Overview 2009 Portfolio Review End of Task Order and Phase II Global Health Initiative
2009 Portfolio Review
2009 Portfolio Review: Bureau-Wide Portfolio Regional capacity to provide M&E training increased thereby increasing access to and sustainability of local M&E training First national post-census mortality survey identifies leading causes of death for key population subgroups in Mozambique Global exchange of best practices and lessons learned in use of data to improve programs and polices strengthened. PRISM tools contribute to leveraging of resources for successful health information systems strengthening initiatives in the LAC Region Experience with PRISM and HMN Assessment tools serve as model for HIS strengthening in the LAC Region
2009 Portfolio Review: HIV/AIDS New Virtual Leadership Development Program launched for HIV/AIDS M&E teams African UN-Member states commit to linking health and mapping efforts. Findings from study of adherence among patients in antiretroviral therapy (ART) programs in KwaZulu-Natal, South Africa highlights constraints to maintaining adherence to ART
2009 Portfolio Review: HIV/AIDS Evaluations of Four Programs Supporting OVC in Kenya and Tanzania focus on Child and Caregiver Outcomes The Salvation Army in Tanzania strengthens its M&E systems for community-based programs based on CLPIR field test Three Inter-linked Patient Monitoring Systems for HIV care/ART, MCH/PMTCT and TB/HIV launched with WHO
2009 Portfolio Review: HIDN LQAS baseline survey on child health outcomes in Nyanza and Western provinces of Kenya flags priority districts for health programming M&E plan developed for strengthening avian influenza detection and response in Egypt Study finds evidence of graded diagonal effects of intensive malaria scale up on ARI and Diarrhea management.
End of the Task Order and Phase II
Closing Out Phase II and TO Phase II ended September 2009 Currently compiling EOP report Task Order ended March 2009 165 of 185 deliverables completed (89%); Further 11 in final stages of review/production 9 of 19 PMP targets met or exceeded More likely to meet process/output targets than outcome targets
Why did we not meet some targets? Some targets too ambitious - outcome targets (e.g. use of data) further from our control Inter-dependency between project results in demand-collection-use cycle Challenge of measuring outcomes in our area of work Reporting burden of evidence-based narratives
Evaluating M&E and HIS More attention needed on measuring and documenting outcomes relevant to M&E/HIS Educate on M&E/HIS strengthening as a health systems intervention – not just about reporting Streamline and simplify results reporting process within project Prior planning and more support for M&E within the project Critical component of our global leadership role
Global Health Initiative
Global Health Initiative Announced May 2009 by President Obama - $63 billion over 6 years HIV/AIDS, TB, Malaria + MCH, FP, neglected tropical diseases Five cross-cutting approaches Woman-centered programming Strategic integration and coordination Country ownership Sustainability and health systems strengthening Improved metrics, monitoring and evaluation
What might this mean for us? Increased emphasis on evaluation – increase knowledge of what works in public health Health systems strengthening (HSS) Health system interventions in global programs HIS as a component of HSS Institutional capacity building and sustainability Increasing integration and/or linkages between vertical M&E systems and national systems M&E of gender issues in public health programs M&E of integrated programs, including referral systems
Current Opportunities Several brief concepts developed for current funds in evaluation and emerging areas e.g. Gender and M&E Research agenda on HIS and HSS Referral indicators and organizational networks Evaluation of country M&E systems strengthening Year 3 work plan – core and field Planning starting now – ideas welcome
Conclusions Congratulations and Thank You for a highly productive and successful end to Phase II and TO and smooth transition to Phase III Potential new opportunities with Global Health Initiative – details emerging but opportunities for new ideas now Global leadership needed on evaluating M&E and HIS interventions – well-placed to provide it
MEASURE Evaluation is funded by the U.S. Agency for International Development and is implemented by the Carolina Population Center at the University of North Carolina at Chapel Hill in partnership with Futures Group International, 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.