National Project Implementation Plan - NVBDCP

Chapter 9
MONITORING AND EVALUATION
Malaria control and KA elimination programs have been using an independent
MIS to monitor and evaluate the program at different levels of the health
system. This task is done by health care providers at different levels supported
by staff provided by the state and NVBDCP. Data generated is analyzed and
reported to the states and NVBDCP to guide the program. To strengthen the
system, CMIS was developed and introduced as a part of EMCP. It has not
worked well due to poor accessibility and other factors. IDSP has already
developed CMIS program and NVBDCP malaria MF 4 and MF 11 were revised
and integrated with IDSP. NVBDCP has already reduced the MF formats to
around eight, and the new MIS is to be implemented. Malaria control and KA
elimination programs will stress on passive case detection and improved
reporting. KA elimination program will use key indicators to monitor case
reporting and develop treatment cards to monitor completion of treatment.
NVBDCP has mapped high burden districts for focused IRS spray with the help
of GIS. Some of the states like Gujarat & Maharastra have already developed
GIS, which is being used by these states in the program. The GIS based
information would be expanded systematically by NVBDCP to other priority
districts as a tool for micro stratification, planning, monitoring and advocacy.
9.1 Project management and monitoring system
A well-defined project management and monitoring system will be
implemented to monitor progress towards targets and objectives and provide
continuous feedback to strengthen and improve delivery mechanisms at the
district level to achieve this. The project’s M&E activities include:
For malaria control
(a) Strengthening of HMIS for tracking malaria incidence and operational
indicators;
(b) Sentinel surveillance to collect data on severe malaria, hospitalized
malaria cases and malaria deaths from selected hospitals in each district;
(c) Decentralized measurement of outcomes at district and PHC levels
through Lot Quality Assurance Sampling (LQAS) and cross-sectional
surveys (later every second year) to support local decision-making and
provide monitoring results to the central level;
(d) Logistic Management Information System for supply chain management;
(e) System to monitor the quality of rapid diagnostic tests and medicines to
ensure their quality upon delivery and at point of use.
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