Attachment J.4-CRM Matrix_ PMI Uganda Malaria Reduction Activity.docx
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- Solicitation number
- 72061721R00002
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This document contains a climate risk screening and management tool matrix for USAID/Uganda's President's Malaria Initiative Uganda Malaria Reduction Activity solicitation. The matrix identifies climate risks and opportunities related to elements of malaria prevention, treatment, and control interventions over 10 years in Uganda's five highest burden regions. It analyzes risks from increased temperature and rainfall enabling malaria proliferation. Adaptation options include strengthening early warning systems, disease surveillance that considers climate impacts, and ensuring grantees implement identified management options. The related federal contract opportunity seeks proposals to strengthen malaria prevention and case management ownership at community and household levels while maintaining health facility gains in focus districts.
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Climate Risk Screening and Management Tool for PMI Uganda Malaria Control Activity Design Output matrix: Climate risks, opportunities and actions
| Defined or Anticipated Project Elements |
| Element description |
| Time frame |
| Geography |
| Climate Risks |
| Adaptive capacity |
| Risk Rating |
| Opportunities |
| Climate Risk Management Options |
| How Risks are Addressed in the project |
| Next steps for project design |
| Accepted climate risks |
| Enhanced prevention and treatment of malaria, and other epidemics among the most vulnerable |
| Provision of antimalarial drugs, distribution of insecticide -treated nets, malaria case testing, training health workers |
| 0-10 years |
| The 5 most high burden regions of Uganda: West Nile, Acholi, Lango, Karamoja, and Busoga. |
| A World Bank (2016) report “Shockwaves”, noted that climate variability and change influence the epidemiology and geography of vector-borne diseases, and that in Africa, malaria could increase by 5 to 7 percent among populations at risk in higher altitudes due to rising temperature, possibly increasing the number of cases by up to 28 percent. |
Uganda Climate Change Vulnerability Assessment noted that in Uganda, malaria is endemic everywhere. Increases in temperature will allow malaria to proliferate in regions where it previously was not established or where it occurred in a sporadic nature, such as in regions with high altitude.
In endemic regions, increases in temperature can result in higher transmission intensities, caused by the acceleration of mosquito and parasite development Increased flooding or rainfall could also increase the burden of malaria, given that there will be more breeding sites and increased humidity affecting mosquito longevity and parasite development People living in high altitude regions have little to no immunity to malaria, creating highly susceptible populations (Uganda Climate Change Vulnerability Assessment Report). Owing to poverty, access to malaria prevention, diagnostic, and treatment interventions is limited.
Uganda’s ability to tackle effective malaria is restricted by the weak health delivery system
| High |
| A partnership with Uganda National Meteorological Authority could generate weather and climate data to inform malaria interventions. |
Vector control is one of the main malaria control strategies of the National Malaria Control Program (NMCP). The two main approaches promoted by the program are sleeping under a long-lasting insecticide net (LLINs) and indoor residual spraying (IRS) of households.
One goal of the Ugandan National Climate Change Policy is to “strengthen adaptive mechanisms and enhance early-warning systems and adequate preparedness for climate change-related diseases”
Enhancing early-warning systems and preparedness; increasing surveillance of disease outbreaks; and responding rapidly to epidemics; strengthening public and clinical health systems, and increasing the health workforce awareness of the relationship between climate change and malaria Malaria indicator survey/ disease surveillance. The surveys should determine the weather and climate impacts on malaria and inform interventions. The survey should also establish if malaria is spreading to new districts or altitudes so that those geographies become new intervention sites Improve public education and outreach efforts in areas likely to experience shifting Malaria risks due to climate change
| Provision of antimalarial drugs, distribution of insecticide -treated nets, malaria case testing, training health workers |
| Integrate the identified climate risk management options into project design narrative, solicitation and contract documents and implementation plans |
Leadership in development supported
| Leadership skills trainings related to Malaria control |
| 0-10 years |
| None |
| Inadequate capacity to collect and use climate information related to climate risk management in malaria control. |
| Low |
The leadership trainings could include awareness raising on climate risk mainstreaming and management in Health policy and planning processes
The contractor’s services should include awareness raising on climate risk mainstreaming and management in planned leadership in development trainings
| Enabling environment that supports functional systems improved |
| Supporting development and implementation of policies, guidelines, and tools for Malaria control |
| 0-10 years |
| None |
| Inadequate capacity to collect and use climate information to inform malaria policies, guidelines, and tools |
| Low |
Conduct Malaria indicator surveys that include weather/climate analysis to see climate impacts on malaria. The results should inform malaria policies, guidelines, and tools
Integrate Malaria indicator surveys that determine how climate impacts on malaria into project design narrative, solicitation and contract documents and implementation plans
| Grants Under Contract |
| Provide grants to local community-based organizations and local governments for malaria control |
0-10 years
Depends on the nature of activities, which are not yet defined
Moderate
Conduct climate risk screening for each grant as an award condition. Grantees should integrate and implement identified climate risk management options as part of USAID environmental compliance requirements
Interventions for which sub-grants are being awarded should be screened for any climate risks and appropriate management options adopted
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