REPORT OF THE EXTERNAL REVIEW/TERMINAL EVALUATION TEAM, JANUARY 9-29, 1981; MALARIA CONTROL PROJECT, TERMINAL EVALUATION

This external, terminal evaluation, conducted by a joint Government of Pakistan (GOP)/World Health Organization/A.I.D. team, is based on site visits and indepth review of various project aspects; evaluation covers the period 10/76-12/80. Because this evaluation details information provided in the attached PES (PD-AAH-613-A1), only the team"s recommendations are presented here. Due to the fragile nature of the project"s success, the evaluation team recommends, in general, continuation of the surveillance and insecticidal spraying activities that have significantly reduced malaria incidence. To this end, GOP funding of the proposed New Extension Plan of the Malaria Control Program (MCP) for 1980-83 is recommended. Its main objectives will be to maintain or reduce the incidence of malaria and to complete the integration of the MCP with the Basic Health Service (BHS) project. Seventeen specific recommendations are made for the continued success of the MCP. Some of these include the following: The Ministers of Health, Education, and Public Information should work closely to propagate health education material through public schools and mass and printed media. Plans should be made for entomological monitoring and malaria case detection as well as for the training of municipal squad leaders in geographic reconnaisance, larviciding, adulticiding, equipment maintenance, and pesticide safety measures. The Annual Parasite Incidence statistic should be used instead of the Slide Positivity Rate (SPR) to assess malaria endemicity; and improved methods of data analysis should be designed for implementation at the district level in order to provide SPR data on males and females separately and by age group. Other recommendations pertain to integration of MCP into BHS; coordination among Ministries of plans for improved sanitation and elimination of mosquito breeding sites; and expert staff composition and training considerations.