Indicators for Monitoring and Evaluation of project implementation

1
Indicators for Monitoring and Evaluation of
project implementation
Ministry of Health of the Republic of Uzbekistan

• Measuring impact indicators
• Grant project
• Scaling-Up the Response to Malaria in Uzbekistan
  A Focus on Vulnerable Populations, 2005-2009
  (?UZB-405-G02-M)
• G. Shamgunova,
• National malaria expert
• Tbilisi, Georgia, 17-19 September 2007

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Indicators used for the project
Impact indicators
Service coverage of the population
Coverage indicators
Impact measurement planning
Process indicators
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Choosing indicators for impact monitoring

• Impact indicators are selected in accordance
  with the projects goals and objectives using a
  conceptual ME framework, depending on the type
  of malarial situation. Impact indicators are
  epidemiological indicators which reflect the
  trends in infection propagation. They include
• Death rates associated with malaria all-cause
  under-5 mortality rate in highly endemic areas
• Incidence of clinical malaria cases (estimated
  and/or reported)
• Prevalence of malaria-transmitting parasites

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Impact indicatorIncidence of clinical malaria
cases (estimated and/or reported)

• Indicator definition
• Number of clinical (symptomatic) cases of malaria
  number of people diagnosed with uncomplicated
  or not severe malaria, who are receiving
  treatment for malaria in accordance with the
  national malaria treatment principles
• Justification
• In persons with insufficiently strong immune
  systems, malaria infection typically leads to
  clinical illness of which acute fever is the most
  common symptom. Malarias disease burden is best
  reflected in the type of the disease and not
  prevalence.
• Measurement
• The total number of cases of malaria registered
  in the national health information systems.
• Sources The national medical data gathering
  system.
• Frequency Monthly in absolute figures and
  intensive indicators and annually with an
  accompanying analysis of the state of sentinel
  surveillance

5
Impact indicator Number of pockets of malaria

• Indicator definition
• Number of active pockets of grade 2 vivax malaria
• Number of active pockets of grade 2 falciparum
  malaria
• Justification
• A pocket of malaria (not a case of malaria) is
  considered to be the basic unit to which measures
  can be applied. The effectiveness of such
  measures can be assessed via pocket category
  dynamics. Therefore, monitoring of malaria, the
  entomological situation and the impact of
  anti-malarial measures, is carried out by
  examining pockets.
• Measurement
• The total number of active pockets of grade 2
  malaria identified by the countrys
  parasitological service during epidemiological
  studies of pockets, sentinel surveillance data on
  the malarial situation in the pocket over the
  last 3 years.
• Sources The national medical data gathering
  system.
• Frequency Routine reporting and epidemiological
  map by case and pocket category on case detection
  and annually with an accompanying analysis of the
  state of sentinel surveillance.

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Incidence of malaria and types of anti-malarial
programmes in Uzbekistan
2006 - 76 cases
Liquidation programme at the maintenance stage
Aral Sea
Liquidation programme at the consolidation stage
Liquidation programme at the attack stage
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Solving ME problems that arise during project
implementation

• Overall, monitoring and evaluation of project
  implementation involved the use of indicators
  that are part of the existing national malaria
  epidemiological surveillance system, and used by
  the GF structure, therefore no significant
  problems were encountered in the area of ME.
• Before the project began such coverage indicators
  as the number of households treated with
  insecticides and the number of people protected
  with domestic treatment were not used but details
  of such work were recorded on the ground.
• In order to deal with this issue, departmental
  reporting form 16, which included 2 additional
  columns for the above indicators, was prepared
  and submitted to the Ministry of Health.