Monitoring and evaluation tool for programme implementation

1. Where have you been,
Where are you,
Where are you going?
Melinda Potgieter – Preuss
SAMEA Conference
15 October 2015

2. “A little knowledge that
acts is worth infinitely
more than much
knowledge that is idle.”
Kahlil Gibran

3. Where were we ?
International Context
Targets for the millennium development goals (MDG)
relevant to the Reproductive Maternal and Child
Health (RMCH) programme in South Africa:
• MDG 4: Reduce under 5 mortality rate by two-thirds
• MDG 5: Reduce maternal mortality ratio by three-quarters

4. Where have we been?
South African context
Where
we are
Where
we are
going

5. Where have we been?
South African context
Where
we are
Where
we are
going

6. ‘SEED’ Model
Meeting
clients
needs
DemandSupply
Staff supported in
delivering
quality services
(accessible, acceptable,
and accountable)
Knowledgeable
Individuals, families,
and communities
seeking care
Policy, program, and community
environment, coupled with
social and gender norms, support
functioning health systems and
facilitate healthy behaviours
Enabling Environment

7. Where, What, When, Who, Why
F
E
U
T
U
R
E
S
/
C
O
M
P
O
N
E
N
T

8. Gaps and bottlenecks
To identify gaps and
identify key bottlenecks

9. Bottleneck Analysis
Key component
Indicator
Baseline
Key challenge
Root cause
Type of support required
Action Plan
Outcome
Responsible Person
Timeline
Priority

10. Enabling environment
Leadership and Governance
Policies, resources and budgets
Evidence-based decision-making
Commodities
Advocacy and Communication
Transport
Integration and referrals

11. Implementation
To track or monitor
implementation of the
identified intervention
stages over time in an
endless improvement
cycle

12. Dashboard
Green: the indicator has reached its target value.
Yellow: the indicator has improved compared to the previous financial year,
but has not yet reached its target value.
Red: the indicator’s Performance 2012/13 (FY 1) has worsened compared
to the previous financial quarter, and has not reached its target value.

13. Implementation stages
Pre-implementation
4. Implementation
6. Institutionalisation
1. Creating awareness
2. Commitment to implement
3. Getting ready to implement
Implementation
5. Integration into routine
practise
Institutionalisation

14. Technical Implementation Status

15. StrengtheningDistrictTaskTeamsImplementation stages
Level of
effort