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Binder all posters   bandgladesh zambia - copy Binder all posters bandgladesh zambia - copy Document Transcript

  • Botswana Monitoring, Evaluation and  ResearchOffice OverviewNumber of staff:            15Number of dedicated M&E staff:   1Workshop AttendeesNumber of staff:         1Name:               Rudo M. Mhonde Title:                                  M&E AdvisorOverview of Technical Areas and Donors Technical Area(s) Primary Donor/Mechanism Program Interventions MALE CIRCUMCISION PEPFAR/CDC Expansion of Male Circumcision Services to Prevent HIV  in Botswana (MC Training and Service Delivery) PRE‐SERVICE EDUCATION PEPFAR/CDC Strengthening PSE programs in Health Training  InstitutionsMonitoring, Evaluation and Research ActivitiesTitle of Program or Research/  Primary Monitoring or Study  For Research and Evaluation Activities Evaluation Activity Data Source(s) Name of IRB(s) That Approved Activity Project Status Male Circumcision Facility registers, training register,  n/a n/a mentoring tool Pre Service Education Training registers, site visit  n/a n/a assessment toolA Study of Adverse Events Related  Client interviews, facility registers JHU SPH, CDC, MOH HRDC Awaiting approval from JHU, CDC and MOH HRDC to Male Circumcision In Botswana Review BoardsAssessment of In‐service HIV and  Health care provider interviews,  JHU SPH, MOH HRDC CDC Non research determination obtained from MOH HRDC  AIDS Training Methods and  management interviews, Event  (Botswana) and JHU SPH Review Boards. Awaiting Models in Botswana Costing worksheet, focus group  approval from CDC discussions Male circumcision Facility registers,  Facility quality  JHU SPH for routine monitoring being Multi‐country ethical clearance under way assessment developed M&E‐related success story or  achievement of our program • Jhpiego has trained 72 Health care providers on MC (including SMC M&E & QA) since November 2010. SMC data quality has improved considerably in facilities where Rudo Msipa Mhonde Introduction to Computing  A trainee recording data during SMC  the health care providers were M&E Advisor Lesson  Gaborone IHS, Computer  Lab Training trained. • Jhpiego has set up proxy networks in IHSs after monitoring challenges with internet access and connectivity. All students now have individual internet accounts. • Two protocols for a study on Adverse Events Related to Male Circumcision In Botswana and an Assessment of In‐service HIV and AIDS Training Methods and Models in Botswana have been submitted and the latter has been approved.Key Monitoring, Evaluation and Research Challenges Challenges How did you or how are you currently addressing these  challenges? 1. Final National SMC M&E framework not yet in place so it is difficult to develop a final  Periodic review and reorientation of M&E plans, budgets Jhpiego SMC M&E plan. MOH and CDC yet to  give final guidance on Jhpiego focus area  and continuous consultation with MOH and CDC.(Training /Service delivery).2. Changing targets and unclear reporting guidelines due to changes in Jhpiego SOW and  Maintaining close collaboration with MOH in planning MOH SMC scale up plans. processes.3. Lack of current textbooks and journals for student use in Health Institutions E‐granary installed and increased wireless internet access This poster was made possible by the generous support of the American people through the United States Agency for International Development (USAID), under the terms of the Leader with Associates Cooperative Agreement GHS‐A‐00‐08‐00002‐00. The contents are the responsibility of the Maternal and Child Health Integrated Program (MCHIP) and do not necessarily reflect the views of USAID or the United States Government.
  • Ethiopia Monitoring, Evaluation & Research Country Director Office Overview Number of staff: 49 Deputy Country Finance & Admin Director Director Number of dedicated M&E staff: 3 Technical Director HCT Team Workshop Attendees Infection Prevention (IP) Maternal Neonatal and Child Health (MNCH) Number of staff:2 Male Performance Improvement (PI) Team Circumcisio Unit Ephrem Daniel, M&E Advisor n (MC) Team Pre-service Education (PSE) Tsigereda Bekele, M&E Officer Monitoring and Evaluation (M&E) Unit Senior Program OfficerOverview of Technical Areas and Donors Technical Area(s) Primary Donor/Mechanism Program Interventions HIV CDC/JHU TSEHAI Male Circumcision, HIV Counseling and Testing HIV DoD Male Circumcision MNH USAID/MCHIP Multiple MNH Activities MNH Pathfinder/IFHP BEmONC training and SBM-R MNH UNICEF BEmONC training and SBM-RMonitoring, Evaluation and Research Activities Title of Program or Primary Monitoring or For Research and Evaluation Activities Research/ Study Data Source(s) Name of IRB(s) That Approved Project Status Evaluation Activity Activity Male circumcision Facility registers JHU IRB for routine monitoring Multi-country ethical clearance under way being developedCommunity Kangaroo Mother Client interviews, facility JHU SPH, EPHA (local) Protocol development is on the final stage Care registers Cultural barriers affecting Literature review, focus group JHU SPH, EPHA (local) Literature review started to prepare the protocol women’s utilization of discussion and key informant optimal MNH practices interview Preservice program Faculty interviews, student JHU SPH, EPHA (local) Protocol development is underway evaluation interviews, document review,M&E-related success story or achievement• Use of TIMS to monitor all PEPFAR Ethiopia-supported training courses and to follow-up/track providers post training• Importance of M&E was given due attention and it is organized as a unit with three full-time staff• M&E unit had been instrumental to improve program outcomes by providing evidence-based and timely feedback- E.g. Data from the M&E unit was instrumental in showing the decline in MC clients and the need of demand generation to increase MC uptake- To shift to opt-out testing approach to improve the proportion of MC clients who are tested for HIVKey Monitoring, Evaluation and Research Challenges Challenges How did you or how are you currently addressing these challenges?1. Delayed roll out of the new Ethiopian HMIS Use program funds to print and distribute the new HMIS tools to MCHIP supported sites2. Absence of baseline data in the SBM-R implementing facilities to Key output/outcome indicators were selected to be included as part of SBM-Rshow improvement of service delivery standards to new programs3. Absence of unique identifiers for individuals is a huge challenge for In addition to names, we use phone numbers to identify individualsdata quality in TIMS This poster was made possible by the generous support of the American people through the United States Agency for International Development (USAID), under the terms of the Leader with Associates Cooperative Agreement GHS-A-00-08-00002-00. The contents are the responsibility of the Maternal and Child Health Integrated Program (MCHIP) and do not necessarily reflect the views of USAID or the United States Government.
  • Monitoring, Evaluation and Research in Ghana: a shared commitment and responsibility Country Office staff: 4; Dedicated M&E staff: 0 Workshop Attendee: Joyce Ablordeppey, Sr Technical Advisor Ghana Team Sr Technical Advisor* Country Sr Technical Director* Advisor* Finance & Admin Assistant * M&E responsibilities Overview of Technical Areas and Donors Technical Areas Primary Donor/Mechanism Program Interventions HIV USAID/MCHIP SBM-R, pre-service MALARIA USAID/MCHIP SBM-R, pre-service FAMILY PLANNING USAID/MCHIP SBM-R, pre-service TUBERCULOSIS USAID/MCHIP SBM-R, pre-service POST-PARTUM FAMILY PLANNING USAID/MCHIP SBM-R, pre-service NEWBORN RESUSCITATION (HBB) USAID/MCHIP SBM-R, pre-service Monitoring, Evaluation and Research Activities Title of Program or Primary Monitoring or For Research and Evaluation Activities Research/ Study Data Source(s) Name of IRB(s) That Approved Project Status Evaluation Activity Activity Assessing Quality of 1. SBMR Assessments (tutors, JHU IRB application to be IRB application Education, Student clinical preceptors, students) submitted Competency and 2. Survey of women one year Postpartum Family post delivery in well baby clinic Planning Uptake - A Comparison StudySuccess Story: Using SBMR Data for Advocacy Baseline Assessment: % Standards achieved in HIV, TB, Malaria and FP• This year MCHIP in Ghana is focusing on strengthening Average performance of of 23 schools Teaching Materials; Knowledge & Skills HIV, TB, Malaria and FP in pre-service education for Midwives, Public and Community Health Nurses• SBMR baseline assessment data was used to communicate with the National Programmes for HIV, TB and Malaria to secure their commitment and resources to strengthening pre-service education• After a presentation and discussion on the results, each program committed trainers for a 2 week period to train tutors, provided resource materials and committed ongoing support to schools Key Monitoring, Evaluation and Research Challenges Challenges How did you or how are you currently addressing these challenges? 1. Limited indicators for pre-service Some indicators that we are using include: 1. % of schools participating; 2. % tutors trained; 3. # students who activities (e.g. PEPFAR indicators focus have received training from tutors trained; 4. competence of students trained; 5. Utilization of services on in-service training) This poster was made possible by the generous support of the American people through the United States Agency for International Development (USAID), under the terms of the Leader with Associates Cooperative Agreement GHS-A-00-08-00002-00. The contents are the responsibility of the Maternal and Child Health Integrated Program (MCHIP) and do not necessarily reflect the views of USAID or the United States Government.
  • Jhpiego, Baltimore Monitoring, Evaluation and Research Jhpiego Global M&E Vision Jhpiego measures program results in terms of improved healthOffice Overview and lives saved drawing on an organization-wide results framework thatNumber of dedicated M&E staff: 12 articulates pathways and milestones leading to impact.Workshop AttendeesNumber of staff: 10 Key Activities:Sr. M&E Advisors: Eva Bazant, Young Mi Kim 1. Support country programs to: develop M&E plans and frameworks, develop data collection tools, analyze qualitative and quantitative data, identify areas and methods for data qualityHealth Informatics Advisor: Ed Bunker improvement, displaying data including mapping, providing results information systemsRISE Project Director: Catherine Schenck-Yglesias 2. Design and implement operations research in priority areas for the organizationM&E Advisors: Mary Drake, Megan Harris, Mainza Lukobo-Durrell, Reena Sethi, Maya Tholandi 3. Support the dissemination of Jhpiego’s program and technical resultsDirector, MER: Linda Fogarty Jhpiego Results Framework GOAL: Health Status Improved and Lives Saved Strategic Objective: Use of MCH/FP/HIV/AIDS Services Increased and Positive Health Behavior Adopted in the Population Intermediate Result 1: Intermediate Result 2: Intermediate Result 3: Intermediate Result 4: Health Systems Strengthened Quality of Health Services Improved Availability of Quality Health Services Increased Improved Health Knowledge, Attitudes and Capacity for Community Action Elements Necessary for a Functional M&E System: Developing M&E Standards To support organizational and country program growth we are developing M&E standards based on UNAIDS Organizing Framework for a Functional M&E System. Country programs need 1) a dedicated M&E unit with well- defined relationships between HQ and field staff, 2) sufficient numbers of trained, dedicated M&E staff representing a wide range of skills (including GIS, health informatics, data analysis, etc), 3) strong ties to program staff, facility staff, and government representatives, 4) an annually updated M&E plan, 5) a budget sufficient to strengthen and maintain a high-quality M&E system, 6) ongoing activities to enhance data use across the organization, including global MER meetings, 7) strong monitoring systems from facility to HQ, 8) ability to implement targeted surveys to support program development, 9) databases such as RISE and TIMS to communicate results across the organization, 10) routine (annual) data quality audits in all country programs, 11) expertise to carry out program evaluations to demonstrate technical program successes and research to fill gaps in knowledge, and 12) publishing and presenting Jhpiego’s program successes and technical innovations. Success Story: Tremendous Organizational and MER Growth Current MER Capacity and Organizational Commitment:Where we work • Fully staffed HQ MER unit with wide range of expertise across M&E competencies • Quantitative and qualitative research capacity and commitment to impact evaluation • Investment in information systems to assist country programs and organization to track and publish results (RISE, TIMS, SBMR database) • Advocating for M&E components in new programs; commitment to 5-10% of all program funds for M&E Key Monitoring, Evaluation and Research Challenges Challenges How did you or how are you currently addressing these challenges? 1. Integrating more successfully into Global Program Operations Attending regional, country and GPO general meetings; assisting with quarterly country review reporting; providing M&E-specific LOE guidance for program planning, budgeting 2. Helping to ensure data quality at the program level Involvement in quarterly country review reporting; providing routine data quality audit tools and support; requesting annual country visits 3. Supporting RISE in a way that meets users’ needs across the organization Involving countries in RISE development process; providing in-person training at global meeting; developing training guides; planning RISE support into technical assistance visits 4. Balancing new program development with program technical assistance Developing a system that tags and searches past proposals, (e.g., by country, donor, technical area) to make future responses more efficient, richer, and more contextualized This poster was made possible by the generous support of the American people through the United States Agency for International Development (USAID), under the terms of the Leader with Associates Cooperative Agreement GHS-A-00-08-00002-00. The contents are the responsibility of the Maternal and Child Health Integrated Program (MCHIP) and do not necessarily reflect the views of USAID or the United States Government.
  • Haiti Monitoring, Evaluation and Research PPFANI Program/ Contraintes Création des Structures sanitaires Communautaire Dialogue communautaire Situation de base Résultats L’Impact Manque des connaissance comites des adultes •Amélioration des services •Support communautaire pour profondes en matière SSR et PF amis-des- jeunes SSR et PF pour les jeunes et jeunes ACCESS -FP •Institionalisation des services amis-des-jeunes Initiation des rapports sexuels a Individuel l’âge de 12 à 14 ans Family Planning Project •Amélioration des Recherche de base connaissances: PF, source Rumeurs sur la PF participative d’information et services Amélioration des SSR Accessibility- Nippes •Utilisation des méthodes pour les jeunes mères Office Overview Manque de communication entre les parents/adultes et les Développement des Social jeunes filles jeunes Number of staff: 7 Manque d’opportunités stratégies/ •Amélioration de la communication parents et économiques interventions jeunes Manques de satisfaction avec Number of dedicated M&E staff: 1 les service SSR/PF •Amélioration des connaissances SSR dans la communauté L’élaboration des •Augmentation de la discussion Facilitateurs matériaux Workshop Attendees de SSR Politiques nationales Number of staff: 1 Suivi du projet Honore Marie Patrice, Technical Coordinator Evaluation Overview of Technical Areas and Donors Technical Areas Primary Program Interventions Donor/Mechanism - Institutional strengthening (friends of youth service improvement, USAID FP for girls and young mothers strengthening technical capacity, staff training, increase range of services, aged 15-24 availability of services, space for the provision of FP services) - Community activities (creation of adult and young Committee, clubs, development of awareness and education, radio equipment) Results dissemination workshop Monitoring, Evaluation and Research Activities Title of Program or Research/ Primary Monitoring or Study Data Source(s) For Research and Evaluation Evaluation Activity Activities Name of IRB(s) That Project Status Approved Activity Operational research on low FP use Primary investigation: interviews, focus Minister of Health Completed determinants by girls and young mothers group, institutional records in Haiti (15 - 24 years) consultation, Evolution de lutilisation du debut à la fin du Asile- Centre de SanteAchievements 1193 1200 projet•Fewer early pregnancies in the rural community, 1000 Nombre de olients PF•Fewer dropout in the second year of 1558 800implementation of the project (statement by the 2000 600Director of the school of Azile : less than 4 1500 15-24 yrs.pregnancies compare to 20 in previous years.) 18 mois (Janv 08 – May 09) 400 1000 58 262•FP is no longer a taboo, FP is part of the daily 200 80 16life of the inhabitants of the area the integration of 500 0 0 7young people with participatory research project 0 Condom Lo-femenal DMPA Norplant IUD Other natural utilisatrices de depart utilisatrices à la fin method Types de methodesPF Key Monitoring, Evaluation and Research Challenges Challenges How did you or how are you currently addressing these challenges? 1. Inability for youth to negotiate their sexual relationship linked to Partnership established with professional / social institutions for preparing their socio-economic situation (low income, unemployment) girls and young mothers to have a useful trade. Empowering women to negotiate sexual relations (FP) 2. Young mothers lack of decision power. Mens participation in the activities, training of parents, clubs, and Committee of surveillance of maternal mortality (the project champion) This poster was made possible by the generous support of the American people through the United States Agency for International Development (USAID), under the terms of the Leader with Associates Cooperative Agreement GHS-A-00-08-00002-00. The contents are the responsibility of the Maternal and Child Health Integrated Program (MCHIP) and do not necessarily reflect the views of USAID or the United States Government.
  • INDIA Monitoring, Evaluation and ResearchOffice OverviewNumber of staff: 58 (MCHIP + Jhpiego)Number of dedicated M&E staff: 02Workshop AttendeesNumber of staff: 1Siddhartha Saha, M&E AdvisorOverview of Technical Areas and Donors Technical Area(s) Primary Donor/Mechanism Program InterventionsPre‐Service Education MCHIP Strengthening Pre‐service education, SBM‐RFamily Planning USAID/MCHIP Strengthening FP services, SBM‐R, Capacity buildingFamily Planning Bill & Melinda Gates Foundation Repositioning of PPFP/PPIUCD, SBM‐R, In‐Service Training, IEC/BCCFamily Planning Norway‐India Partnership Initiative (NIPI) Strengthening PPFP/PPIUCD services, In‐Service Training, IEC/BCCVaccine Preventable Disease USAID/MCHIP Capacity building, demonstration of best practices, Supportive Supervision, New Born Tracking, synergies between PEI & RINew Born Care USAID/MCHIP Supportive Supervision, In‐Service Trainings, Facility strengthening for  ENCWater, Sanitation & Hygiene USAID/MCHIP Double –blinded RCT, IEC/BCC;Monitoring, Evaluation and Research Activities Title of Program or Research/  Primary Monitoring or Study Data  For Research and Evaluation Activities Evaluation Activity Source(s) Name of IRB(s) That  Project Status Approved ActivityAssessment of Postpartum Intrauterine Contraceptive  Facility registers, Interviews, FGDs Protocol to be submitted Device (PPIUCD) Services for IRBPostpartum Systematic Screening in Jharkhand, India  PPSS tool, Observations Protocol to be submitted  for IRBMCHIP Immunization program in India WHO Thirty Cluster Survey,  Supportive  Protocol to be submitted  Supervision checklist for IRBAssessment of Facility readiness for ENC/R in two  Survey, Facility registersselected districts of Jharkhand ‐ PPIUCD Facility Registers‐ Circulated in all PPIUCD service  PPIUCD Facility Reporting  format‐ Project Reporting Tools currently  PPIUCD Multi‐site database  delivery sites in 19 states of India  Standardized monthly reporting  in MS Excel, being developed in  providing information on PPIUCD  in around 40 facilities across  system for all PPIUCD service  MS Access for data entry and  insertion, follow‐up etc. for  different projects  delivery sites  (this being new  collation by project field staff  program monitoring  (MCHIP/BMGF/NIPI) service yet to be integrated in  electronic HMIS).Key Monitoring, Evaluation and Research Challenges Challenges How did you or how are you currently addressing these challenges?  1. Although, it is crucial to monitor the counseling of pregnant/post‐partum women, timing of  A column is being added in the clinic registers to  counseling (during antenatal period/early labor or postpartum) and subsequent decision of  record  provision of family planning  counseling  acceptance/non‐acceptance of PPFP/PPIUCD and method opted; however, the counseling  services. The providers are also being sensitized  data is poorly recorded in the service records of the facility and is not captured in the  about the need for this data and on how to capture  current HMIS.  this data. 2. Measuring the practice of ‘Active Management of Third stage of Labor’ which includes (i)  The use of uterotonic in third stage of labor will  administration of uterotonic (Inj. Oxytocin 10 I.U. intramuscular after delivery of baby, (ii)  only be measured.  uterine massage, (iii) controlled cord traction. Although, use of uterotonic is recorded on  the case sheets but other two steps are not mentioned in the case sheets. 3. Number of newborns receiving essential newborn care including essential preventive care  The health staff will be sensitized and supported for  and recognition of danger signs and referral through USG‐supported programs‐ prioritized  recording some of the steps of essential newborn  facilities in focus districts only. At present the facilities do not record all the steps of  care and resuscitation as proxy during the  essential newborn care in the case sheets or registers. mentoring visits to the facilities. This poster was made possible by the generous support of the American people through the United States Agency for International Development (USAID), under the terms of the Leader with Associates Cooperative Agreement GHS‐A‐00‐08‐00002‐00. The contents are the responsibility of the Maternal and Child Health Integrated Program (MCHIP) and do not necessarily reflect the views of USAID or the United States Government.
  • INDONESIA Monitoring, Evaluation and Research Office Overview Number of staff: ~ 40 Number of dedicated M&E staff: 4 for MCHIP, including 2 Jhpiego staff Workshop Attendees Number of staff: 1 Mia Pesik, Senior Program Manager Community formative research on health practices of the MCHIP key messages : FGD with Health Center StaffsOverview of Technical Areas and Donors Technical Area(s) Primary Donor/Mechanism Program Interventions MNH USAID/MCHIP, ExxonMobil, Chevron Community, facility, health office management Cervical Cancer Screening Ford Foundation VIA Infection Prevention GITEC Pre-service infection prevention curriculumMonitoring, Evaluation and Research Activities Title of Program or Primary Monitoring or For Research and Evaluation Activities Research/ Study Data Source(s) Name of IRB(s) That Approved Project Status Evaluation Activity Activity Evaluation of Quality Clinical observations, facility JHU IRB Report writing improvement interventions registers, provider interviews Assessment of referral Interviews of postpartum JHU IRB Report writing processes women Handwashing practices Videotaping, in-depth London School of Hygiene and Report writing amongst mothers with interviews, focus group Tropical Medicine (collaboration newborns discussions with Unilever Community formative Interview with community, JHU IRB Report writing research on health practices health practices at health of the MCHIP key messages center, midwives, and district health office CECAP Appreciative Inquiry Client interviews JHU IRB Report writing Ongoing SBM-R initiatives SBM-R tools On-going SBMR Calculator • What? Develop a calculator to help midwives, health centers and hospitals analyze their SBMR data • Why? Total number of standard performance in each SBMR tool is a lot and limitation of midwives, health centers and hospitals staffs’ skills on Ms. Office (Excel) in order to generate the graphs. No special data operator at midwives, health centers and hospitals Main Menu to entry and analyze SBMR data also become the reason of the calculator development.Key Monitoring, Evaluation and Research Challenges Challenges How did you or how are you currently addressing these challenges?1. Prioritizing the key indicators—balancing between the “nice to Consultation with M&E team in Washington know” and “need to know”2. Using the existing data collection at district level to answer the key Assessment on the existing data collection system at district level (starts from indicators the village, subdistrict and district level)3. Prioritizing SBM-R standards—how to balance wanting to measure At this time, we are measuring broader quality but also feeling a need to be compliance with key life-saving interventions and wanting to able to measure the most important life-saving interventions amongst those measure broader quality of care standards This poster was made possible by the generous support of the American people through the United States Agency for International Development (USAID), under the terms of the Leader with Associates Cooperative Agreement GHS-A-00-08-00002-00. The contents are the responsibility of the Maternal and Child Health Integrated Program (MCHIP) and do not necessarily reflect the views of USAID or the United States Government.
  • Liberia Monitoring, Evaluation and Research Office Overview Number of staff:2 MCHIP, 2 RBHS Number of dedicated M&E staff: 0 Workshop Attendees Number of staff: 1 Comfort Gebeh, MCHIP FP/RH AdvisorOverview of Technical Areas and Donors Technical Area(s) Primary Donor/Mechanism Program Interventions EmONC, FP, Child Health, ASRH, HIV/AIDS,TB, USAID, sub on RBHS bilateral with JSI PSE, SBMR, training, policy/guidelines, clinical Malaria, Mental Health, Emergency site strengthening FP USAID/MCHIP Policy, in-service training, site renovation, BCCMonitoring, Evaluation and Research Activities Title of Program or Primary Monitoring or For Research and Evaluation Activities Research/ Study Data Source(s) Name of IRB(s) That Approved Project Status Evaluation Activity Activity Task Analysis Provider interviews JHSPH Complete BPHS monitoring Service statistics, TIMS forms, n/a Ongoing Reports from site TA visits EPI/FP Integration Facility registers JHSPH – Submission pending Planning FP Facility registers, TIMS forms, n/a Ongoing Reports from site TA visits PPH prevention TBD TBD Design • Task analysis provided evidence to strengthen MNH clinical practice requirements of PA and RN curricula • Task analysis results presented at several conferences, including upcoming Global Health Council • Increased availability of data on MNH services Data Quality Exercise, FP Data Jan-March2011, 2 Hospitals Indicator Facility Difference % Match HIS Report Registers New FP 289 120% clients 1741 1452 Revisit FP -134 96% clients 3102 3236Key Monitoring, Evaluation and Research Challenges Challenges How did you or how are you currently addressing these challenges?1. Data quality Initial visit conducted and site-level plans made. MCHIP to provide regular follow-up. Liaising with USAID bilateral where Jhpiego is sub to follow-up data quality concerns for facilities supported by RBHS, and negotiating with USAID to reorganize resources in order to provide regular sites visits that include data quality and clinical technical assistance for non-RBHS MCHIP sites. Considering development of job aid to standardize reporting.2. Coordinated follow-up between MOH, MCHIP and RBHS Conduct joint site visits with MOH, MCHIP and RBHS (where applicable).3. Use of data by facility staff Monthly mentoring monitoring visits with feedback to facility staff This poster was made possible by the generous support of the American people through the United States Agency for International Development (USAID), under the terms of the Leader with Associates Cooperative Agreement GHS- A-00-08-00002-00. The contents are the responsibility of the Maternal and Child RBHS Health Integrated Program (MCHIP) and do not necessarily reflect the views of USAID or the United States Government.
  • MALAWI Monitoring, Evaluation and Research Office Overview Number of staff: 28 Number of dedicated M&E staff: 3 Workshop Attendees Number of staff: 1 Aleisha Rozario, M&E Advisor List the primary technical areas (e.g., MNH, HIV, etc.) covered by your program and your major donors,Overview of Technical Areas and Donors for example: Technical Area(s) Primary Donor/Mechanism Program Interventions HIV USAID/MCHIP SBM-R in PMTCT, Male Circumcision, MNH BEmONC, Community MNH/Mobilization, KMC, SBM-R in RH Child Health Water and Sanitation, Malaria IEC, LLIN distribution Performance Based Incentives linked to SBM-R Helping Babies Breathe PPFP, FP Social Marketing List the primary monitoring, research and evaluation activities currently under way in your office, forMonitoring, Evaluation and Research Activities example: Title of Program or Primary Monitoring or For Research and Evaluation Activities Research/ Study Data Source(s) Name of IRB(s) That Approved Project Status Evaluation Activity Activity SBM-R evaluation Client interviews, provider WIRB and NHSRC/Malawi Manuscript submitted to Midwifery Journal interviews, facility HMIS, SBM-R assessments Male circumcision Facility registers, mobile clinic JHU IRB for routine monitoring Multi-country ethical clearance under way registers being developed Malaria Tracking Results Client interviews COMREC Malawi IRB protocol submitted, awaiting review Continuously (TRaC) Study Family Planning TRaC Study Client interviews COMREC or NHSRC IRB being Protocol under draft developed Helping Babies Breathe Provider observations, client Concept note developed and under finalization Evaluation interviews, service statistics Increased coverage in MNH-PMTCT in MCHIP supported sites, Phalombe district Direct Obstetric Deaths decline as PQI scores increase, Machinga Disrtict Deliveries by SBA rise at Mpasa Health Center as PQI scores increase Hospital 100 92.6 100 3.2 3.5 70 65 90 88.4 87.3 63 90 80.9 82.1 88 75.7 90 2.9 79.8 80 80 3.0 60 2.7 70 80 70 60 51.4 51.5 2.5 50 70 63 PQI RH 61.2 60 50 59.2 Percentage (%) Percentage (%) scores Percentage Percentage 60 40 40 2.0 50 24.5 Intervention 50 PQI score 30 23.3 Direct 19.8 39 30 40 20 Control 1.5 Obstetric % SBA 8.74 40 22 10 Death Rate 30 30 1.0 20 0 20 % of % preg. % preg. % preg. % HIV % HIV 20 0.5 10 pregn. women women women positive positive 10 10 women attending receiving newly preg. preg. 0 0.0 0 0 attending ANC in 1st >2 doses tested for women women > 4 ANC trimester IPTp HIV receiving receiving 2008 2009 2010 2008 2009 2010 visits CPT ARVsKey Monitoring, Evaluation and Research Challenges Description of up to three key M&E challenges for your unit Challenges How did you or how are you currently addressing these challenges?1. The Malawi National Health Sciences Committee (NHSRC) charges a USG and other donors in the country have taken up the issue with NHSRC to10% fee based on the study budget for all approved studies. Because discuss an agreement. Operational research that may be considered asthe fee is considered unethical, this will limit Jhpiego’s participation in “development assistance” are being submitted for IRB approval and a waiverany operational research to be conducted in the country. of the fee is requested.2. HMIS system does not collect the host of indicators required by the MCHIP is looking into partnering with the MOH to set up a sentinel siteMCHIP program and there is tremendous resistance to introducing surveillance system for selected MNH, Malaria, and HIV related indicators.parallel systems for data collection, unless approved by the MOH MCHIP will also explore the use of electronic systems to collect data at the point of care.3. Quality of data is generally poor, requiring active follow-up by M&E personnel have been included in all supportive supervision visits toprogram staff. provide an opportunity for M&E mentoring and validation of data. This poster was made possible by the generous support of the American people through the United States Agency for International Development (USAID), under the terms of the Leader with Associates Cooperative Agreement GHS-A-00-08-00002-00. The contents are the responsibility of the Maternal and Child Health Integrated Program (MCHIP) and do not necessarily reflect the views of USAID or the United States Government.
  • MALI Monitoring, Evaluation and Research MALI Office Overview Number of staff: 9 technical Number of dedicated M&E staff: 2 MCHIP Chief of party Dr Diarra Workshop Attendees Number of staff: 1 Dr Camara Tiguida Maternal health /FP Newborn Health Child health/CCM Monitoring and Program Assistante Advisor Monitoring and Evaluation Manager Advisor Advisor Evaluation Manager Mme Haidara Dr Kanté Dr Ouattara Dr Tiguida Regianal cordinator of Kayes Dr Yorotté District Cordinator of Kita District cordinator of Diéma Dr Lazare Dr LalaOverview of Technical Areas and Donors Technical Area(s) Primary Donor/Mechanism Program Interventions Maternal Health USAID/MCHIP Active Management of Third Stage of Labor Organization of Islamic Conference Postpartum Family Planning Postabortion Care Oxytocin in Uniject Device Newborn Health USAID/MCHIP Essential Newborn Care Kangaroo Mother Care Child Health USAID/MCHIP Community Case ManagementMonitoring, Evaluation and Research Activities Title of Program or Primary Monitoring or For Research and Evaluation Activities Research/ Study Data Source(s) Name of IRB(s) That Approved Project Status Evaluation Activity Activity Baseline Assessments Client interviews, provider Ministry of Health Planning Phase interviews, facility need assessment Use of matrons to provide Client interviews, provider Ministry of Health Planning Phase LAM at community health interviews, facility HMIS, centerKey Monitoring, Evaluation and Research Challenges Challenges How did you or how are you currently addressing these challenges?1. High expectations from the Mission in regards to measurable results We will work with the HMIS and existing data collection systems to buildwithin a short timeframe capacity and ensure effective and efficient data collection This poster was made possible by the generous support of the American people through the United States Agency for International Development (USAID), under the terms of the Leader with Associates Cooperative Agreement GHS-A-00-08-00002-00. The contents are the responsibility of the Maternal and Child Health Integrated Program (MCHIP) and do not necessarily reflect the views of USAID or the United States Government.
  • Monitoring, Evaluation and Research “For a M&E agile in supporting the management of Jhpiego’s programs, with recourse to compatible technologies” M&E/IST Manager Office Overview Information M&E of USAID- M&E of CDC- Systems and Number of staff: 10 funded programs funded programs Technologies (MCHIP) Number of dedicated M&E staff: 6 Workshop Attendees M&E Advisors M&E Advisor IST Advisors Number of staff: 3  Argentina Balate, M&E Advisor Database ICT Assistant  Victor Muchanga, Senior M&E Advisor Managers  Humberto Muquingue, M&E Manager Health worker developing a results framework, in a Organizational chart of M&E and IST M&E training held in Southern Mozambique. Database Assistant unit at Jhpiego Mozambique Courtesy of FORTE Saúde.Overview of Technical Areas and Donors Technical Area(s) Primary Donor/Mechanism Program Interventions HIV CDC TB/HIV Infection Control Community Counseling Testing Provider Initiated Counseling and Testing Infection Prevention and Control Minor Surgery/Male circumcision services Human Capacity Development CDC In-service training information system Pre-service training information system Nursing curricular revision SBM-R in pre-service education Model inpatient wards Workplace safety/ post-exposure prophylaxis In-service training ancillary workers MNH USAID/MCHIP Strengthening of EMNC and BEmONC services, including PPFP SBMR (model maternities) CECAPMonitoring, Evaluation and Research Activities Title of Program or Primary Monitoring or For Research and Evaluation Activities Research/ Study Data Source(s) Name of IRB(s) That Approved Project Status Evaluation Activity ActivityModel maternities Facility registers n/a Protocol developmentMale circumcision Facility registers JHU IRB for routine monitoring Multi-country ethical clearance under way being developedImpact of SBM-R in new Client interviews, provider n/a Protocol developmentgraduates performance interviewsIntegrating CECAP forms in the national Health Information System: a success story• The Ministry of Health of Mozambique launched CECAP in 2009, as part of family planning consultations (single visit approach). Interventions use low cost screening tools, with training being supported by Jhpiego, which also developed and tested temporary CECAP forms, in articulation with MOH.• Jhpiego used excellent work relations with MOH to support the revision of all reproductive health data forms. In this process, Jhpiego advocated for the successful inclusion of CECAP data elements, which are now part of FP forms, as well as for the mainstreaming of CECAP client forms.• Jhpiego also facilitated the country-wide training of health workers in the use of the new FP/CECAP forms.• Program managers at MOH are now able to access data required to appropriate planning and monitoring of CECAP interventions. Picture (right): Facility health workers discuss data in forms developed with Jhpiego supportKey Monitoring, Evaluation and Research Challenges Challenges How did you or how are you currently addressing these challenges?1. Creating awareness within the programs regarding the Require minimal mastery of tools by program staff [they should knowimportance of timely and accurate M&E. what data exists and how to access it…].2. Getting technical teams to identify indicators able to measure Clarify with technical teams how their programs contribute to Jhpiegothe outcome/impact of Jhpiego programs in Mozambique. local and global results.3. Knowledge management not understood as part of Ensure, within each team, a continuous process of identification andinstitutional (program-level) mandate and individual duties at communication of success stories, lessons learned, best practices,Jhpiego Mozambique. besides mere reporting of numbers. This poster was made possible by the generous support of the American people through the United States Agency for International Development (USAID), under the terms of the Leader with Associates Cooperative Agreement GHS-A-00-08-00002-00. The contents are the responsibility of the Maternal and Child Health Integrated Program (MCHIP) and do not necessarily reflect the views of USAID or the United States Government.
  • Nepal Monitoring, Evaluation and Research Office Overview Number of staff: 9 Number of dedicated M&E staff: 0 Workshop Attendees Number of staff: 1 Geeta Sharma, Program OfficerOverview of Technical Areas and Donors Technical Area(s) Primary Donor/Mechanism Program Interventions MNH (Anesthesia) Nick Simons Foundation (NSF) • Training Course Development (AAC LRP) for Anesthesia Assistants (AAs) MNH USAID/MCHIP • Pre-eclampsia prevention detection and USAID/Development Innovation Venture (DIV) management • MNCH integration • Evaluation, research and capacity-building Training Systems NSF, Jhpiego • Revision of Clinical Training Skills (CTS) course • Training FP, MNCH USAID bilateral, Nepal Family Health Program II • Performance improvement (NFHP II): Sub to JSI • Training systems • InnovationsMonitoring, FP, MNCH, nutrition Evaluation and Research Activities bilateral, Integrated Nutrition Program USAID •Performance improvement (INP): Sub to Save the Children (pending award) • Training Monitoring, Evaluation and Research Activities Title of Program or Primary Monitoring or For Research and Evaluation Activities Research/ Study Data Source(s) Name of IRB(s) That Approved Project Status Evaluation Activity Activity Field testing of AAC LRP Training sites N/A N/AAcceptability and compliance of •Program monitoring local IRB Approved, waiting for getting calcium calcium supplementation for •HMIS prevention of PE/E •Surveys Test the sensitivity and Laboratory findings JHU IRB and local IRB Completed specificity of the Point of Care(POC) test compared to dipstickurinalysis and the Esbach test in a laboratory setting (Step 1 and 2) Determine the acceptability • Program monitoring JHU IRB and local IRB Planned and ability to interpret the • Interviews with pregnantresults of POC among pregnant women, staffwomen in clinic setting (Step 3) •FGD with PW Determine the acceptability, • Program monitoring JHU IRB and local IRB Planned coverage and compliance of • Surveys (FCHVs, PW) community-based POC among FGD (FCHVs, PW, MIL) pregnant women (Step 4) Using Standards to Improve • Program monitoring N/A Planned MNH Services • SBM-R assessmentsKey Monitoring, Evaluation and Research Challenges Challenges How did you or how are you currently addressing these challenges?1. Lack of dedicated M&E staff or staff with M&E expertise to oversee • Training, capacity-buildingresearch • Coordination and support from US • Plan to increase staff (MNH Advisor, M&E Officer, Program Officer)2. Working in collaboration with large projects that allows limited • Program staff working consistently with the M&E staff from these largecontrol over development and implementation of M&E tools & projectsIndicators This poster was made possible by the generous support of the American people through the United States Agency for International Development (USAID), under the terms of the Leader with Associates Cooperative Agreement GHS-A-00-08-00002-00. The contents are the responsibility of the Maternal and Child Health Integrated Program (MCHIP) and do not necessarily reflect the views of USAID or the United States Government.
  • Paraguay Monitoring, Evaluation and Research Organizational ChartOffice OverviewNumber of staff: 5 Technical advisors from headquarters provide support Asesores técnicos de la sede proporcionan apoyo Program Officer Jeffrey Smith, Bertha Pooley , Joseph de Graft-Johnson, Funcionaria del PaisNumber of dedicated M&E staff: Jennifer Luna, Goldy Mazia Carmen CrowTechnical team leader responsiblefor M&E with support fromcommunity and newborn advisors Community **TECHNICAL **ADMINISTRATIVE Interventions LEAD / Newborn Health LEAD /Workshop Attendees Advisor Consult Advisor Admin/Finance LĺDER TECNICO Encargada de together for LĺDER Assistant Encargada de coordination Intervencion Programas de Salud ADMINISTRATIVA Asistente de Maternal Health Advisor Neonatal Comunitaria Se ponen de Program Coordinator Adm inistración yNumber of staff: 1 / Maria S Peña Encargado de Programas de Salud Materna acuerdo para Coordinadora de Programas Finanzas Mercedes Portillo Maria Peña coordinaciónCommunity Interventions adviser Left to right: Mercedes Portillo, Mirtha Ayala, Vicente Bataglia, Vicente Bataglia Jhalily Hermosilla Mirtha Ayala Maria Peña, Jhalily Hermosilla, Carmen Crow. Overview of Technical Areas and Donors Quality control Flow Chart Technical Primary Program Interventions Area(s) Donor/Mechanism Maternal USAID/Paraguay •Quality Improvement of facility based care (SBM-R ) Newborn (MCHIP) •Updating MOHSW MNH protocols, policies, norms Health •Improving use of SIP (National, computerized MNH information system) •Facility based quality, high-impact essential and basic emergency maternal and neonatal care and resuscitation training in targeted facilities •Improving communities and families’ MNH knowledge/ practices •IEC for pregnant women waiting for ANC in health facility and new mothers staying in hospital group home •Training health care providers on MNH messages & IEC techniques • Community Health promotion activities •Establishing KMC demonstration centers Newborn USAID/LAC Regional • Prevention of facility based newborn sepsis Sepsis (MCHIP) AMTSL USAID/LAC Regional •Integrate AMTSL into Paraguay midwifery curriculum (South-to- (MCHIP) South technical assistance from Peru)Monitoring, Evaluation and Research Activities Title of Program or Research/ Primary Monitoring or Study Data Source(s) For Research and Evaluation Evaluation Activity Activities Project StatusSBM-R Client interviews, provider interviews, facility HMIS, SBM-R First workshop to be implemented at assessments the end of AprilImproved MOHSW and health facility systems for As shown in quality control flow chart System designed, discussed andbetter completion of SIP permission obtained from National MOHSWInformation on AMTSL and Essential Newborn Care Stamp with format for additional information to be collected Information has been definedthat complements facility HIS on back of PartogramM&E for community interventions •Exit interviews of women after ANC antenatal care visits Being developed •Pre-post tests of new mothers staying in hospital group home and receive education on newborn health •Pre-post tests of providers trained on MNH messages and IECM&E for KMC at demonstration centers KMC registers Information determinedKey Monitoring, Evaluation and Research Challenges Challenges How did you or how are you currently addressing these challenges?Various clinical providers fill information on SIP clinical history form, so •Developing an organized information flow system for which the head of eachnobody feels responsible for the information clinical rotation is accountable for complete information and where health facility director and MOHSW at national level enforce the system; •Involves obtaining buy-in from MOHSW and health facility directorsHIS is based on SIP, ( computer based information system) which is a LAC At suggestion of facility staff, adding a format to partogram to collectregional maternal newborn health record system , from CLAP ( Latin information on AMTSL and essential newborn careAmerican perinatal and human development center) Obtainingpermission to customize the system to country context and newerinterventions is difficult. This poster was made possible by the generous support of the American people through the United States Agency for International Development (USAID), under the terms of the Leader with Associates Cooperative Agreement GHS-A-00-08-00002-00. The contents are the responsibility of the Maternal and Child Health Integrated Program (MCHIP) and do not necessarily reflect the views of USAID or the United States Government.
  • (Rwanda) Monitoring, Evaluation and Research Office Overview Number of staff: 34 Number of dedicated M&E staff: 2 Workshop Attendees Number of staff: 2 Dr. Twahirwa William Mr. Sinzahera Jovite Overview of Technical Areas and Donors Technical Area(s) Primary Donor/Mechanism Program Interventions Child Health USAID/MCHIP IMCI (Facility and Community) and Pediatric HIV MNH USAID/MCHIP FP, EmONC, FANC, ENC, Nutrition, and KMC Community Health USAID/MCHIP FP/CBP, CB-MNH Pre-services Training USAID/MCHIP Practical training and nursing council support BCC USAID/MCHIP MNCH BCC Sub-strategy Immunization USAID/MCHIP Rota Virus Introduction Male circumcision DOD/Jhpiego HIV Prevention in RDF Monitoring, Evaluation and Research Activities Title of Program or Primary Monitoring or For Research and Evaluation Activities Research/ Study Data Source(s) Name of IRB(s) That Approved Project Status Evaluation Activity Activity Malaria surveillance Facility ANC registers JHU/ Rwanda national ethical Protocol developed and ready for submission to committee USAID and MoH Feasibility and effectiveness Community based registers and JHU/ Rwanda national ethical Protocol developed and still under review of distributing Misoprostol at self administered survey with committee community level to prevent CHWs PPH in Rwanda Rwanda MCHIP-Ikiraro Project M&E success story: • District needs assessment and planning for the 13 MCHIP supported districts was done in the participatory way with districts stakeholders to ensure their ownership and sustainability, where collecting baseline information and the process of disseminating the findings of the assessment to MoH, USAID and other implementing partners was seen as a mechanism to avoid duplication of efforts and to save resources. Also the involvement of the MoH in planning process for MCHIP interventions provides leadership and guidance based on country priorities Key Monitoring, Evaluation and Research Challenges Challenges How did you or how are you currently addressing these challenges?1. Data quality • Training of data managers at facility and CHWs supervisors in M&E • Orient data collectors on indicator definition and data collection tools2. Many database in the health sector that are not linked Advocacy to MoH3.Data is not fully used for decision Training of decision makers at national, district and community level on data driven decision making (DDDM) This poster was made possible by the generous support of the American people through the United States Agency for International Development (USAID), under the terms of the Leader with Associates Cooperative Agreement GHS-A-00-08-00002-00. The contents are the responsibility of the Maternal and Child Health Integrated Program (MCHIP) and do not necessarily reflect the views of USAID or the United States Government.
  • (South Africa) Monitoring, Evaluation and Research Jhpiego ME&R portfolio : A background profile (2007-2011) Prior to 2007 and throughout the year, there was a single M&E advisor working with M&E support from Baltimore who supported all the programmes in theOffice Overview organization. By then ACCESS and the Siyazi HIV/AIDS Counseling and testing (HCT) projects were the main programmes in-country. ACCESS had a focus on cervicalNumber of staff: 15 cancer screening within the North West Province. In 2007, the Art2scale project, a key flagship project for the South Africa office was operationalized. With it came a requirement to form a local NGO through which USAID would finance the in-country activities. Under Art2scale were two main projects- NIMART (Nurse Initiated andNumber of dedicated M&E staff: 2 Managed ART) and Accreditation projects responsible for the accreditation of health facilities for provision of ARVs in South Africa. NIMART’s main activities were to build capacity of the nurses, as part of the task shifting process, so that they initiate and manage ART within PHC facilities. In 2009, two key core staff portfolios wereWorkshop Attendees added to the M&E in country team and a temporary PEPFAR M&E fellow to support the functions within the unit. The core staff by end of the year, comprised of the Senior M&E Advisor, M&E Advisor (Art2scale) and the Health Information officer. At the beginning of 2010, funding mechanisms created by USAID saw close out ofNumber of staff: 1 ACCESS programme and the new development of MCHIP as the in country programme. MCHIP funds included carry overs from the ACCESS programme. Within MCHIP, plans were underway to recruit two Provincial M&E officers for the two Provinces that the programme operated in. Currently (2011), there are now twoJohn Lubwama, M&E Officer projects, Siyazi and MCHIP which are operational, staffed by the M&E officer and Health Information officer as part of the core team with support from Baltimore M&E team. We support an estimated 54 facilities in two Provinces under MCHIP and 54 partner organizations with workplace HCT under the Siyazi HCT project. Overview of Technical Areas and Donors Technical Area(s) Primary Donor/Mechanism Program Interventions HIV/AIDS and TB CDC/bilateral • HIV/AIDS Counseling and Testing (HCT) ,Greater Involvement of People Living with HIV/AIDS (GIPA) training, Counselor trainings Maternal Child , Nutrition and Child Health USAID/MCHIP-bilateral • PMTCT in-service training, Mentoring and supportive supervision, M&E data collection. We currently support t 23 health facilities • CECAP in-service training, mentoring and supportive supervision, logistical support-buying cryotherapy machines and related inputs. There are 30 health facilities across two Provinces that are supported by the M&E unit • TIMS training and mentoring of PEPFAR partner organization M&E staff. This project runs in 18 sites spread over five Provinces Monitoring, Evaluation and Research Activities Title of Program or Primary Monitoring or Study Data Source(s) For Research and Evaluation Activities Research/ Name of IRB (s) That Project Status Evaluation Activity Approved Activity CECAP close out CECAP facility registers, baseline assessment n/a • Desktop Literature review underway programme review tools, exit interview tools, Demographic health • Routine data collection underway survey (DHS), StatsSA data • Close-out reports being prepared Male circumcision Draft situational analysis reports, Provincial n/a • Desktop Literature review underway programme review reports, subject matter experts (Provincial) PMTCT programme review PMTCT facility registers, baseline assessment n/a • Desktop Literature review underway tools, exit interview tools ,Demographic health • Routine data collection underway survey (DHS), StatsSA data, District Health • Close-out reports being prepared Information System data (DHIS) M&E Key developments • Jhpiego ME staff have engaged with the national district health information system (DHIS) and are critically positioned to provide and strengthen the national DHIS at facility and district levels • The MCHIP project has recently undergone a facility audit commissioned by the USAID mission-awaiting the results • Successfully implemented the USG/USAID mission online reporting inventory dataware house system to merger financial and programme activity performance. • Participated in the key new business initiatives for new programmes • Finalized standard operating procedures for the key programmes to introduce a culture of data use in programme planning and reporting Key Monitoring, Evaluation and Research Challenges Challenges How did we or how are we currently addressing these challenges?1. Although a unit workplan exists, there is no dedicated budget for the We are currently involved in the budgeting process through advocacy and ongoingM&E work plan to carry out routine activities as well as on-site M&E engagement with programme managerssupport2. Staffing continues to be a challenge to support all organizational activities Jhpiego recently lost several key staff in the M&E unit which have not beenespecially data quality, capacity building and research, which are key to replaced to date due to budgetary restraints within projects, however with newimprovement in programme service delivery business development initiatives, key proposals are incorporating new personnel to support the programme areas in the long term3.Long term sustainability of the unit activities through turnover of key Currently all projects and new business initiatives incorporates sustainability planshuman resources (all M&E staff to leave by end of May 2011) for future continuation. Development of best practices is underway as part of Knowledge Management This poster was made possible by the generous support of the American people through the United States Agency for International Development (USAID), under the terms of the Leader with Associates Cooperative Agreement GHS-A-00-08-00002-00. The contents are the responsibility of the Maternal and Child Health Integrated Program (MCHIP) and do not necessarily reflect the views of USAID or the United States Government.
  • Tanzania: Monitoring, Evaluation and Research Office Overview Number of staff: 86 Number of dedicated M&E staff: 11 Workshop Attendees Marya Plotkin, Senior M&E Officer Michael Machaku, M&E Officer, MC Lusekelo Njonge, M&E Officer, UHAI-CT Victor Mponzi, M&E Officer, MAISHA Flora Hezwa, Senior Data ManagerTechnical Area Primary Program Interventions Primary Monitoring Data Research / Evaluation Activity Project Status Donor SourceHIV Counseling USAID PITC, outreach HCT Nationally approved health PHE STATUS (a multi-country study Orientation done to regions, data Overview of Technical Areas and Donors and Testing facility registers ; stored in comparing three models of PITC in collection scheduled for June/ July web-based database Outpatient Departments) (OGAC 2011 approved; NIMR approved) Maternal and USAID / In-service training, SBM-R, Service statistics using MNH Quality of care study (JHSPH IRB Fieldwork completed, report Newborn MCHIP research sentinel sites; performance and National Institute of Medical written; identifying journal for Health standards assessments; Research) manuscript preparation observational assessment of deliveries and newborn care (twice LOP) Malaria in CDC Study on placental parasitemia in Facility-based data collection Placental Parasitemia among women Training of health care providersPregnancy (MIP) Zanzibar; sub on program to using study forms who have not received IPTp in to take place end of May, data improve interpersonal Zanzibar (JHSPH IRB and Zanzibar collection to start in June 2011 communication skills of health ANC and OPD client exit Research Council approved) care providers on MIP interview study Exit interview study done, report writing underwayCervical Cancer USAID In-service training, service Nationally approved health Secondary analysis of CECAP database Poster under preparation for IAS Prevention delivery support, policy TA to facility registers ; client level data (JHSPH non-research 2011: PITC integration into CECAP MOHSW data stored in web-based determination) services database Male USAID / In-service training, service Nationally approved health Qualitative Assessment of MC Fieldwork completed, report Circumcision MCHIP delivery support, qualitative facility registers ; client level Attitudes in Iringa Region (JHSPH IRB written; identifying journal for evaluation / assessment, TA to and routine data stored in approved) manuscript preparation MOHSW on M&E tools for MC web-based database Secondary analysis of MC database Manuscript submitted to PLoS data (JHSPH non-research Medicine determination) Integrated USAID Community-based CHW forms, nationally -- -- PMTCT/ comprehensive MNH program approved health facility postnatal care using community volunteers, registers facility-based program to improve postnatal care Pre-Service CDC Faculty and institutional support Performance standards Pre-service needs assessment for Report written and disseminated Education for medical and nursing / assessments medical schools (program evaluation) midwifery schools Tracking of nursing and midwifery Application to PHIRST being graduates in Tanzania prepared Infection CDC Establishing standards and Performance standards Study on hospital acquired infections Not yet in design stage Prevention guidelines at national level; in- assessments service training and service delivery support at facility level Accomplishment: Web-based databases in the Tanzania office Background Solution Databases DevelopedTanzania has programs in multiple technical areas, Adopt DHIS-compatible service delivery databases, installed on DHIS-compatible: MC database (client level andregional offices and a strong focus on monitoring servers to be accessible to both Jhpiego Tanzania HQ and aggregated)service statistics. We also support MOHSW in the area regional offices CECAP databaseof HMIS and wanted to come up with data management UHAI-CT database (measures aggregated PITCsolutions which were in line with national HMIS Work with Jhpiego HQ to develop performance standards data)approaches. Some departments of MOHSW have database to monitor SBM-R program achievements (called QI inembraced DHIS as a national HMIS tool. Tanzania); installed on servers to be accessible to both Jhpiego QI Database Tanzania HQ and regional offices This poster was made possible by the generous support of the American people through the United States Agency for International Development (USAID), under the terms of the Leader with Associates Cooperative Agreement GHS-A-00-08-00002-00. The contents are the responsibility of the Maternal and Child Health Integrated Program (MCHIP) and do not necessarily reflect the views of USAID or the United States Government.
  • Zimbabwe Monitoring, Evaluation and ResearchOffice OverviewNumber of staff:  20Number of dedicated M&E staff:  1Workshop AttendeesNumber of staff:  1Frank Chikhata, M&E Officer  Overview of Technical Areas and Donors Technical Area(s) Primary Donor/Mechanism Program Interventions Maternal Health USAID/MCHIP Support MoHCW to formulate national health policies Newborn Health USAID/MCHIP Improve the quality of  maternal and newborn health services provided by  District Hospitals (DH) and Rural Health Centers (RHC) Child Health USAID/MCHIP Improve the coverage and quality of high‐impact  MNCH interventions  provided by Primary Care Nurses in RHCs and by Village Health Workers in  communities Immunization USAID/MCHIP Increase routine immunization PMTCT USAID/MCHIP Integrate PMTCT with MNCH  services Postpartum Family Planning (PPFP) USAID/MCHIP Integrate PPFP with MNCH  servicesMonitoring, Evaluation and Research Activities Title of Program or Research/  Primary Monitoring or Study Data  For Research and Evaluation Activities Evaluation Activity Source(s) Name of IRB(s)  Project Status That Approved  Activity Maternal and Newborn Health (MNH)  Client/provider interviews,  N/A Data collection completed; report writing  Standards Based Management and  case observation, SBM‐R assessments currently underway Recognition (SBM‐R) evaluation  (baseline) Child Health Needs Assessment Client/provider interviews,  N/A Data collection completed; report writing  case observation, SBM‐R assessments currently underway Immunization  Needs Assessment Provider interviews N/A Data collection completed; report writing  currently underway MNH National Quality of Care Study Case observation, provider interviews N/A Attached to National Health Facility Assessment;  on hold pending discussions between MOHCW  and donorsKey Monitoring, Evaluation and Research Challenges Challenges How did you or how are you currently addressing these challenges? 1. Data availability issues – some MCHIP indicators will be very difficult  In order to measure this indicator (and others with similar datato measure given the current state of data collection  collection/quality issues), MCHIP/Zimbabwe is currently working towards  tools/forms/registers in HFs, and current challenges faced by the HMIS developing separate data collection tools for use at facilities, and orient/train system. In particular, it will be challenging to measure the indicator  Health Facility workers as to proper use of these tools. related to provision of essential newborn care services, as there is no routine data currently being collected on these services in HFs.2. “Poor functioning” of the HMIS due to a series of issues, such as need  MCHIP/Zimbabwe is currently working  towards  getting involved  in for improved HMIS coordination/management at all levels; lack of HMIS  strengthening of the national HMIS through participating in the Health forms and registers in some facilities; poor provider capacity to collect  Information Task Force meetings, providing technical  and financial assistance consistent, quality data;  poor computing/communications  for training of existing staff, and exploring other ways of improving data infrastructure availability; and an unidirectional data flow, i.e., data  collection tools and methods. always moves upwards without any system of giving  routine feedback back to reporting sites. 3.  Community‐based  MNCH data collected by community‐based health  MCHIP/Zimbabwe will work with village health workers (VHWs) to  add workers is not linked to the HMIS and its usage is localized to individual  MNCH‐related indicators to their existing registers.  In addition, MCHIP will health facilities.  explore ability to pilot linking VHW registers to the HMIS system. This  poster  was  made  possible  by  the  generous  support  of  the  American  people  through the United States Agency for International Development (USAID), under the  terms of the Leader with Associates Cooperative Agreement GHS‐A‐00‐08‐00002‐00.  The  contents  are  the  responsibility  of  the  Maternal  and  Child  Health  Integrated  Program  (MCHIP)  and  do  not  necessarily  reflect  the  views  of  USAID  or  the  United  States Government.  May 2011
  • Global MCHIP Monitoring, Evaluation and Research MCHIP Global M&E Vision Office Overview: MCHIP HQ Increased use of appropriate data to guide program decision-making and Number of dedicated M&E staff: 14 policy formulation for delivery of high-impact maternal, newborn, (2 full-time and 12 part-time staff) and child health interventions and services at scale. Workshop Attendees Key Priorities Number of staff: 13 1. Developing M&E Indicators, Tools, & Resources Barbara Rawlins Heather Rosen 2. Contributing to the Evidence Base on High Impact MNCH Interventions Becca Levine Mainza Lukobo-Durrell 3. Strengthening Elements of Health Information Systems David Cantor Mary Drake Moussa Ly 4. Building Capacity of MCHIP Staff and Collaborators in Monitoring, Evaluation, and Research Eva Bazant Maya Tholandi Reena Sethi Florence Nyangara Megan Harris Young Mi Kim MCHIP Results Framework GOAL: Reductions in under-five and maternal mortality and morbidity and accelerated progress toward reaching MDGs 4 & 5 Strategic Objective: Increased use/coverage of high impact MNCH interventions Sub-Objective 1: Sub-Objective 2: Sub-Objective 3: Increased availability and use of appropriate high Global leadership in MNCH, including further Innovative, effective & scalable community oriented strategies that impact MNCH interventions, including supportive development and promotion of improved approaches deliver integrated high impact interventions to vulnerable populations family planning interventions designed, implemented and evaluated by PVOs/NGOs. Progress toward MCHIP LOP Goals: Development and revision of data collection tools and guides MCHIP MER Support to USAID’s Child Survival and Health grantees  16,200* lives saved among children under five  Community case management (CCM) toolkit resulted in:  14 countries with improved coverage of high impact  Facility survey toolkit for assessing quality of care for prevention and  17 operations research study designs that test innovations in MNCH interventions management of common maternal and newborn complications community-oriented programs in 16 countries; first results due 2012  Knowledge, Practices, and Coverage Survey, Lives Saved Tool, and  21 project population-based baseline surveys in 19 countries Select global achievements to date: Rapid Health Facility Assessment  41 final evaluation surveys in 30 countries, demonstrating increased  25,094 people trained in MNCH/FP:  Application of mHealth tools in M&E activities coverage of high impact MNCH interventions including insecticide  33 national policies or guidelines developed with MCHIP treated net use, handwashing, maternal tetanus toxoid, postnatal support Innovating with mHealth visits, and exclusive breastfeeding (example results in graph, below)  6 international policies/standards/strategies  Smart data capture on mobile phones developed/revised with MCHIP support  Data transmission from remote field CSHGP Grantees Improve Coverage in High-Impact Interventions  82 MCHIP supported studies locations to in-country web-servers Results from Projects Ending in FY10  Posting of preliminary data tables 100 Select country achievements to date: onto the web. Exclusive breast  Improved facility-based and/or community feeding (EBF) is one 80 of the Rapid CATCH Percent Coverage for EBF (%) recordkeeping forms, including registers and client charts Demonstrated global leadership in MER indicators reported (e.g., Mozambique, Malawi, Nigeria, Bangladesh, Guyana)  Leadership in various M&E technical working groups, including efforts to by all CSHGP 60  Increased capacity of health workers and supervisors to identify global “benchmark” MNH indicators and (CCM) indicators grantees. There was accurately record, aggregate and display data  Contributions to global MNCH evidence-base through special research a statistically 40 (e.g. Mozambique, Nigeria, Guyana) significant increase  Increased use of data for decision making by health studies and program evaluations, in EBF coverage in workers and/or supervisors and District Health ex. Healthy Fertility study in Bangladesh, calcium supplementation 20 the catchment areas crossover trial, CCM case studies, Malaria in Pregnancy case studies, for 8 of 13 projects Management Teams ending in FY2010 (e.g., Mozambique, Nigeria, Bangladesh, Malawi) and Quality of Care for Maternal and Newborn Complications studies 0 with endline data  Increased capacity of partners to conduct research studies in five countries. available. *Lives saved is calculated using LiST by CSHGP grantees with baseline and midterm or final Baseline Endline population-based coverage figures. Approx. 10 countries in Years 1 and 2. MCHIP Results Achieved: Country Examples Direct obstetric death rate and PQI/RH scores for Correlation between QI standards, intervention use, and PPH and use of AMSTL compared with maternal deaths Machinga District Hospital, Malawi (2008-2010) maternal deaths in Mozambique and deliveries for 10 hospitals* in Nigeria (2007-2010) 100 3.5 Throughout the first six 60000 100% In 10 hospitals* in 100 100 96.0% Nigeria, annual 3.2 The proportion of quarters of the Model 98.8% 91 (0.51%) Maternities Initiative, in 95.3% 90% deliveries have 90 88 direct obstetric 90 90 increased from 2007 to deaths has the 17 health facilities 50000 86.5% Number of Maternal Deaths 2.9 3 80 (0.52%) 80 (0.45%) that did follow-up 49006 80% 2010, as has the declined from 46799 2.7 80 80 quality evaluations, number of cases of 80 3.2% in 2008 to 45138 there was an upward post-partum 2.7% in 2010. In 70% 70 70 Direct Obstetric Death Rate (%) 71 (0.40%) 40000 hemmorhage (PPH). The Percent 2.5 the same period, trend in the adherence 70 proportion of women quality of RH to quality standards 60% 63 60 60 wtih active services increased 59 (0.33%) related to PPH and PQI RH Score (%) 60 eclampsia; an upward management of the 2 through MCHIP 30000 30467 50% third stage of labor 50 49 50 trend in the use of programs. Based (0.31%) (AMSTL) has also 50 on program data, AMTSL; and a generally 40% 40 40 22092 increase, as maternal PQI IP and PQI RH downward trend in 39 1.5 number of maternal 20000 21150 deaths have declined 40 may have 30% markedly from 283 contributed to the 30 30 deaths from all causes (% in parentheses). (3.68% of all births decrease in 20% attended by a skilled 30 1 obstetric deaths. 20 20 Cause-specific mortality 10000 7685 currently not available attendant) in 2007 to 6287 3675 10% 163 (0.33% of all births 20 10 10 in HIS. 1292 1984 121 attended by a skills 0.5 0 163 (0.33%) 0% 283 (3.68%) 344 (1.56%) 338 (0.72%) attendant) in 2010. 0 0 10 PQI RH scores FY07 FY08 FY09 FY10 Jul-Sep09 Oct-Dec09 Jan-Mar10 Apr-Jun10 Jul-Sep10 Oct-Dec10 0 0 Direct obstetric # Total delivery by SBAs # of cases of PPH # of maternal death recorded # cases with AMTSL Proportion of AMTSL death rate % of SBMR related to SPE/E % of SBMR related to PPH % of AMTSL use # maternal deaths 2008 2009 2010 *Facilities include Kaura Namoda GH, Kin Fahad WCH, Zurmi GH, MMSH, Gezawa GH, Rano GH, Dawakin Tofa GH, Daura GH, Funtua GH, and DutseMa GH. 2007 data not available for Zurmi, Daura, Funtua, and DutseMa. 2008 data not available for Daura. Key Monitoring, Evaluation and Research Challenges Success Story: Delivering on Promise of Immunization “This will give mothers peace of mind.” Challenges How did you or how are you currently addressing these challenges? “This will reduce my fear of my child dying of pneumonia.”1. Data collection, aggregation, and analysis at the global level. This challenge will be addressed through the launch of the new “This will reduce the number of trips mothers Results Information System for Excellence (RISE) make to the health center.” “This will save me money if my child doesn’t get sick.”2. Rapid growth of the Program in Years 2/3 without concomitant increases HQ will be hiring an additional full-time M&E Officer in the near future. in human and financial resources dedicated to M&E New guidance to country programs will require either an M&E staff member “This” is pneumococcal vaccine. Mothers in Rwanda or program support person in-country shared their relief that they now have a vaccine to help protect against pneumonia, the most common cause of3. Outdated health information system registers and client charts and poor MCHIP works to strengthen elements of the national HMIS in countries under-five mortality globally. With the recommendation quality data (also affects our ability to link SBM-R to health outcomes) where appropriate and advocate for revised registers of WHO and support from MCHIP, Rwanda became4. PVOs must develop operations research (OR) designs that are practically MCHIP provides individualized technical assistance, hosted an OR workshop, Africa’s first sub-Saharan country to introduce suited to integrated programs with limited budgets and disseminated an OR guidance document pneumococcal vaccine in its national Expanded Program on Immunization (EPI) in 2009. This poster was made possible by the generous support of the American people through the United States Agency for International Development (USAID), under the terms of the Leader with Associates Cooperative Agreement GHS-A-00-08-00002-00. The contents are the responsibility of the Maternal and Child Health Integrated Program (MCHIP) and do not necessarily reflect the views of USAID or the United States Government.
  • Zambia Monitoring, Evaluation and Research Country Director (Kwame Asiedu) Deputy Country Office Overview Director (Cyndi Hiner) Program Officer M&E Advisor SmartCare Advisor Number of staff: 33 (Michelle Wallon) (Webby Kanjipite) (George Muyunda) Number of dedicated M&E staff: 2 M&E Officer (Shambulo Kabangu) SmartCare Officer (Anthony Sikana) Regional MC Technical Director Administration and Human Finance Manager Workshop Attendees Advisor (Joseph Nikisi) Resource Manager (TBD) (Suki Mwale) (Jabbin Mulwanda) DOD Program TB/HIV and CT Office Manager Finance Officer MC Advisor MC Advisor MC Advisor Number of staff:3 Manager PMTCT Advisor Officer Pre-service Advisor ART Advisor (TBD) (Susan Zeko) (Jonathan (Maureen Chilila) (Lastina Lwatula) (TBD) (Martha Ndhlovu) (TBD) (Joseph Banda) (Dominic Phiri) Mulenga) Cyndi Hiner, Deputy Country Director STI and CT Officer PMTCT Officer Office Assistant Office Assistant Receptionist Office Assistant /Gardener Travel Coordinator IT Officer (Gizmo’s Finance Officer MC Officer (Nchimunya Malambo) (Hilda Shasulwe) (Martha Brango) (Fannie Chipeta) (Edgar Wamundila) (Priscilla Miti) consultants) (Sibeso Sefulo) (Kennedy Chiabi) (Nashiol Nyirongo) Webby Kanjipite, M&E Advisor Driver Procurement (Davies Matanda) Officer (Doreen Shambulo Kabangu, M&E Officer Malambo) Driver (Moses Mvula) Driver (Lameck Banda) Driver (Michael Mtonga)Overview of Technical Areas and Donors Technical Area(s) Primary Donor/Mechanism Program Interventions HIV CDC/bilateral ART, PMTCT, CT, TB/HIV, MC, SI HIV DOD ART, TB/HIV, PMTCT, System Strengthening, SBMR HIV CDC/Eastern bilateral PMTCT, CT, TB/HIV MC PSI/USAID MC training and site refurbishments MC PSI/BM Gates Foundation MC training and QAMonitoring, Evaluation and Research Activities Title of Program or Primary Monitoring or Study For Research and Evaluation Activities Research/ Data Source(s) Name of IRB(s) That Approved Project Status Evaluation Activity Activity Training activities TIMS n/a Ongoing program monitoring Monthly DOD site data Site registers n/a Ongoing program monitoring Monthly MC site data Site registers n/a Ongoing program monitoring ART CME evaluation Participant interviews JHU SON, UNZA, CDC Data collected, analysis in process MC counseling study Client interviews, facility WIRB, UNZA , CDC Data collection under way registers SBM-R evaluation Client interviews, provider JHU SPH, UNZA Data collection under way interviews, facility HMIS, SBM-R assessmentsHighlights and Achievements• ART CME evaluation – preliminary results presented at AIDS 2010 in Vienna and led to improvements in the program implementation• M&E Unit instrumental in new Quarterly Review process• Development of Access database for site level data, leading to improved use• Using online SBMR database to share MC QA results with Prime Partner (in process)• Using MC data to improve the program implementation• Adopted data Quality Assessment tools to conduct DQ visits which lead to training/orientation for site managers on data collection, reporting and useKey Monitoring, Evaluation and Research Challenges Challenges How did you or how are you currently addressing these challenges?1. Data Quality from sites from MC and DOD program Site visits, group training/orientation, revised data collection tools, site level data collection guide2.Site level data not easy to use, summarize due to using Excel Hired contractor to develop site level database3.Budgets for evaluation not always correct nor enough Request more funds, be more involved in work planning process4. Ensuring all staff more aware of M&E activities Adding M&E to monthly All Staff agenda5. No dedicated M&E nor data staff at sites Train and orient ZDF and MOH staff, use Jhpiego technical staff to assist with M&E follow-up during site visits This poster was made possible by the generous support of the American people through the United States Agency for International Development (USAID), under the terms of the Leader with Associates Cooperative Agreement GHS-A-00-08-00002-00. The contents are the responsibility of the Maternal and Child Health Integrated Program (MCHIP) and do not necessarily reflect the views of USAID or the United States Government.