THE SURVEILLANCE, MONITORING AND EVALUATION SECTION

 

Functions of the section:

	Elaboration of the National Malaria Control Program (NMCP) strategic plan for approbation by the National Roll Back Malaria Committee (NRBMC).
	Elaboration of the of the annual action plans of the Central Technical Group of the NMCP.
	Collection and exploitation of all data for monitoring performance and impact indicators of the various action plans.
	Preparation of the quarterly and annual reports of activity of the NMCP.

 

2006 Realizations

	Elaboration of the 2006 plan of action.
	Supervision of the data collection and transmission system at the peripheral level.
	Facilitation of the audit mission of the program in June.
	Preparation of 3 quarterly reports for the Global Fund.
	Elaboration of the Country Coordinating Mechanism’s request for continued funding by the Global Fund.
	Elaboration of the consolidated plans of action for 2007, 2008 and 2009 of the “Scaling up Malaria Prevention Project” funded by the Global Fund.
	Assured the secretariat and reported on all meetings held at the CTG.
	Responded to various correspondences from partners soliciting information from the NMCP.
	Production the 1st semester report of activity of the NMCP which showed that:

1. 75% of activities planned for the 1st semester had been fully realized.
2. Malaria continues be a major cause of morbidity and mortality (Table 1).
3. Children below 5 years continue to be the greatest victims of malaria (Table 2).

Challenges

The Provincial Malaria Control Units went functional in January 2003 and before then data on malaria very limited since the NHMIS forms contained only 3 variables specific for malaria: number of malaria cases in the under 5, number of deaths due to malaria in the under 5 and number of malaria cases confirmed in the laboratory. Additional data on malaria was thus included in the Weekly Epidemiological Surveillance forms and the EPI monthly return forms. However the main problem was the data compiled from the weekly reports did not match with the monthly returns of EPI reports. This led to the introduction of three data collection tools (WHO format): form 6 - summary form on the situation of patients seen in the out patient department; form 7 - summary form on the situation of admitted cases and form 8 - summary form of deaths that occurred in admitted cases.

With financing from the global fund there was the introduction of 9 new data collection forms in September 2005. Health personnel trained and the recommended variables for malaria control activities to figure in registers.

Weaknesses

	Too many forms
	Poor Promptitude and poor completeness.
	Complaints from health staff of extra work.
	Registers not always drawn as required.
	When properly drawn, not filled properly.
	Data in forms 6, 7, 8 not matching with the new forms.
	Personnel demanded motivation for the extra work.
	No person responsible for statistics in some health facilities.
	Putting together of numerous registers to compile summaries.
	Confusion on the level of initial synthesis.
	Unavailability of data collection tools (from register to the forms proper) in some health facilities.
	Filling of registers not systematic.

Perspectives

	The international metrics system is being put in place.
	Functional sentinel sites will be established.
	NHMIS is being restructured to provide required information.
	A new M and E framework has been developed.

Conclusion

The program (NMCP) solutions in response to information needs are being reinforced with the aid of partners (GF and GTZ):
- Harmonization of registers,
- Training,
- Enabling environment

 

ANNONCES