Mid-term performance evaluation : control and prevention of malaria (CAP-Malaria) in in Burma, Cambodia and Thailand

The overall aim of the CAP-M project is to reduce morbidity and mortality from malaria in the GMS and to eliminate artemisinin-resistant parasites. The key populations at risk for malaria within the GMS are highly mobile and migrant populations with exposures or occupations in forested and border areas. These populations are generally socially, geographically and economically marginalized, with consequent limited access to health services. This evaluation focuses on five major queries: (1) to what extent is CAP-M on-track to increase the use of preventative measures among at-risk populations; (2) has the CAP-M community-based approach contributed to increased use of quality diagnostics and treatment; (3) how optimal are the design and management arrangements for achieving project objectives; (4) to what extent has the strategic information generated by the project been used; and (5) what measures/mechanisms have been put into place to achieve sustainability? The CAP-M project is off to a strong start, and has made extensive progress even in the face of multiple challenges related to political limitations, changing program focuses, procurement delays, and access/safety issues in some areas. Notable progress has been made throughout the first half of the grant by URC and its partners in increasing access to preventative measures and early diagnosis/appropriate treatment throughout the region, but progress has not been equal in all areas. While CAP-M is well positioned to build on these successes through the remainder of the project, particularly regarding widespread long-lasting insecticidal net distribution and strengthened community-based activities, diverse challenges remain in the three settings of the country-specific projects. (Excerpt, modified)