1. Monitoring and Evaluation of Malaria in
Pregnancy Programs
Reena Sethi
May 2, 2012

2. Why M&E is important
 Improve program implementation
 Data used to track program progress and
implementation
 Improve program management and decision making
 Provide data for understanding future resource needs
 Provide data to stakeholders (including funders)
on program
 Allow accountability for program
 Advocacy
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3. WHO recommended indicators for M&E of
MIP programs
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4. Output Indicators
1. Percentage of antenatal clinic staff trained in control of malaria
during pregnancy in the past 12 months (including
IPT, counseling on ITN use and case management for
pregnancy women).
2. Percentage of health facilities reporting stock-out of the
recommended drug for IPT in the past month.
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5. Outcome Indicators
3. Percentage of pregnant
women attending
antenatal care who
receive IPT under direct
observation (first
dose, second dose, third
dose).
4. Percentage of pregnant
women who report having
slept under an ITN the
Benguela Province, Angola
previous night.
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6. Impact Indicators
5. Percentage of low birth-weight singleton live
births (< 2500 g), by parity.
6. Percentage of screened pregnant women with
severe anaemia (haemoglobin 7 g/dl) in third
trimester 7, by gravidity.
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7. Data Sources
 Health Management Information System (HMIS)
 Health facility surveys
 Health facility sentinel sites
 Community surveys
 Document reviews
 Key informant interviews and FGDs
 Household surveys
 Community health worker registers/tally sheets
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8. Key Dimensions of Data Quality
 Accuracy
 Reliability
 Precision
 Completeness
 Timeliness
 Integrity
 Confidentiality
Source: MEASURE Evaluation Data Quality Audit Tool
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9. How to Assess Data Quality
 Visual scanning, i.e. looking at
registers, summaries, forms and printouts
 More formal tools
 M&E Systems Strengthening Tool
 On-site data verification
 Data quality assessment or audit
Tools available at http://www.cpc.unc.edu/measure
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10. M&E of MIP at the Community Level
 Communities play an important role in
encouraging use of IPTp, ITNs and ANC and in
M&E
 Assemble an M&E team drawing from the
Community Mobilization Team and other key
community stakeholders, led by a person with
M&E expertise
 Select indicators that are simple to collect and
understood by the community; can be a subset of
indicators discussed earlier
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11. M&E of MIP at the Community Level
 Design an M&E plan including:
indicators, baseline values and
targets, responsible persons, data-based
decision making process
 Implement M&E plan and share the results and
proposed changes with the community, soliciting
their feedback, prior to making any program
changes
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12. To Summarize
 A strong M&E system
should be a core
component of all MIP
programs
 Evaluations should be
conducted for better
understanding of
process/outcomes/
impact
http://www.pmi.gov/technical/mne/index.html
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13. Next Steps
 Use of mobile technology to
track MIP interventions?
 Community health
workers
 Commodities
 Referrals
 Promote correct use of
nets
 Electronic databases to track
commodities (ITNs, IPTp)
 Other new or innovative USAID | DELIVER PROJECT staff in Zambia use cell phones to
collect data for malaria commodities. Photo courtesy of
ideas? Photoshare.
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