Scaling Up

Effective communicable disease control should be possible using the tools and interventions currently available. However, the impact of interventions which are successful in trials is often hampered by inefficient implementation at national scale. TARGETS research reviews documentary evidence for policy implications, identifies the barriers to effective implementation of policies, and tests delivery systems.

The results gathered from several of the projects currently being undertaken within the TARGETS programme (particularly those related to the delivery of ITNs) are leading towards the development of a framework for delivery system analysis.

Projects in Ghana and Senegal are focussing on improving the capacity to deliver treatment to children with fever through the public health system and community, respectively. In Kenya and Mali, similar methods are being employed to identify weak points in the delivery of malaria control interventions (IPTp, ITNs and case management) through antenatal clinics (ANC).