Kala azar - Monitoring and evaluation

Kala azar

Monitoring and evaluation

A framework for monitoring and evaluation of kala-azar is annexed.

Framework for monitoring and evaluation for kala-azar

Area

Key questions

Indicator suggested

Frequency of measurement

Responsible agency

Policy, strategy and guidelines

Advocacy plans

National plans for kala-azar elimination

Funds

Coordination mechanism for elimination of kala-azar

Are national policy, strategy and guidelines in place?

Have advocacy plans been prepared?

Have national plans for elimination of kala-azar been prepared?

Does the plan include the strategy of IVM?

Have additional funds needed been mobilized? Have gaps in funding been identified?

What efforts were made to mobilize additional funds?

Has a national coordination committee/task force or a working group been formed

Does the committee meet regularly?

Has an intercountry task force been constituted?

National policy and strategy documents

Written advocacy plans.

National plans for elimination of kala- azar prepared consistent with Regional Strategic Plan

Plans for vector control operations at district and subdistrict levels

Project document that identifies funding gaps.

Funds mobilized during the year.

Advocacy meetings or negotiations held with partners to mobilize additional funds.

Functional coordination committee/ask force/working group for elimination of kala-azar

Number of times the coordination committee has met during the past one year

No. of meetings of intercountry task force organized

Before starting, and after 3-5 years

Once

Once every two years

Once every year (revised based on results)

Once a year

Quarterly

Once in four years. To be reconstituted after that.

Quarterly

Yearly

National Programme Manager

National, state and district focal points

National Programme Manager and donors

National Programme Manager, WHO

Health Secretary/DG as chairperson

National Programme Manager

WHO, national programme managers and key partners

Standard guidelines for training of doctors and health workers

Training of doctors, health workers and other service providers in treatment and prevention of kala-azar

Supervision of service providers (health workers)

Supply of diagnostics and medicines.

Active case detection

Supply of insecticides

Procurement and distribution of ITNs

Stock-outs of medicines, diagnostics and insecticides?

Service delivery

Have standard guidelines for training of doctors and health workers been developed?

How many doctors, health workers, volunteers and other service providers been trained in the prevention, diagnosis and treatment of kala-azar?

How many supervisory visits were made?

Were supervisory checklists used?

Have procurement mechanisms for supplies prepared?

Has a system been worked out to ensure regular supply of diagnostics and drugs?

What is being done to ensure quality of drugs and diagnostics?

Is active case detection part of national elimination programme?

Are recommend-ations about use of insecticides for spraying available

Were supplies of insecticides andequipment to targeted districts made in time?

Is there a strategy for procurement and distribution of ITNs?

Are ITNs distributed to the poorest among the poor population?

Are there any stock-outs of medicines, diagnostics and insecticides?

What is the access of facilities for treatment of kala- azar?

Is there supervision of health facilities?

Standard guidelines for prevention, diagnosis and treatment of kala-azar available.

Proportion of doctors trained.
Proportion of health workers and other service providers trained in treatment.

Number of spray teams trained.
Number of supervisors trained.

Number of districts where supervision was done once in the past three months

Proportion of supervisors who use checklists

Written statement of system of procurement

System of supplies/ training on supply chain management.

Proportion of health facilities where quality check is done.

Proportion of cases detected through active case detection

National guidelines on IRS for kala-azar elimination.

Number of targeted districts that have adequate supplies of insecticides and equipment

No. of ITNs distributed.

Proportion of poor households given ITNs.

Proportion of facilities with stock-out of medicines.

Proportion of facilities with stock-out of diagnostics.

Proportion of facilities with stock-out of insecticides prior to spraying.

Population with access to kala-azar treatment

Number of supervisory visits to health facilities

Once with periodic updating

Quarterly update

Once a year

Quarterly review

Once

Once a year review

Quarterly review

Once a year review

Once at the beginning and then updated after 3/4 years

Once per year

Quarterly

Once a year

Once a year review

Quarterly review

Programme Manager/ institutions of expertise including medical colleges

National trainers, state focal points and district trainers

Entomology group

District and state focal points

District focal point

National Programme Manager

District/state focal point

National focal point in consultation with WHO

Programme Manager

Vector control group at district and state levels

District focal point

National focal point and working group

District focal point

Knowledge and practices relating to prevention and treatment.

What is the knowledge of the target population about health facilities that provide diagnosis and treatment for kala- azar

Knowledge of the population about facilities that provide diagnosis and treatment for kala- azar

Periodic: once in 3-4 years at different locations

National Programme Manager in collaboration with district health authorities

Active case detection

Treatment coverage

Treatment adherence

Treatment outcome

Participation in prevention

Whether active case detection organized?

Is there an increase in the number of cases treated?

Are people completing treatment according to advice?

Do people respond to treatment?

Do people cooperate in IRS?

Do people practice sanitation/self protection?

Number of kala-azar and PKDL cases detected through active case detection.

Number of cases of kala-azar treated

Number of patients with kala-azar who completed treatment according to advice

Proportion of patients cured

Proportion of households where there was full coop-eration with residual spray

Proportion of people aware of role of sanitation/with well ventilated dry shelters and clean peridomestic surroundings

Proportion of people using ITN

Once a year review

Regular and ongoing. Review quarterly

Household survey

Sample Household survey; once in 2-4 years.

Household survey: once in 2/3-4 years.

Household survey; once in 2/ 3-4 years.

Household survey; once in 2, 3-4 years.

Programme Manager

National Programme Manager

Programme Manager

New cases of kala-azar

Deaths due to kala-azar

PKDL

Is there a decline in reported cases?

Is there a decline in kala-azar specific deaths?

Is there a decline in PKDL prevalence?

Number of cases who are diagnosed as kala-azar

Number of deaths due to kala-azar

Number of PKDL detected and treated

Proportion of cases of PKDL diagnosed and treated.

Record review: ongoing.

Record review ongoing.

Household survey.

Programme Manager

District focal point

Programme Manager