General Information |
Project/Program |
Project |
Project Name |
Malaria Control in Cambodia Project |
Duration |
October 2007 and November 2011 |
Donor |
USAID |
Implementiong Organization |
University Research Co. LLC (URC) and its partners |
Sector and/or Subsector Classification |
Health Service |
Region |
5 Operational Districts in four border provinces adjacent to Thailand: Banteay Meanchey, Battambang, Oddar Meanchey and Pailin. |
Financing |
US $3,550,000 |
Analytical Information |
Stakeholders |
USAID/RDM-A; URC Cambodia; Technical Bureau, School Health Department; WHO Cambodia; Malaria Laboratory Office, Battambang; Provincial Health Department, Pailin; Krachap Health Center, Pailin; Malai Health Center, Bantauy Meanchay; Anlong Veng Health Center, Oder Meanchay; |
Cross-cutting Issue |
Environment |
|
Gender |
|
Impact Analysis |
The MCC was designed to strengthen the resource-poor national malaria program. It demonstrated great flexibility in responding to identified gaps in the public programs and contributed to dramatic reductions in the incidence of malaria in the Project areas. MCC creatively identified new interventions, or optimized the potential of existing models, to fill gaps and address the unmet needs of the target populations. By filling gaps in the public programs, MCC leveraged their resources and contributions to malaria control with a modest budget. One of its strengths was the strong, collaborative relationships with the staff of the public malaria program at all levels. |
Effectiveness |
Ownership/Partnership |
Evaluation |
Many of the human and financial resources to establish and maintain the VMW system were supported by MCC, but training of VMWs was conducted by the government health staff, usually the Provincial Malaria Supervisor and his/her team members. Responsible health facilities and OD staff conducted joint monitoring visits with MCC staff to provide additional support. The VMWs thus functioned as staff of the health center and were integrated into the government system. This created ownership of the VMW system among the government staff and enhanced the capacity of the government to develop and manage the volunteer system. |
Rating |
5/5 |
Policy Coherence/Harmonization |
Evaluation |
Constructive relationships were developed with the National Malaria Control Program (NMCP) at both the national and local levels; allocation of staff time were flexible according to the needs of the program; and project resources were used to fill the gaps in the Operational Districts (OD) malaria control programs. Malaria Control in Cambodia Project. Malaria Control in Cambodia Project (MCC) resources were leveraged significantly and malaria control interventions were strengthened. |
Rating |
4/5 |
Evaluation Framework |
Evaluation |
The Evaluation Team consisted of two international consultants with considerable experience in program management and evaluations in South-East Asia. Collectively they brought to the task work experience in Cambodia and expertise in primary health care, migration health, project design and management, behavior change communication (BCC), monitoring and evaluation (M&E), capacity building, and community development in addition to malaria control. |
Rating |
4/5 |
Alignment/Composition of Finance |
Evaluation |
The Project areas that were not adequately funded through the government channels. Since there are many key players in theMalaria Control in Cambodia Project ( MCC) targeted areas with much larger level of funding and the Malaria Control in Cambodia Project (MCC) also collaborated and/or received some in-kind contribution from other projects. |
Rating |
2/5 |
Other Remarks |
Volunteers were a major resource for disseminating malaria information. Since they are from the local communities they can be effective in delivering credible health education messages in a culturally appropriate style. The Village Malaria Worker (VMWs) not only provided information but also could diagnose malaria with the Rapid Diagnostic Test (RDT) and make available the appropriate treatment. |