1) The National Malaria Control Program of Senegal conducted workshops to train personnel in malaria surveillance and monitoring concepts and methods as the country moves towards elimination. 2) Results from knowledge tests showed participants' understanding increased significantly after the workshops. 3) The workshops covered topics like surveillance fundamentals, case management and response, and provided practical experience in surveillance planning and supervision.

1. Figure 1: Malaria Incidence per 1000 population by
district, 2015
Background
Ashley Garley1, Medoune N’Diop2,, Moustapha Cisse2, Yakou Dieye3, Mayassine Diongue4, El Hadj Ba5, Yazoume Ye1
1MEASURE Evaluation, ICF, 2Senegal National Malaria Control Program, 3PATH Malaria Control and Elimination Partnership of Africa, 4Institut Santé et Développement, 5Institut de Recherche pour le Développement
Design and implementation
Malaria surveillance is a globally recognized intervention strategy to achieve elimination. Senegal adopted this strategy and recently
intensified its malaria surveillance system by strengthening the capacity of the National Malaria Control Program (NMCP) to conduct
surveillance supervision, case detection, case investigation, and response.
The NMCP, with support from the USAID-funded MEASURE Evaluation project, conducted national surveillance, monitoring and
evaluation (SME) workshops to train subnational NMCP personnel in fundamental SME concepts and practical surveillance methods.
As districts in Senegal achieve low transmission, a robust malaria surveillance system and personnel to lead it, is essential. Workshops
were organized in collaboration with Senegal’s NMCP, PATH Malaria Control and Elimination Partnership of Africa, Institut Santé et
Développement, the Institut de Recherche pour le Développement, and U.S. President’s Malaria Initiative Senegal.
Achievements
Conclusion
In the coming years, the NMCP plans to train all relevant SME staff from 76 health districts in
malaria surveillance best practices. The NMCP anticipates leading 5 sessions, with 2 sessions
per year. NMCP and ISED led the third workshop in August 2017. Success from this program
may inform scale-up of capacity for malaria surveillance systems in other countries in low-
transmission settings where malaria surveillance as an intervention would be beneficial.
Acknowledgments
This activity was the result of a collective effort between Senegal’s NMCP, ISED, IRD,
PATH/MACEPA, USAID PMI Senegal, and MEASURE Evaluation. The authors thank the
facilitators who contributed to the curriculum design and workshop implementation.
This work was supported by the PMI Senegal through USAID under the terms of MEASURE
Evaluation cooperative agreement AID-OAA-L-14-00004. Views expressed are not
necessarily those of PMI, USAID, or the United States Government.
Implementing the Global Technical Strategy at the District Level:
Individual Capacity Building in Malaria Surveillance in Senegal
Results from pre-and post-tests indicated knowledge gained with
average scores (%) higher post-test compared to pre-test and relative
improvement more than double.
Knowledge Gained
Table 1: Workshop content
M&E Fundamentals
• Overview of malaria in Senegal
• Basic concepts in M&E
• Role of data in Decision-making
• Design and implement a M&E plan
• Frameworks
• Indicators
• Data sources (survey and routine
health information systems)
• Impact Evaluation Designs
• Data Analysis, and Interpretation
• Data Presentation
• Data Dissemination and Use
Malaria Surveillance
• Basic concepts in Surveillance
• Case Management and Response
• Entomological Surveillance
• Risk Factors
• Community Surveillance
• Sentinel Surveillance
• Demographic Surveillance
Workshop quality was reflected in the overall workshop scores,
showing overall improvement between 2016 and 2017.
“The course met its objectives for several reasons:
• Better understanding of M&E with the group work
• Providing participants with field work that reinforces skills
• Mastering aspects of surveillance taking into account several domains
(entomology, demography, and health) in the context of malaria pre-
elimination in the north.”
-2017 workshop participant
Objectives
• Provide training on fundamental concepts and practical
approaches to SME for pre-elimination
• Discuss application of tools and data systems used to
monitor and evaluatethe malariaprogram
• Provide practical experience in SME planning, supportive
supervision and case investigations
• Share experiencein SME from various regionsin Senegal
Curriculum Design
Target Audience
• National and Subnational NMCP staff
Quality of WorkshopParticipants Trained
Forty nine participants were trained from various health zones
during two workshops, May 2016 and January 2017, at the
Institut Santé et Développement.
• 3-week workshop (2 weeks M&E Fundamentals + 1 week
malaria surveillance)
• Participants’ knowledge assessment (pre- and post-test)
• Plenary sessions and discussions
• Data analysis exercise
• Continuous and final evaluation of workshop
Teaching approach
Figure 2: Background characteristics of participants by workshop
Background characteristic May 2016 January 2017
Total 24 25
Position
Physician 12 7
Primary Healthcare Supervisors 13 18
Sex
Male 24 19
Female 0 6
Health Zone
Pre-elimination 7 3
Low transmission 3 6
Moderate transmission 3 5
High transmission 10 10
NMCP 1 1
NMCP-led field visit to pre-
elimination district
Day 1: Participants visited a
demographic health surveillance
center and conducted
supervisory visits in health
facilities
Field Visit on Surveillance
• Adapted malaria M&E fundamentals modules to Senegalese
context
• Drafted new modules for malaria surveillance
To gain a better understanding of malaria control strategies, groups:
• Critiqued current 2016-2020 national strategic and M&E plans
• Developed a district-level M&E plan for a malaria intervention
• Peer-assessed final group presentation
Group Work
66.7
72.8
9.25
70.5
89.1
26.4
0
20
40
60
80
100
Pre-test Post-test Relative improvement
2016 2017
Figure 3: Percentage of knowledge gained between pre-test and post-test and relative
improvement by workshop
Household visit where the case was
detected
Figure 2: Case investigation methods FTAT and FSTAT
7.6
7.8
8
8.2
8.4
8.6
8.8
9
9.2
Overall
Workshop
Mean Score
Workshop
Content
Quality of
Instruction
Participant
Materials
Training
Environment
Group Work
Experience
2016 2017
Figure 4: Overall Workshop Assessment Results by Year
“The course met its objectives in my opinion, because I didn’t know anything
about disease surveillance and now I will be able to conduct surveillance
activities in my district.”
- 2016 workshop participant
Day 2: Participants conducted malaria case investigations using
cases identified from Day 1. Methods used were:
o Focal test and treat (FTAT) in index case households
o Focal screening test and treat (FSTAT) in 5 neighboring
households. National surveillance forms were used.