Monitoring and evaluation
Monitoring and evaluation of the scale up of malaria interventions and their associated impact on malaria burden is essential for understanding progress, successes and challenges in national malaria control efforts. Following the ambitious targets set in the National Malaria Strategic Plan 2006-2010, the RBM partnership in Zambia developed the accompanying National Malaria M&E Plan to coordinate partner malaria M&E and to define the essential M&E roles necessary for understanding progress in attaining the national targets. The National M&E Plan is a living document that presents key objectives for putting in place an effective system for measurement, performance monitoring and evaluation.
Sound monitoring and evaluation of malaria control efforts at the country level is critical if the malaria community is to demonstrate progress in achieving outcomes and impact. This will require that the basic health information systems are strengthened and that adequate capacity is developed for collecting, analyzing, and disseminating coverage and impact data. In addition, it requires establishing a clear understanding of programmatic implications of implementing effective malaria control through operations research.
The goal of the national monitoring and evaluation system for malaria control in Zambia is to provide reliable information on progress in controlling malaria. A range of data sources, highlighted in the figure below, can be used to inform the monitoring and evaluation of malaria control programmes.
Data Sources for Monitoring and Evaluation
The primary sources of information for monitoring and evaluation come from routine information sources, periodic surveys and research. Routine information reported through the national Health Management Information System (HMIS), as well as programmatic monitoring, are necessary for basic performance monitoring in the delivery of malaria control services. For evaluating national programme efforts, periodic surveys including both household and facility based measurement are necessary to understanding the population-based coverage of interventions in light of multiple partner contributions, including those delivered at the household and facility levels. Surveys also provide a more rigorous method for evaluating the impact in the presence of interventions, especially when conducted successively. Operational and other research inform such issues as the efficacy of interventions tools and appropriate methods of delivery.