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Publication Details
AFRICAN RESEARCH NEXUS
SHINING A SPOTLIGHT ON AFRICAN RESEARCH
medicine
Vouchers for scaling up insecticide-treated nets in Tanzania: Methods for monitoring and evaluation of a national health system intervention
BMC Public Health, Volume 8, Article 205, Year 2008
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Description
Background. The Tanzania National Voucher Scheme (TNVS) uses the public health system and the commercial sector to deliver subsidised insecticide-treated nets (ITNs) to pregnant women. The system began operation in October 2004 and by May 2006 was operating in all districts in the country. Evaluating complex public health interventions which operate at national level requires a multidisciplinary approach, novel methods, and collaboration with implementers to support the timely translation of findings into programme changes. This paper describes this novel approach to delivering ITNs and the design of the monitoring and evaluation (M&E). Methods. A comprehensive and multidisciplinary M&E design was developed collaboratively between researchers and the National Malaria Control Programme. Five main domains of investigation were identified: (1) ITN coverage among target groups, (2) provision and use of reproductive and child health services, (3) "leakage" of vouchers, (4) the commercial ITN market, and (5) cost and cost-effectiveness of the scheme. Results. The evaluation plan combined quantitative (household and facility surveys, voucher tracking, retail census and cost analysis) and qualitative (focus groups and in-depth interviews) methods. This plan was defined in collaboration with implementing partners but undertaken independently. Findings were reported regularly to the national malaria control programme and partners, and used to modify the implementation strategy over time. Conclusion. The M&E of the TNVS is a potential model for generating information to guide national and international programmers about options for delivering priority interventions. It is independent, comprehensive, provides timely results, includes information on intermediate processes to allow implementation to be modified, measures leakage as well as coverage, and measures progress over time. © 2008 Hanson et al; licensee BioMed Central Ltd.
Available Materials
https://efashare.b-cdn.net/share/pmc/articles/PMC2442068/bin/1471-2458-8-205-S1.pdf
https://efashare.b-cdn.net/share/pmc/articles/PMC2442068/bin/1471-2458-8-205-S2.pdf
https://efashare.b-cdn.net/share/pmc/articles/PMC2442068/bin/1471-2458-8-205-S3.pdf
https://efashare.b-cdn.net/share/pmc/articles/PMC2442068/bin/1471-2458-8-205-S4.pdf
https://efashare.b-cdn.net/share/pmc/articles/PMC2442068/bin/1471-2458-8-205-S5.pdf
https://efashare.b-cdn.net/share/pmc/articles/PMC2442068/bin/1471-2458-8-205-S6.pdf
https://efashare.b-cdn.net/share/pmc/articles/PMC2442068/bin/1471-2458-8-205-S7.pdf
https://efashare.b-cdn.net/share/pmc/articles/PMC2442068/bin/1471-2458-8-205-S8.pdf
Authors & Co-Authors
Hanson, Kara G.
Unknown Affiliation
Nathan, Rose
Unknown Affiliation
Marchant, Tanya J.
Unknown Affiliation
Mponda, Hadji
Unknown Affiliation
Jones, Caroline O.H.
Unknown Affiliation
Bruce, Jane C.
Unknown Affiliation
Stephen, Godlove
Unknown Affiliation
Mulligan, Jo Ann
Unknown Affiliation
Mshinda, Hassan M.
Unknown Affiliation
Schellenberg, Joanna Armstrong
Unknown Affiliation
Statistics
Citations: 68
Authors: 10
Affiliations: 3
Identifiers
Doi:
10.1186/1471-2458-8-205
e-ISSN:
14712458
Research Areas
Health System And Policy
Infectious Diseases
Maternal And Child Health
Sexual And Reproductive Health
Study Design
Randomised Control Trial
Cross Sectional Study
Study Approach
Qualitative
Quantitative
Study Locations
Tanzania
Participants Gender
Female