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Building M&E Capacity of Community Based Programs in Tanzania

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Building M&E Capacity of Community Based Programs in Tanzania

  1. 1. Building M&E Capacity ofCommunity Based Programs in Tanzania Dawne Walker MEASURE Evaluation Resident Advisor, Tanzania January 2012
  2. 2. What do community programsprovide? Training and capacity-building Support to households Support to individuals Home-based care Community awareness-raising …
  3. 3. How are these services provided? Directly by international Implementing Partners (IPs) Through subgrants to civil society organizations (CS0s) and smaller NGOs By unpaid community volunteers
  4. 4. What are community programsrequired to report? Number of eligible clients who received food and/or nutrition services Number of eligible OVC who received a minimum of one CORE care service Number of eligible adults and children provided with home-based care services Number of vulnerable households with at least one OVC/MVC or PLHIV provided a minimum of one economic opportunity/strengthening support
  5. 5. MEASURE Evaluation approach toM&E capacity-buildingThree-step process: 1. Assessment 2. Training, mentoring and technical assistance 3. Re-assessment
  6. 6. Community-based programs are expected to produce comparable data to facility-based programs, but without comparable physicalinfrastructure andhuman resources
  7. 7. Multiple levels of data qualityissues Data collection Data entry Data analysis and use
  8. 8. Responding to the special needsof community-based programs Shortcomings of trace-and-verify methodology Developed Community Trace and Verify (CTV)
  9. 9. Community Trace and Verify (CTV) Covers minimum package of services Short (10-minute) survey of caretakers LQAS sampling methodology Pass-fail scoring
  10. 10. 005 Does [Name] have a birth certificate? Yes…1 No…2 → 007 Don’t know …3006 Could you show us the birth certificate? Yes, birth certificate shown…1 No…2007 Is the family enrolled with the Community Yes…1 Health Fund? No…2 → 011 Don’t know …3 → 011008 Does the family have a Community Health Yes…1 Fund card? No…2 → 009 Don’t know …3 → 009009 Could you show me the community health Yes, card shown…1 → 011 fund card? No…2010 Could you show me the receipt? Yes, receipt shown…1 No…2011 Have you heard about the Most Vulnerable Yes…1 Child Committee? No…2 Don’t know …3012 Has [Name] been visited by a Most Yes…1 vulnerable Child Committee member or No…2 → 014 Volunteer in the past six months? Don’t know …3 → 014
  11. 11. CTV in Practice Piloted with Africare Introduced to WEI TA to other OVC IPs Incorporated into the Department of Social Welfare MVC M&E Plan
  12. 12. Responding to the special needsof community-based programs Fostering data demand and use Developing participatory monitoring and evaluation (PM&E)
  13. 13. Participatory M&ELow literacy tool Community identifies priorities Establishes progress indicators CBO assists with regular monitoring
  14. 14. Establishing priorities Seed (lowest priority) Sapling Tree Fruiting tree (highest priority)
  15. 15. Step 1: Vote Objectives/ ValuesCommunity Home based Care Service 2 4 3 1 Providers availability when neededClients recovery from lost to follow up 4 0 2 4PLWHA trained on nutritional aspects 3 3 3 1 and food preparation Availability of pain killer drugs 4 2 3 1 Availability of antifungal drugs 1 0 7 2 PLWHA received economic 2 3 2 3 strengthening support Stigma and discrimination has been 5 2 3 0 reduced
  16. 16. Step 2: Score and rank Average % Highest priority Objectives/ Values Score Rank Score RankCommunity Home based Care Service 2.3 8 10% 8 Providers availability when neededClients recovery from lost to follow up 2.8 3 40% 2PLWHA trained on nutritional aspects 2.2 9 10% 9 and food preparation Availability of pain killer drugs 2.1 10 10% 10 Availability of antifungal drugs 3.0 2 20% 5 PLWHA received economic 2.6 6 30% 4 strengthening support Stigma and discrimination has been 1.8 12 0% 12 reduced
  17. 17. Participatory M&E Easy to implement Creates community ownership of information Sets the stage for follow- up
  18. 18. Measurable changes Increased M&E budgets More M&E staff IPs conducting their own DQAs Supportive supervision and capacity building
  19. 19. Challenges abound! Pressure to expand services vs. attention to M&E Data collection: the weak link in the chain Overly-ambitious targets High-level demands for detailed reporting data
  20. 20. Can (should?) communityprograms ever report monthly?Alternatives to the facility model  Simple forms for case management  Semi-annual or annual cluster-sample surveys to track coverage  Representative population surveys to measure changes in status
  21. 21. MEASURE Evaluation is a MEASURE project funded by the U.S. Agency for International Development and implemented by theCarolina Population Center at the University of North Carolina atChapel Hill in partnership with Futures Group International, ICF Macro, John Snow, Inc., Management Sciences for Health, and Tulane University. Views expressed in this presentation do not necessarily reflect the views of USAID or the U.S. Government. MEASURE Evaluation is the USAID Global Health Bureausprimary vehicle for supporting improvements in monitoring and evaluation in population, health, and nutrition worldwide. Visit us online at