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Indicators Measuring the Performance of Malaria Programs Supported by the Global Fund in Asia, Progress and the Way Forward

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  • Jinkou Zhao
  • Marcel Lama
  • Swarup Sarkar
  • Rifat Atun

Abstract

Introduction: In 2010, the Global Fund provided more than 75% of external international financing for malaria control. The Global Fund uses performance based funding in the grants it finances. This paper analyses the indicators used to measure the performance of Global Fund supported malaria grants in Asia. Methods: Indicators used in the performance frameworks for all Global Fund supported malaria grants in Asia were retrieved from grant database and grouped into impact, outcome, output and input categories and categorized by service delivery areas. Indicators of each group were compared over rounds. Indicators used in performance frameworks were compared with internationally adopted indicators included in the Monitoring and Evaluation Toolkit developed by the Global Fund and international technical agencies. Results: Between 2002 and 2010, 1,434 indicators were included in the performance frameworks of the 48 malaria grants awarded in Asia, including 229 impact and 227 outcome indicators, 437 output and 541 input indicators, with an average of 29.9 indicators per grant. The proportion of impact and outcome indicators increased over rounds, with that of input indicators declining from 44.1% in Round 1 to 22.7% in Round 9. Conclusions: Input indicators, which have predominated the performance frameworks of the Global Fund supported malaria programs in Asia have declined between Rounds 1 and 9. However, increased alignment with internationally adopted indicators included in the Monitoring and Evaluation Toolkit is needed to improve the validity of reported results.

Suggested Citation

  • Jinkou Zhao & Marcel Lama & Swarup Sarkar & Rifat Atun, 2011. "Indicators Measuring the Performance of Malaria Programs Supported by the Global Fund in Asia, Progress and the Way Forward," PLOS ONE, Public Library of Science, vol. 6(12), pages 1-6, December.
    • Handle: RePEc:plo:pone00:0028932
    DOI: 10.1371/journal.pone.0028932
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    1. Daniel Low-Beer & Houtan Afkhami & Ryuichi Komatsu & Prerna Banati & Musoke Sempala & Itamar Katz & John Cutler & Paul Schumacher & Ronald Tran-Ba-Huy & Bernhard Schwartländer, 2007. "Making Performance-Based Funding Work for Health," PLOS Medicine, Public Library of Science, vol. 4(8), pages 1-4, August.
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    1. Jinkou Zhao & Marcel Lama & Eline Korenromp & Patrick Aylward & Estifanos Shargie & Scott Filler & Ryuichi Komatsu & Rifat Atun, 2012. "Adoption of Rapid Diagnostic Tests for the Diagnosis of Malaria, a Preliminary Analysis of the Global Fund Program Data, 2005 to 2010," PLOS ONE, Public Library of Science, vol. 7(8), pages 1-5, August.

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