Monitoring and evaluation
In order to improve overall performance and ensure effective delivery of services, Malaria Consortium rountinely conducts monitoring and evaluation activities, using the results to feed our learning agenda and guide implementation.
We view monitoring and evaluation (M&E) as a continuous process that occurs throughout the life of a programme or intervention. We ensure that participatory planning and M&E activities are established from the onset of each project so that the impact is measured and internal accountability is ensured.
M&E activities are undertaken to achieve the following objectives:
We also build monitoring, evaluation, surveillance and data management capacities in partner institutions, such as national malaria control programmes, and engage in international efforts to set agendas. With respect to malaria, we are an active participant in Roll Back Malaria’s M&E-focused technical working groups as well as in other groups that address M&E issues in specific content areas.
Surveillance is also one of the cornerstones of control activity for malaria and some neglected tropical diseases (NTDs), allowing governments and health organisations to monitor the situation on the ground, identify the emergence of outbreaks and prioritise regions or populations that are most vulnerable to disease. This information helps shape targeted responses and to evaluate their impact.
Much of our work in Southeast Asia has focused on supporting strategies for the elimination of malaria in areas where there are high levels of artemisinin resistance and few cases. For example, our Thai-Cambodia border surveillance project has been crucial for providing information about malaria among at-risk mobile populations and in driving rapid responses to detected cases.
To drive the NTD agenda on case finding and disease surveillance, we adopt a systematic NTD health strengthening programme with surveillance as one of the main components, linked to the health information management and reporting system. Where such a system is not yet established, we are helping to build and strengthen those health information management systems, providing guidance on how to incorporate NTD reporting, and disease monitoring to ensure quality and timely use of data in case of outbreaks or unusual change of disease trends. In Southeast Asia, we are also assessing existing systems to evaluate the needs and challenges in dengue management and surveillance.
We have supported ministries of health to improve their central data management systems with enhanced reporting and response capabilities. We are providing technical assistance by embeding professional advisers to provide day-to-day support and capacity building in surveillance to national malaria control programmes in Cambodia and Myanmar. We are also conducting surveys to fill data gaps; in Myanmar we provided the country with its first malaria indicator survey.
There is a great deal we still need to learn about malaria and NTD transmission in both Asia and other regions if we are to drive forward effective elimination strategies. This is why we created our flagship surveillance project, Beyond Garki, which has intensively monitored risk factors for impacting on malaria transmission in different settings, allowing us to develop a comprehensive picture of the changes in epidemiology of malaria, and what drives change.