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Monitoring and Evaluation of Integrated Campaigns

Monitoring and Evaluation of Integrated Campaigns. Measles-Malaria Partnership Meeting Mac W. Otten, Jr., MD MPH Global Immunization Division Feb. 2007. M&E Integrated Campaigns. Campaign itself During campaign Survey: immediate, dry season Survey: wet season Post-campaign ITN use

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Monitoring and Evaluation of Integrated Campaigns

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  1. Monitoring and Evaluation of Integrated Campaigns Measles-Malaria Partnership Meeting Mac W. Otten, Jr., MD MPH Global Immunization Division Feb. 2007

  2. M&E Integrated Campaigns • Campaign itself • During campaign • Survey: immediate, dry season • Survey: wet season • Post-campaign ITN use • Post-campaign routine ITN distribution

  3. Six Sigma for Child Survival Kaizen for ITN Use Creating 50,000 Conversations for Malaria Control Improving Measurement and Management for ITN Use

  4. Issues • Great progress: 5% to 55% • ~45% children not under ITNs • One-third not using ITN • How to address? • Distribution: increase to >90% • ITN use • Distribution of ITNs at routine antenatal and EPI visits

  5. ITN Use, <5 yo children

  6. Take-Home Messages • Reach >80% ITN use by improving ITN use & routine ITN distribution • Modern management paradigm • Continuous measurement • De-centralized measurement • De-centralized problem-solving • Scale

  7. Public health management:minimal information package • Minimal package • Inputs (stock) • Coverage • Impact (surveillance) • Use of data

  8. Measurement tools • Inputs (Stock): ITNs • Coverage • Ask about ITN use at EPI contacts • Impact • WHO Integrated Disease Surveillance monthly form • <5-year-old in-patient malaria cases/deaths

  9. Am. J. Trop. Med. Hyg., 68(Suppl 4), 2003, pp. 137–141 De-centralized problem-solving • Why do we need? • Behavioral change related to ITN use may be complicated • Fits with known community development and behavior change theory • Reaching Every District meetings between community and health facility staff

  10. Can this be done? Monthly measurementat Health Facility & District Levels

  11. Measurement itselfas an intervention • 50,000 conversations per month about ITN use • Communication, marketing, advocacy tool • Benin – MOH/CDC study

  12. Integration • Building on successful management paradigm • Polio-Measles-Routine success story • De-centralized measurement & problem-solving • New anti-malarial drugs (ACTs) • Child survival interventions

  13. Scale • Small pilots • Design & cost between small pilots and nationwide scale are different

  14. Impact • Why do we need impact measurement? • Can’t we just use coverage?

  15. Burkina Faso Namibia South Africa Malawi Ethiopia Benin Niger Rwanda Uganda Kenya Zambia Angola Benin DRC Sierra Leone Tanzania For measles, impact does notmatch coverage

  16. Proposal: Achieve >80% ITN useat scale in 3 countries in 2007 • Example: Sierra Leone • Using all ANC and EPI contacts, mothers • Train health facility staff to facilitate behavior change discussions with community and political leaders, especially males • Link with NGOs • Red Cross system - 50% chiefdoms • Measurement of stock and coverage in all health facilities and districts every month • Evaluation

  17. Summary • Address ITN use & routine ITN distribution • Modern management paradigm • Continuous improvement • De-centralized problem-solving • Make progress at scale in 2007 • Attempt to reach >80% ITN use coverage in 3 countries in 2007

  18. End

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