Botswana                                                                                          Monitoring, Evaluation a...
Ethiopia                                               Monitoring, Evaluation & Research                                  ...
Monitoring, Evaluation and Research in Ghana:                                         a shared commitment and responsibili...
Jhpiego, Baltimore                                                           Monitoring, Evaluation and Research          ...
Haiti                                               Monitoring, Evaluation and Research                                   ...
INDIA                                                  Monitoring, Evaluation and ResearchOffice OverviewNumber of staff: ...
INDONESIA                                                      Monitoring, Evaluation and Research   Office Overview   Num...
Liberia                                                   Monitoring, Evaluation and Research     Office Overview     Numb...
MALAWI                                                                                                       Monitoring, E...
MALI                                                 Monitoring, Evaluation and Research    MALI Office Overview    Number...
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  1. 1. 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.
  2. 2. 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.
  3. 3. 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.
  4. 4. 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.
  5. 5. 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.
  6. 6. 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.
  7. 7. 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.
  8. 8. 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.
  9. 9. 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.
  10. 10. 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.

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