“Tools” for Malaria Control Scale Up for Impact

1. “Tools” for Malaria Control Scale Up for Impact RBM-Harmonization Working Group Meeting Geneva, January 2007

2. Tools for malaria program scale up • General principles • “Useful” and “Usable” are critical • More ≠ better: the number of "tools" can be overwhelming, especially if you ask the one program manager to be the conduit for all of this work. • Existing tool made better is a good idea • Tools linked to money (e.g., Global Fund applications) are good • Money/resources from donors are linked to outcome and impact measurement, therefore, monitoring and evaluation tools are also key

3. Tools for malaria program scale up • General principles • Can you apply the tool yourself? Y/N • Can you teach someone to apply the tool? Y/N • If the answer to both is “Yes”, continue. If either one is “No”, reconsider the “tool”.

4. Tools for malaria program scale up • Planning tools • National Strategic Plan -- typically 5 yrs • Operational/Business Plan -- typically multiyear 2-3 • Annual Plan -- once each year quarterly or midterm review of annual plan • M&E Plan • Provincial, District Plans and micro-planning down to communities • Procurement and supply chain management tools • IEC/BCC Planning for malaria control • Specific tools within planning: e.g., Calendar of activities for each intervention strategy

5. Ministry of Health A 5-year Strategic Plan A Road Map for Impact on Malariain Zambia 2006-2011 Rapid Scale up of Malaria Control Interventions for Impact in Zambia

6. Ministry of Health A 3-Year Implementation Plan A Road Map for Impact on Malariain Zambia 2006-2011 Rapid Scale up of Malaria Control Interventions for Impact in Zambia

7. National Malaria Control Action Plan2006 Republic of Zambia Ministry of Health

8. National Malaria Control Action Plan--2006 4th Round Table Meeting of RBM Partners17th February 2006 Republic of Zambia Ministry of Health

9. Tools for malaria program scale up • Costing and Financing Tools • RBM Costing Tool (comment: still complicated to use; some “bugs”) • Marginal Budgeting for Bottlenecks Tool (comment: even more complicated and changing) • An approach: a. Do initial costing of National Strategic Plan for Scale Up b. Establish system (software spreadsheet) to match program plans with annual costs, annual available financial resources, and annual expenditures -- this also will elucidate “gaps” c. Must be usable by program financial officer

10. Draft Projected Costs of Country National Malaria Strategic Plan 2006-2011 ITN IRS IPT Operational Research M & E Storage Deployment/Transport Strategic Communication Advocacy Programme Management Human Resources & Facilities Training Lab Equipment Anti-malarial Case Management - Community/Home-based Care 2005 2006 2007 2008 2009 2010 2011 Complicated Malaria

11. Tools for malaria program scale up • Human Resource Needs Assessment • HR assessment for malaria control scale up has been done in countries -- many caveats but worth pursuing • Typically cannot be done in isolation from the rest of the health sector • NB: for costing, the commodities and the human resources are the two biggest costs

12. Tools for malaria program scale up • Gap Analysis Tools • GFATM Round 6 tools • RBM Gap analysis tool – developed recently for Dakar meeting • “Gaps” Program: coverage Financial Human Other: most can be covered by money or people, but may require additional inputs

13. Tools for malaria program scale up • Monitoring and Evaluation Tools • GFATM Round 6 attachment A • RBM,RBM-MERG, and WHO documents (see MERG and GMP web site and meeting notes) Malaria Indicator Survey Malaria module for DHS and MICS WHO-AFRO Guidelines for malaria M&E -- in development and review • HMIS and HMIS reviews • Sentinel Site, DSS, Other

14. Tools for malaria program scale up • Tools and their use in “Validation” validation implies having an existing "gold standard" and comparing what the country has with this gold standard. The gold standard may actually be bronze or tin or wood or plastic. So, one set of comparisons is • "does the plan or tool exist in country?" Y/N • "has the plan/tool been used this past year?" Y/N • if yes, “was it used by the program or from the outside?” Inside/outside • "would the program manager want and use any of the tools that are or could be available?" Y/N • if yes, which ones are priorities? _____________________

15. Tools for malaria program scale up • Critical Next Steps for Tools

16. Planning-Resourcing-Implementing-Monitoring & Evaluating Resourcing Planning Scaling Up for Impact Implementing Monitoring & Evaluating

17. Planning-Resourcing-Implementing-Monitoring&Evaluating and “The Three Ones” Resourcing Planning One Plan and Planning System Scaling Up for Impact Implementing Monitoring & Evaluating One Coordination System for Implementation One Monitoring & Evaluation System

18. Planning-Resourcing-Implementing-Monitoring&Evaluating and “The Three Ones” Many Partners for Resourcing Resourcing Planning One Plan and Planning System Scaling Up for Impact Implementing Monitoring & Evaluating One Coordination System for Implementation One Monitoring & Evaluation System

19. Planning-Resourcing-Implementing-Monitoring & Evaluating Planning Tools National Strategic Plan for Malaria Control 3-year Implementation Plan Annual Action Plan -- midterm review Resourcing Planning Scaling Up for Impact Implementing Monitoring & Evaluating

20. Planning-Resourcing-Implementing-Monitoring & Evaluating Resourcing Tools Costing Financial Management HR assessment Resourcing Planning Scaling Up for Impact Implementing Monitoring & Evaluating

21. Planning-Resourcing-Implementing-Monitoring & Evaluating Resourcing Planning Scaling Up for Impact Implementation Tools Intervention support ITNs, IRS, Prev of MiPreg, PECM Systems support Procurement & Supply Chain Mgt Calendar of Action IEC/BCC Plan Advocacy Plan Etc. Implementing Monitoring & Evaluating

22. Planning-Resourcing-Implementing-Monitoring & Evaluating Resourcing Planning M&E Tools M&E Plan Global Fund Attachment A to synthesize indicators and measurement plans Impact: reduced illness, anemia, death Outcome: coverage and use Outcomes, Process, Inputs Gaps assessment Scaling Up for Impact Implementing Monitoring & Evaluating