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Parallel Session on Monitoring and Evaluation to Inform Action and Set Direction fro Research

Parallel Session on Monitoring and Evaluation to Inform Action and Set Direction fro Research. Five -Year (5YE) Evaluation of the Global Fund Tuesday, 18 November 2008 11:00 - Meeting Room Wa Kamissoko 2008 Global Ministerial Forum on Research for Health – Bamako, Mali.

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Parallel Session on Monitoring and Evaluation to Inform Action and Set Direction fro Research

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  1. Parallel Session on Monitoring and Evaluation to Inform Action and Set Direction fro Research Five -Year (5YE) Evaluation of the Global Fund Tuesday, 18 November 2008 11:00 - Meeting Room Wa Kamissoko 2008 Global Ministerial Forum on Research for Health – Bamako, Mali

  2. Scope and Scale of 5YE in Malawi • Overwhelming need for evidence that Global Fund (GF) is contributing towards reducing incidence and prevalence of HIV/AIDS, TB & Malaria • Evaluate in the context of SWAps i.e. assess contribution rather than attribution of GF • Assess morbidity & mortality trends using primary & secondary data sources in 9/28 districts • Sources of data: National records, Household surveys, National Health Accounts, District- specific data, & Research studies • Indicators: Burden of HIV/AIDS,ART Scale-up, Smear +ve TB cases, ITN & R_ coverage for malaria

  3. Values of 5YE – Linkages with Research • HIV/AIDS prevalence 14.7% (2003) to 12.6%(2007) with 898,888 PLWHA,s(2007) • ART Scale-up: 13,183(2004) to 146,856(2007) of which 100,649 are alive • HIV/AIDS Research Dissemination conferences held annually show an increase in # of studies • TB – operational research has been the cornerstone of informing policy and practice in NTP e.g. DOTS • Malaria – 6 million malaria episodes annually Mx:Case management, prophylaxis with ITN & IPTp with SP all led by research

  4. Gaps in Linking Evaluation Outcomes with Research – How to Address Them? • Weak mechanisms for synthesizing, packaging, and disseminating research findings so that they may incorporate M&E outcomes • Influx of funds into HIV/AIDS research(60/60 gap) & ART scale-up programs has led to diversion of attention from major killer diseases and erosion capacity of health systems to respond to more important challenges e.g. Maternal & Child mortality • Lack of expertise (Health Economist) to critically analyze the collected data so as give a picture of the real impact and cost-effectiveness of these interventions

  5. Specific Recommendations – Enhance the Link between M&E and Research • Strengthen the capacity within the country so that the health research systems are better able to link M&E outcomes to research e.g. creation of Research Unit within the MoH • Equitable and “moral” funding by donors on priority issues (90% of research funds are from external agencies in African Region) alignment with national health research priorities (EHP) • Real Q. is: Who sets the health research agenda and how? African PI’s are glorified data collection clerks!

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