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Likewise, the re-training plan will be similar, reaching a total of 2850 re-training sessions for CHW and 1050 healthcare workers within the framework of this proposal.
To ensure that all healthcare workers have been trained, re-trainings will be held as of the second year and, as well, they will all be monitored duri... | https://docs-lawep.s3.us-east-2.amazonaws.com/1709811020769.pdf | http://docs.theglobalfund.org/not-approved-proposals/9perm_1907_0_full.pdf | Costa Rica |
The surveillance system will have data which is timely and crucial to the extent that these actors who, are directly in charge of the reporting, are trained.
These community health workers and healthcare workers will produce reports of malaria cases weekly as of the third quarter, at which time they will have been tra... | https://docs-lawep.s3.us-east-2.amazonaws.com/1709811020769.pdf | http://docs.theglobalfund.org/not-approved-proposals/9perm_1907_0_full.pdf | Costa Rica |
These CHW and healthcare workers will be visited regularly to encourage the continuity of their activities and ensure compliance with these.
Community reports will be incorporated into the epidemiological surveillance system by the corresponding Health Directorates from the Departments and the data generated will be a... | https://docs-lawep.s3.us-east-2.amazonaws.com/1709811020769.pdf | http://docs.theglobalfund.org/not-approved-proposals/9perm_1907_0_full.pdf | Costa Rica |
Strengthen the capacity of health establishments by generating reports on malaria data in real time To accomplish this activity, the community health workers and health care workers will have communication equipment to transmit the data as it is produced.
This will be done through the acquisition of 100 high-frequency... | https://docs-lawep.s3.us-east-2.amazonaws.com/1709811020769.pdf | http://docs.theglobalfund.org/not-approved-proposals/9perm_1907_0_full.pdf | Costa Rica |
These will be handed out in remote, geographically-inaccessible sites which have a high number of cases (API > 10).
Likewise, Internet communications equipment will be installed in priority areas, with the following distribution: 5 sets of Internet equipment in Loreto, 2 in Piura, 2 in Junín and 2 in Madre de Dios.
P... | https://docs-lawep.s3.us-east-2.amazonaws.com/1709811020769.pdf | http://docs.theglobalfund.org/not-approved-proposals/9perm_1907_0_full.pdf | Costa Rica |
Activity 5.3.
Strengthening of the surveillance of susceptibility of anophelines and antimalarial drug resistance.
Indicator: (cid:131) Number of studies on susceptibility of anophelines and antimalarial drug resistance (cid:131) Number of studies of resistance to antimalarial drugs. | https://docs-lawep.s3.us-east-2.amazonaws.com/1709811020769.pdf | http://docs.theglobalfund.org/not-approved-proposals/9perm_1907_0_full.pdf | Costa Rica |
R9_CCM_PER_M_PF_s3-5_6Aug_En 38/86 ROUND 9 – Malaria Service Delivery Area: Monitoring drug resistance Strengthen surveillance of the susceptibility of anophelines to insecticides used in public health A technical team in charge of preparation of the Technical Regulations for Local Monitoring of Insecticide Effectivene... | https://docs-lawep.s3.us-east-2.amazonaws.com/1709811020769.pdf | http://docs.theglobalfund.org/not-approved-proposals/9perm_1907_0_full.pdf | Costa Rica |
Vector susceptibility to insecticides will be evaluated via the preparation of 16 susceptibility studies of the different vectors circulating on national soil.
The outcomes from these studies will be published for the general knowledge of healthcare workers and those in charge of decision making.
Additionally, verifi... | https://docs-lawep.s3.us-east-2.amazonaws.com/1709811020769.pdf | http://docs.theglobalfund.org/not-approved-proposals/9perm_1907_0_full.pdf | Costa Rica |
Have data on resistance to antimalarial drugs available periodically Despite the stipulations of the Technical Regulations for malaria management and treatment, completion of therapy is not optimal in some endemic regions, which results in the consequent appearance of treatment-resistant forms.
Carrying out in vivo st... | https://docs-lawep.s3.us-east-2.amazonaws.com/1709811020769.pdf | http://docs.theglobalfund.org/not-approved-proposals/9perm_1907_0_full.pdf | Costa Rica |
2 studies of this type will be performed in the course of this proposal.
These will be made known by way of the corresponding means.
Activity 5.4.
– Strengthening of the permanent technical committees for malaria on local and regional levels for data analysis and decision making.
Indicator: (cid:131) Number of muni... | https://docs-lawep.s3.us-east-2.amazonaws.com/1709811020769.pdf | http://docs.theglobalfund.org/not-approved-proposals/9perm_1907_0_full.pdf | Costa Rica |
Service Delivery Area: Domestic malaria management It is mandatory to have operating Rules and Regulations for Local and Regional Technical Committees for decision-making on malaria, given that they must have an adequate regulatory framework in order to implement and prepare their activities on a regular basis.
This w... | https://docs-lawep.s3.us-east-2.amazonaws.com/1709811020769.pdf | http://docs.theglobalfund.org/not-approved-proposals/9perm_1907_0_full.pdf | Costa Rica |
Once the standards have been elaborated, the technical committees will be set up in each region, preferably made up of multidisciplinary representatives.
The disease reports, which are the responsibility of the Health Workers and Agents at the community level, will be processed and systemized by Technical Committees a... | https://docs-lawep.s3.us-east-2.amazonaws.com/1709811020769.pdf | http://docs.theglobalfund.org/not-approved-proposals/9perm_1907_0_full.pdf | Costa Rica |
These Committees must prepare their operational rules and regulations as well as scheduling quarterly ordinary meetings for the evaluation of reports and choosing of actions for outbreak control. | https://docs-lawep.s3.us-east-2.amazonaws.com/1709811020769.pdf | http://docs.theglobalfund.org/not-approved-proposals/9perm_1907_0_full.pdf | Costa Rica |
These management hubs for making decisions on malaria control with the data produced from surveillance will be made up of representatives from the Health Directorates from the Departments, NGOs, hospitals, health centers and CHW, civil organizations, patients, laboratories, municipalities and the IT personnel managing ... | https://docs-lawep.s3.us-east-2.amazonaws.com/1709811020769.pdf | http://docs.theglobalfund.org/not-approved-proposals/9perm_1907_0_full.pdf | Costa Rica |
They will all meet regularly for the purpose of evaluating progress in the implementation of the proposed measures, evaluating malaria surveillance data and evaluating data from interventions. | https://docs-lawep.s3.us-east-2.amazonaws.com/1709811020769.pdf | http://docs.theglobalfund.org/not-approved-proposals/9perm_1907_0_full.pdf | Costa Rica |
All of this will be material for decision making and channeling resources from local governments for certain aspects of malaria prevention and control that need to be reinforced, or which are not included in this proposal, for example, large-scale residual spraying, parasitological surveys under certain circumstances, ... | https://docs-lawep.s3.us-east-2.amazonaws.com/1709811020769.pdf | http://docs.theglobalfund.org/not-approved-proposals/9perm_1907_0_full.pdf | Costa Rica |
Service Delivery Area: HSS: Information system.
As a jumping off point, the status of the national malaria surveillance system must be established through a situational diagnosis.
This evaluation will be made at the start of the scheduled activities and will R9_CCM_PER_M_PF_s3-5_6Aug_En 39/86 ROUND 9 – Malaria includ... | https://docs-lawep.s3.us-east-2.amazonaws.com/1709811020769.pdf | http://docs.theglobalfund.org/not-approved-proposals/9perm_1907_0_full.pdf | Costa Rica |
This will be focused on verifying the strengths and weaknesses of the system, in the operational part as well as in the technical part.
These outcomes will be made known at the corresponding levels.
Following this, computer media will be strengthened at all levels through the identification of necessary surveillance ... | https://docs-lawep.s3.us-east-2.amazonaws.com/1709811020769.pdf | http://docs.theglobalfund.org/not-approved-proposals/9perm_1907_0_full.pdf | Costa Rica |
We plan to acquire 100 sets of computer equipments, which will be distributed on the networks or micro-networks or health establishments recording an API > 10.
At sites which require it, space will be retrofitted for this purpose.
Retrofitting will be carried out at 25 surveillances sites throughout the endemic areas... | https://docs-lawep.s3.us-east-2.amazonaws.com/1709811020769.pdf | http://docs.theglobalfund.org/not-approved-proposals/9perm_1907_0_full.pdf | Costa Rica |
Then, the respective training of personnel, who will be in charge of the use of these statistical packages for the proper evaluation and systemization of the data produced in the national surveillance system, will be carried out.
This staff will be made up of facilitators established on a national and regional level a... | https://docs-lawep.s3.us-east-2.amazonaws.com/1709811020769.pdf | http://docs.theglobalfund.org/not-approved-proposals/9perm_1907_0_full.pdf | Costa Rica |
These data will be downloaded weekly by Internet to integrate them into the level of the Departmental Health Directorates and present them to the corresponding management hubs.
Access to key databases will be acquired as a group, such as that of SENAMHI (for meteorological variables), and of IMARPE (Peruvian Marine In... | https://docs-lawep.s3.us-east-2.amazonaws.com/1709811020769.pdf | http://docs.theglobalfund.org/not-approved-proposals/9perm_1907_0_full.pdf | Costa Rica |
Data produced from analysis of the prediction of outbreaks will be provided to the regional management hub in order to plan prevention activities considered pertinent for the purpose of preventing the epidemic.
Proper operation of this malaria surveillance systems must be ensured through monitoring and evaluation of i... | https://docs-lawep.s3.us-east-2.amazonaws.com/1709811020769.pdf | http://docs.theglobalfund.org/not-approved-proposals/9perm_1907_0_full.pdf | Costa Rica |
This will be carried out through the evaluation of the quantity and quality of the reports made and the evaluation of the entire system itself through the preparation of technical reports.
Activity 5.6.- Development of the capabilities of CHW for malaria surveillance Indicator: (cid:131) Percentage of CHWs reporting t... | https://docs-lawep.s3.us-east-2.amazonaws.com/1709811020769.pdf | http://docs.theglobalfund.org/not-approved-proposals/9perm_1907_0_full.pdf | Costa Rica |
Service Delivery Area: HSS Information Systems.
As was mentioned above, we hope to implement the community surveillance system at the level of the sites that make up the target area for this proposal.
For this purpose, 2,200 Community Health Workers will be trained on the community surveillance system, which will be ... | https://docs-lawep.s3.us-east-2.amazonaws.com/1709811020769.pdf | http://docs.theglobalfund.org/not-approved-proposals/9perm_1907_0_full.pdf | Costa Rica |
The same will happen with re-training, reaching a total of 2850 re-training sessions for CHW.
The community surveillance system will be based on data generated by the CHWs, which will be adapted in accordance with their level of knowledge; for example, in cases where it is required (illiterate workers), a graphic repr... | https://docs-lawep.s3.us-east-2.amazonaws.com/1709811020769.pdf | http://docs.theglobalfund.org/not-approved-proposals/9perm_1907_0_full.pdf | Costa Rica |
Follow-up visits have been taken into account.
Activity 5.7.
– Technical assistance, supervision and monitoring As the Public Principal Recipient is in charge of this objective, it will be responsible for technical assistance, supervision and monitoring of the objective.
Should it be deemed advisable, this duty may ... | https://docs-lawep.s3.us-east-2.amazonaws.com/1709811020769.pdf | http://docs.theglobalfund.org/not-approved-proposals/9perm_1907_0_full.pdf | Costa Rica |
Re-submission of Round 8 (or Round 7) proposal not recommended by the TRP If relevant, describe adjustments made to the implementation plans and activities to take into account each of the 'weaknesses' identified in the 'TRP Review Form' in Round 8 (or, Round 7, if that was the last application applied for and not reco... | https://docs-lawep.s3.us-east-2.amazonaws.com/1709811020769.pdf | http://docs.theglobalfund.org/not-approved-proposals/9perm_1907_0_full.pdf | Costa Rica |
Clarification email July 27 Not applicable.
NOTE: Last year, a multi-country project was submitted to Round Eight, through the Andean Health Organization (ORAS), with a regional malaria proposal, which included Peru as a participating country.
This proposal was not eligible for the Global Fund.
It should be noted th... | https://docs-lawep.s3.us-east-2.amazonaws.com/1709811020769.pdf | http://docs.theglobalfund.org/not-approved-proposals/9perm_1907_0_full.pdf | Costa Rica |
However, malaria is a health problem that exists in other regions of the country with limited access and large migration movement.
On this occasion the country proposal has been put together by a technical team from the Peruvian Ministry of Health, organizations of people who live in at-risk areas, national experts an... | https://docs-lawep.s3.us-east-2.amazonaws.com/1709811020769.pdf | http://docs.theglobalfund.org/not-approved-proposals/9perm_1907_0_full.pdf | Costa Rica |
This proposal is prepared within the framework of the National Health Strategy for the fight against malaria, and would, if approved, complement Government intervention in the fight against malaria.
4.5.3.
Lessons learned from implementation experience How do the implementation plans and activities described in 4.5.1... | https://docs-lawep.s3.us-east-2.amazonaws.com/1709811020769.pdf | http://docs.theglobalfund.org/not-approved-proposals/9perm_1907_0_full.pdf | Costa Rica |
Clarification email July 27 Current knowledge of the elements that are contributing to the reduction of malaria cases in Peru, is the product of multi-sectoral activities carried out, managed by the Ministry of Health, but with technical and financial support from projects and initiatives funded with External Cooperati... | https://docs-lawep.s3.us-east-2.amazonaws.com/1709811020769.pdf | http://docs.theglobalfund.org/not-approved-proposals/9perm_1907_0_full.pdf | Costa Rica |
This joint task has been unfolding in stages with the experience from malaria management, prevention and control that has been demonstrated in the world and especially in the Americas; for example: Since the strategy of early diagnosis and immediate treatment has been put into practice in the Americas, a significant re... | https://docs-lawep.s3.us-east-2.amazonaws.com/1709811020769.pdf | http://docs.theglobalfund.org/not-approved-proposals/9perm_1907_0_full.pdf | Costa Rica |
The percentage of malaria by P. falciparum and the increase of serious forms of malaria with an increase in deaths caused by this, and the determination of anti-malarial resistance in this country, brought about a proposal and approval for the updating of the national anti-malarial drug policy, which was approved in 19... | https://docs-lawep.s3.us-east-2.amazonaws.com/1709811020769.pdf | http://docs.theglobalfund.org/not-approved-proposals/9perm_1907_0_full.pdf | Costa Rica |
This determined the inclusion of combination therapy in the treatment of malaria due to P. falciparum and the shortening of the treatment of malaria due to P. vivax, doubling the daily primaquine dose.
It was at the start of the following decade, as of 2000, that the country, aside from continuing the strategy of earl... | https://docs-lawep.s3.us-east-2.amazonaws.com/1709811020769.pdf | http://docs.theglobalfund.org/not-approved-proposals/9perm_1907_0_full.pdf | Costa Rica |
At that time, cooperation from the United States government, with the Initiative for the Fight Against Malaria and the Anti-malarial Resistance Surveillance Network (AMI-RAVREDA), initially through the VIGIA Project, contributed with the Peruvian Ministry of Health, in the processing of implementing this policy with th... | https://docs-lawep.s3.us-east-2.amazonaws.com/1709811020769.pdf | http://docs.theglobalfund.org/not-approved-proposals/9perm_1907_0_full.pdf | Costa Rica |
From this experience, the fundamental elements for malaria reduction in the country were established, favoring control of the human reservoir, through case detection in the population of Very High, High and Medium transmission risk areas to strengthen and expand coverage for care and the population’s access to health s... | https://docs-lawep.s3.us-east-2.amazonaws.com/1709811020769.pdf | http://docs.theglobalfund.org/not-approved-proposals/9perm_1907_0_full.pdf | Costa Rica |
R9_CCM_PER_M_PF_s3-5_6Aug_En 41/86 ROUND 9 – Malaria Added to this strategy is the partnership of UNICEF, focusing its intervention on dispersed and ethnic minority communities in addition to experience previously gained in the country and the provision of bed nets having characteristics that meet the expectations of t... | https://docs-lawep.s3.us-east-2.amazonaws.com/1709811020769.pdf | http://docs.theglobalfund.org/not-approved-proposals/9perm_1907_0_full.pdf | Costa Rica |
This experience and the improvement to the timeliness and quality of diagnosis, due to the involvement of the community and other institutions in order to comprehensively manage malaria prevention and control, have been taken up, disseminated and expanded by the PAMAFRO Project, which put the corresponding emphasis on ... | https://docs-lawep.s3.us-east-2.amazonaws.com/1709811020769.pdf | http://docs.theglobalfund.org/not-approved-proposals/9perm_1907_0_full.pdf | Costa Rica |
Among the most significant achievements in the country is the reduction of malaria cases by about 50%, primarily in three regions (Loreto, Cajamarca and Amazonas) and 60 districts in which 60% of the malaria cases reported in the country were reported, with the help of this project, between 2005 and 2008. | https://docs-lawep.s3.us-east-2.amazonaws.com/1709811020769.pdf | http://docs.theglobalfund.org/not-approved-proposals/9perm_1907_0_full.pdf | Costa Rica |
Currently, the Ministry of Health, with valuable experience, and trained healthcare personnel from the health establishments in very high risk areas, have an interest in providing sustainability for these strategies that have been being implemented with the help of the initiatives and efforts from the Peruvian governme... | https://docs-lawep.s3.us-east-2.amazonaws.com/1709811020769.pdf | http://docs.theglobalfund.org/not-approved-proposals/9perm_1907_0_full.pdf | Costa Rica |
For this reason, 47 of the 60 districts that make up the project for malaria in border areas with an emphasis on community “PAMAFRO” have been included in the current proposal, for the purpose of providing sustainability to the malaria prevention, management and control activities, strengthening multi-sectoral and comm... | https://docs-lawep.s3.us-east-2.amazonaws.com/1709811020769.pdf | http://docs.theglobalfund.org/not-approved-proposals/9perm_1907_0_full.pdf | Costa Rica |
Numerous experiences in malaria control show that encouraging and strengthening social and community organization is one of the pillars to reducing transmission and in general, providing greater orientation towards health care.
The gain from community participation makes this an activity we propose to continue in this... | https://docs-lawep.s3.us-east-2.amazonaws.com/1709811020769.pdf | http://docs.theglobalfund.org/not-approved-proposals/9perm_1907_0_full.pdf | Costa Rica |
Another fundamental activity in malaria control is optimizing access to diagnosis and treatment for malaria cases, for which, the use of Rapid Tests and the supplying of drugs, even at the level of community health workers, is a strategy which we will continue to expand and strengthen.
We plan to continue operational ... | https://docs-lawep.s3.us-east-2.amazonaws.com/1709811020769.pdf | http://docs.theglobalfund.org/not-approved-proposals/9perm_1907_0_full.pdf | Costa Rica |
Another aspect that has been achieved and which we hope to continue with support from the initiatives and projects is that a data-based decision-making culture is being encouraged, with complementary roles and with a group of countries with shared objectives, in other words, trying to develop planning that is oriented ... | https://docs-lawep.s3.us-east-2.amazonaws.com/1709811020769.pdf | http://docs.theglobalfund.org/not-approved-proposals/9perm_1907_0_full.pdf | Costa Rica |
To sum it up, we reaffirm that the main lessons learned in the implementation of the National Strategy based on Roll Back Malaria, PAMAFRO Project, AMI-RAVREDA, etc.
are taken into account in the formulation of the proposal in the following manner: - The activities and strategies of the project incorporated into natio... | https://docs-lawep.s3.us-east-2.amazonaws.com/1709811020769.pdf | http://docs.theglobalfund.org/not-approved-proposals/9perm_1907_0_full.pdf | Costa Rica |
-The educational activities and training sessions must be led by the Ministry of Health with the support of the technical team from the Principal Recipients (not through sub-recipients), generating the awareness and ownership of all regional and local levels.
These activities require the participation of a group of fa... | https://docs-lawep.s3.us-east-2.amazonaws.com/1709811020769.pdf | http://docs.theglobalfund.org/not-approved-proposals/9perm_1907_0_full.pdf | Costa Rica |
- In regard to the educational materials used, it has been found that it is appropriate to revisit the materials created, applied and validated by other institutions that are undergoing similar processes.
R9_CCM_PER_M_PF_s3-5_6Aug_En 42/86 ROUND 9 – Malaria - Consider the learning pace and style of the CHW and inhabit... | https://docs-lawep.s3.us-east-2.amazonaws.com/1709811020769.pdf | http://docs.theglobalfund.org/not-approved-proposals/9perm_1907_0_full.pdf | Costa Rica |
- In order to achieve positive changes in malaria prevention and reduction, health communication is needed which surpasses the traditional approach (one-way).
A community communication perspective is required, in which knowledge dialogue, exchange and negotiation with the social actors involved is encouraged.
- For t... | https://docs-lawep.s3.us-east-2.amazonaws.com/1709811020769.pdf | http://docs.theglobalfund.org/not-approved-proposals/9perm_1907_0_full.pdf | Costa Rica |
It is important for the Principal Recipient to have an acquisitions management unit with experience and knowledge in acquisitions, importing and customs clearance of health products.
This unit must maintain close coordination with the Ministry of Health and follow GF rules and regulations. | https://docs-lawep.s3.us-east-2.amazonaws.com/1709811020769.pdf | http://docs.theglobalfund.org/not-approved-proposals/9perm_1907_0_full.pdf | Costa Rica |
- The participation of the greatest number of social actors [regional and local governments, regional and local health levels (health establishments and directorates) and community representatives {community committees, CHW, authorities)] facilitates the implementation of a strategy on a large scale (such as treated be... | https://docs-lawep.s3.us-east-2.amazonaws.com/1709811020769.pdf | http://docs.theglobalfund.org/not-approved-proposals/9perm_1907_0_full.pdf | Costa Rica |
- Interventions using technology that has not previously been used on a large scale require detailed planning, a longer implementation period and more monitoring of its processes (guidelines, instructions, instruments) to allow the respective adjustments to be made (as soon as any deviations are discovered) and have a ... | https://docs-lawep.s3.us-east-2.amazonaws.com/1709811020769.pdf | http://docs.theglobalfund.org/not-approved-proposals/9perm_1907_0_full.pdf | Costa Rica |
- The strategy based on the large-scale distribution of treated bed nets must be accompanied by a usage monitoring system that provides data regarding coverage of use, acceptability, frequency of washing and adverse reactions from the population on a regular basis, so as to allow the strategy to be adjusted. | https://docs-lawep.s3.us-east-2.amazonaws.com/1709811020769.pdf | http://docs.theglobalfund.org/not-approved-proposals/9perm_1907_0_full.pdf | Costa Rica |
- Community organization and participation can be accomplished with the development of projects that contribute to keeping up motivation for participating in a proactive way in solving community problems.
- More lobbying and high-level management (government and health authorities) are required in order to achieve int... | https://docs-lawep.s3.us-east-2.amazonaws.com/1709811020769.pdf | http://docs.theglobalfund.org/not-approved-proposals/9perm_1907_0_full.pdf | Costa Rica |
- The Local Health Plans constitute a basic strategy creating an environment of shared government responsibility in regard to malaria prevention and control.
- In order to make progress in regard to sustainability, a fundamental pillar for carrying out activities related to the Local Health Plans is the strengthening ... | https://docs-lawep.s3.us-east-2.amazonaws.com/1709811020769.pdf | http://docs.theglobalfund.org/not-approved-proposals/9perm_1907_0_full.pdf | Costa Rica |
Actors with decision-making capabilities (government and health authorities) and representatives from different institutions (health, education, environment, etc) must participate in these groups in a continuous manner, adhering to the premise of increasingly granting more space to community-based organizations and cre... | https://docs-lawep.s3.us-east-2.amazonaws.com/1709811020769.pdf | http://docs.theglobalfund.org/not-approved-proposals/9perm_1907_0_full.pdf | Costa Rica |
- The stratification and prioritization of the diagnosis and treatment strategy must be at the municipal level (according to the morbidity burden), for the purpose of strengthening their entire diagnosis and treatment network and their community health worker network.
- The diagnosis and treatment strategy must take t... | https://docs-lawep.s3.us-east-2.amazonaws.com/1709811020769.pdf | http://docs.theglobalfund.org/not-approved-proposals/9perm_1907_0_full.pdf | Costa Rica |
R9_CCM_PER_M_PF_s3-5_6Aug_En 43/86 ROUND 9 – Malaria - Mechanisms must be sought (regulations, certification of skills, advocacy with national and local authorities, incentives) to avoid turnover of trained and qualified personnel.
- The linking up of the community surveillance system with the formal system (Ministry ... | https://docs-lawep.s3.us-east-2.amazonaws.com/1709811020769.pdf | http://docs.theglobalfund.org/not-approved-proposals/9perm_1907_0_full.pdf | Costa Rica |
This comes about to the extent that the community recognizes the usefulness of data management and the institutional representatives recognize the advantages of giving rise to the participation of the community and carry out different processes consistent with the above. | https://docs-lawep.s3.us-east-2.amazonaws.com/1709811020769.pdf | http://docs.theglobalfund.org/not-approved-proposals/9perm_1907_0_full.pdf | Costa Rica |
Lastly, we feel that the accomplishment made through the contribution of information from the community must not be lost, because this will strengthen public health surveillance with community participation so that the under-reporting of cases and risk of transmission are reduced.
We must remember that many strategies... | https://docs-lawep.s3.us-east-2.amazonaws.com/1709811020769.pdf | http://docs.theglobalfund.org/not-approved-proposals/9perm_1907_0_full.pdf | Costa Rica |
4.5.4.
Enhancing social and gender equality Explain how the overall strategy of this proposal will contribute to achieving equality in respect to the provision of access to high quality, affordable and locally available malaria prevention, treatment and/or care and support services. | https://docs-lawep.s3.us-east-2.amazonaws.com/1709811020769.pdf | http://docs.theglobalfund.org/not-approved-proposals/9perm_1907_0_full.pdf | Costa Rica |
(If certain population groups face barriers to access, such as women and girls, adolescents, sexual minorities and other key affected populations, ensure that your explanation offers separate responses for men and women, and girls and boys). | https://docs-lawep.s3.us-east-2.amazonaws.com/1709811020769.pdf | http://docs.theglobalfund.org/not-approved-proposals/9perm_1907_0_full.pdf | Costa Rica |
Clarification email July 27 Enhancing social equality Poor and extremely poor population The motivation for this proposal is to decrease inequalities in malaria prevention and care in the poorest sectors, helping to bring these services to areas in which they are currently inaccessible, especially in areas where there ... | https://docs-lawep.s3.us-east-2.amazonaws.com/1709811020769.pdf | http://docs.theglobalfund.org/not-approved-proposals/9perm_1907_0_full.pdf | Costa Rica |
As such, this must be rectified as soon as possible.
This proposal seeks to approach this problem from a malaria-specific point of view.
Thus, effective prevention measures such as Insecticide-Treated Bed Nets, to which populations in extreme poverty don’t normally have access, will be distributed on a large scale. | https://docs-lawep.s3.us-east-2.amazonaws.com/1709811020769.pdf | http://docs.theglobalfund.org/not-approved-proposals/9perm_1907_0_full.pdf | Costa Rica |
Likewise, diagnosis by rapid tests and opportune treatment under the responsibility of the Health Workers within the communities themselves, especially those that are far from medical posts, will contribute to equality in malaria care access in these communities.
All of this will lead to a positive change in the healt... | https://docs-lawep.s3.us-east-2.amazonaws.com/1709811020769.pdf | http://docs.theglobalfund.org/not-approved-proposals/9perm_1907_0_full.pdf | Costa Rica |
We also feel that this will significantly bring about a decrease to the impact that malaria has on the economic activities in these areas: by spending less time sick, inhabitants can be more productive for their families and themselves, thus avoiding the out-of-pocket expenses entailed in travelling long distances to r... | https://docs-lawep.s3.us-east-2.amazonaws.com/1709811020769.pdf | http://docs.theglobalfund.org/not-approved-proposals/9perm_1907_0_full.pdf | Costa Rica |
Native communities Malaria is a disease that predominantly affects the poor from rural areas with social and cultural characteristics that further accentuate inequalities.
Usually they are ethnic minorities, dispersed and socially excluded populations, making their fundamental rights vulnerable. | https://docs-lawep.s3.us-east-2.amazonaws.com/1709811020769.pdf | http://docs.theglobalfund.org/not-approved-proposals/9perm_1907_0_full.pdf | Costa Rica |
Often, accessibility to health services is not only limited by difficult geographic access to Health Services but also the social-cultural barriers bring about a lack of trust between users and healthcare personnel, which can be seen in the lack of trust for seeking out healthcare services. | https://docs-lawep.s3.us-east-2.amazonaws.com/1709811020769.pdf | http://docs.theglobalfund.org/not-approved-proposals/9perm_1907_0_full.pdf | Costa Rica |
An important point of this proposal to be emphasized is the effort dedicated to including the ethnic minority communities within the malaria care framework, for which a commitment will be made to designing educational and communicational materials in native languages, as well as training for CHWs in their own languages... | https://docs-lawep.s3.us-east-2.amazonaws.com/1709811020769.pdf | http://docs.theglobalfund.org/not-approved-proposals/9perm_1907_0_full.pdf | Costa Rica |
For some specific activities, such as the distribution of insecticide-treated bed nets (ITNs), emphasis will be placed on taking into consideration the aspects of color, texture and size accepted by the members of the native communities, in such a way that their space is not invaded and their customs are not changed, r... | https://docs-lawep.s3.us-east-2.amazonaws.com/1709811020769.pdf | http://docs.theglobalfund.org/not-approved-proposals/9perm_1907_0_full.pdf | Costa Rica |
R9_CCM_PER_M_PF_s3-5_6Aug_En 44/86 ROUND 9 – Malaria Also, in all activities involving negotiation with local and regional governments and authorities, the representatives of these native communities will assume significant participation and a special role, given that they will be the spokespeople for the inhabitants o... | https://docs-lawep.s3.us-east-2.amazonaws.com/1709811020769.pdf | http://docs.theglobalfund.org/not-approved-proposals/9perm_1907_0_full.pdf | Costa Rica |
and will be encouraged to lobby for the cultural adaptation of the different activities included in malaria control.
Enhancing gender equality An important point that will contribute to decreasing gender inequality consists of the intensive malaria information campaign, on a mass level as well as an interpersonal leve... | https://docs-lawep.s3.us-east-2.amazonaws.com/1709811020769.pdf | http://docs.theglobalfund.org/not-approved-proposals/9perm_1907_0_full.pdf | Costa Rica |
The importance and impact that the acquisition of knowledge by this specific group can have has already been demonstrated, given that women are the ones who care for other family members.
A positive change in their perceptions and attitudes has a significant impact on the entire family, contributing to improving its l... | https://docs-lawep.s3.us-east-2.amazonaws.com/1709811020769.pdf | http://docs.theglobalfund.org/not-approved-proposals/9perm_1907_0_full.pdf | Costa Rica |
Optimization of care of pregnant women Although the lack of access to malaria prevention and care is heightened in poor populations overall, without significant distinction of sex or age, we feel that pregnant women are a key group that must be considered a priority for intervention, given that malaria complications ar... | https://docs-lawep.s3.us-east-2.amazonaws.com/1709811020769.pdf | http://docs.theglobalfund.org/not-approved-proposals/9perm_1907_0_full.pdf | Costa Rica |
For this reason, specific activities have been included in the framework of the proposal to reinforce malaria prevention and care in this particular group.
Thus, the administration of ITNs during pre-natal examinations is being encouraged, under the approach that their condition as pregnant women gives them the right ... | https://docs-lawep.s3.us-east-2.amazonaws.com/1709811020769.pdf | http://docs.theglobalfund.org/not-approved-proposals/9perm_1907_0_full.pdf | Costa Rica |
On the other hand, in cases of illness (malaria cases in pregnant women), a special care plan has been determined, not only by Community Health Workers but also by Doctors at health establishments, total free of charge, until the well-being of the patient is restored, and, within their area, the weekly home follow-up v... | https://docs-lawep.s3.us-east-2.amazonaws.com/1709811020769.pdf | http://docs.theglobalfund.org/not-approved-proposals/9perm_1907_0_full.pdf | Costa Rica |
As such, this proposal aims at directly influencing the target population through integrated strategies for community participation in which the family, as a fundamental part of the community, perceives malaria as a priority and is involved, from their perspective, in prevention and control activities.
The proposal ad... | https://docs-lawep.s3.us-east-2.amazonaws.com/1709811020769.pdf | http://docs.theglobalfund.org/not-approved-proposals/9perm_1907_0_full.pdf | Costa Rica |
It also aims to strengthen other aspects related to gender equality, through the identification of inequalities or gaps which differentiate the needs of women and men in regard to malaria.
In this way, the proposal will contribute to high risk populations developing their own potentials and achieving healthy lives.
R... | https://docs-lawep.s3.us-east-2.amazonaws.com/1709811020769.pdf | http://docs.theglobalfund.org/not-approved-proposals/9perm_1907_0_full.pdf | Costa Rica |
activities that provide a disease-specific response to health system weaknesses that have an impact on outcomes for the disease, explain: (cid:131) (cid:131) the factors considered when deciding to proceed with the request on a disease specific basis, and the strategy proposed by the country to mitigate possible disrup... | https://docs-lawep.s3.us-east-2.amazonaws.com/1709811020769.pdf | http://docs.theglobalfund.org/not-approved-proposals/9perm_1907_0_full.pdf | Costa Rica |
Furthermore, all activities are based on the malaria approach through the National Health Strategy (NHS) for the Prevention and Control of Malaria and Other Vector-Transmitted Diseases, which could mitigate unintended consequences due to System failures.
Likewise, the activities included in this proposal are aimed at ... | https://docs-lawep.s3.us-east-2.amazonaws.com/1709811020769.pdf | http://docs.theglobalfund.org/not-approved-proposals/9perm_1907_0_full.pdf | Costa Rica |
These will allow capabilities and skills to be developed on a local and regional level, which will contribute to the comprehensive management of other diseases. | https://docs-lawep.s3.us-east-2.amazonaws.com/1709811020769.pdf | http://docs.theglobalfund.org/not-approved-proposals/9perm_1907_0_full.pdf | Costa Rica |
The decentralization of the country and the health sector will be aided by the activities included in this proposal, taking into account the fact that capacities and skills will continue to be transferred through the NHS on a local level in coordination with the General Health Directorates on a regional level, which wi... | https://docs-lawep.s3.us-east-2.amazonaws.com/1709811020769.pdf | http://docs.theglobalfund.org/not-approved-proposals/9perm_1907_0_full.pdf | Costa Rica |
The multi-sectoral, participative and community work, respecting intercultural and gender factors, will contribute to improving the target population’s access to healthcare services.
R9_CCM_PER_M_PF_s3-5_6Aug_En 46/86 ROUND 9 – Malaria 4.6 Links to other interventions and programs 4.6.1.
Other Global Fund grant(s) De... | https://docs-lawep.s3.us-east-2.amazonaws.com/1709811020769.pdf | http://docs.theglobalfund.org/not-approved-proposals/9perm_1907_0_full.pdf | Costa Rica |
(e.g., this proposal requests support for a scale up of ACT treatment and an existing grant provides support for service delivery initiatives to ensure that the treatment can be delivered).
Proposals should clearly explain if this proposal requests support for the same interventions that are already planned under an e... | https://docs-lawep.s3.us-east-2.amazonaws.com/1709811020769.pdf | http://docs.theglobalfund.org/not-approved-proposals/9perm_1907_0_full.pdf | Costa Rica |
Also, it is important to comment on the reason for implementation delays in existing Global Fund grants, and what is being done to resolve these issues so that they do not also affect implementation of this proposal. | https://docs-lawep.s3.us-east-2.amazonaws.com/1709811020769.pdf | http://docs.theglobalfund.org/not-approved-proposals/9perm_1907_0_full.pdf | Costa Rica |
This proposal, “Increasing Access to Malaria Prevention and Control interventions by Poor and Extremely Poor Populations using a Multisectoral Approach” involving 132 districts in 16 departments of Peru, is aimed at consolidating the outcomes from the PAMAFRO project (multi-country grant from Round 3 of the Global Fund... | https://docs-lawep.s3.us-east-2.amazonaws.com/1709811020769.pdf | http://docs.theglobalfund.org/not-approved-proposals/9perm_1907_0_full.pdf | Costa Rica |
The achievements of PAMAFRO and the complementary actions will be expanded to a total of 132 districts in 16 departments in which the current proposal will take place.
The general objective of PAMAFRO is to decrease malaria morbidity and cases of severe – complicated malaria by 50%. | https://docs-lawep.s3.us-east-2.amazonaws.com/1709811020769.pdf | http://docs.theglobalfund.org/not-approved-proposals/9perm_1907_0_full.pdf | Costa Rica |
The Epidemiological Analysis of the Situation of Malaria in Bordering Countries from the PAMAFRO Project (2002-2008), confirms that, between 2005 – 2008, there has been a decrease of 60% in P. vivax cases and 69% in P. falciparum cases. | https://docs-lawep.s3.us-east-2.amazonaws.com/1709811020769.pdf | http://docs.theglobalfund.org/not-approved-proposals/9perm_1907_0_full.pdf | Costa Rica |
Number of malaria cases in Peru by species type and by year COUNTRY YEARS 2005 2006 2007 2008 Total Cases 56,582 43,195 37,661 21,613 P. vivax 42,433 35,082 29,928 17,155 P. falciparum 14,149 8,113 7,733 4,458 Peruvian Ministry of Health The current proposal, whose start date coincides with the end of PAMAFRO, is aimed... | https://docs-lawep.s3.us-east-2.amazonaws.com/1709811020769.pdf | http://docs.theglobalfund.org/not-approved-proposals/9perm_1907_0_full.pdf | Costa Rica |
In response to the problem related to the high turnover of trained personnel, the current proposal has planned training sessions for Community Health Workers and Healthcare Workers on the issues of promotion, prevention, diagnosis and treatment and community surveillance, as well as monitoring of the persons trained, f... | https://docs-lawep.s3.us-east-2.amazonaws.com/1709811020769.pdf | http://docs.theglobalfund.org/not-approved-proposals/9perm_1907_0_full.pdf | Costa Rica |
These activities have been carried out through PAMAFRO, but this is fundamental to ensure care and control activities in these places.
External Cooperation, PAMAFRO being among these, provided technical assistance and support for the creation of 433 community projects for integral malaria control; however, a significa... | https://docs-lawep.s3.us-east-2.amazonaws.com/1709811020769.pdf | http://docs.theglobalfund.org/not-approved-proposals/9perm_1907_0_full.pdf | Costa Rica |
The current proposal will consolidate this activity with the help of work tools for environmental clean up and technical assistance for community-R9_CCM_PER_M_PF_s3-5_6Aug_En 47/86 ROUND 9 – Malaria based groups and organizations in the execution of projects taking place locally to promote malaria prevention and contro... | https://docs-lawep.s3.us-east-2.amazonaws.com/1709811020769.pdf | http://docs.theglobalfund.org/not-approved-proposals/9perm_1907_0_full.pdf | Costa Rica |
The proposal will revisit PAMAFRO’s most significant achievements related to the communication strategy (primarily by radio) and, using the COMBI strategy (not used in PAMAFRO), proper use of treated bed nets and opportune diagnosis and treatment will be influenced. | https://docs-lawep.s3.us-east-2.amazonaws.com/1709811020769.pdf | http://docs.theglobalfund.org/not-approved-proposals/9perm_1907_0_full.pdf | Costa Rica |
PAMAFRO has carried out actions for the development of local plans, which, were there no continuity to them, would miss the opportunity for being included in the participative budgets that form part of the Annual Operating Plans of the municipalities; ensuring future funding.
This activity will be reinforced by existi... | https://docs-lawep.s3.us-east-2.amazonaws.com/1709811020769.pdf | http://docs.theglobalfund.org/not-approved-proposals/9perm_1907_0_full.pdf | Costa Rica |
PAMAFRO encouraged intersectoral work; however, some structural problems will have to be resolved in the current proposal such as change of authorities, insufficient technical capacities for local development planning and health planning and for the approach to intersectoral work. | https://docs-lawep.s3.us-east-2.amazonaws.com/1709811020769.pdf | http://docs.theglobalfund.org/not-approved-proposals/9perm_1907_0_full.pdf | Costa Rica |
The current proposal will carry out several activities to contribute to the building and implementation of public policies, the capacities and willingness of local governments (municipal and regional) in public health actions, the strengthening of government roles at different levels and recognition of the community as... | https://docs-lawep.s3.us-east-2.amazonaws.com/1709811020769.pdf | http://docs.theglobalfund.org/not-approved-proposals/9perm_1907_0_full.pdf | Costa Rica |
and with regional governments to define and implement multisectoral health policies to foster malaria prevention and control and equality.
In some contexts, PAMAFRO has carried out significant awareness work with regional governments, local and health authorities; however, incidence remains weak in the creation and ad... | https://docs-lawep.s3.us-east-2.amazonaws.com/1709811020769.pdf | http://docs.theglobalfund.org/not-approved-proposals/9perm_1907_0_full.pdf | Costa Rica |
The current proposal will work permanently on awareness and encouragement of the political willingness of local governments (municipal and regional) in regard to public health actions, the elaboration of action plans from local governments to encourage malaria control, the recognition of the community as a key player i... | https://docs-lawep.s3.us-east-2.amazonaws.com/1709811020769.pdf | http://docs.theglobalfund.org/not-approved-proposals/9perm_1907_0_full.pdf | Costa Rica |
In regard to the community surveillance system developed by PAMAFRO, this has not yet been linked to the National System which makes it a goal to be achieved in the current proposal.
The geo-referencing of cases will continue for 2200 areas (PAMAFRO has done this for around 1000); however, in addition to this, the obt... | https://docs-lawep.s3.us-east-2.amazonaws.com/1709811020769.pdf | http://docs.theglobalfund.org/not-approved-proposals/9perm_1907_0_full.pdf | Costa Rica |
Important strategies such as environmental clean up will be expanded in the area in which the PAMAFRO project took place and will be extended to the remaining departments in the country.
In some areas with very high risk (API > 50) a regular, active search will be made for cases and as a complement to this, selective ... | https://docs-lawep.s3.us-east-2.amazonaws.com/1709811020769.pdf | http://docs.theglobalfund.org/not-approved-proposals/9perm_1907_0_full.pdf | Costa Rica |
The Long-Lasting Insecticide-Treated Nets (LLITN) strategy will be expanded to the population not covered by the PAMAFRO project and other regions of the country, with special emphasis on the most vulnerable populations such as children under the age of 5 and pregnant women.
A different distribution strategy will be u... | https://docs-lawep.s3.us-east-2.amazonaws.com/1709811020769.pdf | http://docs.theglobalfund.org/not-approved-proposals/9perm_1907_0_full.pdf | Costa Rica |
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