THE MENTOR INITIATIVE ANNUAL REPORT 2016

Transcription

1 THE MENTOR INITIATIVE ANNUAL REPORT 2016 Reducing deaths and suffering from tropical diseases

2 TABLE OF CONTENTS 1. THE MENTOR INITIATIVE PROGRAMME GOALS PROGRAMME ACTIVITIES FINANCE & ADMINISTRATION ADVISORY BOARD DIRECTION REPORTING PAST PERFORMANCE KEY CONTACTS 24 2

3 1. THE MENTOR INITIATIVE Vision The MENTOR Initiative saves lives in emergencies through tropical disease control and then stays to help people recover from crisis with dignity, working side by side with communities, health workers and health authorities to leave a lasting impact. Mission The MENTOR Initiative is a discrete and agile humanitarian organisation purpose built to relieve human suffering from tropical diseases. We act in some of the world's most austere and vulnerable communities, who are often devastated and forgotten. Regardless of race, creed or nationality, MENTOR strives to deliver disease control to populations at greatest risk of suffering death. Our first and last considerations are the needs of the people we serve. 1.1 PROGRAMME GOAL To improve the preparedness and response capacity of humanitarian organisations and national partners to establish and deliver effective disease control interventions in ongoing humanitarian crises and in post emergency reconstruction settings. The ultimate long term goal is to reduce the disease burden on emergency-affected populations. This will be achieved through a combination of The MENTOR Initiative s three key activities: TARGETED CAPACITY DEVELOPMENT, FIELD SUPPORT, and OPERATIONAL RESEARCH. 1.2 PROGRAMME ACTIVITIES CAPACITY DEVELOPMENT Capacity development is implemented through the delivery of intensive training workshops designed specifically to strengthen the capacity of agencies to implement effective and coordinated vector borne disease control activities. The workshops aim to increase the capacity of humanitarian partners at both field and organisational level to implement effective disease control programmes with affected communities through better assessment and planning, surveillance, prevention, case management and targeted operational research when required to improve field interventions in emergency situations. Two types of workshop are available: A one week intensive workshop for field-based agency, donor and national staff conducted 3-5 times per year in different emergency-affected regions on a rotational basis. Field-based training workshops have been held to date in Uganda, Sierra Leone, Kenya, Dubai and Angola. A one week intensive workshop for HQ based agency and donor staff conducted annually in both Europe and the US A one day specialist Integrated Vector Management workshop presenting the rational for integrating tools and strategies for diseases transmitted by vectors. This workshop also presents logical approaches to planning these control programmes using an integrated vector management in emergencies toolkit. IVM workshops have been held to date in Juba, South Sudan; Nairobi, Kenya; Gaziantep, Turkey and Bangkok, Thailand. These training courses provide valuable opportunities to increase and standardise the knowledge and skills of emergency partners and to promote discussion and strong coordination between themselves and national authorities. Regular implementation of these workshops has created a strong network of senior national and international emergency health personnel who have received standardised, up to date technical guidance and training in disease control in emergencies and should result in more appropriate and effective disease prevention and control interventions. 3

4 1.2.2 FIELD SUPPORT The MENTOR Initiative field support activities are geographically focused in areas where they will be of maximum benefit for vulnerable refugee, IDP and host populations affected by recent or ongoing conflict and/or natural disasters. Current programme countries include Liberia, Angola, Central African Republic (CAR), north eastern Kenya and Syria. Previous responses have included Myanmar, Haiti, Chad, Sierra Leone, Darfur-Sudan, Somalia, Ethiopia, Aceh- Indonesia (tsunami emergency response reconstruction of sustainable disease control), and Java-Indonesia (earthquake). The MENTOR team provides technical assistance, guidance and ongoing back up for international and national NGO/PVO, MoH, UN, FBO and donor partners engaged in emergency country support in a wide range of countries. The MENTOR Initiative also provides full time support in priority emergency/refugee affected countries, through field mentors with appropriate technical and operational experience and who are based in-country. Field mentors give programme-specific technical support for the assessment, planning, implementation, monitoring and problem solving of vector-borne disease aspects of partner programmes, in ways that compliment and reinforce the delivery of other emergency health interventions. They strongly advocate for the inclusion of strategies proven to have the greatest impact on VBD and related (e.g. anaemia) through standardised technical guidance based upon new tools, standards and strategies developed previously by the RBM in Complex Emergencies Secretariat and international partners. 4

5 1.2.2 FIELD SUPPORT CONTINUED ANGOLA Since 2002, Angola's health system has faced immense challenges and currently only serves 45% of the population. The underfunded Ministry of Health (MoH) is reliant on aid for purchasing basic drugs and other support. In 2002, MENTOR set up a partnership with the MoH and has since been working to address the challenges posed by malaria, the most common cause of suffering and death in Angola. ANGOLA KEY HIGHLIGHTS , 433, 665 people treated against Schistosomiasis 44, 159 people treated against lymphatic filariasis (Uige) Supported by The END Fund 142, 800 people treated against Onchocerciasis 1, 258, 343 community members reached in 9,092 sessions. Supported by Exxon Mobil 122 community health workers trained in malaria control Supported by Exxon Mobil 161 clinical health workers trained in malaria case management 33 laboratory technicians participated in 10 day laboratory training courses 82 workers trained on the management of essential medicine supervisions MENTOR's programmes in the country have grown to include several grants and provinces, covering all aspects of malaria control: prevention, diagnosis and treatment. MENTOR has been working with the MoH and other partners to build effective malaria diagnostic and treatment capacity in some of the worst affected provinces. With World Learning, supported by USAID, MENTOR has been assisting the public sector across the northern provinces of Zare and Uige, providing a strong platform for sustainable outcomes in malaria case management. MENTOR has been training health workers to diagnose and treat malaria cases more effectively and improving the ability of laboratories to diagnose malaria. In 2015, MENTOR trained approximately 2, 000 health workers and laboratory technicians in malaria case management in Zaire, Huambo and Uige. MENTOR has also been working with the support of ExxonMobil Africa Health Initiative to reduce malaria-related morbidity and mortality in pregnancy, reaching approximately 160, 000 women in the provinces of Uige and Zaire. This year saw 122 community health workers trained in malaria control. In August 2016, malnutrition screening was started in partnership with UNICEF, screening over 6, 643 children and signposting to appropriate care cases detected. Further training and development of community health continues in six municipalities. Most recently the CHWs have been trained in measuring malnutrition, and in recording and referring cases as they appear, in addition to teaching communities about malaria symptoms, treatment, and avoidance. Future work includes developing hygiene and WASH projects. Building on results from the successful malaria programmes in Angola to date, MENTOR is now also supporting the implementation of NTD prevention and control programmes. School and community based mass drug administration (MDA) programmes are being rolled out in six Angolan provinces: Huambo, Uige, Zaire, Bie, Kuando Kubando and Cuanza Sul alongside school WASH programmes, supported by The END Fund. MENTOR operates as an official partner to the provincial health department in all provinces and has supported WHO-funded disease mapping in 2015 and In the province of Bie, this mapping identified high prevalence of onchocerciasis, a disease that causes significant disability and blindness. In 2016, MENTOR started delivering community based MDAs to prevent and treat onchocerciasis and lymphatic filariasis in disease prevalent municipalities in Uige, Zaire, Kuando Kubango and Bie provinces. MENTOR will continue to work to reduce the disease burden of the vulnerable populations in the provinces where it operates, and to seek new opportunities and partnerships to help improve health outcomes for the most excluded populations. 5

6 1.2.2 FIELD SUPPORT SOUTH SUDAN South Sudan has been classified for the second year running as the most fragile state in the world. Some of the many reasons for this fragility include armed conflict, intercommunal violence, economic decline, disease, and climate shocks, resulting in some of the world s poorest health and development indicators. The MENTOR Initiative began partnering with the Government of South Sudan and its country partnership of UN, NGOs and FBO organisations in 2012, in order to find effective, timely and scalable solutions to vector-borne disease control. In particular, efforts have been made to reduce the heavy burden of malarial disease amongst the most vulnerable displaced and isolated communities affected by conflict and flooding, whilst also working to mitigate the risk and impact of malaria epidemics. To date, MENTOR has focused support on communities in Warrap, Abeyi, Upper Nile, Lakes and Unity States. The MENTOR IRS campaigns, supported by UNICEF, were completed in July 2016 reaching a total of 92, 647 IDPs in Bentiu PoC and 41, 172 IDPs in Malakal PoC. MENTOR also conducted two rounds of IRS between June 2015 and August 2016, treating shelters for 145, 618 refugees who were also reached with MENTOR IEC campaigns in Maban. SOUTH SUDAN KEY HIGHLIGHTS , 819 IDPs protected through IRS 17, 000 breeding sites treated through larval source management 21, 113 breeding sites treated through fly control campaigns 61, 800 malaria RDTs donated 110 community hygiene promoters trained. 54, 758 community members reached with hygiene promotion messaging During this season, MENTOR has treated a total of 5, 841 breeding sites as part of its Larval Source Management campaigns in Bentui, 317 sites in Malakal and 10, 842 sites in Maban. Fly control campaigns commenced in September, treating 4, 756 breeding sites in Bentiu, 986 in Malakal and 21, 371 in Maban County. The MENTOR Initiative was requested by Rapid Responses Fund in September 2016 to mount a response to address the increase in cholera cases in Juba. Well versed in the delivery of effective WASH IEC/ Hygiene Promotion tools/ materials, MENTOR has been providing a package of hygiene promotion activities in selected communities in Juba. Community Hygiene Promoters (CHPs), trained and supported by MENTOR, are delivering key cholera messaging to community members. With the support of IOM, MENTOR has trained 110 Community Hygiene Promoters and reached 54, 758 community members with its hygiene promotion messaging between September and October KENYA (NORTH EASTERN PROVINCES) Throughout the last 20 years with conflict, floods, nutritional crises and disease outbreaks commonplace, the population of North Eastern Kenya has been left marginalised and highly vulnerable. North Eastern Kenya is a flat and semi-arid region which is prone to large-scale flooding, providing the perfect conditions for mosquito breeding. This has led to many devastating epidemics of malaria and other vector-borne diseases (VBDs) such as dengue and chikungunya among the population. The MENTOR Initiative first responded in this area after severe flooding in October Following three successful epidemic emergency responses from 2006 to 2009, there was a clear need for a longer term approach and capacity building, as the problems the region faced looked to continue and worsen with climate change. In 2011, MENTOR launched an emergency response to protect over 1 million famine and flood affected refugee and host populations at risk from malaria epidemics in North Eastern Kenya. 6

7 1.2.2 FIELD SUPPORT With support from UK Department for International Development (DFID), MENTOR is currently working in collaboration with county Departments of Health in Wajir, Garissa and Mandera to ensure vulnerable communities at risk of malaria and VBD outbreaks have access to timely and lifesaving interventions. The programme includes supporting health facilities, improving patient care, diagnosis and treatment of VBDs. Indoor Residual Spraying (IRS) is also ongoing across the provinces in targeted high risk locations to protect people from malaria, leishmaniasis and other VBDs. Information, education and communication (IEC) events are continuously carried out to educate community members about VBDs and the effectiveness of IRS to ensure a high acceptance of the programme across households. IEC campaigns are also organised together with targeted mosquito larval control and environmental management campaigns to mitigate VBD outbreaks. KENYA KEY HIGHLIGHTS health workers trained on case management of Chikungunya fever & Dengue fever 1, 376 campaign workers trained to deliver IRS 39, 739 households sprayed 437, 968 people protected from VBD through IRS 103, 185 IEC materials distributed 19, 768 households cleared 153 community health workers trained on malaria case management 175 health workers trained on malaria case management 246 health facilities received on the job coaching and technical support 7

8 1.2.2 FIELD SUPPORT CENTRAL AFRICAN REPUBLIC CAR has one of the lowest life expectancies in the world and ranks as the second least developed country globally in UNDP s Human Development Index. The necessity for humanitarian assistance, especially healthcare services to meet basic needs, is evident. The current situation is described as extremely critical by OCHA: and estimated 2.3 million people are in need of aid in the country, more than 390, 000 people are internally displaced and a further 467, 000 refugees have fled the country. The displaced are the hardest to reach and are particularly vulnerable to malaria, one of the primary causes of death in CAR. CENTRAL AFRICAN REPUBLIC KEY HIGHLIGHTS , 686 beneficiaries reached. Supported by OFDA 245 health care providers trained Supported by OFDA 503 community healthcare workers received on the job training Supported by OFDA 303 community healthcare workers engaged in public health surveillance Supported by OFDA 219, 150 community members participated in information, education and communication sessions Supported by OFDA 26 large scale education sessions conducted Supported by OFDA 65, 594 curative consultations took place IMC 3,024 IEC sessions attended by 159, 957 people IMC 7 health facilities supported IMC 352 LLINs distributed amongst pregnant women IMC 1, 056 consultations of children under 5 years UNICEF 14 HPI kits distributed UNICEF 7 nurses trained UNICEF MENTOR works to protect the most vulnerable populations in these conflict affected communities, providing basic healthcare services at the community level to combat vector borne disease (VBD) and its effects on communities. MENTOR implements healthcare projects in the north-west of the country, an area which is severely affected by past and current conflicts and represents one of the most challenging emergency situations in which to work in Africa today. MENTOR provides health services to the population in the prefectures of Ouham and Ouham-Pende, working closely with its international partners OFDA (Office of U.S. Foreign Disaster Assistance), DFID (Department for International Development), UNICEF, and Common Humanitarian Fund. Each project is run in close conjunction with the Ministry of Health and other health partners operational in these prefectures. Since 2008, MENTOR has been building an innovative network of community healthcare workers which allows MENTOR to navigate the perpetual violence and insecurity, reaching areas that other Nos struggle to access. Community healthcare workers are trained to provide a package of health services: health education, diagnosis and treatment of the most common diseases including malaria and diarrhoea, screening for malnutrition, iron supplement and malaria prophylaxis for pregnant women. Their ability to identify patients with other diseases (such as respiratory infections) and/or severe symptoms of malaria and diarrhoea enables them to be transferred (using local motorbike taxis) to health facilities which are better equipped to address more serious cases. MENTOR s community approach has been developed in close collaboration with the Ministry of Health and is fully in line with national health policy strategies in CAR. In addition to the community healthcare network, MENTOR also provides support to a number of health posts to improve referral level health care by ensuring that the posts are supplied with appropriate medications and staffed sufficiently where state provision or support from other health partners is lacking. Using this combination of approaches, nearly 550, 000 consultations have taken place since the current humanitarian crisis started in March Of these, more than 263, 000 cases were children under five years with a confirmed malaria diagnosis. Without the appropriate and timely treatment provided by MENTOR supported health care workers, these children would have been at high risk of death. In parallel to the very successful clinical results of the community based approach, very important extensive health education has been carried out to promote prevention against the most common diseases and to encourage early treatment seeking. Different approaches are applied through sensitisation activities carried out directly by the community health workers in their village, coupled with targeted training of influential people in the communities (including women s groups and youth clubs) as well as large scale health promotion campaigns (with film projections, football matches, quixxes etc.). 8

9 1.2.2 FIELD SUPPORT Consortium work Recently, MENTOR has taken on the responsibility of leading a consortium of four international NGOS (including OXFAM, International Medical Corps and Cordaid) funded by the UK Department for International Development to improve healthcare to 460, 000 people across four prefectures. As this two-year phase of the consortium gets underway, MENTOR will work to support and reinforce its partners to achieve an impactful and cost-effective response. MENTOR remains committed to delivering health services to the most vulnerable and, as lead agency in the consortium, will strive to maintain and achieve this value across the collaborative nature of this opportunity. We look forward to working with our partners to evaluate and assess how best to learn from our experiences in order to have the most significant impact possible under the challenging circumstances. SYRIA Since August 2013, the MENTOR Initiative has been working to support the control of cutaneous leishmaniasis (CL) and visceral leishmaniasis (VL) in Syria. Communities are increasingly displaced and infrastructures degraded, creating a fragile existence in which to survive with limited access to routine health services. Disease quickly gains a stronghold on communities as situations worsen, no less so in the northern parts of Syria. Already six years into what has been described as the worst humanitarian crisis since World War II, this conflict has provided the perfect conditions for the transmission of CL and VL. The MENTOR Initiative has found innovative ways in its approach to tackling this most pressing health issue. SYRIA KEY HIGHLIGHTS , 907, 314 beneficiaries of IRS 250, 000 beneficiaries of LLINs this year (approx 2 million beneficiaries over 2-3 yrs) 200, 000 beneficiaries of solid waste management 308, 697 medical consultations Leishmaniasis ( Aleppo boil ) is transmitted by the bite of an infected female phlebotomine sandfly. When bitten by the sandfly, the Leishmania parasite can enter the blood and invade the macrophage immune cells. This is what causes the open sores surrounding the bite. There are three types of leishmaniasis, caused by different Leishmania species: 1. Visceral leishmaniasis (VL, kala-azar) which is fatal if left untreated. 2. Cutaneous leishmaniasis (CL) which is the most common, causing skin lesions that can be self-resolving but if untreated can lead to mucocutaneous lesions. 3. Mucocutaneous lesions can lead to partial or total destruction of the mucous membranes of the nose, mouth and throat cavities and surrounding tissues. Cutaneous leishmaniasis is often associated with malnutrition, population displacement, poor housing and weakened immune systems, which is wide spread across Syria. Leishmaniasis is a huge public health concern, endemic in many areas and in some is the most prevalent communicable disease. MENTOR adopts a multi-pronged approach to combating vector borne diseases, such as leishmaniasis, which can provide cross-cutting benefits. This includes indoor residual spraying (IRS) of the inside surfaces in the camp shelters and urban buildings people live in, in order to kill resting sandflies. Long lasting insecticidal nets (LLINs) and curtains (LLICs) are distributed to people living in more rural settings to protect them from sandfly bites. Waste management, particularly in urban settings, helps to reduce sandfly breeding sites. All of these activities are supported by contextually appropriate education and communication. 9

10 1.2.2 FIELD SUPPORT LIBERIA MENTOR is very well established in Liberia, with a long history of successful technical capacity building of health workers at a national level. MENTOR began programmes in Liberia in 2003 and has trained several thousand health workers in the 15 counties. The months of 1st April to 30th June 2015 saw the resurgence of the fatal Ebola virus in Liberia. The Liberians and Liberian government had moved away from acute emergency response towards resilience and recovery activities. However, the further outbreak reveals that continued support in vulnerable health facilities is still a necessity. MENTOR has been identified as one of the lead organizations for developing the post Ebola transition and investment plan, with support from USAID. In order to prevent devastating outbreaks such as the Ebola crisis, a significant expansion in technical understanding by health workers, trust in the measures, local leadership and support were all essential. This response included both public and private sector workers, especially in Monrovia, as many of the city s most vulnerable population sectors are primarily served through private health facilities. With funding from Comic Relief, MENTOR implemented a four year project ( ) piloting two key innovative malaria strategies in Monrovia; working with private medicine stores and pharmacies (MS/Ps) serving the slum communities of West Point and Bushrod Island in Monrovia and using durable wall lining (DL) as a malaria prevention method. In June 2014, a high increase in malaria cases managed at the medical store and pharmacy level was observed, potentially due to the feeling of fear and mistrust of health facilities during the Ebola outbreak. MENTOR further developed essential training on Infection, Prevention and Control measures at medical store and pharmacy level, allowing malaria control to continue (with support from OFDA). This training was rolled out to the hundred outlets in Bushrod Island and West Point and to an additional one hundred new stores in Paynesville. This OFDA funding expanded community health worker activities in November 2014, increasing the 40 CHWs trained to 200 CHWs in In addition to this, MENTOR lead the training of private medicine stores and pharmacies in the introduction of temperature taking, simple triage of clients and emergency cleaning kits. In order to build up defense for disease infection, a technologically enhanced adaptive learning tool (EBUDDI) has been designed by a partnership under the Masanga Mentor Ebola Initiative. This partnership is between the Masanga hospital in Sierra Leone, the MENTOR Initiative operating in Liberia, and the Plymouth University Peninsula Schools of Medicine and Dentistry ( PUPSMD ). MMEI has a network of IPC specialists in tackling medical emergencies in remote locations, including Lassa fever, SARs and Ebola; e-learning and IT programme development experts. For more info visit Since 2010, under Comic Relief funding, MENTOR has continued to deliver a large scale pilot of durable wall lining (DL), comparing efficacy and acceptability with Insecticide Residual Spraying (IRS) across Bomi County. In 2015, MENTOR conducted a final phase study which increased access to means of malaria prevention for 16, 000 residents. 10

11 1.2.2 FIELD SUPPORT CONTINUED OPERATIONAL RESEARCH The MENTOR Initiative conducts and supports operational research for the development of improved tropical disease control service delivery amongst vulnerable groups as well as full scale evaluation of innovative and context specific tools and approaches for improved malaria - and other related disease - control in emergencies. The MENTOR Initiative conducted a field evaluations of insecticide treated emergency shelter plastic sheeting in refugee camps in Sierra Leone and Liberia in a joint programme with WHO, UNHCR, CIEDRS, SL MoH, IRD-Montpellier, Eurofin- Denmark, University of Marseille and several NGOs. Further research work has been implemented in Angola to assess feasibility and acceptability of treated wall lining. Other operational research areas across programmes include: Assessment of acceptability and impact of the BASF produced (Interceptor) LLIN in Liberia Operational research into prescription and adherence practices in emergency countries and natural disasters (Aceh, Liberia, Kenya, Chad) where rapid malaria diagnostic tests and artemisinin based combination malaria therapy have been recently introduced into the health care system. Retention, utilisation and durability studies on three brands of WHOPES approved LLINs distributed in eastern Chad. Anaemia and parasitaemia studies amongst Somali refugees in Yemen with UNHCR. Cost effectiveness of Indoor Residual Spraying compared to LLINs in emergency contexts Comparison of distribution methods for LLINs: general distribution house to house hang up versus integrated campaigns in Central African Republic. To see a full list visit 9

12 1.3 FINANCE AND ADMINISTRATION Support for The MENTOR Initiative s activities has come from a variety of sources including private foundations, USAID / Global, USAID /OFDA, USD / BPRM, EC ECHO, Exxon Mobile, UK Government DFID, WHO/RBM, Global Fund, United Nations Foundation and UNICEF. The MENTOR Initiative has grown quickly in response to clearly identified emergency needs. To better meet operational and organisation demands, and improve the scale of support to emergency affected populations, The MENTOR Initiative became established as an independent charitable Not for Profit non governmental organisation registered in the UK in early The MENTOR Initiative follows best practice finance and administration procedures and uses the latest IT systems based around Microsoft Navision and SAGA in order to ensure high quality financial administration of its multi-currency, multi-country and multi-project operations. These tailor made systems ensure a high level of transparency, accountability, financial reporting and strong support systems for MENTOR country, operational research and capacity building programmes. The finance team has over 30 years experience between them, in systems analysis, development, financial direction (multi-country and currency), accountancy and administration. The organisation is independently audited through an external audit firm for UK statutory accounts and via an additional USAID external audit (both audit firms are a member of the Institute of Chartered Accountants in England & Wales). 1.4 ADVISORY BOARD An Advisory Board for The MENTOR Initiative strengthens the technical and operational management of The MENTOR Initiative programmes and overall service function, ensuring that it maintains and continues to develop its leading position to support the humanitarian community for disease control in emergency settings. The board meets annually (and ad hoc if necessary), and consists of key stakeholders. To ensure that the broad array of stakeholders is effectively represented through the Advisory Board, organisational representation on the board rotates annually or more frequently if ad hoc meetings require. The advisory board reviews the past years performance and developments and assists in the development of strategic planning for the coming year (or longer where appropriate). ADVISORY BOARD MEMBERS: Robert Hart - Security and Operations advice Sarah Hoibak - Technical Malaria Control advice Rebecca Luckett - Malaria Clinical Advisor Gareth Williams - Finance and Management Advisor 10

13 1.5 DIRECTION The MENTOR Initiative is directed by Richard Allan, with the input and guidance of the MENTOR Initiative Advisory board. A full time dedicated management team includes highly skilled and experienced technical support managers and country programme coordinators for each priority emergency. Together, this team has developed a proven, strong, action based, and clearly measurable strategy to build the technical and operational capacity of aid agencies and develop essential new disease control tools, in order to scale up effective malaria and related disease control amongst the most vulnerable populations in humanitarian emergencies. Richard Allan is a qualified tropical parasitologist and has 29 years experience as a public health manager. Following four years in primary health care development for Zaire through the mid 1980 s he then spent four years in malaria treatment research with Oxford University and the Medical Research Council with programmes in Gambia and Sierra Leone. Since the start of the Rwanda crisis in 1994 Richard has dedicated his efforts to developing disease control initiatives in conflict based emergencies and natural disasters working with OXFAM, Tear Fund and MERLIN. He established and developed emergency disease control programmes in Liberia, Guinea, Sierra Leone, DR Congo, Brazzaville Congo, Kenya (two malaria epidemics), Angola, Southern Sudan, Burundi, Afghanistan and East Timor. Richard was the Roll Back Malaria coordinator for complex emergencies, with the Global Secretariat (early 2000 to late 2002) at the World Health Organisation. He established and managed the cross-sectoral partnerships that resulted in the development of important new disease control new tools and strategies for malaria control. Richard established The MENTOR Initiative in late 2002, and has directed this innovative technical and operational support group since then, to ensure that countries in emergency receive the technical and operational support they need in order to scale up best practice for malaria, dengue fever, leishmaniasis and other vector-borne and neglected tropical diseases. Richard and his team provide technical support to the World Bank Malaria Booster programme for 17 countries, Bill and Melinda Gates Foundation, UNHCR, UNICEF, WHO/RBM, and UNDP in addition to full time support to key emergency countries. Apart from the wide scale support emergency and development humanitarian agencies have already received through this initiative s capacity building activities, programme planning and implementation advice, The MENTOR Initiative has now developed significant country level support experience through intensive operations in Sierra Leone, Liberia, Ethiopia, Darfur Sudan, Angola, Chad, Java, Kenya, Central African Republic, Myanmar and Aceh (Indonesia) and is uniquely placed towards helping Ministry of Health National Malaria Control Programmes and NGOs/FBOs and other partner agencies to effectively and sustainably scale up life saving action in emergency, reconstruction and longer term settings. 1.6 REPORTING Country Program Teams submit monthly update reports to MENTOR s Director and the management team. These include an activities report, relevant financial accounting information and a work plan for the coming month. These reports are synthesised into reports every 3 months by the MENTOR management team and disseminated to donor partners and others. These reports include a detailed report of activities and related tasks which have been carried out, results achieved, a financial report and a work plan for the following 6 months. If major implementation issues have arisen an ad hoc meeting of the Advisory Board may be called to help address this. Monthly updates of country and capacity building programmes, and annual activity reports are published on The MENTOR Initiative website ( and disseminated to stakeholders. Standard donor reporting is as stipulated in the contract. 11

14 2. PAST PERFORMANCE NAME OF AWARDING Department for International Development (DFID) UK Government Conflict and Humanitarian Affairs Department for International Development (DFID) UK Government Conflict and Humanitarian Affairs DONOR CONTACT AND REFERENCES CONTRACT NUMBER AMOUNT OF AWARD AND TERM OF AWARD ACTIVE AWARDS 01/ 10/ , 810, 625 GBP , 367 GBP BPRM 01/09/ /08/ ,727.1 USD Rapid Response Fund 15/09/ /09/ , USD Department for International 01/06/ /03/2017 Development (DFID) UK 1,313,649.7 USD Government Conflict and Humanitarian Affairs UNICEF 12/05/ ,163,194 XAF CHF 01/05/ /10/ , 863 USD USAID Office of Foreign Disaster 01/05/ /11/2016 Assistance (OFDA) 2,223, USD UNICEF 01/ 05/ /01/ , International Medical Corps (IMC) 01/04/ / 09/ , USD ExxonMobil 01/01/ /12/ , 000 USD UNICEF 23/12/ /03/ , 752 USD UNICEF UNICEF-T-S 01/11/ /02/ , 212, 416 XAF DFID /10/ , 761 USD BPRM S-PRMCO-15-CA /06/ /05/ , 885 USD Comic Relief /04/ , 313 USD OFDA AID-OFDA-A /03/ , 067, 328 USD DESCRIPTION OF WORK CAR: Emergency assistance to crisis-affected communities of Central African Republic CAR: Emergency assistance to crisis-affected communities of Central African Republic SOUTH SUDAN: Continuing Emergency Control SOUTH SUDAN: Cholera Response Juba KENYA: VBD Control & Response CAR: OFDA Community Healthcare CHF8CAR SYRIA: Emergency Control of Leishmaniasis SOUTH SUDAN: VBD Control in Malakal and Bentiu CAR: Health services Ouham Pende ANGOLA: Reducing malaria in pregnancy SOUTH SUDAN: Control of malaria and other VBD CHAD: short project KENYA: Emergency Response to El Nino SOUTH SUDAN: Emergency control of malaria LIBERIA: Sustainable Malaria Control SYRIA: Emergency Control of Leishmaniasis 12

15 2. PAST PERFORMANCE CONTINUED NAME OF AWARDING DONOR CONTACT AND REFERENCES CONTRACT NUMBER AMOUNT OF AWARD AND TERM OF AWARD ACTIVE AWARDS WHO /02/ /03/ , 983 USD OFDA UNF AID-OFDA-G /02/ , 327, 901 USD UNF /01/ /06/ , 585 USD UNF /01/ /06/ ,890 USD World Learning (USAID- PMI) #S05-AID-654-A ,738, USD OFDA AID-OFDA-G /07/ /08/ , 000 USD The END Fund ,285,402 USD World Learning (USAID) PSI (USAID-PMI) 654-A ,500 USD AID-654-A Sub 3774 MENTOR NOV11 31/12/ /07/2016 1,619,669 USD DESCRIPTION OF WORK SYRIA: WHO LLIN net distribution in Northern Syria LIBERIA: Emergency IPC, training & WaSH CAR: Cross Border Malaria Prevention CAR: Cross-border malaria control ANGOLA: Malaria Control in Huambo HQ: Integrated Vector Management ANGOLA: Integrated NTD Treatment Program with School Based WASH in Huambo, Zaire and Uige Provinces ANGOLA: In vivo therapeutic efficacy evaluation of three antimalarials ANGOLA: Integrated Social Marketing Pr World Learning (USAID- PMI) #S06-AID-654-A /10/ /09/2016 2,132,016 USD ANGOLA: Malaria control in Zaire World Learning (USAID-PMI) #S07-AID-654-A /10/ /09/2016 2,402,979 USD ANGOLA: Malaria control in Uige 13

16 2. PAST PERFORMANCE CONTINUED NAME OF AWARDING OFDA BPRM OFDA OFDA OFDA Comic Relief BPRM US Department of State Bureau of Population, Refugees and Migration (BPRM) UN Foundation DONOR CONTACT AND REFERENCES CONTRACT NUMBER AMOUNT OF AWARD AND TERM OF AWARD ACTIVE AWARDS AID-OFDA-G /07/ / 06/ , 000 USD SPRM-010-CA AID-OFDA-G /09/ /12/ , 206 USD AID-OFDA-G /09/ /12/ , USD AID-OFDA-G and /02/ /09/2011 1,710,592 USD GR /01/ /12/2013 2,399,729 USD SPRM-009-CA /09/ /08/ , 000 USD 15/08/ /08/ ,000 USD UNF /07/ /05/ ,000 USD DESCRIPTION OF WORK HQ: VBD Capacity Building CHAD: Malaria Control CHAD: Emergency programme to strengthen public health and malaria control services for the most vulnerable IDPs and host communities in East Chad CHAD: Malaria Control in East Chad HAITI: Malaria emergency in Haiti KENYA: Development response CHAD: Malaria control CHAD: The MENTOR Initiative expanded support to NGOs, UN and MoH to scale up effective malaria control amongst refugees from Darfur and CAR in the east and southern of Chad. CAR: Emergency shelter, malaria control and prevention for IDPs and conflict affected host communities in northern CAR. CHF (UNDP) 01/06/ /09/ ,603 USD CAR: Case management support and LLIN distribution resource support 14

17 2. PAST PERFORMANCE CONTINUED NAME OF AWARDING DONOR CONTACT AND REFERENCES CONTRACT NUMBER AMOUNT OF AWARD AND TERM OF AWARD ACTIVE AWARDS DESCRIPTION OF WORK UNICEF 01/04/ /10/ ,211 USD CAR: 25,000 LLINs for distribution in programme area USAID Office of Foreign Disaster Assistance (OFDA) 01/03/ /01/ ,000 USD CHAD: Emergency malaria control for IDPs and conflict affected Chadians in eastern Chad. UNHCR 05/05/ /08/ ,401 USD YEMEN: Anaemia and Parasitaemia prevalence survey in the southern Yemen refugee camps - Basate en and Kharaz. Malaria control needs assessment AMERICARES 16/06/ /08/ ,001 USD BURMA: Malaria and Dengue control resources in response to cyclone Nargis. BASF 20/06/ /01/ ,000 USD BURMA: Supply of BASF Interceptor LLINs for deliver to the cyclone Nargis affected areas SYNGENTA 09/07/ /07/ ,000 USD CHAD: Emergency malaria control for IDPs and conflict affected Chadians in eastern Chad. SYNGENTA 12,000 USD KENYA: Operational research on the durability and bioavailability of ICON CS insecticide in western Kenya. Department for International Development (DFID) UK Government Conflict and Humanitarian Affairs USAID Presidential Malaria Initiative (PMI) USAID USAID AC / /01/ /09/ , 361 GBP GHS-A /09/ /09/2011 1,499,317 USD Modification of Assistance DFG-G new funding 01/11/ /10/ A /10/ /09/ ,000 USD KENYA: Emergency malaria control in flood areas of Budalangi, western Kenya and Mandera, north eastern Kenya. LIBERIA: PMI Malaria Communities Programme to develop and implement effective malaria education across 5 LIBERIA: Continuation of case management technical capacity building or malaria nationally, plus establishment of malaria ANGOLA: Pilot introduction of ACT into private health care system in Huambo, Angola 15

18 2. PAST PERFORMANCE CONTINUED NAME OF AWARDING European Commission ECHO (In partnership with MERLIN) USAID Office of Foreign Disaster Assistance (OFDA) USAID Office of Foreign Disaster Assistance (OFDA) DONOR CONTACT AND REFERENCES CONTRACT NUMBER AMOUNT OF AWARD AND TERM OF AWARD ACTIVE AWARDS ECHO/LBR/ BUD/2008/ /05/ /06/ ,105 EUR DFD-G /05/ /02/ ,000 USD With complimentary material donations 635,000 USD DFD-G /05/ /02/ ,000 USD DESCRIPTION OF WORK LIBERIA: Establishing effective malaria control case management across health facilities and war affected communities in Sinoe County. BURMA: Emergency malaria and dengue fever control in the cyclone Nargis affected areas, for 500,000 people. CHAD: Emergency malaria control for 120,000 IDPs and 70,000 conflict affected Chadians in Dar Sila region of eastern Chad. UN Foundation UNF /01/ /02/ ,355 USD CAR: Emergency shelter, malaria control and prevention for IDPs and conflict affected host communities in northern CAR AmeriCares (extension grant) 16/01/ /11/ ,935 USD ACEH: Post tsunami reconstruction of integrated life saving malaria and dengue fever control in 11 districts of Aceh province. USAID Presidential Malaria Initiative (PMI) (with World Learning) 690-A AA07-22/10/ /10/ ,993 USD ANGOLA: Support to reduce malaria related mortality in Zaire province. 16

19 2. PAST PERFORMANCE CONTINUED NAME OF AWARDING USAID Presidential Malaria Initiative (PMI) (with World Learning ECHO European Commission (In partnership with Save the Children UK) Swiss Agency for Development and Cooperation (SDC) Department for International Development (DFID) UK Government Conflict and Humanitarian Affairs UNHCR / UN Foundation DONOR CONTACT AND REFERENCES CONTRACT NUMBER AMOUNT OF AWARD AND TERM OF AWARD ACTIVE AWARDS 690-A AA /10/ /10/ ,993 USD SCUK/ECHO/LBR/ BUD/2007/ /08/ /05/ ,355 EUR 15/10/ /11/ ,698 USD AG/47/19 Amended/ extended 22/10/ /05/ ,960 GBP HCR/ABE/PROG/02238/MT 08/08/ /04/ ,650 USD Geneva Global ID: /09/ /01/ ,000 USD DESCRIPTION OF WORK ANGOLA: Support to reduce malaria related mortality in Huambo province. LIBERIA: Providing life saveing malaria prevention and treatment in Margarbi, Bomi and Gbarpolo counties. LIBERIA: Flood response IRS programme KENYA: Emergency malaria control in flood areas of Budalangi, Westren Kenya. Large scale malaria prevention campaign and technical/materials support to health workers for malaria case management CHAD: Emergency distribution of 40,000 (+30,000 UNICEF donated) LL ITNs and education for 200,000 Chadians in Eastern Chad and Refugees in Southern Chad. CHAD: Emergency IRS campaign to prevent malaria amongst IDPs on the Darfur border. US Department of State Bureau of Population, Refugees and Migration (BPRM) USAID, Office of Foreign Disaster Assistance (OFDA SPRMCO07CA082 15/08/ /08/ ,068 USD DFD-G /05/ /04/ ,097 USD CHAD: The MENTOR Initiative expanded support to NGOs, UN and MoH to scale up effective malaria control amongst refugees from Darfur and CAR in the east and southern of Chad. CHAD: Emergency malaria control for 120,000 IDPs and 70,000 conflict affected Chadians in Dar Sila region eastern Chad. 17

20 2. PAST PERFORMANCE CONTINUED NAME OF AWARDING DONOR CONTACT AND REFERENCES CONTRACT NUMBER AMOUNT OF AWARD AND TERM OF AWARD ACTIVE AWARDS BASF 01/05/ /04/ ,000 USD USAID, Office of Foreign Disaster Assistance (OFDA) Department for International Development (DFID) UK Government Conflict and Humanitarian Affairs US Department of State Bureau of Population, Refugees and Migration (BPRM) USAID, Office of Foreign Disaster Assistance (OFDA) DFD-G /05/ /04/ ,000 USD AG /01/ /09/2007 1,235,839 GBP 15/08/ /08/ ,913 USD 15/07/ /05/ ,330 USD UNHCR The Refugee Agency 01/11/ /04/ ,000 USD World Learning USAID (PMI) 01/11/ /12/ ,000 USD USAID, Office of Foreign Disaster Assistance (OFDA) 16/06/ /11/ ,999 USD DESCRIPTION OF WORK INTERNATIONAL TRAINING PROGRAMME: Support for the MENTOR Initiative international 5-day Malaria Control in Humanitarian Crises training course LIBERIA: Continuation of malaria control expansion across the most vulnerable communities in Liberia. NORTH EASTERN KENYA: The MENTOR Initiative are supporting the MoH and NGOs to provide emergency malaria prevention and case management across the post flood affected districts of Garissa and Tana River. CHAD: The MENTOR Initiative are just launching establishing new support to NGOs, UN and MoH to expand effective malaria control amongst refugees from Darfur and CAR in the east and south of Chad LIBERIA: Continuation of malaria control expansion across the most vulnerable communities in Liberia. ANGOLA: To support a large scale UNHCR LL IN distribution campaign in Huambo province by monitoring coverage and ANGOLA: Establishment of national level best practice for malaria control with international and national partners in YOGYAKARTA: insecticide treated plastic sheeting for temporary shelter and vector (flies, and mosquitoes) control for the victims of the Yogyakarta earthquake combined with other essential disease control activities with the MoH. 18

21 2. PAST PERFORMANCE CONTINUED NAME OF AWARDING DONOR CONTACT AND REFERENCES CONTRACT NUMBER AMOUNT OF AWARD AND TERM OF AWARD ACTIVE AWARDS GlaxoSmithKline 01/01/ /12/ ,000 USAID, Office of Foreign Disaster Assistance (OFDA) 01/02/ /09/ ,591USD DESCRIPTION OF WORK INTERNATIONAL TRAINING COURSE: Contribution to the running of The MENTOR Initiative emergency malaria training workshops for NGOs, UN and MoH through LIBERIA: Operational research on insecticide treated plastic sheeting. the technical malaria agency in Liberia responsible for training all international and all national health staff in the effective delivery of new malaria case management and prevention protocols. AmeriCares AmeriCares AmeriCares ,189,592USD (including material donations 3,102,492USD) 01/04/ /9/ ,836USD 10/11/ /01/ ,795USD operational budget 300,000USD materials supplied 01/09/ /02/ ,000USD material donations 07/01/ /08/2005 ACEH: Post tsunami reconstruction of integrated lifesaving malaria and dengue fever control in 11 districts of Aceh province. Logistics Support to PHO ACEH: The MENTOR Initiative maintenance of emergency, and start of reconstruction, malaria prevention, control and treatment and dengue fever control. ACEH: emergency response operations with the specific aim v post-tsunami Malaria prevention, con-trol and treatment and dengue fever con-trol. This operation was funded by the British government (DFID) and AmeriCa-res. 19

22 2. PAST PERFORMANCE CONTINUED NAME OF AWARDING Department for International Development (DFID) UK Government Conflict and Humanitarian Affairs DONOR CONTACT AND REFERENCES CONTRACT NUMBER AMOUNT OF AWARD AND TERM OF AWARD ACTIVE AWARDS 2,300,000 01/07/ /08/2005 USAID sub award (through PSI) 1,300,000 USD 01/01/ /09/2006 EXXON MOBIL Angola 250,000 USD 01/01/ /01/2006 DESCRIPTION OF WORK ACEH: Post-tsunami Malaria control and dengue fever control. This included the introduction of large scale IRS programmes, emergency ITPS shelter, and case management. 60 international and national partners across 21 districts of Aceh-Indonesia for 4.1 million beneficiaries ANGOLA: Establishment of national level best practice for malaria control with partner agencies. Introduction of of large scale prevention programmes, RDTs, ACT, IM Artemether with reinforced use of IV Quinine for 2 provinces in Angola, plus the establishment of early outbreak detection and ANGOLA: The MENTOR Initiative is expanding malaria control best practice in Zaire province Angola as part of a larger country support programme. The Global Fund to Fight AIDS, Tuberculosis and Malaria Chemin Blandonnet Vernier Geneva Switzerland INTERNATIONAL RESCUE COMMITTEE (IRC) 569,908 USD 01/01/ /12/ ,000 USD 28/11/ /02/2005 LIBERIA: Operational research on ITPS. The technical malaria agency in Liberia responsible for training all international and national health staff in the effective delivery of new malaria case management and prevention protocols. SUDAN: In a hosting partnership with IRC The MENTOR Initiative provided a malaria technical advisor for NGOs and MoH partners in Darfur, Sudan. 20

23 2. PAST PERFORMANCE CONTINUED NAME OF AWARDING US Department of State Bureau of Population, Refugee and Migration (BPRM) USAID, Office of Foreign Disaster Assistance (OFDA) DONOR CONTACT AND REFERENCES CONTRACT NUMBER AMOUNT OF AWARD AND TERM OF AWARD ACTIVE AWARDS 1,100,000 USD 01/07/ /11/ ,606 USD 15/05/ /11/2004 UNHCR The Refugee Agency 02/SB/SLE/EM/ ,401 USD 01/04/ /09/2004 USAID, OFFICE OF FOREIGN DISASTER ASSISTANCE (OFDA) 542,000 USD 28/08/ /05/2004 DESCRIPTION OF WORK LIBERIA AND ANGOLA: Establishment of national level best practice for malaria control, and operational research on ITPS, with international and national partners in Liberia and LIBERIA: emergency malaria control expansion for displaced and war affected populations in Liberia. SIERRA LEONE: Phase III Evaluation of ITPS for refugee shelters and malaria control. Two refugee camps in Sierra Leone housing over 14,000 Liberian refugees were LIBERIA: emergency malaria control expansion for displaced and war affected populations in Liberia. UNHCR The Refugee Agency Rue de Montbrillant CH-1202 Geneva Switzerland USAID, Office of Foreign Disaster Assistance (OFDA) US Department of State Bureau of Population, Refugee and Migration (BPRM) UNHCR THE REFUGEE 04/AB/SB/CM/ ,000 USD 01/07/ /03/2004 DFA-A ,037 USD 01/05/ /4/2005 SPRMCO03CA ,000 USD 01/01/ /12/ /AB/SB/CM/200 98,584 USD 01/01/03-30/06/03 SIERRA LEONE: The MENTOR Initiative Phase III Evaluation of Insecticide Treated Plastic Sheeting (ITPS) for refugee shelters and malaria control. THE MENTOR INITIATIVE TRAINING PROGRAMME: Management and implementation of the RBM WHO training programme for malaria control in emergencies LIBERIA AND ANGOLA: With all country partners develop a successful proposal for Global Fund support full approval and begins in mid SIERRA LEONE: The MENTOR Initiative Phase III Evaluation of (ITPS) for refugee shelters and malaria control. 21