The role of monitoring and evaluation to ensure functional access to community-based early diagnosis and treatment in a malaria elimination programme in Eastern Myanmar

Table 1 Definition of alerts defined to identify malaria posts selected for monitoring and evaluation

Alert	Definition
Late report	More than 21 days for SMS reports, more than 28 days for paper reports from start of reporting week
Missing report	No report for this week
Report 0 RDT	Reported 0 stock for RDTs
Report 0 ACT	Reported 0 stock for ACT medicines
Correct RDT use	Each febrile patient at MP has been tested using RDT; measured as weekly total consultations = weekly total number of valid RDT
Correct treatment use	Each febrile patient with a positive RDT diagnosis is treated; measured as weekly total malaria positive RDT = weekly total number of febrile patients treated^a
Invalid RDTs repeated	All invalid RDT results are repeated; measured as total number of valid RDTs < than the total number of consultations and an invalid RDT reported

^aThis definition is too stringent as febrile patients with a P falciparum positive RDT were not treated if treatment had been administered within the last 14 days as HRP2 can remain in the blood for 2 weeks following treatment and parasite clearance, leading to a possible false positive RDT

ISSN: 1475-2875