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Click to edit Master title style,*,STRENGTHENING MONITORING and EVALUATION of NATIONAL AIDS PROGRAMMES in the CONTEXT of the EXPANDED RESPONSE,February 4-6 2002,Dakar,Senegal,Monitoring AND Evaluation,Monitoring:What are we doing?,Tracking inputs and outputs to assess whether program are performing according to plans,(e.g.people trained,condoms distributed),Evaluation:What have we achieved?,Assessment of impact of the programme on behaviour or health outcome,(e.g.condom use at last risky sex,HIV incidence),Surveillance:monitoring disease,Spread of HIV/STD,(e.g.HIV prevalence among pregnant women),Input,Process,Output Outcome Impact,A FRAMEWORK for Monitoring and Evaluation,People,money,equipment,policies,etc.,Training,Logistics,Management,IEC/BCC,etc.,Services,Service use,Knowledge,Behaviour;,Safer,practices,(population,level),HIV/STI,transmission,Reduced,HIV impact,Input,Process,Output Outcome Impact,DATA COLLECTION for Monitoring and Evaluation,HIV/STI,surveillance,Household,Surveys,Facility,surveys,Programme Monitoring,Input,Process,Output Outcome Impact,INITIATIVES for Monitoring and Evaluation,HIV/STI,surveillance,Household Surveys,Facility surveys,Programme Monitoring,Second generation,surveillance,Multi-sectoral AIDS(MAP)program,Monitoring and Evaluation,United Nations General Assembly Special Session(UNGASS),Monitoring and Evaluation,USAID/CDC Expanded response,Monitoring and Evaluation,Uganda,Senegal,Jamaica,Thailand,MONITORING and EVALUATION at the NATIONAL LEVEL:NATIONAL SUCCESS STORIES,Input,Process,Output Outcome Impact,Did the National Response Make the Difference?,1,HIV,prevalence,changing!,2,Can the changes,in HIV prevalence,be attributed,to changes in,behaviour?,3,Can the changes in,behaviour be attributed to,interventions/programs?,Input,Process,Output Outcome Impact,The components of AIDS programmes,Voluntary counselling and testing,Reduction of mother-to-child transmission,IEC programs:knowledge,attitudes,Condom promotion and distribution,School programs:adolescent KAP,Targeted interventions(e.g.CSW,IDU),Control of STDs,Blood safety,prevention nosocomial transmission,Care&support programs(including ARV),Global Initiative to Improve M&E of AIDS programs at the National Level,Goal,:To help countries develop sustainable and effective M&E systems,Coordination,:UNAIDS,WHO,USAID,CDC in collaboration with World Bank,European Commission,FHI,MEASURE and many others,Global Initiative to Improve M&E of AIDS programs at the National Level(2),Process,:,1998 Review of existing practices,systems and instruments(13 countries);,1999-2000:four consensus-building/technical meetings with stakeholders,2000:Publication of UNAIDS guide(English),2001:Publication of UNAIDS guide(French),Country workshops(Africa-25 countries),April 2001-Entebbe,Feb 2002-Senegal,Apr 2002-Kampala(training in M&E),Apr 2003-Dakar,Coordination:MERG,GAMET,Lesson Learned:5 Elements of a Good Monitoring and Evaluation System,Presence Monitoring and Evaluation unit,Clear goals and objectives of the program,A core set of indicators and targets,A plan for data collection and analysis,A plan for data dissemination,Monitoring and Evaluation Unit,No functioning unit for M&E,1 or 2 persons responsible for the whole country,Very limited resources for M&E,No formalised links with technical and other resources,Established M&E unit within the NAC and MoH,Specific expertise in or affiliated with the unit:,(M&E,epi,behavioural,statistics,data dissemination),Budget(10%of the national AIDS budget with national contribution),Formalised links with the research institutions,leading NGOs and donors,Not so,good,GOOD,Clear goals and objectives,National strategic plan has no specific goals and objectives,No system of ongoing assessment with programs reviews and built-in evaluation,Limited coordination with districts and regions,Limited coordination between sectors,Donor-driven M&E system,Well-defined national programme goals and targets-M&E plan,Regular reviews/evaluations of the progress of the implementation of the national programme plans,Guidelines and guidance to districts and regions or provinces for M&E,Guidelines for linking M&E to multiple sectors,Co-ordination of national and donor M&E needs,Not so,good,GOOD,A set of indicators(and targets),No indicators or indicators that cannot be measured,Indicators that cannot be compared with past indicators or with other countries,Indicators are only used for donors and each donor has its own set of indicators,Indicators are irrelevant to those who collect the data,Each district or sector uses its own indicator,A set of priority indicators and additional indicators that cover programme monitoring,programme outcomes and impact-M&E plan,Selection of indicators through process of involving multiple stakeholders and maintaining relevance and comparability,Utilization of past and existing data collection efforts to assess national trends(e.g.DHS),Not so,good,GOOD,Data collection and analysis plan,M&E is an ad hoc a
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