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Malaria programme reviews: - World Health Organization

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A manual for reviewing the performance of malaria control and elimination <strong>programme</strong>s 7<br />

3. tiMinG, sCoPe anD struCture<br />

oF ProGraMMe revieWs<br />

Effective planning and management of malaria control <strong>programme</strong>s require policies, guidance<br />

and strategic and annual operational plans with set, time-bound targets. The planning can be<br />

complemented by gap analyses and needs assessments and the preparation of proposals for<br />

funding to the Global Fund to Fight AIDS, Tuberculosis and <strong>Malaria</strong> (Global Fund) and other<br />

sources of financing. All types of planning and proposals can be made more effective and efficient<br />

by regular <strong>programme</strong> <strong>reviews</strong> or evaluations, which improve performance and provide<br />

evidence for redesigning or changing the <strong>programme</strong> to ensure sustainable scaling-up of malaria<br />

service delivery.<br />

<strong>Malaria</strong> <strong>programme</strong> <strong>reviews</strong> are related to but differ from needs assessments and evaluations<br />

of strategic plans (Table 5). The products of these slightly different processes are useful for<br />

thematic <strong>reviews</strong>. As shown in the table, malaria <strong>programme</strong> <strong>reviews</strong> should be conducted<br />

every 3–5 years as part of mid-term and end-of-term evaluations before the strategic plans are<br />

revised and updated and, if possible, as part of the evaluation preceding a fresh Global Fund<br />

proposal. A <strong>programme</strong> review is mandatory when a country has scaled-up malaria control,<br />

has obtained an effect on the numbers of malaria cases and deaths and is considering new<br />

investments in malaria control or reorientation to pre-elimination or elimination.<br />

Table 5. Planning and assessment in different comprehensive evaluations<br />

type OF evaLuatiOn Objectives timing Output OutcOme<br />

Strategic plan<br />

review<br />

Midterm and<br />

end of term<br />

review of<br />

strategic plan<br />

Gap analysis Financial needs<br />

to make funding<br />

proposals<br />

Needs<br />

assessment<br />

<strong>Malaria</strong><br />

<strong>programme</strong><br />

review<br />

Resources<br />

needed to<br />

reach Roll Back<br />

<strong>Malaria</strong> targets<br />

Periodic<br />

performance<br />

review for<br />

sustainable<br />

scale-up<br />

Every 5 years Updated malaria<br />

strategic plan<br />

Before Gap analysis<br />

submission of report<br />

a Global Fund<br />

grant proposal<br />

In 2008–2009,<br />

before 2010<br />

Every 3–5<br />

years<br />

Needs<br />

assessment<br />

report<br />

Aide-memoire,<br />

review report,<br />

thematic reports<br />

Strategic direction<br />

and medium-term<br />

plan<br />

Increased financing<br />

for scaling-up<br />

Mobilization of<br />

resources for<br />

scaling-up<br />

Improved<br />

<strong>programme</strong><br />

performance for<br />

scaling-up delivery<br />

(or strategic<br />

reorientation for<br />

pre-elimination)

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