World Tuberculosis (TB) Day, March 24, brings awareness to the tuberculosis epidemic affecting much of the world. Second only to HIV in the number of deaths from infectious disease, TB has devastating consequences on public health worldwide.
In 2007, the Roll Back Malaria Partnership’s Monitoring and Evaluation Group (MERG) proposed the use of a plausibility design to measure impact of malaria control programs. Since then, new measurement needs and evidence have emerged, requiring an updated approach. This document reviews and updates the 2007 evaluation framework and provides recommendations for evaluating the scale-up of malaria control interventions in endemic countries.
African Health Leaders: Making change and claiming the future
Omaswa, Francis and Nigel Crisp, editors. Oxford, United Kingdom: Oxford University Press, 2014.
Written by Africans, who have themselves led improvements in their own countries, the book discusses the creativity, innovation and leadership that has been involved in tackling everything from HIV/AIDs, to maternal, and child mortality and neglected tropical diseases. It sets out a vision for the future, showing how new relationships can be created with international partners, and demonstrates how insights and experiences from Africa can help improve health globally.
The regular use of reliable information from a well-designed routine health information system (RHIS) is indispensable for ensuring and sustaining improvements in health system performance. Using reliable information from RHIS over time is an important aid to improving health outcomes, tackling disparities, enhancing efficiency, and fostering innovation.
This document proposes standards on data management for RHIS, based on the results of an expert workshop, held in Johannesburg, South Africa, in May 2012. RHIS is a subsystem of health information systems (HIS), devoted to routine reporting of health sector service statistics for management, planning, and evaluation. Other HIS subsystems include census, civil registration, population surveys, individual records, and resource records. These guidelines are based on field experiences from all over the world and are considered “standards” or, at a minimum, “best practices.” Wherever possible, they are illustrated by case studies or use cases.
The Strengthening Tuberculosis Control in Ukraine (STbCU) project, awarded in 2012 to Chemonics International in partnership with Project HOPE and the New Jersey Medical School Global Tuberculosis Institute, works to improve the health of Ukrainians by reducing the burden of tuberculosis (TB). The project focuses on strategic actions to strengthen systems for routine TB services, as well as address the challenges of diagnosis and treatment for multidrug-resistant TB (MDR-TB) and TB-HIV co-infection.
In 2014, the MEASURE Evaluation project, upon the request of the U.S. Agency for International Development (USAID) mission in Kiev, initiated an impact evaluation to study two STbCU programmatic priorities: 1) providing social support services to improve TB treatment adherence; and 2) improving integration of TB and HIV services to reduce mortality through early diagnosis and treatment for TB-HIV co-infected patients. To evaluate the impact of these program efforts, MEASURE Evaluation designed two independent but complementary studies: the Social Support study and the TB-HIV Integration study.
This report provides information on the study designs and findings at baseline from data collected in four STbCU target oblasts (Dnipropetrovsk, Kharkiv, Odessa, and Zaporizhzhya) and three comparison sites (Kiev City, Mykolaiv, and Zhytomyr). This baseline work shows the positive role that social support services had on health outcomes for a majority of the individuals who received services in the oblasts studied, although some of the most at-risk groups were less likely to have accessed those services. Additional analyses to control for provider referrals will improve these estimates.
Abby Cannon is a member of the gender team. Abby started her study of gender earlier than most. When a freshman in high school she surveyed 1st grade classes for a science fair project. She asked them to draw pictures of various professions (doctors, nurses, school teachers, etc), then analyzed the genders that the children drew for each profession.
Abby’s road (sorry, I couldn’t resist) to public health wound through social work (working in foster care and adoption) and international development (in Cambodia teaching English and working with a small NGO on health and development). She then entered a dual masters degree program at UNC in social work and maternal and child health. She joined MEASURE Evaluation in January 2011. Since then she has played a key role in gender integration across the project. She also led a collaborative effort to produce Trafficking and Health: A compendium of M&E indicators.
Abby is the middle of three children, raised in Louisiana. The photo here is from a family vacation where they picked cherries at a local farm. She and her fiancée now live in Durham (for those of you who haven’t been here, Durham is a town next to Chapel Hill where many of the project staff live). They love to host dinners, visit the local farmers’ market, and hike in the Durham forests. Abby is always professional and cheerful. I hope you get to work with her one day.
The U.S. government awarded a highly-targeted and evidence-based program, Marketing Innovation for Health, to the Social Marketing Company (SMC) and its partners. The four-year project (2012 to 2016) involves an integrated social marketing program to provide a comprehensive range of essential health products and services to target populations in Bangladesh. Other partners in this effort include Population Services International (PSI), BRAC, Concerned Women for Family Development (CWFD), Population Services and Training Center (PSTC), Shimantik, and EngenderHealth.
The goal of the Marketing Innovation for Health program is to contribute to sustained improvements in the health status of women and children in Bangladesh by increasing access to and demand for these health products and services. An outcome evaluation will examine changes taking place in key outcomes in terms of utilization of health and family planning products and services. The evaluation measures outcomes “before and after” the intervention in project areas relative to changes in comparison areas. This report provides baseline data that were collected at the beginning of the interventions, in 2013-2014. Endline data will be collected after about two years from the date of the baseline data collection.