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INTEGRATED CHILD HEALTH AND SOCIAL
SERVICES AWARD (ICHSSA3)
ICHSSA 3 CSO ONBOARDING PRESENTATION
BORNO/JIGAWA/YOBE
NOVEMBER 2022
INTERGRATED CHILD HEALTH AND SOCIAL SERVICES AWARD 3
(ICHSSA3)
1/9/2023 The Monitoring, Evaluation and Learning Activity 2
About Society for Family
Health (SFH)
Society for Family Health (SFH), incorporated in 1985 is
one of the foremost Non-Governmental Organization’s
(NGOs), that provide support to the Nigerian government
in key areas of public health concerns such as: OVC
programming, HIV&AIDS prevention, social services,
family planning and maternal & child health (malaria
control, water and sanitation, and diarrhoea control).
"With support from the U.S. President's Emergency Plan
for AIDS Relief, the Integrated Child Health and Social
Services Award 3 (ICHSSA 3) a 5-year project (2019 –
2024) was awarded to SFH in November 2019 to implement
in Kano, it expanded to Niger State in October 2021, and
now Borno, Jigawa and Yobe in October 2022.
ICHSSA 3 is a consortium of 3 partners, Save the Children
Federation (SCF), American International Health Alliance
(AIHA), and SFH being the lead on the consortium.
ICHSSA 3 PROJECT OVERVIEW
The Monitoring, Evaluation and Learning Activity
1/9/2023
Project
Commencement:
November 2019
Project Goal:
Reduce the impact of HIV and AIDS on
OVC
Consortium Partners:
• Society for Family Health (Lead),
• Save the Children Federation
• American International Health Alliance
Project Duration: Five Years
Project Location: Kano, Niger,
Jigawa, Borno & Yobe State
1/9/2023 The Monitoring, Evaluation and Learning Activity 5
KEY RESULTS
Result 1: Households have increased access to basic
services and care for OVC.
IR 1.1 Households are economically stable and have food
security.
IR 1.2 Caregivers adopt appropriate parenting practices.
IR 1.3 Caregivers support OVC to access age-appropriate
educational development, health, and protection services
Result 2: Community ensures that OVCs secure their
rights.
IR 2.1: Communities Promote Child and Family friendly,
Gender and HIV sensitive Cultural Norms and Practices
IR 2.2: Communities Advocates for child and family
friendly, gender and HIV sensitive government protection
and support
IR 2.3: Social Service providers and Health Service
providers coordinate child and family friendly OVC,
Gender and HIV services and support.
1/9/2023 The Monitoring, Evaluation and Learning Activity 6
KEY RESULTS
CONTD
Result 3: Local and State Government deliver basic
services and detect and respond to child rights violation.
IR 3.1: Local and state governments plan for, finance, and
deliver and monitor high-quality services to protect and
care for OVC.
IR 3.2: Local and state governments collect, analyze, and
use data to improve services and to protect and care for
OVC.
IR 3.3: Local and state governments have sufficient, high-
performing human resources to protect and care for OVC.
Result 4: Prioritized targeted services for specific OVC
subpopulations utilized.
IR 4.1: Evidence-based OVC services are available for
children and adolescents infected by or exposed to HIV.
IR 4.2: Evidence-based OVC services are available for
adolescent girls at high risk of HIV infection and Sexual
Violence in high burden areas.
IR 4.3: Evidence-based OVC service models are available
for other sub-populations of children at a high risk of HIV
infection.
ENROLLMENT BY STREAMS
INTERGRATED CHILD HEALTH AND SOCIAL SERVICES AWARD
(ICHSSA3)
7
CLHIV
HIV
Exposed
Infants
Survivals
of
Violence
Against
Children
Adolescent
s @ Risk to
HIV
Children of
PLHIV
1/9/2023 The Monitoring, Evaluation and Learning Activity 8
ICHSSA 3
Partners in
Kano (CSOs)
1. Society for Child Support and Economic Empowerment
(SOCSEE)
2. Halliru Memorial Youth Development and Empowerment
Initiative (AYDI)
3. Global Improvement of Less Privileged Initiative
(GIOPINI)
4. Green Pasture & Home Initiative (GPHI)
5. Health Development Alternative Initiative (HDAI)
6. Lifeline Initiative for Widows Empowerment (LIWEED)
7. Nigeria Opportunities Industrialization Centre (NOIC)
8 Women Gender Developers (WOGEND)
1/9/2023 The Monitoring, Evaluation and Learning Activity 9
ICHSSA 3 Partner in
Niger/Borno/Jigawa
and Yobe
1.ELOHIM Foundation (EF) – Niger
2. Kishimi Shelter and Care Foundation (KSCF)- Borno
3. Village Community Development Initiative (VILDEV)-
Jigawa
4. Communal Conservation Friendly Health and Social
Development Support Initiative(COCOSOHDI) - Yobe
1/9/2023 The Monitoring, Evaluation and Learning Activity 10
ICHSSA 3 Target by
State
STATE TARGET
KANO 118,994
NIGER 44,725
BORNO 23665
YOBE 13308
JIGAWA 12727
STAKEHOLDERS ENGAGEMENT, CAPACITY
BUILDING AND RESOURCE MOBILIZATION
Introductions and definition of terms
Stakeholder engagement
is the process used by an organization to engage relevant
stakeholders for a purpose to achieve accepted outcomes
(Accountability, 2008) i.e. involves building and maintaining
relationships. It also involves preserving the active support
and commitment of the people to the project.
Mobilization
the act of organizing or preparing
something, such as a group of people,
for a purpose. (Cambridge university)
Resources mobilization
refers to all activities involved in securing new
and additional resources for your organization.
It also involves making better use of, and
maximizing, existing resources
Resources
1- new or a reserve source of supply or
support ; 2· a usable stock or supply (as
of money, products, or energy))
Stakeholders
any people or groups who are positively or negatively
impacted by a project, initiative, policy or organization
Engagement
is the process used by an organization to engage
relevant stakeholders for a purpose to achieve
accepted outcomes (Accountability, 2008) i.e.
involves building and maintaining relationships. It
also involves preserving the active support and
commitment of the people to the project.
Note: On the OVC program, stake-holders involvement and participation is critical to sustainable development outcomes for vulnerable children in
the society.
1/9/2023 The Monitoring, Evaluation and Learning Activity 13
Result 2 Communities
ensure that OVC secure
their rights
Strategy:
(CPC,CQIT,TWG & STWG)
 IR 2.1 Communities promote child and family friendly,
gender and HIV sensitive cultural norms and practices
 IR 2.2 Communities advocate for child and family
friendly, gender and HIV sensitive government
protection and support
 IR 2.3 Social services providers and health service
providers coordinate child and family friendly OVC,
gender and HIV services and support
1/9/2023 The Monitoring, Evaluation and Learning Activity 14
Result 3: Local and State
Government deliver basic
services and detect and
respond to child rights
violation.
Strategy:
(MDAs and institutions)
 IR 3.1: Local and state governments plan for,
finance, and deliver and monitor high-quality
services to protect and care for OVC
 IR 3.2: Local and state governments collect,
analyze, and use data to improve services and to
protect and care for OVC.
 IR 3.3: Local and state governments have
sufficient, high-performing human resources to
protect and care for OVC
1/9/2023 The Monitoring, Evaluation and Learning Activity 15
Methodology for
Stakeholder
Engagement
 Conduct stakeholder mapping and analysis (state, LGA and
Community levels)
 Brainstorm, identify relevant to OVC need and document their
influences
 Prioritize area of interest and the OVC needs
 Develop advocacy plans and create committees (community
structures Establish/strengthen community structures (CP & QIT)
 Sensitization and mobilization
 Conduct Capacity assessment and strengthening ,training,
meetings and advocacy based on the OVC needs
 Ensure program quality and accountability
 Collaborations, Partnerships and linkages
 Collect data (LGA baseline assessment using the UGM OCA Tool ),
monitor and review/analyze whether the solutions or resources
generated have improved care for vulnerable children in the given
service area; as planned
 Communicate regularly (share lesson and document successes)
with stakeholders and the beneficiaries, keep them informed on
improvement and request document feedback from the
communities.
 Ensure stakeholders participate in review/supervisory meetings with
1/9/2023 The Monitoring, Evaluation and Learning Activity 16
Resources
mobilization
The purpose of engagement with relevant stakeholders includes
GoN (MDAs), NGOs (CSOs, Associations etc.) Private sectors,
institutions and Individual philanthropies etc. is to make resources
available that will ensure the National Standards for Improving the
Quality of Life of Vulnerable Children in Nigeria are being
implemented by all, and also to actively improve service areas
that are under performing using the National Standards.
According to the OVC National Standards there are 7 Core
Service Delivery Areas
 Health
 Nutrition and Food Security
 Psychosocial Support
 Protection
 Education and Training
 Shelter and Care
 Household Economic Strengthening
Community mobilization
1/9/2023 The Monitoring, Evaluation and Learning Activity 18
Community
mobilization and
engagement
Community mobilization and engagement is capacity-
building process through which community members,
groups or organizations plan, carry out and evaluate
activities on a participatory and sustainable basis, either on
their own or stimulated by others
Community mobilization and engagement is key in OVC
programming because communities play a critical role in the
process of achieving an effective continuum of care for
children and adolescents and their care givers
1/9/2023 The Monitoring, Evaluation and Learning Activity 19
ICHSSA3 Result Area
Result 2 Communities ensure that OVC secure their rights
IR 2.1 Communities promote child and family friendly, gender
and HIV sensitive cultural norms and practice
IR 2.2 Communities advocate for child and family friendly,
gender and HIV sensitive government protection and support
IR 2.3 Social services providers and health service providers
coordinate child and family friendly OVC, gender and HIV
services and support
1/9/2023 The Monitoring, Evaluation and Learning Activity 20
 ICHSSA3 project build communities capacity to ensure
community members have access to and are informed of
available OVC services
 Work with and sensitize traditional and religious leaders on
social norms transformation related to GBV and other forms of
violence against children
 The project works through existing structures to identify
development and health needs, mobilize their communities,
and raise issues through advocacy with government and
service providers within these communities
 The project identifies, strengthens and supports existing and
established community structures and networks to demand for
and ensure availability and uptake of OVC services in the
communities
 These structures serve as the formal channels through which
communities ensure that health facilities/social services
providers, LGAs, and the state are held to account for their
performance
 Establish and provide support to CCPC and CQIT to develop,
resource, and monitor capacity building plans that address self-
identified challenges
Roles of CSOs in
Community Mobilization
and Engagement
1/9/2023 The Monitoring, Evaluation and Learning Activity 21
 Pay advocacy visits to community gate keepers and influencers
to garner their support and buy-in into the program
 Mapping of stakeholders and available resources in the LGAs
and communities to leverage on
 Implementing CSO should work with the community leaders in
Selecting or appointing and training individuals who will
facilitate the community mobilization process within the
communities. These individuals should be of known good
characters especially around children and must first undergo
the child safeguarding training to become a part of the team
 Implementing CSO should work with the community structures
to raise awareness about OVC, GBV and HIV situation
especially as it affects children and households within their
specific communities
Roles of CSOs in
Community Mobilization
and Engagement
1/9/2023 The Monitoring, Evaluation and Learning Activity 22
 Implementing CSO should work with the community leaders
and others to invite and organize participation of those most
affected and interested in the OVC programming
 Implementing CSO should explore with community members
the local practices, beliefs and attitudes that affect OVC in the
community
 Implementing CSO should support communities to set local
priorities for action
 Implementing CSO should help community structures develop
and implement their own community action plans
 Implementing CSO should work with communities to build their
capacity to effectively monitor and evaluate their progress
towards achieving improved social and health outcomes for
OVC and their households
Roles of CSOs in
Community Mobilization
and Engagement
Quality Improvement (QI)
1/9/2023 The Monitoring, Evaluation and Learning Activity 24
Background & Result
Areas
Background
Quality Improvement (QI) is a
combined effort of concerned
stakeholders in a company,
organization, establishment etc to
make everything about it better or
improve the production process.
QI consists of systematic and
continuous actions that lead to
measurable improvement.
QI was first used in the
manufacturing industry and have
been used in other sectors as well.
On the OVC program, QI Team is a
group of critical stakeholders who
come together to achieve
improved outcomes for vulnerable
children in their communities
Result Areas
 Result 2 Communities ensure
that OVC secure their rights
 IR 2.1 Communities promote
child and family friendly,
gender and HIV sensitive
cultural norms and practices
 IR 2.2 Communities advocate
for child and family friendly,
gender and HIV sensitive
government protection and
support.
 IR 2.3 Social services
providers and health service
providers coordinate child
and family friendly OVC,
gender and HIV services and
support
1/9/2023 The Monitoring, Evaluation and Learning Activity 25
About the QI Team
The purpose of the QI Team is to ensure that the National
Standards for Improving the Quality of Life of Vulnerable Children
in Nigeria are being implemented by all organizations serving
vulnerable children in the OVC community. And to actively
improve service areas that are under performing using the
National Standards.
According to the OVC National Standards there are 7 Core
Service Delivery Areas –
 Health
 Nutrition and Food Security
 Psychosocial Support
 Protection
 Education and Training
 Shelter and Care
 Household Economic Strengthening
1/9/2023 The Monitoring, Evaluation and Learning Activity 26
Key Roles of QIT
 Conduct regular improvement meetings (recommended not less than
twice per month).
 Familiarize themselves with the OVC National Standards and
community booklet.
 Conduct and/or review baseline assessment of vulnerable children in
their community using tools such as Nutrition and Household
Vulnerability Assessment Tool.
 Determine the service area and related standards most in need of
immediate improvement based on the assessment using a preference
ranking. (Note: All services should continue during improvement
activities. The service most in need will be addressed first for
improvement.)
 Set an improvement aim for the service they have chosen
 Conduct root cause analysis of the problem
 Brainstorm solutions, called change ideas, to the problems uncovered
in the analysis
 Prioritize change ideas to test
 Create plans to test change ideas
 Conduct tests of change ideas based on their plans
 Collect data, monitor and review/analyze whether the solutions have
improved care for vulnerable children in the given service area; based
on review, determine next steps or new solutions (e.g., test more ideas,
implement on a larger scale, etc.)
1/9/2023 The Monitoring, Evaluation and Learning Activity 27
Composition of QIT
This may include but not limited to:
 Vulnerable children (male and female; recommend older
children who can actively contribute)
 Caregivers
 CBOs that provide services
 Community leaders
 Community stakeholders e.g, woman leader, youth
leader
 Religious leaders in the community
 Local Education Authority
 Primary Health Care Officer
 Town Criers
 Teacher/School Head
 Traditional Birth Attendants
 Policeman/Law enforcement Officer in the community
Clinical Services
1/9/2023 The Monitoring, Evaluation and Learning Activity 29
Result Area
 Prioritized targeted services for specific
OVC subpopulations utilized
1/9/2023 The Monitoring, Evaluation and Learning Activity 30
Facility Engagement
 ICHSSA 3 Facility Case Management
Workers (FCMW) stationed in the Health
Facilities as the focal persons.
 FCMW works jointly with ART
coordinators, PMTCT focal persons, case
workers of Treatment Partners (TP).
 The first activity of FCMW on the line list
is to verify and sort out active clients and
inactive clients.
 The FCMW fills this form every week and
submit to the Treatment Support Officer
(TSO)
1/9/2023 The Monitoring, Evaluation and Learning Activity 31
Pediatric/adolescent HIV
strategy
Case finding 1st 95
• 100% Genealogy testing of children of HIV positive
mothers.
• Risk assessment and HTS for children of KPs
(especially children of positive FSWs), siblings of
CLHIVs, adolescents at risk and SVACs.
• HIV Self-testing and assisted self-testing for
adolescents. (12-17 years).
• Referrals for EID provided for HIV-Exposed Infants on
the project.
• Genealogy testing & SNT (for adolescents) in
collaboration with treatment IP. (Weekly line listing and
sharing of newly identified positives).
• 100% Index Case Testing for all identified TB positives
(collaboration with TB LON projects.
• 100% HTS for all identified malnourished pediatrics.
1/9/2023 The Monitoring, Evaluation and Learning Activity 32
Linkage and Retention 2nd 95
• Provision of assisted referrals to treatment facilities
of all newly diagnosed CLHIVs for confirmation and
enrolment into care.
• Tracking and linkage back to care of CLHIVS who are
LTFU or categorized as interrupted treatment.
• Provision of assisted referrals and escort services
for clinic and VL appointment days.
• Utilizing facility domiciled case workers in facilities
to drive facility-community referral channels.
• Support provision of adolescent friendly services,
support groups and OTZ clubs.
• Home visitations to provide, assess and ensure
medication/treatment adherence.
• Facilitate and support bi-monthly facility referral
coordination meetings.
• Support all CLHIV households enrolled with an array
of comprehensive OVC services including HES to
ensure their them to be stable and resilient.
 Facilitate and support viral load
testing.
 Identify and provide assisted referrals
for eligible clients.
 Supporting the provision of Multi-
Month prescriptions for stable clients.
 Identifying and addressing barriers to
viral load suppression.
Viral Load Suppression 3rd 95
GENDER
1/9/2023 The Monitoring, Evaluation and Learning Activity 34
What is gender?
Definitions of
terminologies
What is Gender?
Gender is defined as roles ,
behaviors, activities, attributes
and opportunities that any
society considers appropriate
for boys and girls, men and
Women. While Sex is the
physical-biological features
that distinguish a man from a
woman, and they are
generally permanent and
universal.
Definition of terms
Gender Norms:
They are social principles that govern the
behavior of girls, boys, women and men in
society and restrict their gender identity
into what is considered to be appropriate.
Gender-based violence
GBV can take many different forms, it could
be a violence committed against individual
or group, on the basis of their gender. It
also includes any act or threat thereof,
which results in or is likely to result in
physical, sexual, or psychological harm.
Gender equity and equality
Gender equity and equality refers to being
fair for treatment for women and Men,
according to their respective needs.
1/9/2023 The Monitoring, Evaluation and Learning Activity 35
Current GBV situation in
Nigeria
 Violence against women in its various kind is endemic in
communities and countries around the world, cutting across
class, education, race, age , religious and National boundaries
 This issue is growing in some part of the country ranging from
early marriage to physical , mental or sexual assault on women
 Nearly 30% of women and Girls aged 15-49 in Nigeria have
experienced physical violence by age 15- based on the impact of
COVID-19(UN 2020)
 Life time physical and social or sexual intimate partner violence is
17.4%
 Physical and sexual intimate partner violence in the last 12
month is 11%
 Life time non partner sexual violence is 1.5%
 Child marriage is 43.5%
 Female genital mutilation/cutting is 18.4
1/9/2023 The Monitoring, Evaluation and Learning Activity 36
Result 2 Communities
ensure that OVC secure
their rights.
Strategy:
 R2.1: Communities to become advocates of gender
equality, HIV sensitive services
 IR 2.2 Communities advocate for child and family
friendly, gender and HIV sensitive government
protection and support
 R2.2: Social services providers and Health service
providers coordinate a child and family friendly OVC,
Gender and HIV services
 R4.2: Evidence based OVC services are available for
adolescent girls at high risk of HIV infection and sexual
violence.
1/9/2023 The Monitoring, Evaluation and Learning Activity 37
What we do!!!
 Ensures that gender is taken into consideration in all aspect of
ICHSSA 3 implementation ( Community service delivery).
 Gender issues are monitored in the project to assess the level of
Gender related activities.
 Tracking the occurrence of Gender Based Violence (GBV) and
Violence Against Children (VAC) in all focal communities.
 Assess the impact of Gender related activities and services to
determine the number and types of people (male and female/
age group).
 Track issues around GENDER-NORM which will report on the
number of people (OVC and caregivers) who complete an
intervention by our indicators.
 Support the survivors of GBV and VAC (physical violence and
sexual violence) with clinical care.
 Conduct home visits.
 Creating awareness in communities of implementation on gender
and GBV during meetings and rally’s.
1/9/2023 The Monitoring, Evaluation and Learning Activity 38
Survivor of Gender Based Violence
Counselor/ Social Worker/ Health Worker/
Safety and Security
Services
Police
919/911
Point/Hotline
Medical and
Psychological Care Services
Hospital, Clinic, or Health Centre
Social Protection Services
Counseling, Case Management
(
Shelter and Support Systems)
Investigative Services
Police — Sexual Offences Unit
-
investigation, counseling and prose
(
cution)
Legal Justice Services
(Legal Aid/Court/
Prosecution)
Community Care Services
(Home, Shelter, NGO, FBO, other )
Child Protection Services
If under 18, refer to SAFE or
SCAN for follow up
Trafficking Of Persons
Services
Detection / Reporting / Rescu-
ing
Referral Pathway for Survivors of Gender-Based Violence
Household Economic Strengthening
&
Nutrition
1/9/2023 The Monitoring, Evaluation and Learning Activity 40
What is Household
Economic Strengthening
(HES)
A portfolio of interventions to reduce the economic
vulnerability of households and empower them to provide
for the essential needs of the children they care for, rather
than relying on “external assistance.”
PEPFAR working definition, 2011
Result 1: Households have increased access to basic
services and care for OVC.
IR 1.1 Households are economically stable and have food
security
1/9/2023 The Monitoring, Evaluation and Learning Activity 41
Strategies for beneficiaries
Identification and
interventions
Vulnerability:
- CLHIV
- HEI
- SVAC
- CLPLHIV
- KP
- Adolescen
ts at Risk
Interventions:
- social protection
- asset protection
- income growth
Who is the target
population?
Challenges:
- human
- natural
- physical
- financial
- social
Capabilities & Interests:
- Education
- Skills
- Employability
Action required:
- persevere
- organize
- build
1/9/2023 The Monitoring, Evaluation and Learning Activity 42
1/9/2023 The Monitoring, Evaluation and Learning Activity 43
Methodology of interventions
 ICHSSA 3 OVC engagement strategy (through CSO and CCMW /
caregivers)
 ICHSSA 3 Project Economic Strengthening and Nutrition
Interventions:
 Savings Groups
 Partnership collaboration
 Income Generating Activities (IGAs)
 Linkage to skills acquisition centres
 Financial Education
 Microenterprises
 Market linkages
 Referral for business loans and microcredit
 Nutrition and Food Security/safety in the Context of
HIV/AIDS
1/9/2023 The Monitoring, Evaluation and Learning Activity 44
Nutrition and Food
Security/Safety in the context
of HIV/AIDS
Nutrition: Nutrition is the intake of food, nourishment or
energy that is obtained from food consumed or the process of
consuming the proper amount of nourishment and energy
needed for proper growth and development.
Food Security: Food security exists when all people at all
times have both physical and economic access to sufficient
food to meet their dietary needs for a productive and healthy
life.
Food Safety: Food safety could also mean means food
hygiene which could simply means handling, preparing and
storing food or drink in a way that best reduces the risk of
those consuming the food or drinks becoming sick from the
food-borne disease.
1/9/2023 The Monitoring, Evaluation and Learning Activity 45
ICHSSA 3 Project Nutrition
Strategies
 Infant and Young Child Feeding (IYCF) which focus on the
first 1000 days of life.
 OVC nutrition and Hygiene (for older OVCs 2-17 years)
 Nutrition Assessment – Anthropometry (MUAC assessment
for OVC 6-59 months)
 Nutrition support and care for PLHIV
 MNCHW – Vitamin A Supplementation, Deworming
 Food demonstration
 Food Banks
 Homestead gardening
 Food support
1/9/2023 The Monitoring, Evaluation and Learning Activity 46
Link between HIV/AIDS,
Malnutrition and Food
Insecurity
Social Works
1/9/2023 The Monitoring, Evaluation and Learning Activity 48
INTRODUCTION TO OVC Case
Management Process
Case management includes the processes of and related
tools for identifying, assessing, planning, referring and
tracking referrals, and monitoring the delivery of services
in a timely, context-sensitive, individualized and family-
centred manner to achieve a specific goal or goals (e.g.
child protection and wellbeing).
Case Management flow chart
•
4. Develop/
Update
Household care
plan
6. Monitoring of
Care Plan and
implementation
7. Graduation
and Case
Closure
3. Assess
Child(ren) and
Family (Case
conferencing)
2. Enroll
Eligible
Children and
Families
Identified Vulnerable
Children
• CLHIV
• HEI
• Children of Key
Pop
• Children of PLHIV
• SVAC
• Adolescents @ riek
5. Direct Service
Provision/
• Health
• Nutrition
• Education
• Psychosocial
support
• Shelter and
Care
• HES
• Referral for
Services
1/9/2023 The Monitoring, Evaluation and Learning Activity 50
Where we want to be with
service provision
• Schooled
• Healthy
• Safe
• Stable
1/9/2023 The Monitoring, Evaluation and Learning Activity 51
Schooled
• All children between ages 5-17 are enrolled in
school and attend school regularly in the last year.
• Parental involvement and responsible for children
education
• Academic support to children who are not
performing well through volunteer teachers
• Waiver through signing of MoU with MoE or
SUBEB
• Well sensitized Communities that support Children
with school materials through communal effort
• Adolescents enrolled into alternative education (
Vocational skill education through linkages and
referrals
1/9/2023 The Monitoring, Evaluation and Learning Activity 52
HEALTHY
• All adolescents at risk are risk assessed for
HIV
• Refer to HTS for those with test indicated
• Link HIV +ve to pediatric ART
• ART Adherence and positive living Caregivers
and HIV+ Children
• Monitor and document suppression among
+HIV children (0-17)
• Educate and support caregivers to disclose to
children
• Track ART defaulters and follow up to
household
• Facilitate adequate access to health insurance
• Refer to PHC for health related services
1/9/2023 The Monitoring, Evaluation and Learning Activity 53
STABLE
• In the past 4 weeks no member of the
household has gone a whole day and
night without eating anything at all
because there was not enough food. All
members include caregivers and children
within the household
• In the last year, the caregivers have been
able to save additional money to meet
children’s needs.
• The caregiver can identify a person or a
group recognized as providing social and
emotional support.
1/9/2023 The Monitoring, Evaluation and Learning Activity 54
SAFE
• Children in the household are able to participate in daily
activities with caregivers and other children in their
household.
• All children enrolled have birth certificate
• Caregivers have completed a “parenting skills activity to
build children’s ability to adapt to change, to decrease
stress and anxiety in the last year
• Caregivers and Children with adequate knowledge on Child
protection and VAC
• Children, enrolled in the program, at risk of abuse,
violence, exploitation or neglect have been referred to GoN
child Protection Officer
• Children have access to legal and social protection
services
• Established Community child Protection Committees
across all communities to monitor and ensure all children
are safe and protected against all forms of abuse
1/9/2023 The Monitoring, Evaluation and Learning Activity 55
Other services
• Psychosocial Support:
• Active and high performing monthly Adolescent and
Kid’s club in all communities
• Active and high performing monthly Caregivers forum
• Referrals for Mental health and Trauma counseling
• Referrals for other ailments related to HIV
• Shelter and Care
 Material support (Decent clothing, sanitary wears,
shoes etc)
 renovation and/or build accommodation Through
communal effort
Strategic Information
1/9/2023 The Monitoring, Evaluation and Learning Activity 57
Introduction
Many Projects or interventions fail because of lack of
understanding of the need for Monitoring and Evaluation.
This section will set out the importance and roles of both
Monitoring and Evaluation and how they can be applied to
ensure a successful Program.
“In Project Management a project is only successful when it achieves
the set objectives within the allocated budget and delivered on the
agreed time.”
1/9/2023 The Monitoring, Evaluation and Learning Activity 58
What is monitoring?
• Collecting routine data that measure
progress towards achieving program
objectives
• Involves counting what we are doing
• Tracks indicators to answer the
questions:
• Are we implementing our program as
planned?
• How well has the program been
implemented?
• How much does program implementation
vary from site to site?
• Did the program benefit the intended
people? At what cost?
1/9/2023 The Monitoring, Evaluation and Learning Activity 59
Forms of monitoring
 Physical and financial monitoring
Measuring progress of project activities against
established schedules and indicators of success
 Process monitoring
Identifying factors accounting for progress of activities or
success of output production.
 Impact monitoring
Measuring the initial responses and reactions to project
activities and their immediate short-term effects
1/9/2023 The Monitoring, Evaluation and Learning Activity 60
WHAT IS EVALUATION?
Some Definitions:
 Systematic collection and analysis of info about
characteristics and outcomes of programs (USAID
Evaluation policy)
 Process that tries to determine as systematically and
objectively as possible the relevance, effectiveness and
impact of activities in light of their objectives (Measure
Evaluation on M&E Fundamentals)
 Use of social science research procedures to
systematically investigate effectiveness of social
intervention programs (P. Rossi)
DIFFERENCE BETWEEN M & E
Monitoring Evaluation
Questions
• To what extent are planned activities
realized?
• Are we making progress towards achieving
our objectives?
• How many people are we reaching with our
services or information?
• How well are the services provided?
• What is the cost per unit service?
• Have we achieved the planned outcomes?
• What contributed to or hindered the
achievement of the outcomes?
• What are our program’s long-term effects (e.g.,
a decline in HIV incidence)?
Freq.
Routine Sporadic: Baseline, mid-term, end-line
Com
p
Inputs, processes, and outputs Outcomes and/or impact
Data
source
Mostly routine data from information
management system (service statistics,
training records, project reports)
Mainly non-routine data and rigorous scientific
methods (surveys, special studies, surveillance)
61
1/9/2023 The Monitoring, Evaluation and Learning Activity 62
WHAT IS M&E INFO USED
FOR?
1. Decision-making
a. Program design and planning
b. Program improvement
c. Resource allocation
2. Accountability
3. Learning
1/9/2023 The Monitoring, Evaluation and Learning Activity 63
IN SUMMARY
• No program improvement
• No funding
• No knowledge gained
• No trust from stakeholders
No M&E
M&E FRAMEWORK
64
INPUTS PROCESSES OUTPUTS OUTCOMES IMPACT
Monitoring Evaluation
1/9/2023 The Monitoring, Evaluation and Learning Activity 65
M&E FRAMEWORK
Inputs:
• Resources used in program (money, staff, equipment)
Processes:
• Activities that program implements or services it provides
to achieve objective, using inputs
Outputs:
• Direct product or deliverables of program
Outcomes:
• Program results that occur immediately and some time
after activities have been implemented
Impact:
• Long-term results of one or more program over time
INTERGRATED CHILD HEALTH SOCIAL
SERVICE AWARD
(ICHSINTERGRATED CHILD HEALTH
SOCIAL SERVICE AWARD
(ICHSSA 3)
SA 3)
www.sfhnigeria.or
INTERGRATED CHILD HEALTH SOCIAL SERVICE AWARD 3
(ICHSSA 3)

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ICHSSA 3 CSO Onboarding

  • 1. INTEGRATED CHILD HEALTH AND SOCIAL SERVICES AWARD (ICHSSA3) ICHSSA 3 CSO ONBOARDING PRESENTATION BORNO/JIGAWA/YOBE NOVEMBER 2022 INTERGRATED CHILD HEALTH AND SOCIAL SERVICES AWARD 3 (ICHSSA3)
  • 2. 1/9/2023 The Monitoring, Evaluation and Learning Activity 2 About Society for Family Health (SFH) Society for Family Health (SFH), incorporated in 1985 is one of the foremost Non-Governmental Organization’s (NGOs), that provide support to the Nigerian government in key areas of public health concerns such as: OVC programming, HIV&AIDS prevention, social services, family planning and maternal & child health (malaria control, water and sanitation, and diarrhoea control). "With support from the U.S. President's Emergency Plan for AIDS Relief, the Integrated Child Health and Social Services Award 3 (ICHSSA 3) a 5-year project (2019 – 2024) was awarded to SFH in November 2019 to implement in Kano, it expanded to Niger State in October 2021, and now Borno, Jigawa and Yobe in October 2022. ICHSSA 3 is a consortium of 3 partners, Save the Children Federation (SCF), American International Health Alliance (AIHA), and SFH being the lead on the consortium.
  • 3. ICHSSA 3 PROJECT OVERVIEW
  • 4. The Monitoring, Evaluation and Learning Activity 1/9/2023 Project Commencement: November 2019 Project Goal: Reduce the impact of HIV and AIDS on OVC Consortium Partners: • Society for Family Health (Lead), • Save the Children Federation • American International Health Alliance Project Duration: Five Years Project Location: Kano, Niger, Jigawa, Borno & Yobe State
  • 5. 1/9/2023 The Monitoring, Evaluation and Learning Activity 5 KEY RESULTS Result 1: Households have increased access to basic services and care for OVC. IR 1.1 Households are economically stable and have food security. IR 1.2 Caregivers adopt appropriate parenting practices. IR 1.3 Caregivers support OVC to access age-appropriate educational development, health, and protection services Result 2: Community ensures that OVCs secure their rights. IR 2.1: Communities Promote Child and Family friendly, Gender and HIV sensitive Cultural Norms and Practices IR 2.2: Communities Advocates for child and family friendly, gender and HIV sensitive government protection and support IR 2.3: Social Service providers and Health Service providers coordinate child and family friendly OVC, Gender and HIV services and support.
  • 6. 1/9/2023 The Monitoring, Evaluation and Learning Activity 6 KEY RESULTS CONTD Result 3: Local and State Government deliver basic services and detect and respond to child rights violation. IR 3.1: Local and state governments plan for, finance, and deliver and monitor high-quality services to protect and care for OVC. IR 3.2: Local and state governments collect, analyze, and use data to improve services and to protect and care for OVC. IR 3.3: Local and state governments have sufficient, high- performing human resources to protect and care for OVC. Result 4: Prioritized targeted services for specific OVC subpopulations utilized. IR 4.1: Evidence-based OVC services are available for children and adolescents infected by or exposed to HIV. IR 4.2: Evidence-based OVC services are available for adolescent girls at high risk of HIV infection and Sexual Violence in high burden areas. IR 4.3: Evidence-based OVC service models are available for other sub-populations of children at a high risk of HIV infection.
  • 7. ENROLLMENT BY STREAMS INTERGRATED CHILD HEALTH AND SOCIAL SERVICES AWARD (ICHSSA3) 7 CLHIV HIV Exposed Infants Survivals of Violence Against Children Adolescent s @ Risk to HIV Children of PLHIV
  • 8. 1/9/2023 The Monitoring, Evaluation and Learning Activity 8 ICHSSA 3 Partners in Kano (CSOs) 1. Society for Child Support and Economic Empowerment (SOCSEE) 2. Halliru Memorial Youth Development and Empowerment Initiative (AYDI) 3. Global Improvement of Less Privileged Initiative (GIOPINI) 4. Green Pasture & Home Initiative (GPHI) 5. Health Development Alternative Initiative (HDAI) 6. Lifeline Initiative for Widows Empowerment (LIWEED) 7. Nigeria Opportunities Industrialization Centre (NOIC) 8 Women Gender Developers (WOGEND)
  • 9. 1/9/2023 The Monitoring, Evaluation and Learning Activity 9 ICHSSA 3 Partner in Niger/Borno/Jigawa and Yobe 1.ELOHIM Foundation (EF) – Niger 2. Kishimi Shelter and Care Foundation (KSCF)- Borno 3. Village Community Development Initiative (VILDEV)- Jigawa 4. Communal Conservation Friendly Health and Social Development Support Initiative(COCOSOHDI) - Yobe
  • 10. 1/9/2023 The Monitoring, Evaluation and Learning Activity 10 ICHSSA 3 Target by State STATE TARGET KANO 118,994 NIGER 44,725 BORNO 23665 YOBE 13308 JIGAWA 12727
  • 11. STAKEHOLDERS ENGAGEMENT, CAPACITY BUILDING AND RESOURCE MOBILIZATION
  • 12. Introductions and definition of terms Stakeholder engagement is the process used by an organization to engage relevant stakeholders for a purpose to achieve accepted outcomes (Accountability, 2008) i.e. involves building and maintaining relationships. It also involves preserving the active support and commitment of the people to the project. Mobilization the act of organizing or preparing something, such as a group of people, for a purpose. (Cambridge university) Resources mobilization refers to all activities involved in securing new and additional resources for your organization. It also involves making better use of, and maximizing, existing resources Resources 1- new or a reserve source of supply or support ; 2· a usable stock or supply (as of money, products, or energy)) Stakeholders any people or groups who are positively or negatively impacted by a project, initiative, policy or organization Engagement is the process used by an organization to engage relevant stakeholders for a purpose to achieve accepted outcomes (Accountability, 2008) i.e. involves building and maintaining relationships. It also involves preserving the active support and commitment of the people to the project. Note: On the OVC program, stake-holders involvement and participation is critical to sustainable development outcomes for vulnerable children in the society.
  • 13. 1/9/2023 The Monitoring, Evaluation and Learning Activity 13 Result 2 Communities ensure that OVC secure their rights Strategy: (CPC,CQIT,TWG & STWG)  IR 2.1 Communities promote child and family friendly, gender and HIV sensitive cultural norms and practices  IR 2.2 Communities advocate for child and family friendly, gender and HIV sensitive government protection and support  IR 2.3 Social services providers and health service providers coordinate child and family friendly OVC, gender and HIV services and support
  • 14. 1/9/2023 The Monitoring, Evaluation and Learning Activity 14 Result 3: Local and State Government deliver basic services and detect and respond to child rights violation. Strategy: (MDAs and institutions)  IR 3.1: Local and state governments plan for, finance, and deliver and monitor high-quality services to protect and care for OVC  IR 3.2: Local and state governments collect, analyze, and use data to improve services and to protect and care for OVC.  IR 3.3: Local and state governments have sufficient, high-performing human resources to protect and care for OVC
  • 15. 1/9/2023 The Monitoring, Evaluation and Learning Activity 15 Methodology for Stakeholder Engagement  Conduct stakeholder mapping and analysis (state, LGA and Community levels)  Brainstorm, identify relevant to OVC need and document their influences  Prioritize area of interest and the OVC needs  Develop advocacy plans and create committees (community structures Establish/strengthen community structures (CP & QIT)  Sensitization and mobilization  Conduct Capacity assessment and strengthening ,training, meetings and advocacy based on the OVC needs  Ensure program quality and accountability  Collaborations, Partnerships and linkages  Collect data (LGA baseline assessment using the UGM OCA Tool ), monitor and review/analyze whether the solutions or resources generated have improved care for vulnerable children in the given service area; as planned  Communicate regularly (share lesson and document successes) with stakeholders and the beneficiaries, keep them informed on improvement and request document feedback from the communities.  Ensure stakeholders participate in review/supervisory meetings with
  • 16. 1/9/2023 The Monitoring, Evaluation and Learning Activity 16 Resources mobilization The purpose of engagement with relevant stakeholders includes GoN (MDAs), NGOs (CSOs, Associations etc.) Private sectors, institutions and Individual philanthropies etc. is to make resources available that will ensure the National Standards for Improving the Quality of Life of Vulnerable Children in Nigeria are being implemented by all, and also to actively improve service areas that are under performing using the National Standards. According to the OVC National Standards there are 7 Core Service Delivery Areas  Health  Nutrition and Food Security  Psychosocial Support  Protection  Education and Training  Shelter and Care  Household Economic Strengthening
  • 18. 1/9/2023 The Monitoring, Evaluation and Learning Activity 18 Community mobilization and engagement Community mobilization and engagement is capacity- building process through which community members, groups or organizations plan, carry out and evaluate activities on a participatory and sustainable basis, either on their own or stimulated by others Community mobilization and engagement is key in OVC programming because communities play a critical role in the process of achieving an effective continuum of care for children and adolescents and their care givers
  • 19. 1/9/2023 The Monitoring, Evaluation and Learning Activity 19 ICHSSA3 Result Area Result 2 Communities ensure that OVC secure their rights IR 2.1 Communities promote child and family friendly, gender and HIV sensitive cultural norms and practice IR 2.2 Communities advocate for child and family friendly, gender and HIV sensitive government protection and support IR 2.3 Social services providers and health service providers coordinate child and family friendly OVC, gender and HIV services and support
  • 20. 1/9/2023 The Monitoring, Evaluation and Learning Activity 20  ICHSSA3 project build communities capacity to ensure community members have access to and are informed of available OVC services  Work with and sensitize traditional and religious leaders on social norms transformation related to GBV and other forms of violence against children  The project works through existing structures to identify development and health needs, mobilize their communities, and raise issues through advocacy with government and service providers within these communities  The project identifies, strengthens and supports existing and established community structures and networks to demand for and ensure availability and uptake of OVC services in the communities  These structures serve as the formal channels through which communities ensure that health facilities/social services providers, LGAs, and the state are held to account for their performance  Establish and provide support to CCPC and CQIT to develop, resource, and monitor capacity building plans that address self- identified challenges Roles of CSOs in Community Mobilization and Engagement
  • 21. 1/9/2023 The Monitoring, Evaluation and Learning Activity 21  Pay advocacy visits to community gate keepers and influencers to garner their support and buy-in into the program  Mapping of stakeholders and available resources in the LGAs and communities to leverage on  Implementing CSO should work with the community leaders in Selecting or appointing and training individuals who will facilitate the community mobilization process within the communities. These individuals should be of known good characters especially around children and must first undergo the child safeguarding training to become a part of the team  Implementing CSO should work with the community structures to raise awareness about OVC, GBV and HIV situation especially as it affects children and households within their specific communities Roles of CSOs in Community Mobilization and Engagement
  • 22. 1/9/2023 The Monitoring, Evaluation and Learning Activity 22  Implementing CSO should work with the community leaders and others to invite and organize participation of those most affected and interested in the OVC programming  Implementing CSO should explore with community members the local practices, beliefs and attitudes that affect OVC in the community  Implementing CSO should support communities to set local priorities for action  Implementing CSO should help community structures develop and implement their own community action plans  Implementing CSO should work with communities to build their capacity to effectively monitor and evaluate their progress towards achieving improved social and health outcomes for OVC and their households Roles of CSOs in Community Mobilization and Engagement
  • 24. 1/9/2023 The Monitoring, Evaluation and Learning Activity 24 Background & Result Areas Background Quality Improvement (QI) is a combined effort of concerned stakeholders in a company, organization, establishment etc to make everything about it better or improve the production process. QI consists of systematic and continuous actions that lead to measurable improvement. QI was first used in the manufacturing industry and have been used in other sectors as well. On the OVC program, QI Team is a group of critical stakeholders who come together to achieve improved outcomes for vulnerable children in their communities Result Areas  Result 2 Communities ensure that OVC secure their rights  IR 2.1 Communities promote child and family friendly, gender and HIV sensitive cultural norms and practices  IR 2.2 Communities advocate for child and family friendly, gender and HIV sensitive government protection and support.  IR 2.3 Social services providers and health service providers coordinate child and family friendly OVC, gender and HIV services and support
  • 25. 1/9/2023 The Monitoring, Evaluation and Learning Activity 25 About the QI Team The purpose of the QI Team is to ensure that the National Standards for Improving the Quality of Life of Vulnerable Children in Nigeria are being implemented by all organizations serving vulnerable children in the OVC community. And to actively improve service areas that are under performing using the National Standards. According to the OVC National Standards there are 7 Core Service Delivery Areas –  Health  Nutrition and Food Security  Psychosocial Support  Protection  Education and Training  Shelter and Care  Household Economic Strengthening
  • 26. 1/9/2023 The Monitoring, Evaluation and Learning Activity 26 Key Roles of QIT  Conduct regular improvement meetings (recommended not less than twice per month).  Familiarize themselves with the OVC National Standards and community booklet.  Conduct and/or review baseline assessment of vulnerable children in their community using tools such as Nutrition and Household Vulnerability Assessment Tool.  Determine the service area and related standards most in need of immediate improvement based on the assessment using a preference ranking. (Note: All services should continue during improvement activities. The service most in need will be addressed first for improvement.)  Set an improvement aim for the service they have chosen  Conduct root cause analysis of the problem  Brainstorm solutions, called change ideas, to the problems uncovered in the analysis  Prioritize change ideas to test  Create plans to test change ideas  Conduct tests of change ideas based on their plans  Collect data, monitor and review/analyze whether the solutions have improved care for vulnerable children in the given service area; based on review, determine next steps or new solutions (e.g., test more ideas, implement on a larger scale, etc.)
  • 27. 1/9/2023 The Monitoring, Evaluation and Learning Activity 27 Composition of QIT This may include but not limited to:  Vulnerable children (male and female; recommend older children who can actively contribute)  Caregivers  CBOs that provide services  Community leaders  Community stakeholders e.g, woman leader, youth leader  Religious leaders in the community  Local Education Authority  Primary Health Care Officer  Town Criers  Teacher/School Head  Traditional Birth Attendants  Policeman/Law enforcement Officer in the community
  • 29. 1/9/2023 The Monitoring, Evaluation and Learning Activity 29 Result Area  Prioritized targeted services for specific OVC subpopulations utilized
  • 30. 1/9/2023 The Monitoring, Evaluation and Learning Activity 30 Facility Engagement  ICHSSA 3 Facility Case Management Workers (FCMW) stationed in the Health Facilities as the focal persons.  FCMW works jointly with ART coordinators, PMTCT focal persons, case workers of Treatment Partners (TP).  The first activity of FCMW on the line list is to verify and sort out active clients and inactive clients.  The FCMW fills this form every week and submit to the Treatment Support Officer (TSO)
  • 31. 1/9/2023 The Monitoring, Evaluation and Learning Activity 31 Pediatric/adolescent HIV strategy Case finding 1st 95 • 100% Genealogy testing of children of HIV positive mothers. • Risk assessment and HTS for children of KPs (especially children of positive FSWs), siblings of CLHIVs, adolescents at risk and SVACs. • HIV Self-testing and assisted self-testing for adolescents. (12-17 years). • Referrals for EID provided for HIV-Exposed Infants on the project. • Genealogy testing & SNT (for adolescents) in collaboration with treatment IP. (Weekly line listing and sharing of newly identified positives). • 100% Index Case Testing for all identified TB positives (collaboration with TB LON projects. • 100% HTS for all identified malnourished pediatrics.
  • 32. 1/9/2023 The Monitoring, Evaluation and Learning Activity 32 Linkage and Retention 2nd 95 • Provision of assisted referrals to treatment facilities of all newly diagnosed CLHIVs for confirmation and enrolment into care. • Tracking and linkage back to care of CLHIVS who are LTFU or categorized as interrupted treatment. • Provision of assisted referrals and escort services for clinic and VL appointment days. • Utilizing facility domiciled case workers in facilities to drive facility-community referral channels. • Support provision of adolescent friendly services, support groups and OTZ clubs. • Home visitations to provide, assess and ensure medication/treatment adherence. • Facilitate and support bi-monthly facility referral coordination meetings. • Support all CLHIV households enrolled with an array of comprehensive OVC services including HES to ensure their them to be stable and resilient.  Facilitate and support viral load testing.  Identify and provide assisted referrals for eligible clients.  Supporting the provision of Multi- Month prescriptions for stable clients.  Identifying and addressing barriers to viral load suppression. Viral Load Suppression 3rd 95
  • 34. 1/9/2023 The Monitoring, Evaluation and Learning Activity 34 What is gender? Definitions of terminologies What is Gender? Gender is defined as roles , behaviors, activities, attributes and opportunities that any society considers appropriate for boys and girls, men and Women. While Sex is the physical-biological features that distinguish a man from a woman, and they are generally permanent and universal. Definition of terms Gender Norms: They are social principles that govern the behavior of girls, boys, women and men in society and restrict their gender identity into what is considered to be appropriate. Gender-based violence GBV can take many different forms, it could be a violence committed against individual or group, on the basis of their gender. It also includes any act or threat thereof, which results in or is likely to result in physical, sexual, or psychological harm. Gender equity and equality Gender equity and equality refers to being fair for treatment for women and Men, according to their respective needs.
  • 35. 1/9/2023 The Monitoring, Evaluation and Learning Activity 35 Current GBV situation in Nigeria  Violence against women in its various kind is endemic in communities and countries around the world, cutting across class, education, race, age , religious and National boundaries  This issue is growing in some part of the country ranging from early marriage to physical , mental or sexual assault on women  Nearly 30% of women and Girls aged 15-49 in Nigeria have experienced physical violence by age 15- based on the impact of COVID-19(UN 2020)  Life time physical and social or sexual intimate partner violence is 17.4%  Physical and sexual intimate partner violence in the last 12 month is 11%  Life time non partner sexual violence is 1.5%  Child marriage is 43.5%  Female genital mutilation/cutting is 18.4
  • 36. 1/9/2023 The Monitoring, Evaluation and Learning Activity 36 Result 2 Communities ensure that OVC secure their rights. Strategy:  R2.1: Communities to become advocates of gender equality, HIV sensitive services  IR 2.2 Communities advocate for child and family friendly, gender and HIV sensitive government protection and support  R2.2: Social services providers and Health service providers coordinate a child and family friendly OVC, Gender and HIV services  R4.2: Evidence based OVC services are available for adolescent girls at high risk of HIV infection and sexual violence.
  • 37. 1/9/2023 The Monitoring, Evaluation and Learning Activity 37 What we do!!!  Ensures that gender is taken into consideration in all aspect of ICHSSA 3 implementation ( Community service delivery).  Gender issues are monitored in the project to assess the level of Gender related activities.  Tracking the occurrence of Gender Based Violence (GBV) and Violence Against Children (VAC) in all focal communities.  Assess the impact of Gender related activities and services to determine the number and types of people (male and female/ age group).  Track issues around GENDER-NORM which will report on the number of people (OVC and caregivers) who complete an intervention by our indicators.  Support the survivors of GBV and VAC (physical violence and sexual violence) with clinical care.  Conduct home visits.  Creating awareness in communities of implementation on gender and GBV during meetings and rally’s.
  • 38. 1/9/2023 The Monitoring, Evaluation and Learning Activity 38 Survivor of Gender Based Violence Counselor/ Social Worker/ Health Worker/ Safety and Security Services Police 919/911 Point/Hotline Medical and Psychological Care Services Hospital, Clinic, or Health Centre Social Protection Services Counseling, Case Management ( Shelter and Support Systems) Investigative Services Police — Sexual Offences Unit - investigation, counseling and prose ( cution) Legal Justice Services (Legal Aid/Court/ Prosecution) Community Care Services (Home, Shelter, NGO, FBO, other ) Child Protection Services If under 18, refer to SAFE or SCAN for follow up Trafficking Of Persons Services Detection / Reporting / Rescu- ing Referral Pathway for Survivors of Gender-Based Violence
  • 40. 1/9/2023 The Monitoring, Evaluation and Learning Activity 40 What is Household Economic Strengthening (HES) A portfolio of interventions to reduce the economic vulnerability of households and empower them to provide for the essential needs of the children they care for, rather than relying on “external assistance.” PEPFAR working definition, 2011 Result 1: Households have increased access to basic services and care for OVC. IR 1.1 Households are economically stable and have food security
  • 41. 1/9/2023 The Monitoring, Evaluation and Learning Activity 41 Strategies for beneficiaries Identification and interventions Vulnerability: - CLHIV - HEI - SVAC - CLPLHIV - KP - Adolescen ts at Risk Interventions: - social protection - asset protection - income growth Who is the target population? Challenges: - human - natural - physical - financial - social Capabilities & Interests: - Education - Skills - Employability Action required: - persevere - organize - build
  • 42. 1/9/2023 The Monitoring, Evaluation and Learning Activity 42
  • 43. 1/9/2023 The Monitoring, Evaluation and Learning Activity 43 Methodology of interventions  ICHSSA 3 OVC engagement strategy (through CSO and CCMW / caregivers)  ICHSSA 3 Project Economic Strengthening and Nutrition Interventions:  Savings Groups  Partnership collaboration  Income Generating Activities (IGAs)  Linkage to skills acquisition centres  Financial Education  Microenterprises  Market linkages  Referral for business loans and microcredit  Nutrition and Food Security/safety in the Context of HIV/AIDS
  • 44. 1/9/2023 The Monitoring, Evaluation and Learning Activity 44 Nutrition and Food Security/Safety in the context of HIV/AIDS Nutrition: Nutrition is the intake of food, nourishment or energy that is obtained from food consumed or the process of consuming the proper amount of nourishment and energy needed for proper growth and development. Food Security: Food security exists when all people at all times have both physical and economic access to sufficient food to meet their dietary needs for a productive and healthy life. Food Safety: Food safety could also mean means food hygiene which could simply means handling, preparing and storing food or drink in a way that best reduces the risk of those consuming the food or drinks becoming sick from the food-borne disease.
  • 45. 1/9/2023 The Monitoring, Evaluation and Learning Activity 45 ICHSSA 3 Project Nutrition Strategies  Infant and Young Child Feeding (IYCF) which focus on the first 1000 days of life.  OVC nutrition and Hygiene (for older OVCs 2-17 years)  Nutrition Assessment – Anthropometry (MUAC assessment for OVC 6-59 months)  Nutrition support and care for PLHIV  MNCHW – Vitamin A Supplementation, Deworming  Food demonstration  Food Banks  Homestead gardening  Food support
  • 46. 1/9/2023 The Monitoring, Evaluation and Learning Activity 46 Link between HIV/AIDS, Malnutrition and Food Insecurity
  • 48. 1/9/2023 The Monitoring, Evaluation and Learning Activity 48 INTRODUCTION TO OVC Case Management Process Case management includes the processes of and related tools for identifying, assessing, planning, referring and tracking referrals, and monitoring the delivery of services in a timely, context-sensitive, individualized and family- centred manner to achieve a specific goal or goals (e.g. child protection and wellbeing).
  • 49. Case Management flow chart • 4. Develop/ Update Household care plan 6. Monitoring of Care Plan and implementation 7. Graduation and Case Closure 3. Assess Child(ren) and Family (Case conferencing) 2. Enroll Eligible Children and Families Identified Vulnerable Children • CLHIV • HEI • Children of Key Pop • Children of PLHIV • SVAC • Adolescents @ riek 5. Direct Service Provision/ • Health • Nutrition • Education • Psychosocial support • Shelter and Care • HES • Referral for Services
  • 50. 1/9/2023 The Monitoring, Evaluation and Learning Activity 50 Where we want to be with service provision • Schooled • Healthy • Safe • Stable
  • 51. 1/9/2023 The Monitoring, Evaluation and Learning Activity 51 Schooled • All children between ages 5-17 are enrolled in school and attend school regularly in the last year. • Parental involvement and responsible for children education • Academic support to children who are not performing well through volunteer teachers • Waiver through signing of MoU with MoE or SUBEB • Well sensitized Communities that support Children with school materials through communal effort • Adolescents enrolled into alternative education ( Vocational skill education through linkages and referrals
  • 52. 1/9/2023 The Monitoring, Evaluation and Learning Activity 52 HEALTHY • All adolescents at risk are risk assessed for HIV • Refer to HTS for those with test indicated • Link HIV +ve to pediatric ART • ART Adherence and positive living Caregivers and HIV+ Children • Monitor and document suppression among +HIV children (0-17) • Educate and support caregivers to disclose to children • Track ART defaulters and follow up to household • Facilitate adequate access to health insurance • Refer to PHC for health related services
  • 53. 1/9/2023 The Monitoring, Evaluation and Learning Activity 53 STABLE • In the past 4 weeks no member of the household has gone a whole day and night without eating anything at all because there was not enough food. All members include caregivers and children within the household • In the last year, the caregivers have been able to save additional money to meet children’s needs. • The caregiver can identify a person or a group recognized as providing social and emotional support.
  • 54. 1/9/2023 The Monitoring, Evaluation and Learning Activity 54 SAFE • Children in the household are able to participate in daily activities with caregivers and other children in their household. • All children enrolled have birth certificate • Caregivers have completed a “parenting skills activity to build children’s ability to adapt to change, to decrease stress and anxiety in the last year • Caregivers and Children with adequate knowledge on Child protection and VAC • Children, enrolled in the program, at risk of abuse, violence, exploitation or neglect have been referred to GoN child Protection Officer • Children have access to legal and social protection services • Established Community child Protection Committees across all communities to monitor and ensure all children are safe and protected against all forms of abuse
  • 55. 1/9/2023 The Monitoring, Evaluation and Learning Activity 55 Other services • Psychosocial Support: • Active and high performing monthly Adolescent and Kid’s club in all communities • Active and high performing monthly Caregivers forum • Referrals for Mental health and Trauma counseling • Referrals for other ailments related to HIV • Shelter and Care  Material support (Decent clothing, sanitary wears, shoes etc)  renovation and/or build accommodation Through communal effort
  • 57. 1/9/2023 The Monitoring, Evaluation and Learning Activity 57 Introduction Many Projects or interventions fail because of lack of understanding of the need for Monitoring and Evaluation. This section will set out the importance and roles of both Monitoring and Evaluation and how they can be applied to ensure a successful Program. “In Project Management a project is only successful when it achieves the set objectives within the allocated budget and delivered on the agreed time.”
  • 58. 1/9/2023 The Monitoring, Evaluation and Learning Activity 58 What is monitoring? • Collecting routine data that measure progress towards achieving program objectives • Involves counting what we are doing • Tracks indicators to answer the questions: • Are we implementing our program as planned? • How well has the program been implemented? • How much does program implementation vary from site to site? • Did the program benefit the intended people? At what cost?
  • 59. 1/9/2023 The Monitoring, Evaluation and Learning Activity 59 Forms of monitoring  Physical and financial monitoring Measuring progress of project activities against established schedules and indicators of success  Process monitoring Identifying factors accounting for progress of activities or success of output production.  Impact monitoring Measuring the initial responses and reactions to project activities and their immediate short-term effects
  • 60. 1/9/2023 The Monitoring, Evaluation and Learning Activity 60 WHAT IS EVALUATION? Some Definitions:  Systematic collection and analysis of info about characteristics and outcomes of programs (USAID Evaluation policy)  Process that tries to determine as systematically and objectively as possible the relevance, effectiveness and impact of activities in light of their objectives (Measure Evaluation on M&E Fundamentals)  Use of social science research procedures to systematically investigate effectiveness of social intervention programs (P. Rossi)
  • 61. DIFFERENCE BETWEEN M & E Monitoring Evaluation Questions • To what extent are planned activities realized? • Are we making progress towards achieving our objectives? • How many people are we reaching with our services or information? • How well are the services provided? • What is the cost per unit service? • Have we achieved the planned outcomes? • What contributed to or hindered the achievement of the outcomes? • What are our program’s long-term effects (e.g., a decline in HIV incidence)? Freq. Routine Sporadic: Baseline, mid-term, end-line Com p Inputs, processes, and outputs Outcomes and/or impact Data source Mostly routine data from information management system (service statistics, training records, project reports) Mainly non-routine data and rigorous scientific methods (surveys, special studies, surveillance) 61
  • 62. 1/9/2023 The Monitoring, Evaluation and Learning Activity 62 WHAT IS M&E INFO USED FOR? 1. Decision-making a. Program design and planning b. Program improvement c. Resource allocation 2. Accountability 3. Learning
  • 63. 1/9/2023 The Monitoring, Evaluation and Learning Activity 63 IN SUMMARY • No program improvement • No funding • No knowledge gained • No trust from stakeholders No M&E
  • 64. M&E FRAMEWORK 64 INPUTS PROCESSES OUTPUTS OUTCOMES IMPACT Monitoring Evaluation
  • 65. 1/9/2023 The Monitoring, Evaluation and Learning Activity 65 M&E FRAMEWORK Inputs: • Resources used in program (money, staff, equipment) Processes: • Activities that program implements or services it provides to achieve objective, using inputs Outputs: • Direct product or deliverables of program Outcomes: • Program results that occur immediately and some time after activities have been implemented Impact: • Long-term results of one or more program over time
  • 66. INTERGRATED CHILD HEALTH SOCIAL SERVICE AWARD (ICHSINTERGRATED CHILD HEALTH SOCIAL SERVICE AWARD (ICHSSA 3) SA 3) www.sfhnigeria.or INTERGRATED CHILD HEALTH SOCIAL SERVICE AWARD 3 (ICHSSA 3)