Pre

1. Business as Unusual:
Changing the Approach to
Monitoring OVC Programs
Karen G. Fleischman Foreit, PhD
Futures Group/MEASURE Evaluation

2. The Problem
Community-based OVC programs are expected to
produce comparable data to facility-based health
programs, but without comparable physical
infrastructure and human resources

4. The Premise
The information that community workers
need to do their jobs is not the same as
what implementers need to report to donors
or governments

5. The Challenge
 Foster use of M&E by communities
 Ensure that community volunteers are not
overburdened with information collection
 Minimize unrealistic expectations

6. The Alternative
Semi-annual or annual cluster-sample surveys to
monitor program performance

7. How do cluster-sample surveys
work?
 30 communities per program area
 x respondents per community (e.g. 10, 19, 30)
 Paid data collectors (could be para-social
workers)
 Mobile phone solutions for data transfer

8. Example from Tanzania
Community Trace and Verify
 Short (10-minute) survey of caretakers
 Covers minimum package of services
 LQAS sampling
methodology
 Pass-fail scoring

9. 005 Does [Name] have a birth certificate? Yes…1
No…2 → 007
Don’t know …3
006 Could you show us the birth certificate? Yes, birth certificate shown…1
No…2
007 Is the family enrolled with the Community Yes…1
Health Fund? No…2 → 011
Don’t know …3 → 011
008 Does the family have a Community Health Yes…1
Fund card? No…2 → 009
Don’t know …3 → 009
009 Could you show me the community health Yes, card shown…1 → 011
fund card? No…2
010 Could you show me the receipt? Yes, receipt shown…1
No…2
011 Have you heard about the Most Vulnerable Yes…1
Child Committee? No…2
Don’t know …3
012 Has [Name] been visited by a Most Yes…1
vulnerable Child Committee member or No…2 → 014
Volunteer in the past six months? Don’t know …3 → 014

10. Questions? Comments?

11. The research presented here has been supported by the
President’s Emergency Plan for AIDS Relief (PEPFAR)
through the United States Agency for International
Development (USAID) under the terms of MEASURE
Evaluation cooperative agreement GHA-A-00-08-00003-
00. Views expressed are not necessarily those of
PEPFAR, USAID or the United States government.
MEASURE Evaluation is implemented by the Carolina
Population Center at the University of North Carolina at
Chapel Hill in partnership with Futures Group, ICF
International, John Snow, Inc., Management Sciences for
Health, and Tulane University.