From efficacy to effectiveness: a comprehensive framework for monitoring, evaluating and optimizing SMC programmes

Authors: Monica Anna de Cola, Elisabeth G Chestnutt, Sol Richardson, Matthieu Baudry, Chuks Nnaji, Taiwo Ibinaiye, Azoukalná Moukánet, Kunle Rotimi, Benoît Sawadogo, Joshua Okafor, Cheick Saïd Compaorá, Chibuzo Oguoma, Christian Rassi, Arantxa Roca-Feltrer

This paper describes the process for developing a comprehensive monitoring and evaluation framework tailored specifically to seasonal malaria chemoprevention.

Background

Seasonal malaria chemoprevention (SMC) is a highly effective intervention for preventing malaria, particularly in areas with highly seasonal transmission. Monitoring and evaluating (M&E) SMC programmes are complex due to the scale, time-sensitive delivery of the programme and influence of external factors. This paper describes the process followed to develop a comprehensive M&E framework tailored specifically for the SMC context.

Methods

The Framework was developed through a literature and programme review, and stakeholder dialogues across three implementing countries—Burkina Faso, Chad and Nigeria. Expert consultation further refined the Framework through an iterative approach drawing upon data collected through the three sources. The Framework was designed using the Logical Framework Approach incorporating external factors and intentionally aligned with global malaria M&E standards.

Results

An overall aim and seven programme objectives were developed measured by 70 indicators. The indicators also capture the causal links between the implementation and results of the programme. The Framework leverages the use of current data sources and existing mechanisms, ensuring efficient data use without requiring a significant increase in resources for overall programme optimisation. It also promotes the use of data triangulation and stratification for a more nuanced understanding of factors affecting programme performance and timely data informed decision-making.

Conclusions

The SMC M&E Framework presented here provides a standardised approach for programme implementers to enhance decision-making for optimal programme performance. This is an essential tool as the scope of SMC programmes expands to new geographies and target age groups.

Published in Malaria Journal

Citation: Malaria Journal, 2024; 23: 39.