From: Methods for evaluating delivery systems for scaling-up malaria control intervention
 | Examples | Comments |
---|---|---|
Determine the purpose of the evaluation | - To evaluate a new delivery system for ITNs - To evaluate a new delivery system for IPTc - To assess the delivery of IPTp through ANC | Evaluation of a new delivery system for an existing intervention requires a pre-post survey with attribution of nets by source. A process analysis is required to assess the outputs at each intermediate step in the causal chain of delivery |
Select the evaluation method | - cross sectional pre-post survey with attribution of outcomes by source of intervention - cross sectional post intervention survey with attribution of outcomes by source of intervention - cross sectional post only survey with no control | For evaluation of a new delivery system for an existing intervention a pre-post survey with attribution of outcomes by source would provide causality for proximal indicators and plausibility inference for distal indicators. |
Define the outcome indicators | - the proportion of children under 5years using an ITN - the proportion of children under 5 years taking a full course of IPT - the proportion of pregnant women who attend ANC receiving at least 2 doses of IPT | The primary outcome indicator may be a distal or proximal indicator |
Define the pathway of delivery | - include several proximal and more than one distal steps - includes several proximal and one distal steps - the evaluation terminates at proximal steps | The number of steps varies with interventions and with delivery systems.Many pathways are linearNot all pathways are linear |
Characterise the contextual factors | - malaria transmission levels - structure of the health system - socio-demographics of the population | Disaggregate outcomes by contextual factorsDescribe contextual factors |