HIV/AIDS tracking system since 1982; sentinel surveillance since 1989; KABP surveys since 1990; Program monitoring more recent since 2002.
Source: Jarrett, 2011.
These priorities are based on the following ongoing challenges: Timeliness of reports hamper decision making Limited data utilization/triangulation by stakeholders Data quality issues persist Slow implementation of electronic databases Inadequate evaluation Important research questions unanswered Capacity building within Unit HIV M&E communication plan Maintaining the standard: quality vs quantity Adjusting for the impact of improved reporting on targets
Progress – in countries, a lot of goodwill to make progress. Countries and donors work together to build systems and try to map that to reporting. At same time, more flexibility at the global level.
Ultimately though we know more about health than we have ever known before. And that is progress.
Complete and add others as needed.
Add others as needed.
Beyond Indicators and Reporting: M&E as a Systems Strengthening Intervention Siân Curtis, PhD Project Director, MEASURE Evaluation Carolina Population Center January 24, 2012, Washington, DC
Behavioral Determinants Knowledge/ skills, attitudes , values, motivation PRISM Framework for Understanding Routine Health Information System (RHIS) Performance Improved Health System Performance Improved Health Outcomes Technical Determinants Data generation architecture Information/communication technology Desired Outputs = RHIS performance • good quality information • appropriate use of information Inputs RHIS assessment, RHIS strategies RHIS interventions Organizational Determinants Information culture, health system structure, roles & responsibilities, resources
Ainsworth, M, Vaillancourt, D. and J.H. Gaubatz. 2005. Committing to Results: Improving the Effectiveness of HIV/AIDS Assistance. The World Bank, Washington DC.
Boerma, J.T. and S.K. Stansfield. 2007. Health statistics now: are we making the right investments? Lancet , 369:779-86.
Jarret, 2011. The Jamaica National HIV/STI M&E System: Past, Present & Future. MEASURE Evaluation Seminar, Chapel Hill, NC. Nov 2, 2011.
Macro International Inc. 2009. Final report. Global Fund Five-Year Evaluation: Study Area 3. The Impact of Collective Efforts on the Reduction of the Disease Burden of AIDS, TB, and Malaria. Macro International Inc., Calverton, MD.
Peersman et al. 2004. Are Investments in National HIV Monitoring and Evaluation Systems Paying Off. JAIDS 52:S87-S96.
Stephanie Watson-Grant, Country Portfolio Manager and Jamaica Focal Person, MEASURE Evaluation.
Leontine Gnassou, Country Resident Advisor, Côte d’Ivoire, MEASURE Evaluation.
Alimou Barry, Country Focal Person, Côte d’Ivoire, MEASURE Evaluation.
Tariq Azim, Country Resident Advisor, Ethiopia, MEASURE Evaluation (several photos)
MEASURE Evaluation is funded by the U.S. Agency for International Development through Cooperative Agreement GHA-A-00-08-00003-00 and is implemented by the Carolina Population Center at the University of North Carolina at Chapel Hill, in partnership with Futures Group, ICF Macro, John Snow, Inc., Management Sciences for Health, and Tulane University. The views expressed in this presentation do not necessarily reflect the views of USAID or the United States government. Visit us online at http://www.cpc.unc.edu/measure.