Transcript Slide 1

“Tools” for Malaria Control
Scale Up for Impact
RBM-Harmonization Working Group Meeting
Geneva, January 2007
Tools for malaria program scale up
• General principles
1. “Useful” and “Usable” are critical
2. 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.
3. Existing tool made better is a good idea
4. Tools linked to money (e.g., Global Fund applications)
are good
5. Money/resources from donors are linked to outcome
and impact measurement, therefore, monitoring and
evaluation tools are also key
Tools for malaria program scale up
• General principles
1. Can you apply the tool yourself?
Y/N
2. Can you teach someone to apply the
tool?
Y/N
3. If the answer to both is “Yes”, continue. If
either one is “No”, reconsider the “tool”.
Tools for malaria program scale up
• Planning tools
1. National Strategic Plan -- typically 5 yrs
2. Operational/Business Plan -- typically multiyear 2-3
3. Annual Plan -- once each year
quarterly or midterm review of annual plan
4. M&E Plan
5. Provincial, District Plans and micro-planning down to communities
6. Procurement and supply chain management tools
7. IEC/BCC Planning for malaria control
8. Specific tools within planning:
e.g., Calendar of activities for each intervention strategy
Ministry of Health
A 5-year Strategic Plan
A Road Map
for Impact on Malaria
in Zambia
2006-2011
Rapid Scale up of Malaria Control Interventions
for Impact in Zambia
Ministry of Health
A 3-Year Implementation Plan
A Road Map
for Impact on Malaria
in Zambia
2006-2011
Rapid Scale up of Malaria Control Interventions
for Impact in Zambia
National Malaria Control Action Plan
2006
Republic of Zambia
Ministry of Health
National Malaria Control Action Plan--2006
4th Round Table Meeting of RBM Partners
17th February 2006
Republic of Zambia
Ministry of Health
Tools for malaria program scale up
• Costing and Financing Tools
1. RBM Costing Tool (comment: still complicated to use;
some “bugs”)
2. Marginal Budgeting for Bottlenecks Tool (comment:
even more complicated and changing)
3. 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
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 up
•
Human Resource Needs Assessment
1.
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
2.
3.
Tools for malaria program scale up
•
Gap Analysis Tools
1.
2.
GFATM Round 6 tools
RBM Gap analysis tool – developed recently for Dakar
meeting
“Gaps”
3.
Program: coverage
Financial
Human
Other: most can be covered by money or people, but may
require additional inputs
Tools for malaria program scale up
•
Monitoring and Evaluation Tools
1.
2.
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
3.
4.
HMIS and HMIS reviews
Sentinel Site, DSS, Other
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 up
• Critical Next Steps for Tools
Planning-Resourcing-ImplementingMonitoring & Evaluating
Planning
Resourcing
Scaling
Up for
Impact
Monitoring
Implementing
&
Evaluating
Planning-Resourcing-ImplementingMonitoring&Evaluating and “The Three Ones”
One Plan and
Planning System
Resourcing
Planning
Scaling
Up for
Impact
One
Monitoring
Implementing Coordination
&
System for
Evaluating
Implementation
One Monitoring & Evaluation System
Planning-Resourcing-ImplementingMonitoring&Evaluating and “The Three Ones”
Many
One Plan and
Planning System
Resourcing
Planning
Partners for
Resourcing
Scaling
Up for
Impact
One
Monitoring
Implementing Coordination
&
System for
Evaluating
Implementation
One Monitoring & Evaluation System
Planning-Resourcing-ImplementingMonitoring & Evaluating
Planning Tools
National Strategic Plan
for Malaria Control
3-year Implementation
Plan
Annual Action Plan
-- midterm review
Planning
Resourcing
Scaling
Up for
Impact
Monitoring
Implementing
&
Evaluating
Planning-Resourcing-ImplementingMonitoring & Evaluating
Resourcing Tools
Costing
Planning
Resourcing
Scaling
Up for
Impact
Monitoring
Implementing
&
Evaluating
Financial
Management
HR assessment
Planning-Resourcing-ImplementingMonitoring & Evaluating
Planning
Resourcing
Scaling
Up for
Impact
Monitoring
Implementing
&
Evaluating
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.
Planning-Resourcing-ImplementingMonitoring & Evaluating
M&E Tools
Planning
Resourcing
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
Monitoring
Implementing
&
Evaluating