Boot Camp Case Study Discussions

The Case Study/Discussion Session Schedule and prompt questions are as follows. You will be expected to arrive at each discussion session with a written response to each discussion point that references the readings. Your responses need not be over-long. A couple sentences or short paragraph for each will suffice. The goal is not to test you on your comprehension – we’ll be noting whether you completed the responses or not, but the responses themselves will not be collected – rather taking the time to do a written response allows you to focus your thoughts on the issues and leads to a more constructive group discussion. In other words, you owe it to your peers to take the time to write out these responses so that they can benefit from your focused insights during the group discussion.

Bed Nets – Should they be free or not?

Readings

  1. Cohen, Jessica, and Pascaline Dupas. 2010. “Free Distribution or Cost-Sharing? Evidence From a Randomized Malaria Prevention Experiment*.” Quarterly Journal of Economics 125 (1) (February 1): 1–45. doi:10.1162/qjec.2010.125.1.1. http://www.stanford.edu/~pdupas/CohenDupas.pdf
  2. Baume, Carol A, Richard Reithinger, and Sara Woldehanna. 2009. “Factors Associated with Use and Non-Use of Mosquito Nets Owned in Oromia and Amhara Regional States, Ethiopia..” Malaria Journal 8 (January 1): 264–264. doi:10.1186/1475-2875-8-264. http://www.malariajournal.com/content/8/1/264 
  3. Baume, Carol A CA, and Ana Claudia Franca AC Koh. 2011. “Predictors of Mosquito Net Use in Ghana..” Malaria Journal 10 (January 1): 265–265. doi:10.1186/1475-2875-10-265. http://www.malariajournal.com/content/10/1/265 

Discussion:

  1. Are there any systematic biases in the samples that effect the generalizability of the results?
  2. Are there any important factors that were left out of the analysis?
  3. Assuming that giving nets away does lead to dependency (this will be a hotly contested assumption) is the short term public health goal of avoiding malarial deaths worth the long term consequence of created dependency?
  4. To what extent are our attitudes towards giving away public health goods influenced by our cultural upbringing? By current political discourse?

 

Building a malaria prevention behavior change campaign

Reading

  1. Mushi, Adiel K, Joanna Schellenberg, Mwifadhi Mrisho, Fatuma Manzi, Conrad Mbuya, Haji Mponda, Hassan Mshinda, et al. 2008. “Development of Behaviour Change Communication Strategy for a Vaccination-Linked Malaria Control Tool in Southern Tanzania.” Malaria Journal 7 (1): 191–9. doi:10.1186/1475-2875-7-191. http://www.malariajournal.com/content/7/1/191

Discussion:

  1. What methods were used to gather the data?
  2. What level of training was involved for the data-gatherers?
  3. Did you find any results of the study counterintuitive?
  4. What are the similarities and differences between the methods and methodological training used in this study and Peace Corps Participatory Analysis for Community Action (PACA)?
  5. What level of knowledge is necessary to design programming AKA how much data gathering is it reasonable to ask volunteers to do before they start their projects?

 

Rapid Diagnostic Tests and Medical Information Systems

Reading

  1. ole-Moi Yoi, Kileken, Julie Talbot, and Rebecca Weintraub. 2012. “Roll-Out of Rapid Diagnostic Tests for Malaria in Swaziland.” Harvard Global Health Delivery. http://stompoutmalaria.org/wp-content/uploads/2013/01/Article.pdf

Discussion

  1. Describe the discrepancies in malaria data collected by the NMCP vs. the HMIS? Do you have experience with similar reporting discrepancies in your community or within partner health systems?
  2. What was Kunene’s solution to those discrepancies? Are there similar projects in your country?
  3. In the Case Study, Kunene says, “People are motivated to report if they see that you use the data. If you are a clinician, it makes a difference if you report today and tomorrow you see a member of the NMCP surveillance team at your facility to follow?up.” How can Peace Corps volunteers improve the responsiveness of health systems? Are there ways to apply this insight to the workings of Peace Corps and Stomp
  4. What are the benefits of a quality assurance program? What level of trust do your and your health care partners have in the health commodities you use?

 

Care Groups and Training Cascades

Reading

  1. Bradbury, Kathryn, and Anbrasi Edward. 2013. “Community-Based Solutions for Effective Malaria Control: Lessons From Mozambique.” Eds. Areana Quinones and Julia Ross. Coregroup.org. Accessed January 28. http://www.coregroup.org/storage/documents/Workingpapers/World_Relief_Mozambique_malaria_case_study.pdf.

Discussion

  1. What did the project do before creating the care groups? Are there prerequisites for the Care Groups model to work that were not explicitly mentioned in the Case Study?
  2. In what ways was the Care Groups project complimentary with the formal health system? In what ways did was it competitive or duplicative of the formal health system?
  3. If you had the choice between strengthening the formal health system (MoH) or strengthening a local community run health group, which would you chose and why?
  4. BONUS POINTS: Anyone who sets the Malaria Song to music!

 

Zambia Bed Net Distributions and Incentivizing Health Care Workers

Readings

  1. “Community Health Workers in Zambia: Incentive Design and Management.” 2012. Harvard Global Health Delivery.http://stompoutmalaria.org/wp-content/uploads/2014/05/Zambia-Health-Incentives.pdf
  2. “Supplimental Mosquito Net Distribution, Muchinga Province, Zambia” Barbara Smith 2012. Stomping Out Malaria in Africa Case Studies. http://stompoutmalaria.org/wp-content/uploads/2013/01/Zambia-Suplemental-Net-Distribution-CaseStudy.docx

Discussion

  1. How did Dr. Mukonka gather the data to decide on an incentivization strategy?
  2. Performance monitoring is seen as increasingly important in the US. What are some of the downsides of performance monitoring noted by Dr. Mukonka? What are some of the challenges you would imagine facing in implementing a performance monitoring program in your local health system?
  3. What challenges do you believe Barbara and her counterparts will face on the day of distribution?
  4. To what degree will the distribution methodology outlined provide an equitable distribution of nets?
  5. RUMBLE: To what degree should Peace Corps conform to the incentivization norms of the places where we work? Should Community Health Workers receive per diem for Peace Corps trainings if per diems is the norm for other trainings?

 

Peace Corps Malaria Prevention Culture

No Readings

Discussion

  1. As a leader in the Peace Corps Community, how do you encourage Volunteers to engage more fully in malaria prevention?
  2. What are some of the challenges you’ve encountered when trying to work collaboratively with other Volunteers? How did you overcome them?
  3. What is your worst example of partner organizations working at cross purposes (duplicating effort, interfering in projectes, etc.)?
  4. What is the most cohesive organization you have ever worked in? What are some lessons you learned from that experience about how to foster collaboration?