New Challenges in M&E Let’s go
Mar 27, 2015
New Challenges in M&ELet’s go
Scaling Up
Monitoring & EvaluationStrategic Information
PROGRAM GUIDANCERESULT NEEDS
OPPORTUNITIESResources
New directions
INCREASING DEMAND FOR INFORMATION
STRATEGIC INFORMATION
INCREASING EMPHASIS ON DATA USE AND UTILITY
DATA DEMAND GENERATION
WHAT DO WE MEAN BY STRATEGIC INFORMATION?
DATA
KNOWLEDGE
ÎNFORMATION
ACTION
Analysis
Understanding
Application
Generating information andknowledge to influence policy making,
programme action, and research
Assessment
INCREASING EMPHASIS ON DATA USE AND UTILITY
DATA DEMAND GENERATION
WHAT KIND OF INFORMATION DO WE NEED?
Needs, resources, access, coverageWhat are and will be the needs for services?What resources are available and what will be needed?How many have access? Who has access?
Programme Monitoring & EvaluationIs the programme performing according to plans?
Is the programme able to contain drug resistance development?Does the programme make a difference? Is it achieving its goals?
How much does it cost and how cost effective is it?Patient monitoring
Operations ResearchHow can programme implementation be improved?What are the best models of implementation?What can be done to improve health systems?
ResearchCan we provide more efficacious and more effective interventions?
What impact do programmes have?
INCREASINGCOMPLEXITY
MONITORING AND EVALUATION
Input Process Output Outcome Impact
A FRAMEWORK for Monitoring and Evaluation for ARV Therapy Programmes
ResourcesStaffingPolicies
TrainingLogistics
ManagementEducation
etc.
Services available
(testing &counseling, ART, lab)
Qualityservices
Publicunderstands
ART
Peopleon
Treatment
Knowledge HIV status
Stigma lowerBehavioural
change
SurvivalQuality of
life
HIV/STI transmission
reduced
INCREASING M&EIMPORTANCE -
INCREASING VOLUME M&E
MONITORING AND EVALUATION
IndicatorsTools
Methods
No programmeNo data
COVERAGE
• Build national monitoring systems
• Global coverage survey of key informants 2003
• Global district access/coverage survey 2004 : health system focus
HowMany Now?
MEASUREMENTISSUES
• Second generation surveillance • Self-reported risk behaviour in household surveys
Frustration with measurement of risk behavioursthrough self-reports in generalpopulation
EVALUATION
Scaling UpImpactCareful planningMultiple data sources
Integration of surveillance and M&E necessary
M&E does notautomatically implygood evaluation: but we need more Evaluation
CoordinationMore efforts to coordinateand harmonize, focus oncountry and global levels
Allon board?
District focusMore decentralization of M&Ewill present a challenge tonational systems
Existing Information SystemsNational SurveillanceActivities•National Census•Demographic and HealthSurvey•Health ManagementInformation System•Labour Force Survey•Household Budget Survey•Agricultural Survey•National AIDS ControlProgram•TB/ Leprosy Program•Vital Registration•Integrated DiseaseSurveillance
District SurveillanceActivities1. DSS at TANESA -Mwanza2. AMMP-2 - Hai site3. NSS - Igunga site4. NSS - Kigoma site5. Village Register - Kilosasite6. AMMP-2 - Morogoro site7. Village Register - Kibahasite8. AMMP-2 - Dar es Salaamsite9. Village Register -Mbarale10. Ifakara DSS11. Rufiji DSS12. Village Register -Masasi site13. Village Register -Mtwara site
1
32
9 10
5 611
78
1213
4