Burkina FasoFive-Year Evaluation of the Global Fund

(GF5YE): Study Area 3 – Health Impact

Sharing experiences inSharing experiences in linking M&E to researchlinking M&E to research

Meda N, Simaga F, Tiendrebeogo AJ, Soudré R Meda N, Simaga F, Tiendrebeogo AJ, Soudré R on Behalf of MACRO/WHO/ Burkina Faso GF5YE Evaluation Team

The National Reference Group for The National Reference Group for NHA and 2 research institutions NHA and 2 research institutions selected (IRSS, GREFSaD) selected (IRSS, GREFSaD)

13 Districts selected, 1 per health 13 Districts selected, 1 per health region, 3 urban, 10 rural, with high region, 3 urban, 10 rural, with high (6), medium (3) , & low (4) exposition (6), medium (3) , & low (4) exposition to support/interventionsto support/interventions

National Health Accounts (2003-2006)

National record reviews (HIV, Tb, Malaria, General)

Secondary analysis of national surveys (HIV, Tb, Malaria, General)

Primary data collection: DCA◦ Facility-based surveys◦ Community-based surveys◦ CBO interventions inventoryCBO interventions inventory

Values of GF5YE – Linkages with Research Evidence of poor quality of the routine health information Evidence of poor quality of the routine health information

system system for the monitoring of VCT, ARV procurement & treatment, PMTCT, etc. Need of technical support (tools, training, archiving)

Establish a research-based observatory of universal access

Low access to PMTCT services (only 14%)Low access to PMTCT services (only 14%): Use coverage of target population to follow the

programme instead of number of facilities with PMTCT Introduce in round 9 grant operational research on

barriers and facilitators to access PMTCT services by comparing good and bad performers health facilities

Rising incidence of TB and malaria 1998-2007Rising incidence of TB and malaria 1998-2007 Better detection rate of TB? Better surveillance of malaria?

Gaps in Linking Evaluation Outcomes with Research – How to Address Them?

Gaps In-depth analysis of the huge amount of data sets

gathered not yet occurred (only imposed indicators have been computed)

In-depth description and analysis of the impact on health system indicators not yet done

Distribution by disease, coverage, and quality of CBO devoted to the fight against HIV, Tb & Malaria unclear?

How to Address Them? Support for further analysis of datasets and publications Study the added value of CBO in the fight against HIV,

Tb & Malaria?

Specific Recommendations – Enhance the Link between M&E and Research

Data sets gathered need further analysis further analysis to properly answer the basic evaluation questions.

The reportreport of GF5YE in Burkina will provide a solid platform for evidence-based policy-making and advocacy in fund-raising (future GF rounds or other partners) and will raise key research questions key research questions to explore

Operational research has to be funded Operational research has to be funded to address research questions raised by GF5YE findings (low access to PMTCT, rising incidence of malaria and Tb, effectiveness of ARV treatment, lack of CBO in malaria and TB programmes,.)

Acknowledgements Global Fund to Fight HIV/AIDS, Tb & Malaria

WHO country office and headquarter

MACRO international consultants

Burkina Ministry of Health/Cabinet

CCM/Burkina

Task Force members

SP/CNLS (NAC secretariat)

Research groups and their field workers

Community and health facilities surveyed