Indicators Measuring the Performance of Malaria Programs Supported by the Global Fund in Asia, Progress and the Way Forward

IntroductionIn 2010, the Global Fund provided more than 75% of external international financing for malaria control. The Global Fund uses performance based funding in the grants it finances. This paper analyses the indicators used to measure the performance of Global Fund supported malaria grants in Asia.
MethodsIndicators used in the performance frameworks for all Global Fund supported malaria grants in Asia were retrieved from grant database and grouped into impact, outcome, output and input categories and categorized by service delivery areas. Indicators of each group were compared over rounds. Indicators used in performance frameworks were compared with internationally adopted indicators included in the Monitoring and Evaluation Toolkit developed by the Global Fund and international technical agencies.
ResultsBetween 2002 and 2010, 1,434 indicators were included in the performance frameworks of the 48 malaria grants awarded in Asia, including 229 impact and 227 outcome indicators, 437 output and 541 input indicators, with an average of 29.9 indicators per grant. The proportion of impact and outcome indicators increased over rounds, with that of input indicators declining from 44.1% in Round 1 to 22.7% in Round 9.
ConclusionsInput indicators, which have predominated the performance frameworks of the Global Fund supported malaria programs in Asia have declined between Rounds 1 and 9. However, increased alignment with internationally adopted indicators included in the Monitoring and Evaluation Toolkit is needed to improve the validity of reported results.

引言
2010年，全球基金（Global Fund）为疟疾防控提供了超过75%的国际外部融资。该基金在其资助的拨款项目中采用基于绩效的资助模式。本文针对亚洲地区由全球基金支持的疟疾防控拨款项目，对其绩效衡量指标展开分析。

方法
研究从拨款数据库中调取了亚洲地区所有全球基金支持的疟疾防控拨款项目绩效框架内使用的指标，将其划分为影响、结果、产出与投入四类，并按服务提供领域进行分类。随后对每一类指标在不同资助回合间的变化进行对比分析，并将绩效框架内使用的指标，与全球基金及国际技术机构联合制定的监测与评价工具包（Monitoring and Evaluation Toolkit）中收录的国际通用指标进行比对。

结果
2002年至2010年间，亚洲地区获批的48项疟疾防控拨款项目的绩效框架中共纳入1434项指标，其中影响指标229项、结果指标227项、产出指标437项、投入指标541项，平均每项拨款项目纳入29.9项指标。随着资助回合推进，影响指标与结果指标的占比逐步提升，而投入指标的占比则从第1回合的44.1%下降至第9回合的22.7%。

结论
此前亚洲地区全球基金支持的疟疾防控项目绩效框架中，投入指标占据主导地位，而在第1至第9回合间，该类指标的占比已有所下降。但为提升报告结果的有效性，仍需进一步推动绩效框架指标与监测与评价工具包（Monitoring and Evaluation Toolkit）收录的国际通用指标保持一致。