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Beyond Reporting: Monitoring and Evaluation as a Health Systems Strengthening Intervention

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Presented at the 2012 Global Symposium on Health Systems Research.

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Beyond Reporting: Monitoring and Evaluation as a Health Systems Strengthening Intervention

  1. 1. Beyond Reporting: Monitoring & Evaluation as aHealth Systems Strengthening Intervention Jason B. Smith,1 Siân Curtis,1 and Tara Nutley2 MEASURE Evaluation 1UNC Chapel Hill, 2Futures Group Second Global Symposium on Health Systems Research Beijing, China, 31 October – 3 November, 2012
  2. 2. Presentation Overview■ M&E■ Health systems■ HSS and M&E■ Strengthening M&E■ Challenges and Opportunities
  3. 3. What is M&E? Adapted from Organizing Framework for a Functional National HIV Monitoring and Evaluation System (UNAIDS, 2008).
  4. 4. Why Should We Improve M&E?■ Accountability and Funding■ Program Management, Performance Improvement■ Strengthen the Health System
  5. 5. Historic Look at M&E in Global Health■ 1970-80s: Development of Logic Models■ 1980-90s: Health for All■ 1990s: Results Frameworks■ 2000: MDG targets■ 2000s: PEPFAR & GFATM■ 2010-ish: HMN Framework; GHI
  6. 6. The WHO Health System FrameworkEverybody’s Business. Strengthening Health Systems to Improve Health Outcomes. WHO’s Framework for Action. WHO, 2007.
  7. 7. M&E and HIS
  8. 8. The WHO Health System FrameworkEverybody’s Business. Strengthening Health Systems to Improve Health Outcomes. WHO’s Framework for Action. WHO, 2007.
  9. 9. WHO Framework: Alternate viewEverybody’s Business. Strengthening Health Systems to Improve Health Outcomes. WHO’s Framework for Action. WHO, 2007.
  10. 10. Unpacking the Building Blocks Global learning Workforce Leadership Service Information & Governance Delivery Products and Technology Finance
  11. 11. Ways to Improve M&E Systems■ Supply data better focused on priority questions■ Improve the quality of the data supplied■ Improve capacity to convert data into usable information■ Improve dissemination of the information produced■ Improve use of the information that is disseminated■ Demand data better focused on priority questions Creating a culture of data use!
  12. 12. Opportunities■ Large shift in awareness/culture of M&E■ Key system elements increasingly in place■ More and better data■ Creative solutions at country level■ Increasing flexibility at global level
  13. 13. Challenges (1)■ Beginning with the end in mind■ Shifting towards adequacy
  14. 14. Challenges (2) ■ Transitioning ■ More and better data ■ Maintaining momentum
  15. 15. References Abou-Zahr C, and T Boerma. 2005. Health Information Systems: the foundations of public health. Bulletin of the WHO, 83(8):578-583 Boerma J.T., and S.K. Stansfield. 2007. Health statistics now: are we making the right investments? Lancet, 369:779-86. http://web.worldbank.org/WBSITE/EXTERNAL/TOPICS/EXTH EALTHNUTRITIONANDPOPULATION/EXTHSD/0,,contentMD K:22239824~menuPK:376811~pagePK:148956~piPK:216618 ~theSitePK:376793~isCURL:Y,00.html Nutley T. 2012. Improving Data Use in Decision-Making. MEASURE Evaluation, Special Report.
  16. 16. References Porter LE, et al. 2012. Beyond Indicators: Advances in Global HIV Monitoring and Evaluation During the PEPFAR Era. J Acquir Immune Defic Syndr, 60(S3):120-126. Schwarrtlander B, et al. 2011. Towards an Improved investment approach for an effective response to HIV/AIDS, Lancet, 377:2031- 2041. UNAIDS. 2008. Organizing Framework for a Functional National HIV Monitoring and Evaluation System. WHO/Health Metrics Network. 2008. Framework and Standards for Country Information Systems (2nd ed.). Geneva. WHO. 2007. Everybody’s Business. Strengthening Health Systems to Improve Health Outcomes: WHO’s Framework for Action.
  17. 17. MEASURE Evaluation is funded by the U.S. Agency forInternational Development (USAID) through cooperativeagreement GPO-A-00-03-00003-00 and is implementedby the Carolina Population Center at the University ofNorth Carolina at Chapel Hill, in partnership with FuturesGroup, ICF International, John Snow, Inc., ManagementSciences for Health, and Tulane University. The opinionsexpressed in this presentation are those of the authorsand do not necessarily reflect the views of USAID or theU.S. government. Visit us online at http://www.cpc.unc.edu/measure

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