Burkina Faso Five-Year Evaluation of the Global Fund (GF5YE): Study Area 3 – Health Impact

1. Burkina FasoFive-Year Evaluation of the Global Fund (GF5YE): Study Area 3 – Health Impact Sharing experiences in linking M&E to research Meda N, Simaga F, Tiendrebeogo AJ, Soudré R on Behalf of MACRO/WHO/ Burkina Faso GF5YE Evaluation Team

2. Scope and scale of GF5YE in Burkina Faso • National Health Accounts (2003-2006) • National record reviews (HIV, Tb, Malaria, General) • Secondary analysis of national surveys (HIV, Tb, Malaria, General) • Primary data collection: DCA • Facility-based surveys • Community-based surveys • CBO interventions inventory The National Reference Group for NHA and 2 research institutions selected (IRSS, GREFSaD) 13 Districts selected, 1 per health region, 3 urban, 10 rural, with high (6), medium (3) , & low (4) exposition to support/interventions

3. Values of GF5YE – Linkages with Research • Evidence of poor quality of the routine health information system for the monitoring of VCT, ARV procurement & treatment, PMTCT, etc. Need of technical support (tools, training, archiving) Establish a research-based observatory of universal access • Low access to PMTCT services (only 14%): • Use coverage of target population to follow the programme instead of number of facilities with PMTCT • Introduce in round 9 grant operational research on barriers and facilitators to access PMTCT services by comparing good and bad performers health facilities • Rising incidence of TB and malaria 1998-2007 • Better detection rate of TB? • Better surveillance of malaria?

4. Gaps in Linking Evaluation Outcomes with Research – How to Address Them? • Gaps • In-depth analysis of the huge amount of data sets gathered not yet occurred (only imposed indicators have been computed) • In-depth description and analysis of the impact on health system indicators not yet done • Distribution by disease, coverage, and quality of CBO devoted to the fight against HIV, Tb & Malaria unclear? • How to Address Them? • Support for further analysis of datasets and publications • Study the added value of CBO in the fight against HIV, Tb & Malaria?

5. Specific Recommendations – Enhance the Link between M&E and Research • Data sets gathered need further analysis to properly answer the basic evaluation questions. • The reportof GF5YE in Burkina will provide a solid platform for evidence-based policy-making and advocacy in fund-raising (future GF rounds or other partners) and will raise key research questions to explore • Operational research has to be funded to address research questions raised by GF5YE findings (low access to PMTCT, rising incidence of malaria and Tb, effectiveness of ARV treatment, lack of CBO in malaria and TB programmes,.)

6. Acknowledgements • Global Fund to Fight HIV/AIDS, Tb & Malaria • WHO country office and headquarter • MACRO international consultants • Burkina Ministry of Health/Cabinet • CCM/Burkina • Task Force members • SP/CNLS (NAC secretariat) • Research groups and their field workers • Community and health facilities surveyed