Appendix A: Monitoring & Evaluation

Photo courtesy UNICEF Guinea.

Photo courtesy UNICEF Guinea.

The following are the types of indicators your program might include in an Ebola M&E plan. Base your indicators on your program’s SBCC objectives and plan.

Select only indicators that will uncover whether the campaign is succeeding and those that are feasible to measure.

Keep in mind that in order to measure how your programs’ activities changed behaviors you will need to compare measures before (baseline) and after the activities.

  • Percent of people who know three correct ways Ebola infection can be prevented
  • Percent of people who can describe actions that they can personally take to prevent Ebola infection (to themselves or within their community)
  • Percent of people who can identify at least five Ebola signs and symptoms
  • Percent of people who report their use of reliable sources of information

  • Percent of people who report that health care workers in clinics and hospitals care about their patients
  • Percent of people who report that the MOH is responsible for assuring health services
  • Percent of people who say they would go to a clinic or hospital for a non-Ebola health emergency
  • Percent of people who report that if they suspected that they or someone they knew was infected with Ebola that they would alert authorities, i.e., that they would call their local hotline, inform a HW or community leader
  • Percent of people who agree that case finding and contact tracing teams are trying to protect people from Ebola
  • Percent of people who say they or someone in their family have been to a health provider in the last four weeks
  • Percent of homes where case finders or contact tracers have been refused entry
  • Percent of people in hotspot areas who have been reached by case finders/contract tracers through any mode of communication (radio programs, SMS, public service announcements, religious/community leaders)

  • Length of time from when a person calls the hotline to report a suspected Ebola case until the time the suspected case is picked up by transport to a CCC/ETU
  • Length of time from the time a person calls the hotline to report a dead body until the burial team arrives at the home
  • Percent of people who report that they will call the hotline or inform a HW or leader if they suspect a family member may be infected with Ebola
  • Percent of people who agree that CCC/ETUs keep people informed about infected relatives
  • Percent of CCCs established following a community dialogue process aligned with SOPs
  • Percent of traditional healers who agree that early care/use of CCCs increases chances of survival
  • Percent of people who agree that CCC/ETUs keep patients’ family members informed about the patients’ well being
  • Percent of people who feel they would be stigmatized if they report a family member to CCC/ETU
  • Percent of people in hotspot areas who received messages about the presence of CCCs/ETUs through any mode of communication (radio programs, SMS, public service announcements, religious/community leaders)
  • Percent of identified traditional healers sensitized on effective case management (questionable if this is necessary or possible)
  • Percent of calls received through the national hotline which are motivated by erroneous rumors/beliefs
  • Top 5 rumors being reported by the hotline (code by content: Ebola transmission, ETUs, CCCs, health workers behaviors, treatment inside units )
  • Percent of traditional healers who report that they would refer someone whom they suspected might be infected with Ebola to a CCC/ETU
  • Percent of safe burials
  • Percent of bodies not washed by families
  • Percent of people who participated in a funeral/burial during which they washed or had direct contact with the dead body during the ceremony
  • Percent of people who have participated in funeral/burial rituals where there was no unprotected contact with the deceased
  • Percent of people who can accurately describe the benefits of safe burials
  • Percent of people whose household experienced a known or suspected Ebola death in their home who called the call center/the appropriate authority for safe burial
  • Percent of deaths registered with local authorities
  • Percent of bodies not touched by anyone other than Ebola emergency response teams wearing PPE during burial practices
  • Percent of burials whose cause of death was undetermined
  • Percent of burials led by a sensitized religious leader
  • Percent of communities willing to engage in alternative burial practices
  • Percent of identified religious leaders who have publicly promoted safe and dignified burial practices
  • Percent of identified religious leaders who have publicly opposed safe and dignified burial practices
  • Number of times people wash hands with soap and water on an ordinary day
  • Percent of people that agree that using water and soap to wash hands prevents infection
  • Percent of people that can regularly access a hand-washing station with soap or chlorine water
  • Percent of people that report avoiding direct contact (bare hands) with Ebola-infected relatives or friends
  • Percent of people that report avoiding direct contact (bare hands) with bedding, clothing or other items which may have been contaminated by an Ebola-infected person
  • Percent of people that can accurately describe how they would get to a CCC or ETU if they thought they may be infected with Ebola
  • Percent of people that can accurately report how they can avoid touching clothing or personal belongings of people infected with Ebola
  • Percent of people that agree that if someone touches personal belongings of someone infected with Ebola that they can become infected
  • Percent of people who have received messages about handwashing with soap or chlorinated water
  • Percent of people who have received messages about using CCCs to isolate Ebola infected people
  • Percent of people who accurately describe how they should care for family members who have a fever with vomiting and/or diarrhea
  • Percent of people who accurately describe what they would do if they experienced fever with vomiting and/or diarrhea
  • Percent of people who can accurately describe what they should do if they were exposed to a person who was infected with Ebola
  • Proportion of leaders (religious, traditional, political, etc.) engaged in community mobilization for Ebola control and prevention
  • Proportion of community who report their community can be free of Ebola in the next X months
  • Proportion of community who report that [selected prevention activity, e.g., safe burial practices, isolating those with EVD] will help their community to be free of Ebola in the next X months.
  • Number of people that affirm that their leaders speak publicly about effective Ebola prevention
  • Percent of people who report their leaders provide accurate information about Ebola
  • Percent of people who have cared for non-family dependents (children, elders, disabled) left behind by Ebola-infected care takers
  • Percent of people who have cared for non-family members who survived Ebola
  • Percent of people who report that they've corrected another’s misinformation about Ebola by providing accurate information
  • Proportion of community that reports they have referred others to reliable sources of information
  • Proportion of respondents who hold at least one form of discriminatory attitude towards Ebola survivors
  • Proportion of respondents who would not welcome back a neighbor after surviving and recovering from Ebola
  • Percent of people who feel they would be stigmatized if they report someone to an ETU
  • Percent of people who would welcome someone back into their community after they recovered from Ebola
  • Percent of teachers who would welcome a student who survived and recovered from Ebola in his or her classroom
  • Percent of teachers who would permit a student whose family member had survived and recovered Ebola in his or her classroom
  • Proportion of respondents who would share a taxi ride (or other small space) with a person whom they suspected or knew had survived and recovered from Ebola
  • Percent of rapid response team members who can accurately identify their supervisor (who they report to) and to whom their supervisor reports
  • Percent of rapid response team who can accurately identify at least three partner organizations
  • Percent of districts with community managers in place
  • Percent of social mobilizers paid on time
  • Proportion of social mobilizers who report having received compensation they expected when they expected
  • Percent of districts with a map (or contact information, etc.) of key religious, health, community and traditional influencers
  • Percent of districts with a map (or contact information, etc.) of all NGOs and other groups providing support in the district
  • Percent of affected districts with established SM coordinating mechanisms and funding
  • Percent of SM partners reporting each week on activities conducted
  • Number of policies (bylaws, etc.) enacted to control Ebola (e.g., fine for traditional burial practices, travel restrictions, enactment of cross-border data sharing agreements for contact tracing)
  • Percent of women who have participated in SM trainings
  • Percent of social mobilizers trained in rapid response or other methods using ICT
  • Proportion of Ebola rapid response teams that include social mobilizers

 

Communication Strategy Guidance

View guidance on M&E for communications campaigns.

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