Beyond Indicators and Reporting: M&E as a Systems Strengthening Intervention
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Sian Curtis, MEASURE Evaluation Project Director Washington, DC January 24, 2012
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Beyond Indicators and Reporting: M&E as a Systems Strengthening Intervention
- 1. Beyond Indicators and Reporting: M&E as a Systems Strengthening Intervention Siân Curtis, PhD Project Director, MEASURE Evaluation Carolina Population Center January 24, 2012, Washington, DC
- 6. Why are M&E Systems Weak?
- 11. The burden of data
- 12. What progress has been made?
- 14. Percentage of Countries With Key HIV M&E System Elements, NCPI, 2005 and 2007. Source: Peersman et al. 2009. N=85
- 15. Availability of Selected UNGASS Indicators, 2008 Among countries that considered the indicator relevant. N <=147 Source: Peersman et al. 2009.
- 16. Example: Jamaica
- 20. PMTCT in Jamaica 2005 -2010 Source: Jarrett, 2011. 2005 2008 2009 2010 # ANC Attendees Tested 28,651 (96%) 28,659 (>95%) 30,076 (>95%) 20,259 (>95%) # HIV +ve women delivered 401 616 440 404 % of women getting ARVs 74% 84% 83% 87% # of HIV exposed infants 407 612 439 392 # Infants getting PMTCT 353 (87%) 605 (98%) 430 (98%) 383 (98%) Transmission Rate 10% <5% 4.3% Pending
- 31. Behavioral Determinants Knowledge/ skills, attitudes , values, motivation PRISM Framework for Understanding Routine Health Information System (RHIS) Performance Improved Health System Performance Improved Health Outcomes Technical Determinants Data generation architecture Information/communication technology Desired Outputs = RHIS performance • good quality information • appropriate use of information Inputs RHIS assessment, RHIS strategies RHIS interventions Organizational Determinants Information culture, health system structure, roles & responsibilities, resources
- 39. MEASURE Evaluation is funded by the U.S. Agency for International Development through Cooperative Agreement GHA-A-00-08-00003-00 and is implemented by the Carolina Population Center at the University of North Carolina at Chapel Hill, in partnership with Futures Group, ICF Macro, John Snow, Inc., Management Sciences for Health, and Tulane University. The views expressed in this presentation do not necessarily reflect the views of USAID or the United States government. Visit us online at http://www.cpc.unc.edu/measure.
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- HIV/AIDS tracking system since 1982; sentinel surveillance since 1989; KABP surveys since 1990; Program monitoring more recent since 2002.
- Source: Jarrett, 2011.
- These priorities are based on the following ongoing challenges: Timeliness of reports hamper decision making Limited data utilization/triangulation by stakeholders Data quality issues persist Slow implementation of electronic databases Inadequate evaluation Important research questions unanswered Capacity building within Unit HIV M&E communication plan Maintaining the standard: quality vs quantity Adjusting for the impact of improved reporting on targets
- Progress – in countries, a lot of goodwill to make progress. Countries and donors work together to build systems and try to map that to reporting. At same time, more flexibility at the global level.
- Ultimately though we know more about health than we have ever known before. And that is progress.
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