A2 Saidel

For the MEASURE Evaluation Symposium: From Data to Impact: Using Health Data for Results Presented by Dr. Tobi Saidel on behalf of A2 Partners Arusha, Tanzania, Jan 28, 2009 Addressing the Evidence/Policy Divide: Integrated Analysis and Advocacy Project

Focus of Presentation ,[object Object],[object Object],[object Object],[object Object],[object Object]

A 2 : What and Why ,[object Object],[object Object],[object Object]

[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],A 2 : What and Why A2 is a process for answering crucial questions

A 2 : What and Why ,[object Object],[object Object],[object Object],[object Object],Large amount of data are collected but remain largely un used or under used

Programmatic and Policy Objectives: (What does A2 aim to do)? ,[object Object],[object Object],[object Object],[object Object],A2 is designed to bridge the “ Evidence-Policy Divide”

A 2 : What and Why ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],Data Use is not a “one-off” “ slam-dunk” activity

The Process (1): Local teams gather and synthesize existing data to understand the current stage of the epidemic and the response ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],This activity involves many local stakeholders and it takes months (not days)

The Process (2): Develop a local model of the epidemic (Asian Epidemic Model) ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],AEM Calculation Engine Observed HIV trends (white lines) Injecting drug users Female sex workers Adult males Adult females Probabilities of transmission and start years

The Process (2): Use the model to determine where new infections come from… ,[object Object],[object Object],[object Object]

… and to tell us where the epidemic is going ,[object Object],[object Object],[object Object],[object Object],[object Object]

The process (3): Evaluate the impact of different programs choices & resource a llocation decisions. .... Responses and resources needed for maximum impact ,[object Object],[object Object],[object Object],[object Object],[object Object]

The process (4):Turn strategic information into action ,[object Object],[object Object],[object Object],[object Object],[object Object],Implementation of the most effective policies and programs, and mobilization of adequate resources

The process (4): Development of advocacy action plans… ,[object Object],[object Object],..and implementation of advocacy activities:

Example of A 2 application in Ho Chi Minh City,Vietnam

Ho Chi Minh city ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Baseline scenario using AEM Clients of FSWs will contribute the largest number of new infections in HCMC in the next 20 years Male clients MSM Low-risk female

New infections for various scenarios relative to baseline projection (from 2006 to 2010) (Using AEM and GOALS)

Relationship between number of infections averted and amount invested

Cost per infection averted depends on amount invested

Future treatment costs avoided for different levels of prevention investment

Main outcomes/actions in Vietnam as a result of A 2 ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Main challenges in the A 2 process ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Future challenges ,[object Object],[object Object]

Conclusions ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

A 2 Partners ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

A2 Saidel

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A2 Saidel