Evaluating malaria programmes in moderate- and low-transmission settings: practical ways to generate robust evidence
Abstract Background Many countries have made substantial progress in scaling-up and sustaining malaria intervention coverage, leading to more focalized and heterogeneous transmission in many settings. Evaluation provides valuable information for programmes to understand if interventions have been im...
Published in: | Malaria Journal |
---|---|
Main Authors: | , , , , |
Format: | Article in Journal/Newspaper |
Language: | English |
Published: |
BMC
2020
|
Subjects: | |
Online Access: | https://doi.org/10.1186/s12936-020-03158-z https://doaj.org/article/f322f5ce508d4079adac1e25501ab4b4 |
id |
ftdoajarticles:oai:doaj.org/article:f322f5ce508d4079adac1e25501ab4b4 |
---|---|
record_format |
openpolar |
spelling |
ftdoajarticles:oai:doaj.org/article:f322f5ce508d4079adac1e25501ab4b4 2023-05-15T15:15:25+02:00 Evaluating malaria programmes in moderate- and low-transmission settings: practical ways to generate robust evidence Ruth A. Ashton Debra Prosnitz Andrew Andrada Samantha Herrera Yazoumé Yé 2020-02-01T00:00:00Z https://doi.org/10.1186/s12936-020-03158-z https://doaj.org/article/f322f5ce508d4079adac1e25501ab4b4 EN eng BMC http://link.springer.com/article/10.1186/s12936-020-03158-z https://doaj.org/toc/1475-2875 doi:10.1186/s12936-020-03158-z 1475-2875 https://doaj.org/article/f322f5ce508d4079adac1e25501ab4b4 Malaria Journal, Vol 19, Iss 1, Pp 1-14 (2020) Process evaluation Impact evaluation Routine health information systems (RHIS) Surveillance Monitoring evaluation Decision-making Arctic medicine. Tropical medicine RC955-962 Infectious and parasitic diseases RC109-216 article 2020 ftdoajarticles https://doi.org/10.1186/s12936-020-03158-z 2022-12-31T10:41:16Z Abstract Background Many countries have made substantial progress in scaling-up and sustaining malaria intervention coverage, leading to more focalized and heterogeneous transmission in many settings. Evaluation provides valuable information for programmes to understand if interventions have been implemented as planned and with quality, if the programme had the intended impact on malaria burden, and to guide programmatic decision-making. Low-, moderate-, and heterogeneous-transmission settings present unique evaluation challenges because of dynamic and targeted intervention strategies. This paper provides illustration of evaluation approaches and methodologies for these transmission settings, and suggests how to answer evaluation questions specific to the local context. Methods The Roll Back Malaria Monitoring and Evaluation Reference Group formed a task force in October 2017 to lead development of this framework. The task force includes representatives from National Malaria Programmes, funding agencies, and malaria research and implementing partners. The framework builds on existing guidance for process and outcome evaluations and impact evaluations specifically in high transmission settings. Results The theory of change describes how evaluation questions asked by national malaria programmes in different contexts influence evaluation design. The transmission setting, existing stratification, and data quality and availability are also key considerations. The framework is intended for adaption by countries to their local context, and use for evaluation at sub-national level. Confirmed malaria incidence is recommended as the primary impact indicator due to its sensitivity to detect changes in low-transmission settings. It is expected that process evaluations provide sufficient evidence for programme monitoring and improvement, while impact evaluations are needed following adoption of new mixes of interventions, operational strategies, tools or policies, particularly in contexts of changing malaria epidemiology. ... Article in Journal/Newspaper Arctic Directory of Open Access Journals: DOAJ Articles Arctic Malaria Journal 19 1 |
institution |
Open Polar |
collection |
Directory of Open Access Journals: DOAJ Articles |
op_collection_id |
ftdoajarticles |
language |
English |
topic |
Process evaluation Impact evaluation Routine health information systems (RHIS) Surveillance Monitoring evaluation Decision-making Arctic medicine. Tropical medicine RC955-962 Infectious and parasitic diseases RC109-216 |
spellingShingle |
Process evaluation Impact evaluation Routine health information systems (RHIS) Surveillance Monitoring evaluation Decision-making Arctic medicine. Tropical medicine RC955-962 Infectious and parasitic diseases RC109-216 Ruth A. Ashton Debra Prosnitz Andrew Andrada Samantha Herrera Yazoumé Yé Evaluating malaria programmes in moderate- and low-transmission settings: practical ways to generate robust evidence |
topic_facet |
Process evaluation Impact evaluation Routine health information systems (RHIS) Surveillance Monitoring evaluation Decision-making Arctic medicine. Tropical medicine RC955-962 Infectious and parasitic diseases RC109-216 |
description |
Abstract Background Many countries have made substantial progress in scaling-up and sustaining malaria intervention coverage, leading to more focalized and heterogeneous transmission in many settings. Evaluation provides valuable information for programmes to understand if interventions have been implemented as planned and with quality, if the programme had the intended impact on malaria burden, and to guide programmatic decision-making. Low-, moderate-, and heterogeneous-transmission settings present unique evaluation challenges because of dynamic and targeted intervention strategies. This paper provides illustration of evaluation approaches and methodologies for these transmission settings, and suggests how to answer evaluation questions specific to the local context. Methods The Roll Back Malaria Monitoring and Evaluation Reference Group formed a task force in October 2017 to lead development of this framework. The task force includes representatives from National Malaria Programmes, funding agencies, and malaria research and implementing partners. The framework builds on existing guidance for process and outcome evaluations and impact evaluations specifically in high transmission settings. Results The theory of change describes how evaluation questions asked by national malaria programmes in different contexts influence evaluation design. The transmission setting, existing stratification, and data quality and availability are also key considerations. The framework is intended for adaption by countries to their local context, and use for evaluation at sub-national level. Confirmed malaria incidence is recommended as the primary impact indicator due to its sensitivity to detect changes in low-transmission settings. It is expected that process evaluations provide sufficient evidence for programme monitoring and improvement, while impact evaluations are needed following adoption of new mixes of interventions, operational strategies, tools or policies, particularly in contexts of changing malaria epidemiology. ... |
format |
Article in Journal/Newspaper |
author |
Ruth A. Ashton Debra Prosnitz Andrew Andrada Samantha Herrera Yazoumé Yé |
author_facet |
Ruth A. Ashton Debra Prosnitz Andrew Andrada Samantha Herrera Yazoumé Yé |
author_sort |
Ruth A. Ashton |
title |
Evaluating malaria programmes in moderate- and low-transmission settings: practical ways to generate robust evidence |
title_short |
Evaluating malaria programmes in moderate- and low-transmission settings: practical ways to generate robust evidence |
title_full |
Evaluating malaria programmes in moderate- and low-transmission settings: practical ways to generate robust evidence |
title_fullStr |
Evaluating malaria programmes in moderate- and low-transmission settings: practical ways to generate robust evidence |
title_full_unstemmed |
Evaluating malaria programmes in moderate- and low-transmission settings: practical ways to generate robust evidence |
title_sort |
evaluating malaria programmes in moderate- and low-transmission settings: practical ways to generate robust evidence |
publisher |
BMC |
publishDate |
2020 |
url |
https://doi.org/10.1186/s12936-020-03158-z https://doaj.org/article/f322f5ce508d4079adac1e25501ab4b4 |
geographic |
Arctic |
geographic_facet |
Arctic |
genre |
Arctic |
genre_facet |
Arctic |
op_source |
Malaria Journal, Vol 19, Iss 1, Pp 1-14 (2020) |
op_relation |
http://link.springer.com/article/10.1186/s12936-020-03158-z https://doaj.org/toc/1475-2875 doi:10.1186/s12936-020-03158-z 1475-2875 https://doaj.org/article/f322f5ce508d4079adac1e25501ab4b4 |
op_doi |
https://doi.org/10.1186/s12936-020-03158-z |
container_title |
Malaria Journal |
container_volume |
19 |
container_issue |
1 |
_version_ |
1766345779852607488 |