Building Sustainable Country-
Owned M&E Systems: From
Principles to Practice
Stephanie Watson-Grant, Kolawole Oyediran,
an...
Outline of Session
 Principles of sustainable country
ownership
 Practice from selected countries
 Nigeria
 Ethiopia
UNAIDS “Organizing Framework for a
Functional National HIV M&E System”
Situating Sustainable Country Ownership
People, Partnerships and Planning
What does it mean
to have a sustainable
country-owned M&E system?
 PRISM Assessments completed 9
times in 7 countries and M&E
systems assessments 12 times in
7 countries over Phase III
 ...
 106 M&E system
related plans
developed
 In 4 countries, requests
for technical assistance
for clearer leadership
struct...
 34 instances of
demonstrated
independent M&E
capacity
 16 capacity building plans
for bridging gaps
developed
 In Rwan...
 25 data capture and
collation instruments
developed
 In Kenya standardized
community health
information system data
col...
Painting to Brush Strokes
The Nigeria and Ethiopia stories…
A Country-developed,
Country-owned M&E System:
A Road to Creating Developing Nigeria’s National HIV
Monitoring and Evaluat...
Assessment Overview
Stakeholders
 National Agency for the Control of AIDS (NACA)
 National HIV Division (NASCP), Federal Ministry of Health
...
Stakeholders’ Decision
 After consultation
and consensus
building, UNAIDS’
Organizing
Framework for a
Functional National...
Setting-up of Steering Committee
 Chaired by NACA-SKM
 Provided oversight roles
 Developedconcept notes or
activityprop...
 Facilitators and
stakeholders
reviewed
existing
documents and
materials
Assessment
Workshop Planning
Assessment Workshop
M&E Assessment Workshop:
Checklist
M&E Assessment Workshop:
Checklist
M&E Assessment Workshop:
NACA Dashboard
Outcomes
 Developed a multi-
year, multi-sectoral,
costed work plan
 Improved coordination
and collaboration
 Understan...
Challenges and Lessons Learned
 Competitive environment
 Engage stakeholders to laydown
partnership framework will help ...
Challenges and Lessons Learned
 Donor’s expectations and local priorities
 Partnership framework with clear define
roles...
SNNP REGIONAL HEALTH
BUREAU
Sustainable Country
Ownership In Practice
Evidence-based Story of
HMIS Scale-up in Ethiopia
Training Mentoring
IT System Development
Guidelines, Indicator Revision
HMIS Data Collection, Reporting
Use of HMIS for De...
Developing HMIS Training Skills
Potentialtrainerschosen
basedontheirproactive
participationandspeaking
skills
Regional, Zo...
HMIS Capacity Building
30,670 trained on various HMIS skills
Capacity Building – HFs Implementing HMIS
317 415
566
696
478
672
1679
2142
2487
3536
3825 3689
657
2005
2802
3073
4216
44...
Capacity Building – RHB Managing Every
Aspect of CHIS Scale-up in Oromia
6423
5055
3826
2969
2214
5187
4354
3211
2762
0
10...
Going Electronic….
33
ZHD
WoHO
RHB Server
WoHO
Offline data entry
InternetPerformance
Report
Decision Support
System
Maste...
Results…. Commitment
“ThisweekendI amat Soddodiscussingwithpeople
fromWolaita,DawroandKontasp.Woredato
improvedataqualitya...
Results…. Accountability
“The points raised are correct and
we have tried investigate and we
are taking actions accordingl...
Results….Taking Over the Lead Role
“...wehavetoevaluateitas soonas possibleandwe
havetoproceedforthescale-up. I proposetha...
Training Mentoring
IT System Development
Guidelines, Indicator Revision
HMIS Data Collection, Reporting
Data QualityAssura...
Closing Thoughts
 The dimensions are symbiotic and require a
holistic approach
 Strong but respectfulpartnerships with j...
www.measureevaluation.org/eop
Building Sustainable Country-Owned M&E Systems: From Principles to Practice
Building Sustainable Country-Owned M&E Systems: From Principles to Practice
Building Sustainable Country-Owned M&E Systems: From Principles to Practice
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Building Sustainable Country- Owned M&E Systems: From Principles to Practice

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Presented by Stephanie Watson-Grant, Kolawole Oyediran, and Tariq Azim at the MEASURE Evaluation End-of-Phase-III Event.

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Building Sustainable Country- Owned M&E Systems: From Principles to Practice

  1. 1. Building Sustainable Country- Owned M&E Systems: From Principles to Practice Stephanie Watson-Grant, Kolawole Oyediran, and Tariq Azim MEASURE Evaluation End-of-Phase-III Event, May 22, 2014
  2. 2. Outline of Session  Principles of sustainable country ownership  Practice from selected countries  Nigeria  Ethiopia
  3. 3. UNAIDS “Organizing Framework for a Functional National HIV M&E System”
  4. 4. Situating Sustainable Country Ownership People, Partnerships and Planning
  5. 5. What does it mean to have a sustainable country-owned M&E system?
  6. 6.  PRISM Assessments completed 9 times in 7 countries and M&E systems assessments 12 times in 7 countries over Phase III  79 cross ministry/ department coordination mechanism working/groups established  19 instances of requests for funding resulting from M&E activities
  7. 7.  106 M&E system related plans developed  In 4 countries, requests for technical assistance for clearer leadership structures  72 documents for system strengthening developed
  8. 8.  34 instances of demonstrated independent M&E capacity  16 capacity building plans for bridging gaps developed  In Rwanda and Ethiopia a specific budget line item for the HMIS unit added by the Government
  9. 9.  25 data capture and collation instruments developed  In Kenya standardized community health information system data collection instruments used in all facilities  In 3 countries information products developed with national partners
  10. 10. Painting to Brush Strokes The Nigeria and Ethiopia stories…
  11. 11. A Country-developed, Country-owned M&E System: A Road to Creating Developing Nigeria’s National HIV Monitoring and Evaluation System
  12. 12. Assessment Overview
  13. 13. Stakeholders  National Agency for the Control of AIDS (NACA)  National HIV Division (NASCP), Federal Ministry of Health  Orphans and Vulnerable Division, Federal Ministry of Women’s Affairs and Social Development  Federal Ministry of Education  Federal Ministry of Defense  Sub-national levels – represented by six states  Nigeria Business Coalition Against AIDS (NIBUCAA)  Civil Society for HIV/AIDS in Nigeria (CiSHAN)  Development Partners --- UN-systems, DfID, World Bank, and USG
  14. 14. Stakeholders’ Decision  After consultation and consensus building, UNAIDS’ Organizing Framework for a Functional National HIV M&E System (12 Components Tool) to be used to assess NNRIMS Assessment of the NNRIMS
  15. 15. Setting-up of Steering Committee  Chaired by NACA-SKM  Provided oversight roles  Developedconcept notes or activityproposal  Secretariat coordinated by NACA
  16. 16.  Facilitators and stakeholders reviewed existing documents and materials Assessment Workshop Planning
  17. 17. Assessment Workshop
  18. 18. M&E Assessment Workshop: Checklist
  19. 19. M&E Assessment Workshop: Checklist
  20. 20. M&E Assessment Workshop: NACA Dashboard
  21. 21. Outcomes  Developed a multi- year, multi-sectoral, costed work plan  Improved coordination and collaboration  Understanding of the systems enhanced
  22. 22. Challenges and Lessons Learned  Competitive environment  Engage stakeholders to laydown partnership framework will help in establishing ownership for M&E  Human Resource Gap  Building local capacity will help is sustaining partnerships and ownership for M&E
  23. 23. Challenges and Lessons Learned  Donor’s expectations and local priorities  Partnership framework with clear define roles and responsibilities will play vital roles in sustaining ownership for M&E  Allocation of resources  Development of costed workplan will ensure ownership for M&E
  24. 24. SNNP REGIONAL HEALTH BUREAU Sustainable Country Ownership In Practice Evidence-based Story of HMIS Scale-up in Ethiopia
  25. 25. Training Mentoring IT System Development Guidelines, Indicator Revision HMIS Data Collection, Reporting Use of HMIS for Decisions eHMIS Use LevelofResponsibility Time Overall Strategy: Shared Responsibility SNNP RHB MEASURE Evaluation Capacity Building Owning & Leading DataQuality Assurance
  26. 26. Developing HMIS Training Skills Potentialtrainerschosen basedontheirproactive participationandspeaking skills Regional, Zonal and Woreda Process Owners Use HMIS and support HMIS within their respective program area Training ofTrainers Regional, Zonal and Woreda Process Owners Assisttheprojecttrainers infacilitatingnexttraining event Actively facilitate sessions; project trainers support them Take over the role of prime trainers
  27. 27. HMIS Capacity Building 30,670 trained on various HMIS skills
  28. 28. Capacity Building – HFs Implementing HMIS 317 415 566 696 478 672 1679 2142 2487 3536 3825 3689 657 2005 2802 3073 4216 4464 4511 4408 0 500 1000 1500 2000 2500 3000 3500 4000 4500 5000 HCs HPs Total Hosp, HCs & HPs submitting HMIS Reports in SNNPR
  29. 29. Capacity Building – RHB Managing Every Aspect of CHIS Scale-up in Oromia 6423 5055 3826 2969 2214 5187 4354 3211 2762 0 1000 2000 3000 4000 5000 6000 7000 Total Health Posts (HP) HPs with trained HEWs HPs with Family Folders HPs completed Household registration HPs reporing using CHIS Jan-14 Feb-14
  30. 30. Going Electronic…. 33 ZHD WoHO RHB Server WoHO Offline data entry InternetPerformance Report Decision Support System Master Health Facility List Data Entry District, Regional Aggregation ReportTracker eIDSR & eMCS
  31. 31. Results…. Commitment “ThisweekendI amat Soddodiscussingwithpeople fromWolaita,DawroandKontasp.Woredato improvedataqualityandtostrengthenuseof informationat lowerlevel.” ….Ato Firew (Plan and M&E Process Owner, SNNPRHB)
  32. 32. Results…. Accountability “The points raised are correct and we have tried investigate and we are taking actions accordingly.” ….Ato Kare (SNNPRHB Head)
  33. 33. Results….Taking Over the Lead Role “...wehavetoevaluateitas soonas possibleandwe havetoproceedforthescale-up. I proposethatto startoncluster1 by Tikimtandthencluster2 & 3 HidarandTahisasrespectively” ….Ato Firew (Plan and M&E Process Owner, SNNPRHB)
  34. 34. Training Mentoring IT System Development Guidelines, Indicator Revision HMIS Data Collection, Reporting Data QualityAssurance Use of HMIS for Decisions eHMIS Use LevelofResponsibility Shared Responsibility – Where Are We? SNNP RHB MEASURE Evaluation Capacity Building Owning & Leading Time
  35. 35. Closing Thoughts  The dimensions are symbiotic and require a holistic approach  Strong but respectfulpartnerships with joint decision making is critical  Tangible demonstrationof commitmentto and responsibility forM&E systems including leadership and governancestructuresis vital  Mutually reinforcingcapacity is necessaryfordeveloping and managing M&E systems  Processes that ensure accountability will contribute to strong and lasting M&E systems.
  36. 36. www.measureevaluation.org/eop

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