3 of 25

Overview

Despite Covid 19, all RAM programs are ongoing and for the most part are achieving all their objectives and no problem foreseen.
LLIN team at least five weeks behind schedule after LLIN team were put into quarantine for two weeks in Mount Hagen and helicopter delays in Madang in this quarter.
However, all supervisory visits which combine with drug delivery are all working to schedule.
Only HMM training of volunteers is behind schedule but will catch up this next six months.
Good news is that overall malaria has gone down except in provinces that received LLIN distribution in 2019.

4 of 25

Finance

Oct – Dec 2020

5 of 25

Grant total – Cumulative by quarter

Overall Burn Rate is 88% with local burn of locally received funds being 85%.
All WAMBO Orders for 2021 are equal to 99% of the GF Budget for 2021.

6 of 25

Grant total – Cumulative by quarter

Please Note

Grant made up of two parts, one which is local costs which are 85% expended, and one of direct procurement which is over budget due to ordering goods for 2022 six months in advance

7 of 25

Grant total – Costs by quarter

Please Note

Grant made up of two parts, one which is local costs which are 85% expended, and one of direct procurement which is over budget due to ordering goods for 2022 six months in advance

9 of 25

Level of Stock

PSM

COMMENTS

Stock remains above three months at central level except RDTs. RDTS presently out of stock at central level due to delay in shipments which should have arrived in December but only arriving in April. However, if shortages occur in RDTs, ACT consumption will increase. It is hope that the new RDTs will arrive before we have serious shortages of RDTs at provincial level.
Hopefully NDoH RDTs to be released shortly with orders also expected in early April.
Concerns still exist in that shipments of commodities are taking longer and longer to arrive and transport costs are getting very high to delivery costs are more than expected.
For this reason, RAM will order 2023 commodities now and consider ordering extra ACTs to offset possible shortages in RDT now where ACT consumption will increase

10 of 25

Management Actions

Commitments with GF

11 of 25

Management Actions (MA)

Management Actions	# of MA	MA Completed	MA Due	MA Past Due
Previous Management Action	7	3	4	4
New Management Action	3	0	3	1

12 of 25

Regional Malaria Coordinators (RMC) Supervisory Visits:

2021	Q1	Q2	Q3	Q4
RMC Supervisory Visits Planned	22	22	22	22
RMC Supervisory Visits completed	22	22	22	22

13 of 25

Management Action (New)

Issue/Mitigation Action	Time Line	GF Recommendations	PR Comment
Data issues in NHIS in terms of availability, quality and timeliness	30-Jun, 2022	Partners to work together to solve the issue	Meeting held with NHIS, ADB, NDoH and RAM in November. RMCs to also increase NHIS malaria data monitoring on their regular visits,
Inadequate internal controls
Issues Highlighted With Fixed Asset Register (FAR)	31-Dec-21	RAM to update FAR	FAR verification and tagging is done, final FAR will be submitted to GF by March 2022.
Issues raised by GF about selection of service providers, particularly Travel Services	Immediately	The PR should follow competitive procedure to select service provider, also to procure goods and services	Reportedly, travel service provides reasonably good service to RAM. Based on GF suggestion, RAM will open up relevant bidding process.

14 of 25

Management Action (NFM-2)

Program Quality and efficiency	Due Date	GF Feedback	PR Comment
Lack of Comprehensive Fraud Policy and TOR of RAM committee should be updated	31-Dec-21	Update antifraud policy	PR consultant and finance manager reviewed the anti fraud policy and submitted to GF by Dec 2021. However, RAM committee TOR is unlikely to change any further. LFA is a regular observer of RAM committee meetings since early 2020 thus GF can get more insights on meeting proceedings from LFA.
Auditing arrangements
Lack of Internal Audit Function And No Budget For This	31 Dec 2020	RAM should hire an Internal Auditor onn quarterly basis	Internal audit was carried out by KPNG in April 2021 which highlighted a number of issues. RAM is in negotiations with GF to have two six monthly Internal Audits annually instead of quarterly. Recruitment of new IA consultant is underway
Data for ANC nets in particularly collected very late	31-Dec, 2020	PR should collect copies of ANC nets distributed through health facilites	Accountability of ANC LLIN data has already improved due to enhanced monitoring of RMC and PMSs. Overall achievement on this issue will improve over time.
Financial Issues Identified By The Audit	30-Jun-21	RAM To comply with GF Procedures	Our new Finance Manager is sorting a number of historical problems and improving the way the finance section works.

15 of 25

Management Indicators

Key Positions Vacant	02/115	On Track
Supervisory Visit Past Due	0/66
Sites with Stock Out	0/0
Value of emergency orders	0/0
Product Procurement Past Due	0/0
Product Qulaity Test Failed	0/0
#Sites with Product Delivery Past Due	0/0

16 of 25

PROGRAMMATIC

Oct – Dec 2020

17 of 25