The Health and Education Advice and Resource Team (HEART) was contracted
to undertake the first Annual Programme Review (APR) of the DFID-funded
Ghana Malaria Prevention, Diagnosis and Data Programme. This review was
undertaken between 24 July and 20 August 2014 by a team of two external
consultants. The Review Terms of Reference (TOR) posed questions
relating to progress in implementing the project since it commenced in
August 2013. The review was carried out primarily through a secondary
analysis of project reports and other relevant documents, supplemented
by key stakeholder interviews both in Accra and during a field trip to
The components for this project are:
- Procurement of long lasting insecticidal nets (LLIN) for routine
distribution under the continuous distribution strategy
- Social marketing of LLIN
- Seasonal Malaria Chemoprevention (SMC) trial in Northern Region
- Provision of rapid diagnostic tests (RDTs) for the private health
- To increase use of LLINs
- To increase uptake of RDTs
- Improving data with Malaria sentinel sites and recruitment of an
- Enhancing finance with support to the National Malaria Control
Programme (NMCP) resource mobilisation officer
- Reported mortality attributed due to malaria, for both the under-five
population and the general population - two of the project impact
indicators - fell in both 2012 and 2013 from the programme's baseline
figures. If this trend continues, these programme milestones and
targets should be achieved by the end of the programme.
- The third impact indicator, 'the proportion of children under five
admitted with fever attributed to malaria', is not behaving in the
anticipated way and is rising. This is likely to be a result of
external complicating factors. It is recommended that this indicator
- The three programme components involving the procurement of malaria
commodities worked well and evaluators learned that the Ministry of
Health procurement system has the capacity to undertake such
significant procurements. For the other components, the time required
to tender and contract the implementing organisations has taken around
six months and so there was only limited time available for
implementation in the first year.
- Government of Ghana financial systems have taken much longer than
anticipated to transfer funds for several components' activities to
the NMCP. This has resulted in some activities not having yet started.
- The programme procured the SMC drugs for Output 2 (Delivery of four
doses of SMC per year to 556,000 children in Northern Region) but
implementation was to be funded from another source. This did not
eventuate. It is not clear that due consideration was given to this
risk in project preparation.
- One of the programme's impact indicators and one outcome indicator
have been affected by developments external to the project, and so
they are not performing as anticipated.
Singleton, G.; Osei, M. Assignment Report: Ghana malaria prevention, diagnosis and data programme, Annual Review. HEART, UK (2014) 37 pp.