| Peer-Reviewed

Quality of Monitoring and Evaluation of Malaria Control Activities: Tracking Stock-Outs and Replenishment of Supplies in Anambra State, Nigeria

Received: 23 August 2013    Accepted:     Published: 20 October 2013
Views:       Downloads:
Abstract

Introduction: The use of monitoring and evaluation (M&E) data is recognized as a major factor in the improvement and strengthening of malaria control programmes. This study assesses the quality of M&E in malaria control, with special emphasis on use of M&E to detect and control stock-outs of drugs and other supplies. Methods:The study was undertaken in Anambra state, southeat Nigeria. Training on M&E was used to improve health workers practice on the use of M&E tools for malaria control. Data was collected from 210 health workers in the surveyed public health facilities using questionnaire to monitor and evaluate health workers knowledge and practice on the use of M&E tools as well as on control for tracking stock-outs. Data on Observations were also collected on the completeness of the facilities’ store records, commodity tracking systems and completed M&E forms. Results: A total of 54(25.6%) of the respondents had attended a training on the use of M&E tools. Stock-out of malaria commodities was high, especially Artemisinin-based combination therapy (ACT). It took a long time for stock-outs to be reported to a higher level and replenished. The main reason for stock-outs was ineffective communication. In most cases, there were no feedbacks of data transmitted from lower to higher levels of the M&E stratum. Conclusions: The quality of malaria M&E is still sub-optimal leading to stock-out of malaria control commodities. Adequate strategies should be designed by programme managers so as to enhance more effective M&E for improved malaria control.

Published in Science Journal of Public Health (Volume 1, Issue 5)
DOI 10.11648/j.sjph.20130105.13
Page(s) 201-208
Creative Commons

This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited.

Copyright

Copyright © The Author(s), 2024. Published by Science Publishing Group

Keywords

Malaria, Monitoring and Evaluation, Stock-out

References
[1] Federal Ministry of Health. National framework for monitoring and evaluation of malaria control in Nigeria.2007 Available at http://nmcpnigeria.org. Date assessed (15/03/11)
[2] Federal Ministry of Health. Monitoring and evaluation plan for malaria control in Nigeria. 2009. Available athttp://www.pdfchaser.com/pdf/national-malaria-control-programme-in-nigeria.html.Date assessed (30/12/10)
[3] Federal Ministry of Health. Training module on monitoring and evaluation of national malaria control programme in Nigeria for state and LGA health workers. Available at http://www.pdfchaser.com/pdf/national-malaria-control-programme-in-nigeria.html. Date assessed (30/12/10)
[4] Uzochukwu B, Ezeoke Ogochukwu, Emma-Ukaegbu U and Onwujekwe O et al. Malaria treatment services in Nigeria. Nigerian Medical Journal. 2010;51(3):144-119. Available at http://www.nigeriamedj.com. Date assessed (14/02/11 )
[5] Shiff C. Intergrated approach to malaria control. Clinical Microbiology review, American society of microbiology. 2002;15(2):278-293. Available at http://cmr.asm.org/cgi/content/full/15/2/278.Date assessed (15/03/11)
[6] MEASURE Evaluation. Annual Monitoring of Health Outcome Indicators. Chapel Hill: MEASURE Evaluation; 2006.
[7] National M&E framework (2007). Federal Ministry of Health. National framework for monitoring and evaluation of malaria control in Nigeria. 2007Available at www.nmcpnigeria.org
[8] Federal ministry of health. National malaria control programme: revised 5-year strategic plan, 2006-2010)
[9] World Health Organization. Nigerian malaria control booster project: project report of the malaria control booster project. 2008-2010. Available at http://nmcpnigeria.org/?p=nmcbp. Date assessed (5/01/11)
[10] Nnebue C, Onwsigwe C, Adogu P, Onyeonoro U. Awareness and knowledge of disease surveillance and notification by health care workers and availability of facility records in Anambra state, Nigeria. Nigeria Medical Journal. 2012;53:220-5
[11] Federal Ministry of Health. Monitoring and evaluation for malaria control in Nigeria 2009
[12] Oyegbite KS. Health data in Nigeria; review of existing situation, form and format. Abuja, Nigeria: Proceedings of the conference on National Health Management Information System; 1992. p. 42-4
[13] Mbachu C, Onwujekwe O, Uzochukwu BSC, Uchegbu E and Oranuba J et al> Examining equity in access to long-lasting insecticide nets and Artemisinin-based combination therapy in Anambra state, Nigeria. BMC Public Health. 2012;12:315
[14] Anambra state of Nigeria. State Economic Empowerment and Development Strategy (SEEDS). 2nd edition. Awka;2007Unpublished ministry of health
[15] Carneiro P, Locatelli A, Ghebremeskel T and Keating J. Do public health interventions crowd out private health investments? Malaria control policies in Eritrea.Eritrea Ministry of health. 2011. Available at www. econ.yale.edu
[16] Kokwaro G. Ongoing challenges in the management of malaria. Malaria Journal. 2009:8;1: doi:10.1186/1475-2875-8-S1-S2. Available at http://www.malariajournal.com/content/8/S1/S2.
[17] Sudoi R, Githinji, Nyandigisi A, Snow R, Zurovac. The magnitude and trend of artemether-lumefantrine stock-outs at public health facilities in Kenya. Malaria Journal 2012;11:37 doi:10.1186/1475-2875-11-37. Available at http://www.malariajournal.com/content/11/1/37
[18] Batwala V, magnussen P and Nuwaha F. Challenges to implementation of Artemisinin combination policy in Uganda. International health journal. 2010;2(4):262-268. Available at http://www.internationalhealthjournal.com/article/S1876-3413(10)00046-X/abstract. Date assessed (15/02/11)
[19] Juma E, Zurovac D: Changes in health workers' malaria diagnosis and treatment practices in Kenya. Malaria journal 2010, 10:1.
[20] Hamer DH, Ndhlovu M, Zurovac D, Fox M, Yeboah-Antwi K, et al. (2007) Improved diagnostic testing and malaria treatment practices in Zambia. JAMA 297: 2227–2231.
[21] Nyandigisi A, Memusi D, Mbithi A, Ang'wa N, Shieshia M, Muturi A, Sudoi RK, Githinji S, Juma A, Zurovac D: Malaria case-management following change of policy to
[22] WorldHealthOrganization. Tanzania pilot project report: SMS for life. 2010.
[23] Kangwana BB, Njogu J, Wasunna B, Kedenge SV, Memusi DN, et al. (2009) Malaria drug shortages in Kenya: A major failure to provide access to effective treatment. Am J Trop Med Hyg 80: 737–738.,16,17
[24] Zurovac D, Ndhlovu M, Sipilanyambe N, Chanda P, Hamer DH, et al. (2007) Paediatric malaria case-management with artemether-lumefantrine in Zambia: a repeat cross-sectional study. Malar J 6: 31. Find this article online
[25] Zurovac D, Tibenderana JK, Nankabirwa J, Ssekitooleko J, Njogu JN, et al. (2008) Malaria case-management under artemether-lumefantrine treatment policy in Uganda. Malar J 7: 181
[26] Viedder M, Friedman J, Sjoblom M, and Yadav P. Enhancing public supply chainmanagement in Zambia
Cite This Article
  • APA Style

    Jane Chinelo Enemuoh, Obinna Emmanuel Onwujekwe, Benjamin Sunday Chudi Uzochukwu, Joseph Oranuba, Amobi Linus Ilika. (2013). Quality of Monitoring and Evaluation of Malaria Control Activities: Tracking Stock-Outs and Replenishment of Supplies in Anambra State, Nigeria. Science Journal of Public Health, 1(5), 201-208. https://doi.org/10.11648/j.sjph.20130105.13

    Copy | Download

    ACS Style

    Jane Chinelo Enemuoh; Obinna Emmanuel Onwujekwe; Benjamin Sunday Chudi Uzochukwu; Joseph Oranuba; Amobi Linus Ilika. Quality of Monitoring and Evaluation of Malaria Control Activities: Tracking Stock-Outs and Replenishment of Supplies in Anambra State, Nigeria. Sci. J. Public Health 2013, 1(5), 201-208. doi: 10.11648/j.sjph.20130105.13

    Copy | Download

    AMA Style

    Jane Chinelo Enemuoh, Obinna Emmanuel Onwujekwe, Benjamin Sunday Chudi Uzochukwu, Joseph Oranuba, Amobi Linus Ilika. Quality of Monitoring and Evaluation of Malaria Control Activities: Tracking Stock-Outs and Replenishment of Supplies in Anambra State, Nigeria. Sci J Public Health. 2013;1(5):201-208. doi: 10.11648/j.sjph.20130105.13

    Copy | Download

  • @article{10.11648/j.sjph.20130105.13,
      author = {Jane Chinelo Enemuoh and Obinna Emmanuel Onwujekwe and Benjamin Sunday Chudi Uzochukwu and Joseph Oranuba and Amobi Linus Ilika},
      title = {Quality of Monitoring and Evaluation of Malaria Control Activities: Tracking Stock-Outs and Replenishment of Supplies in Anambra State, Nigeria},
      journal = {Science Journal of Public Health},
      volume = {1},
      number = {5},
      pages = {201-208},
      doi = {10.11648/j.sjph.20130105.13},
      url = {https://doi.org/10.11648/j.sjph.20130105.13},
      eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.sjph.20130105.13},
      abstract = {Introduction: The use of monitoring and evaluation (M&E) data is recognized as a major factor in the improvement and strengthening of malaria control programmes. This study assesses the quality of M&E in malaria control, with special emphasis on use of M&E to detect and control stock-outs of drugs and other supplies. Methods:The study was undertaken in Anambra state, southeat Nigeria. Training on M&E was used to improve health workers practice on the use of M&E tools for malaria control. Data was collected from 210 health workers in the surveyed public health facilities using questionnaire to monitor and evaluate health workers knowledge and practice on the use of M&E tools as well as on control for tracking stock-outs. Data on Observations were also collected on the completeness of the facilities’ store records, commodity tracking systems and completed M&E forms. Results: A total of 54(25.6%) of the respondents had attended a training on the use of M&E tools. Stock-out of malaria commodities was high, especially Artemisinin-based combination therapy (ACT). It took a long time for stock-outs to be reported to a higher level and replenished. The main reason for stock-outs was ineffective communication. In most cases, there were no feedbacks of data transmitted from lower to higher levels of the M&E stratum. Conclusions: The quality of malaria M&E is still sub-optimal leading to stock-out of malaria control commodities. Adequate strategies should be designed by programme managers so as to enhance more effective M&E for improved malaria control.},
     year = {2013}
    }
    

    Copy | Download

  • TY  - JOUR
    T1  - Quality of Monitoring and Evaluation of Malaria Control Activities: Tracking Stock-Outs and Replenishment of Supplies in Anambra State, Nigeria
    AU  - Jane Chinelo Enemuoh
    AU  - Obinna Emmanuel Onwujekwe
    AU  - Benjamin Sunday Chudi Uzochukwu
    AU  - Joseph Oranuba
    AU  - Amobi Linus Ilika
    Y1  - 2013/10/20
    PY  - 2013
    N1  - https://doi.org/10.11648/j.sjph.20130105.13
    DO  - 10.11648/j.sjph.20130105.13
    T2  - Science Journal of Public Health
    JF  - Science Journal of Public Health
    JO  - Science Journal of Public Health
    SP  - 201
    EP  - 208
    PB  - Science Publishing Group
    SN  - 2328-7950
    UR  - https://doi.org/10.11648/j.sjph.20130105.13
    AB  - Introduction: The use of monitoring and evaluation (M&E) data is recognized as a major factor in the improvement and strengthening of malaria control programmes. This study assesses the quality of M&E in malaria control, with special emphasis on use of M&E to detect and control stock-outs of drugs and other supplies. Methods:The study was undertaken in Anambra state, southeat Nigeria. Training on M&E was used to improve health workers practice on the use of M&E tools for malaria control. Data was collected from 210 health workers in the surveyed public health facilities using questionnaire to monitor and evaluate health workers knowledge and practice on the use of M&E tools as well as on control for tracking stock-outs. Data on Observations were also collected on the completeness of the facilities’ store records, commodity tracking systems and completed M&E forms. Results: A total of 54(25.6%) of the respondents had attended a training on the use of M&E tools. Stock-out of malaria commodities was high, especially Artemisinin-based combination therapy (ACT). It took a long time for stock-outs to be reported to a higher level and replenished. The main reason for stock-outs was ineffective communication. In most cases, there were no feedbacks of data transmitted from lower to higher levels of the M&E stratum. Conclusions: The quality of malaria M&E is still sub-optimal leading to stock-out of malaria control commodities. Adequate strategies should be designed by programme managers so as to enhance more effective M&E for improved malaria control.
    VL  - 1
    IS  - 5
    ER  - 

    Copy | Download

Author Information
  • Department of Pharmacology and Therapeutics, College of Medicine, University of Nigeria, Enugu, Nigeria

  • Department of Pharmacology and Therapeutics, College of Medicine, University of Nigeria, Enugu, Nigeria

  • Department of Pharmacology and Therapeutics, College of Medicine, University of Nigeria, Enugu, Nigeria

  • Ministry of Health, Awka, Anambra State, Nigeria

  • Department of Community Medicine, Nnamdi Azikiwe University, Nnewi, Nigeria

  • Sections