
Emerald Public Health Consulting
Services, Abuja
CEDCTRE
20
Sam Abiem
HSS Consultant
Gboko – Benue State
21
Samsu Gombwer
HSS Consultant
22
23
Dr Saka M.J
Dr. B.M Afolabi
HSS Consultant
Malaria consultant
1 lady Fatima street, Rayfield,
Jos
Ilorin Kwara State
Health, Environment and
Development Foundation
24
25
Habibu Yahaya
Dr Ismaila Watila
Malaria consultant
Malaria consultant
State Specialist Hospital,
Maiduguri
E-MAIL & PHONE
anyanwuchidiezenwa@gmail.com
08133751299
Aluka.terpase@gmail.com
08034402204
kufreokop@gmail.com
08036877406
busolat@yahoo.com
08030765517, 08052256917
sewoigbokhan@gmail.com
08055553366, 08022236534, 07061670826
aihechiowa@yahoo.com
08033260825, 08097177134
drsamabiem@yahoo.com
08030833778, 08029897050
a.samsu@gmail.com
08033938171
sakamj1@yahoo.com; 08030686345
bmafolabi@gmail.com
08058658029
habibu@yahoo.co.uk
imwatila@yahoo.co.uk
08062103297, 08054724813
21
CONTACT
S/N
NAME
DESIGNATION/SPECIALTY
LOCATION
E-MAIL & PHONE
26
Adamu Imam
Consultant
ACSM/BCC Consultant
aimam8@gmail.com 08085273825
27
Stephen Moore
MAPS
CANADA
28
29
Busoye Anifalaje
william anyebe
HPI, M&E Consultant
MAPS Technical Adviser
Cambridge, UK
Abuja
stevemoore2011@gmail.com
07081349765
busoye@aol.com
anyebewilliam@yahoo.com
In attendance:
CONTACT
S/N
30
NAME
Mariam Usman
DESIGNATION/SPECIALTY
MAPS/Admin
Assistant/Receptionist
LOCATION
Abuja
E-MAIL & PHONE
musman2@fhi360.org,
mariisa01@yahoo.com
08032366214
22