scholarly journals A methodology for malaria programme impact evaluation

Author(s):  
Emilie Pothin ◽  
Luis Segura ◽  
Katya Galactionova ◽  
Leah Bohle ◽  
Barbara Matthys ◽  
...  

This document describes a methodology for continual assessment of the impact of malaria interventions, and the efficiency of the malaria programme. The methodology is designed to be implemented recurrently on a cycle of 2–5 years, with the involvement of stakeholders, including National Malaria Control Programmes, development partners and other organizations active in the programme. Their participation should inform the impact and efficiency assessment, so that it is linked to subsequent decision making defining the nature and scope of malaria control interventions. The methodology is designed in a modular way, providing some flexibility with regard to which elements are implemented at any given time. Some modules require technical capabilities usually not available in a regular monitoring and evaluation (M&E) team, and will require contributions from other national and/or international partners.

2017 ◽  
Author(s):  
Emilie Pothin ◽  
Luis Segura ◽  
Katya Galactionova ◽  
Leah Bohle ◽  
Barbara Matthys ◽  
...  

This document describes a methodology for continual assessment of the impact of malaria interventions, and the efficiency of the malaria programme. The methodology is designed to be implemented recurrently on a cycle of 2–5 years, with the involvement of stakeholders, including National Malaria Control Programmes, development partners and other organizations active in the programme. Their participation should inform the impact and efficiency assessment, so that it is linked to subsequent decision making defining the nature and scope of malaria control interventions. The methodology is designed in a modular way, providing some flexibility with regard to which elements are implemented at any given time. Some modules require technical capabilities usually not available in a regular monitoring and evaluation (M&E) team, and will require contributions from other national and/or international partners.


Author(s):  
Justin Parkhurst ◽  
Ludovica Ghilardi ◽  
Jayne Webster ◽  
Robert W Snow ◽  
Caroline A Lynch

Abstract This article explores how malaria control in sub-Saharan Africa is shaped in important ways by political and economic considerations within the contexts of aid-recipient nations and the global health community. Malaria control is often assumed to be a technically driven exercise: the remit of public health experts and epidemiologists who utilize available data to select the most effective package of activities given available resources. Yet research conducted with national and international stakeholders shows how the realities of malaria control decision-making are often more nuanced. Hegemonic ideas and interests of global actors, as well as the national and global institutional arrangements through which malaria control is funded and implemented, can all influence how national actors respond to malaria. Results from qualitative interviews in seven malaria-endemic countries indicate that malaria decision-making is constrained or directed by multiple competing objectives, including a need to balance overarching global goals with local realities, as well as a need for National Malaria Control Programmes to manage and coordinate a range of non-state stakeholders who may divide up regions and tasks within countries. Finally, beyond the influence that political and economic concerns have over programmatic decisions and action, our analysis further finds that malaria control efforts have institutionalized systems, structures and processes that may have implications for local capacity development.


2020 ◽  
Vol 19 (1) ◽  
Author(s):  
Robert Farlow ◽  
Tanya L. Russell ◽  
Thomas R. Burkot

Abstract Background Vector surveillance provides critical data for decision-making to ensure that malaria control programmes remain effective and responsive to any threats to a successful control and elimination programme. The quality and quantity of data collected is dependent on the sampling tools and laboratory techniques used which may lack the sensitivity required to collect relevant data for decision-making. Here, 40 vector control experts were interviewed to assess the benefits and limitations of the current vector surveillance tools and techniques. In addition, experts shared ideas on “blue sky” indicators which encompassed ideas for novel methods to monitor presently used indicators, or to measure novel vector behaviours not presently measured. Algorithms for deploying surveillance tools and priorities for understanding vector behaviours are also needed for collecting and interpreting vector data. Results The available tools for sampling and analysing vectors are often hampered by high labour and resource requirements (human and supplies) coupled with high outlay and operating costs and variable tool performance across species and geographic regions. The next generation of surveillance tools needs to address the limitations of present tools by being more sensitive, specific and less costly to deploy to enable the collection and use of epidemiologically relevant vector data to facilitate more proactive vector control guidance. Ideas and attributes for Target Product Profiles (TPPs) generated from this analysis provide targets for research and funding to develop next generation tools. Conclusions More efficient surveillance tools and a more complete understanding of vector behaviours and populations will provide a basis for more cost effective and successful malaria control. Understanding the vectors’ behaviours will allow interventions to be deployed that target vulnerabilities in vector behaviours and thus enable more effective control. Through defining the strengths and weaknesses of the current vector surveillance methods, a foundation and initial framework was provided to define the TPPs for the next generation of vector surveillance methods. The draft TTPs presented here aim to ensure that the next generation tools and technologies are not encumbered by the limitations of present surveillance methods and can be readily deployed in low resource settings.


2007 ◽  
Vol 2007 ◽  
pp. 194-194
Author(s):  
N.J. Bell ◽  
M.J. Bell ◽  
T.G. Knowles ◽  
A.J.F. Webster

Lameness in dairy cattle is a multifactorial problem involving a complex interaction of stockperson, environmental and animal-related hazards. With over 100 potential hazards for lameness, and a multiplicity of control measures arising from each of these hazards, decision making for intervention programmes can be complex. Furthermore, control of foot lesions such as digital dermatitis and claw horn disease may require a detailed understanding of veterinary pathogenesis and epidemiology. Therefore, in order for lameness control programmes to be effective, veterinary involvement may be necessary. This paper examines effect of vet and farmer attitude towards a lameness control programme for primiparous dairy heifers on lameness prevalence.


2013 ◽  
Vol 1 (1) ◽  
Author(s):  
Hailemichael Taye

Background: In sub-Saharan Africa (SSA), impact evaluation has been used to assess whether agricultural extension interventions have brought the intended result or to establish causal linkages between interventions and outcomes. However, there is some scepticism about the validity and reliability of the results of the impact evaluation reports due to some contradictory and exaggerated results.Objectives: This article analyses some impact evaluation studies conducted in SSA as to why contradictions and exaggerations are manifested in some reports and what would be the future prospects of impact evaluation of agricultural extension programmes in the region.Methods: Impact evaluation reports and results of agricultural extension programmes from 10 SSA countries were reviewed and analysed based on impact evaluation principles and theories.Results: The results show that most of the evaluations reported positive impacts. There are also conflicting reports on extension performance. The fact that the overwhelming majority of impact evaluation reports claim positive extension impacts is not in line with the reports on agricultural productivity growth in the region. There are various reasons for over estimated impacts and contradictory results, which include use of poor impact evaluation methodologies, lack of reliable data and insufficient capacity to conduct rigorous impact evaluations.Conclusion: Due to these challenges and the shift in agricultural research and extension approaches, it is recommended that rather than investing effort in trying to prove impact, greater attention should be given to improving impact as well as using other innovative monitoring and evaluation (M&E) and learning tools that consider the dynamic nature of agricultural development.


2021 ◽  
Vol 20 (1) ◽  
Author(s):  
Tete S. Amouh ◽  
Saidou Malam Ekoye ◽  
Césaire D. Ahanhanzo ◽  
Tinga Robert Guiguemdé ◽  
Issiaka Sombié

Abstract Background To strengthen the fight against malaria, it is imperative to identify weaknesses and possible solutions in order to improve programmes implementation. This study reports experiences gained from collaboration between decision-makers and researchers from a World Bank project (Malaria and Neglected Tropical Diseases in the Sahel, SM/NTD). The objectives of this paper were to identify bottlenecks in malaria programme implementation as well as related research questions they bring up. Methods Questionnaire addressed to National Malaria Control Programme managers and prioritization workshops were used as a medium to identify research questions. The bottlenecks in malaria programme implementation were identified in seven thematic areas namely governance, human resources, drugs, service provision, use of prevention methods, monitoring and evaluation (M and E), and public support or buy-in. The first five priority questions were: (1) compliance with drug doses on the second and third days during the seasonal chemoprevention (SMC) campaigns, (2) the contribution of community-based distributors to the management of severe cases of malaria in children under 5 years, (3) the SMC efficacy, (4) artemisinin-based combination therapy (ACT) tolerance and efficacy according to existing guidelines, and (5) the quality of malaria control at all levels of the health system. Results and conclusion This work showed the effectiveness of collaboration between implementers, programmes managers, and researchers in identifying research questions. The responses to these identified research questions of this study may contribute to improving the implementation of malaria control programmes across African countries.


Acta Tropica ◽  
2009 ◽  
Vol 111 (2) ◽  
pp. 160-167 ◽  
Author(s):  
Romy Razakandrainibe ◽  
Vincent Thonier ◽  
Arsène Ratsimbasoa ◽  
Emma Rakotomalala ◽  
Elisabeth Ravaoarisoa ◽  
...  

2015 ◽  
Vol 3 (1) ◽  
Author(s):  
Marie-Louise Samuels ◽  
Stephen Taylor ◽  
Debra Shepherd ◽  
Servaas Van der Berg ◽  
Christel Jacob ◽  
...  

This paper describes the expansion since 2001 of a public pre-school programme in South Africa known as ‘Grade R’, summarises the findings from an impact evaluation of the introduction of Grade R, discusses the policy recommendations flowing from the evaluation and reflects on the process of implementing the recommendations. The Grade R programme has expanded dramatically, to the point where participation is nearly universal. Although a substantial literature points to large potential benefits from pre-school educational opportunities, the impact evaluation reported on in this article demonstrated that the Grade R programme, as implemented until 2011, had a limited impact on later educational outcomes. Improving the quality of Grade R, especially in schools serving low socio-economic status communities, thus emerges as a key policy imperative. Recommended responses include professionalising Grade R teachers, providing practical in-service support, increasing access to appropriate storybooks, empowering teachers to assess the development of their learners, and improving financial record-keeping of Grade R expenditure by provincial education departments. The impact evaluation was initiated by the Department of Planning, Monitoring and Evaluation (DPME) and the Department of Basic Education (DBE), and was conducted by independent researchers. The move towards increased evaluation of key government programmes is important for shifting the focus of programme managers and policymakers towards programme outcomes rather than only programme inputs. Yet the process is not without its challenges: following a clear process to ensure the implementation of the lessons learned from such an evaluation is not necessarily straightforward. 


2021 ◽  
Author(s):  
Tete Sitou Amouh ◽  
Saidou Malam Ekoye ◽  
Césaire Damien Ahanhanzo ◽  
Tinga Robert Guiguemdé ◽  
Issiaka Sombié

Abstract BackgroundTo strengthen the fight against malaria, it is imperative to identify weaknesses and possible solutions in order to improve programmes implementation. This study reports experiences gained from collaboration between decision-makers and researchers from a World Bank project (Malaria and Neglected Tropical Diseases in the Sahel, SM/NTD). The objectives of this paper were to identify bottlenecks in malaria programme implementation as well as related research questions they bring up. MethodsQuestionnaire addressed to National Malaria Control Programme managers and prioritization workshops were used as a medium to identify research questions. The bottlenecks in malaria programme implementation were identified in seven thematic areas namely governance, human resources, drugs, service provision, use of prevention methods, monitoring and evaluation (M&E), and public support or buy-in. The first five priority questions were: (1) compliance with drug doses on the second and third days during the seasonal chemoprevention (SMC) campaigns, (2) the contribution of community-based distributors to the management of severe cases of malaria in children under 5 years, (3) the SMC efficacy, (4) artemisinin-based combination therapy (ACT) tolerance and efficacy according to existing guidelines, and (5) the quality of malaria control at all levels of the health system. Results and ConclusionThis work showed the effectiveness of collaboration between implementers, programmes managers, and researchers in identifying research questions. The responses to these identified research questions of this study may contribute to improving the implementation of malaria control programmes across African countries.


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