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“Tools” for Malaria Control Scale Up for Impact. RBM-Harmonization Working Group Meeting Geneva, January 2007. Tools for malaria program scale up. General principles “Useful” and “Usable” are critical

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tools for malaria control scale up for impact

“Tools” for Malaria Control Scale Up for Impact

RBM-Harmonization Working Group Meeting

Geneva, January 2007

tools for malaria program scale up
Tools for malaria program scale up
  • General principles
  • “Useful” and “Usable” are critical
  • More ≠ better: the number of "tools" can be overwhelming, especially if you ask the one program manager to be the conduit for all of this work.
  • Existing tool made better is a good idea
  • Tools linked to money (e.g., Global Fund applications) are good
  • Money/resources from donors are linked to outcome and impact measurement, therefore, monitoring and evaluation tools are also key
tools for malaria program scale up1
Tools for malaria program scale up
  • General principles
  • Can you apply the tool yourself? Y/N
  • Can you teach someone to apply the tool? Y/N
  • If the answer to both is “Yes”, continue. If either one is “No”, reconsider the “tool”.
tools for malaria program scale up2
Tools for malaria program scale up
  • Planning tools
  • National Strategic Plan -- typically 5 yrs
  • Operational/Business Plan -- typically multiyear 2-3
  • Annual Plan -- once each year

quarterly or midterm review of annual plan

  • M&E Plan
  • Provincial, District Plans and micro-planning down to communities
  • Procurement and supply chain management tools
  • IEC/BCC Planning for malaria control
  • Specific tools within planning:

e.g., Calendar of activities for each intervention strategy

slide5

Ministry of Health

A 5-year Strategic Plan

A Road Map for Impact on Malariain Zambia

2006-2011

Rapid Scale up of Malaria Control Interventions for Impact in Zambia

slide6

Ministry of Health

A 3-Year Implementation Plan

A Road Map for Impact on Malariain Zambia

2006-2011

Rapid Scale up of Malaria Control Interventions for Impact in Zambia

national malaria control action plan 2006

National Malaria Control Action Plan2006

Republic of Zambia

Ministry of Health

national malaria control action plan 20061

National Malaria Control Action Plan--2006

4th Round Table Meeting of RBM Partners17th February 2006

Republic of Zambia

Ministry of Health

tools for malaria program scale up3
Tools for malaria program scale up
  • Costing and Financing Tools
  • RBM Costing Tool (comment: still complicated to use; some “bugs”)
  • Marginal Budgeting for Bottlenecks Tool (comment: even more complicated and changing)
  • An approach:

a. Do initial costing of National Strategic Plan for Scale Up

b. Establish system (software spreadsheet) to match program plans with annual costs, annual available financial resources, and annual expenditures -- this also will elucidate “gaps”

c. Must be usable by program financial officer

slide10

Draft Projected Costs of Country National Malaria Strategic Plan 2006-2011

ITN

IRS

IPT

Operational Research

M & E

Storage

Deployment/Transport

Strategic Communication

Advocacy

Programme Management

Human Resources & Facilities

Training

Lab Equipment

Anti-malarial Case Management

-

Community/Home-based Care

2005

2006

2007

2008

2009

2010

2011

Complicated Malaria

tools for malaria program scale up4
Tools for malaria program scale up
  • Human Resource Needs Assessment
  • HR assessment for malaria control scale up has been done in countries -- many caveats but worth pursuing
  • Typically cannot be done in isolation from the rest of the health sector
  • NB: for costing, the commodities and the human resources are the two biggest costs
tools for malaria program scale up5
Tools for malaria program scale up
  • Gap Analysis Tools
  • GFATM Round 6 tools
  • RBM Gap analysis tool – developed recently for Dakar meeting
  • “Gaps”

Program: coverage

Financial

Human

Other: most can be covered by money or people, but may require additional inputs

tools for malaria program scale up6
Tools for malaria program scale up
  • Monitoring and Evaluation Tools
  • GFATM Round 6 attachment A
  • RBM,RBM-MERG, and WHO documents (see MERG and GMP web site and meeting notes)

Malaria Indicator Survey

Malaria module for DHS and MICS

WHO-AFRO Guidelines for malaria M&E -- in development and review

  • HMIS and HMIS reviews
  • Sentinel Site, DSS, Other
tools for malaria program scale up7
Tools for malaria program scale up
  • Tools and their use in “Validation”

validation implies having an existing "gold standard" and comparing what the country has with this gold standard. The gold standard may actually be bronze or tin or wood or plastic. So, one set of comparisons is

  • "does the plan or tool exist in country?" Y/N
  • "has the plan/tool been used this past year?" Y/N
  • if yes, “was it used by the program or from the outside?” Inside/outside
  • "would the program manager want and use any of the tools that are or could be available?" Y/N
  • if yes, which ones are priorities? _____________________
tools for malaria program scale up8
Tools for malaria program scale up
  • Critical Next Steps for Tools
slide16

Planning-Resourcing-Implementing-Monitoring & Evaluating

Resourcing

Planning

Scaling Up for Impact

Implementing

Monitoring

&

Evaluating

slide17

Planning-Resourcing-Implementing-Monitoring&Evaluating and “The Three Ones”

Resourcing

Planning

One Plan and Planning System

Scaling Up for Impact

Implementing

Monitoring

&

Evaluating

One Coordination System for Implementation

One Monitoring & Evaluation System

slide18

Planning-Resourcing-Implementing-Monitoring&Evaluating and “The Three Ones”

Many

Partners for Resourcing

Resourcing

Planning

One Plan and Planning System

Scaling Up for Impact

Implementing

Monitoring

&

Evaluating

One Coordination System for Implementation

One Monitoring & Evaluation System

slide19

Planning-Resourcing-Implementing-Monitoring & Evaluating

Planning Tools

National Strategic Plan for Malaria Control

3-year Implementation Plan

Annual Action Plan

-- midterm review

Resourcing

Planning

Scaling Up for Impact

Implementing

Monitoring

&

Evaluating

slide20

Planning-Resourcing-Implementing-Monitoring & Evaluating

Resourcing Tools

Costing

Financial Management

HR assessment

Resourcing

Planning

Scaling Up for Impact

Implementing

Monitoring

&

Evaluating

slide21

Planning-Resourcing-Implementing-Monitoring & Evaluating

Resourcing

Planning

Scaling Up for Impact

Implementation Tools

Intervention support

ITNs, IRS, Prev of MiPreg, PECM

Systems support

Procurement & Supply Chain Mgt

Calendar of Action

IEC/BCC Plan

Advocacy Plan

Etc.

Implementing

Monitoring

&

Evaluating

slide22

Planning-Resourcing-Implementing-Monitoring & Evaluating

Resourcing

Planning

M&E Tools

M&E Plan

Global Fund Attachment A

to synthesize indicators and measurement plans

Impact: reduced illness, anemia, death

Outcome: coverage and use

Outcomes, Process, Inputs

Gaps assessment

Scaling Up for Impact

Implementing

Monitoring

&

Evaluating

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