The
Global Public-Private Partnership for Handwashing with Soap
Monitoring
and Evaluation (see also Tools)
Evaluating
the health impact
A global monitoring and evaluation framework is being developed
in collaboration with the London
School of Hygiene and Tropical Medicine, the Centers
for Disease Control and Prevention and EHP,
USA to evaluate the effectiveness of the handwashing campaigns
in the field.
All the
partners met in Washington in November 2002 to set up the
M&E system. It will first be piloted in Ghana and then
refined to use in other countries.
The key
objectives of the M&E framework are:
- To
measure change in handwashing behavior consequent to the
intervention
- To
estimate the health impact of the intervention i.e. the
reduction in diarrhoeal disease
- To
measure program effectiveness in impacting the target population
- To
estimate the cost-effectiveness of the approach in different
contexts
A baseline
study on diarrhoea prevalence will be carried out in each
country.
The proposed
evaluation model has two components to measure the intervention’s
impact: (i) behavior change and (ii) health impact. The handwashing
frequency at key events will be measured through structured
observation in a population sample, and demonstrations. The
health impact will be measured through the prevalence of soap
use and prevalence of diarrhea at baseline and endline (2
years later) and by analyzing the relationship between soap
use and diarrhea.
Monitoring
and Evaluation Framework
For more
details, see the minutes
of our November 2002 meeting including annex
1, annex
2 and annex
3.
Monitoring
the handwash campaigns
The team is also developing a Monitoring Framework to follow
progress of activities at the level of the country program
on a routine basis. The Monitoring Framework is for the country
teams to answer the "what" questions (what is happening,
what actions, decisions, products, progress etc.).
PPP
Handwashing Monitoring Framework
Assessing
the cost-effectiveness of the program
In collaboration with the World Bank’s Public Health
Thematic Group, the team will also undertake a cost-effectiveness
analysis. This piece of work will be coordinated with the
work of the World Health Organization (WHO).
Terms
of reference for the cost-effectiveness study.
Learning
on the process
Download our learning
report to know what we have learnt so far through the
process, both at country and global level. |
