1 / 27

Monitoring access and utilization of ITN’s: The key to results-based programming

Inter-country workshop on scaling-up ITN implementation for the control of malaria and other vector-borne diseases in countries of EMR Abha, Saudi Arabia, 18-20 October, 2003. Monitoring access and utilization of ITN’s: The key to results-based programming Ms Asiya Odugleh/ Dr Will Parks

mala
Download Presentation

Monitoring access and utilization of ITN’s: The key to results-based programming

An Image/Link below is provided (as is) to download presentation Download Policy: Content on the Website is provided to you AS IS for your information and personal use and may not be sold / licensed / shared on other websites without getting consent from its author. Content is provided to you AS IS for your information and personal use only. Download presentation by click this link. While downloading, if for some reason you are not able to download a presentation, the publisher may have deleted the file from their server. During download, if you can't get a presentation, the file might be deleted by the publisher.

E N D

Presentation Transcript

  1. Inter-country workshop on scaling-up ITN implementation for the control of malaria and other vector-borne diseases in countries of EMRAbha, Saudi Arabia, 18-20 October, 2003 Monitoring access and utilization of ITN’s: The key to results-based programming Ms Asiya Odugleh/ Dr Will Parks WHO Mediterranean Centre for Vulnerability Reduction (WMC)

  2. Purpose of this presentation • To reinforce the significance of programme monitoring in access and utilization of ITN’s • To identify key areas that will lead to better programme monitoring in access and utilization of ITN’s • To give a practical example of how programme monitoring can be applied and adapted for EMRO countries (Sudan) • NOT to compare and contrast different methodologies or research techniques

  3. Background to this presentation Situation Malaria is still a major public health problem and ITN’s programmes are central to RBM strategies to control and prevent malaria Issue The success of national programmes is dependent on ensuring wide access and promoting appropriate use of ITN’s by households Question How can we ensure that ITN programmes are working and ultimately delivering results?

  4. Outline of this presentation Key implementation challenges Applying programme monitoring: Sudan The significance of programme monitoring • Helps decision making • Specific purpose • Focuses priorities

  5. Significance Programme monitoring helps decision making • Applies social research to judge and improve programmes • Results inform programme management, strategic planning and resource allocations • Critical for scaling up

  6. Significance Programme monitoring has a specific purpose Programme monitoring has two main purposes: • To improve programmes by identifying those aspects that are working according to plan and those that are in need of mid-course corrections, and • To track (and demonstrate) results at the programme or population level

  7. Significance Programme monitoring is a type of evaluation Monitoring Programme Performance Assessing Impact

  8. Outline of this presentation Key implementation challenges Applying programme monitoring: Sudan The significance of programme monitoring • Plan monitoring early • Focus on behaviours • Define appropriate indicators and • sources of data

  9. Application Sudan’s malaria contribution To EMR… • Half of all malaria cases • Nearly ¾ of all malaria deaths To it’s national health service… • More than a third of all out-patient attendances • Up to one third of the annual in-patient attendance To it’s national economy… • Malaria accounts for one fifth of working days lost • People spend between $5.2 –17.2 on malaria

  10. Application Sudan’s ITN status • Nets only used by 4% of communities (26 states) • 7% owned a net in North • 52% owned a net, 21% owned an ITN • 20% of children slept under a bed net night before the interview • 10% slept under a bed net the previous night • Low re-treatment rates Net ownership and use Malaria impact Challenge It will take 37 years before there are enough ITN’s for the most vulnerable groups A young child dies every 15 minutes Someone falls sick every 8 seconds

  11. Application Malaria Free Initiative: interventions work Reported malaria cases have gone down… Burden: Malaria cases as reported from health facilities, Sudan, 1997 -2003

  12. Application Deaths due to malaria have gone down in project areas… Malaria deaths after launching of malaria mortality reduction project in Kosti Hospital, Aug 2002--March 2003

  13. Application How do we know what was done to plan, how well it was done, what was changed? To scale up…. ?

  14. Application Key Behaviours: Get bednets, Use bednets, Re-treat bednets Services must be easily accessible and available New habits must be encouraged particularly for vulnerable groups • ACCESS • Purchase ITN’s • Retreat ITN’s • USAGE • Consistently sleep • under ITN’s • Handle and • store appropriately

  15. Application Communication-for-Behavioural-Impact (COMBI) • Behaviourally focused social mobilization • Systematically applies a blend of communication actions Administrative mobilization Community mobilization Personal selling (interpersonal communication/counselling) Advertising Point-of-Service Promotion

  16. Application 1) Plan early and operationalize purpose objectives: it takes the pain out of knowing what to monitor later

  17. Application In turn it takes the pain out of formulating outputs…

  18. Application In turn it takes the pain out of formulating outputs…

  19. Application …and outcomes…

  20. Application 2) Link objectives to indicators Indicators are variables that measure different aspects of a programme Inputs Processes Outputs Outcomes • Identify the key question(s) to address and • match with appropriate indicators • Define indicators in clear, precise terms

  21. Application 3) Link objectives, indicators, and sources of data

  22. Outline of this presentation Key implementation challenges Applying programme monitoring: Sudan The significance of programme monitoring • Co-ordination • Management • Resources

  23. Implementation Coordination is essential across disciplines and between actions COORDINATION BETWEEN ACTIONS COORDINATION BETWEEN MULTI-DISCIPLINARY TEAMS

  24. Implementation Implementation demands on-going management and resources • Regular progress checks • Vigorous follow-up • Funds (staff time, transport, administration)

  25. In summary… Implementation must be progressive and sustained Applying it well is dependent on finding answers to the right questions at the right time in the right way Programme monitoring is critical to understanding performance and demonstrating results The growing complexities and demands on ITN programmes to scale up require the strategic application of many disciplines. Good planning and monitoring will help focus priorities, use resources more effectively and make it easier to show results.

  26. Next steps • Review monitoring component of your ITN strategy • Decide what needs to be improved • Develop an ITN monitoring plan: use chapter 3 of the ITN manual for national programme managers and the handouts

  27. Finally…. If you are interested in developing a COMBI Plan for your own programme… Speak to Hoda and Abraham!!!

More Related