National Project Implementation Plan - NVBDCP
National Project Implementation Plan - NVBDCP
National Project Implementation Plan - NVBDCP
You also want an ePaper? Increase the reach of your titles
YUMPU automatically turns print PDFs into web optimized ePapers that Google loves.
treat malaria correctly. Modules for use by KATS for LQAS are being developed<br />
to include client interviews, provider interviews and observation of the facilities.<br />
In order to minimize data collection the project will apply a new approach to<br />
LQAS analysis called Large Country LQAS (LC-LQAS). 10 Using this approach a<br />
statistically determined sample of sectors will be made at a point in time (e.g.,<br />
15 sectors or 5 blocks per MTS).This approach will permit assessment of the 15<br />
sectors after 5 weeks and also calculate a point estimate for the district. LC-<br />
LQAS permits the program to carry out an innovative approach to program<br />
monitoring for it can carry out 3 waves of data collection at key times of the<br />
year (e.g., at the beginning of the high transmission season, at the end of the<br />
high transmission season, and at the low transmission season. The resulting<br />
data will permit program managers to determine the stability of net use and<br />
case management throughout the year, and therefore inform program<br />
managers about priority support that is needed in PHCs. Most key program<br />
outcome indicators will be measured using the LC-LQAS data.<br />
In addition, two cross-sectional household surveys to collect the same data<br />
plus selected other variables, especially malaria prevalence will be carried out<br />
in 2010, and 2013 across the high-burden districts after approval from MOH.<br />
Cross sectional household and health facility surveys have been carried out for<br />
kala-azar in 2006 and the findings were used in the JMM. These surveys were<br />
very useful in planning the kala-azar programme. Similar surveys are proposed<br />
in 2008, 2010 and 2013 to monitor progress in kala-azar elimination.<br />
(b) A Logistic Management Information System (LMIS)<br />
This will be created to track LLINs, insecticides, RDTs and ACTs from their<br />
purchase or point of entry to the project districts to the decentralized<br />
distribution points in the PHC areas. For kala-azar it is proposed to include RDK<br />
and first line medicines. The LMIS will use a standardized form that records the<br />
quantity of LLINs, RDTs (or ‘rk39’) and ACTs (or first line medicines for the<br />
treatment of kala-azar) at each point where an organization takes delivery or<br />
delivers these commodities. The LMIS tracks the distribution of the products<br />
down to the lower sub-district level service delivery points. Each district will be<br />
responsible for tracking its own allotments but will be required to use one<br />
reporting system and forward this information centrally to the <strong>NVBDCP</strong>. The<br />
LMIS will show the spatial distribution of LLINs, RDTs, (‘rk39’) ACTs and first<br />
line medicines for kala-azar in the project area, and provide the project<br />
management with information to determine whether any area is deprived of<br />
needed commodities. The MTS/KTS or a different person (e.g., a designee or<br />
10 Bethany Hedt, Casey Olives, Marcello Pagano, Joseph J. Valadez, “Large Country-Lot Quality<br />
Assurance Sampling: A New Method for Rapid Monitoring and Evaluation of Health, Nutrition and<br />
Population Programs at Sub-<strong>National</strong> Levels.” The World Bank. (In Review 2008). LC-LQAS has<br />
already been used in Eritrea, Kenya, Nigeria and Uzbekistan.<br />
85