EnGendering Monitoring & Evaluation: The past, present, and future

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Presented by Jessica Fehringer, Shelah Bloom and Carolina Mejia at the MEASURE Evaluation End-of-Phase-III Event.

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EnGendering Monitoring & Evaluation: The past, present, and future

  1. 1. EnGendering Monitoring & Evaluation: Jessica A. Fehringer, PhD, MHS Shelah S. Bloom, ScD, SM, MA Carolina Mejia, PhD, MPH MEASURE Evaluation End-of-Phase-III Event, May 22, 2014 The past, present, and future
  2. 2. Session Overview • Introduction Jessica Fehringer • The Monitoring and Evaluation of Gender-based Violence Shelah Bloom • Structural Interventions for Gender Equity and Improved Health Outcomes Carolina Mejia Discussion
  3. 3. ---------------------------------------------------- ---------------------------------------------------- Gender Inequality Affects Health Status and Leads to Health Inequalities between Men and Women ----------------- A transgendered female dies from tuberculosis; did not seek treatment because of stigma and discrimination against LGBT by health service staff. A teenage boy dies in an accident because he tried to meet peers’ expectations that young men should take risks. A women contracts HIV because societal norms prevent wives from insisting on condom use with husbands, tolerate husbands’ extra-marital sex. Gender Matters! Source:World Health Organization, http://www.who.int/gender/genderandhealth/en/index.html
  4. 4. GENDER M&E DEFINED
  5. 5. • Gender integrated throughout program cycle, beginning with program objectives and measurable component of inputs, processes, outputs, outcomes • Data collected by sex and using gender-sensitive methods and sampling • Analyzed with eye towards potential gender differences • Used to improve programs and policy Definition
  6. 6. MONITORING Are programs doing enough? 4 . Monitoring Are Programs (adequately) Addressing Gender? ---------------------------------------------------- ----------------------------------------------------
  7. 7. Monitoring Sex*-disaggregated Data Gender-sensitive Indicators Data Analysis, Reporting, and Use -------------------------------------------- -------------------------------------------- -------------------------------------------- -------------------------------------------- -------------------------------------------- ------------------------------------
  8. 8. Evaluation Are Gender-integrated Programs and Policies Making a Difference?
  9. 9. Evaluation Measure elements addressing gender Demonstrate program impact on health status Generate demand for richer data Program RMNCH +A HIV
  10. 10. WHERE DOES MEASURE EVALUATION COME IN?
  11. 11. OUR GOAL: Advance Gender M&E ---------------------------------------------------- ---------------------------------------------------- Increase capacity through guidance, tools, and technical support on collection, analysis and use of gender-related information for program and policy decision-making MEASURE Evaluation’s Goal in Gender
  12. 12. WHAT HAVE WE ACCOMPLISHED?
  13. 13. In the beginning there was…
  14. 14. Improved the Evidence Base
  15. 15. Developed New Tools and Resources
  16. 16. Accomplishments Increased Capacity in Gender M&E For example: In-depth: Cote d’Ivoire Nigeria Senegal India S. Africa Brief: Rwanda Botswana Laos Cambodia
  17. 17. Accomplishments Improved Data Availability and Use Indicator: Experienced intimate partner violence in past 12 months Performance of Routine Information System Management (PRISM) framework: • Spreadsheet tools now include gender- related questions • Plus ability to create dynamic tables to compare indicators by sex
  18. 18. Accomplishments Improved the evidence base Developed new tools and resources Increased capacity in gender M&E Improved data availability and use --------------------------------------- MEASURE Evaluation Phase III has made significant contributions to advance the field of gender M&E .
  19. 19. The M&E of GBV Improving Gender Based Violence (GBV) Prevention & Response Where are we now? What do we need? What will it look like?
  20. 20. We have momentum: • Decades of research have pushed programs and policies on prevention & response We are missing structure: • M&E skills and systems will drive efforts effectively and demonstrate results Where are we now?
  21. 21. Global Commitment • Collaborative effort to add a gender indicator for global reporting • Donors, Organizations & Researchers Prevalence of Recent IPV Where are we now?
  22. 22. The Three Ones • Organize and harmonize many disparate efforts o One GBV action framework integrating strategic approach to prevent & address GBV o One national GBV coordinating mechanism across sectors o One M&E system (and plan) for GBV What do we need?
  23. 23. M&E Skills Capacity building for GBV professionals • National • Regional • Local What do we need?
  24. 24. Structure M&E plans • Local • National What do we need?
  25. 25. M&E systems: 12 components • Local • National What do we need? Structure
  26. 26. BOTSWANA: DEVELOPING M&E SKILLS, PLAN, AND SYSTEM • GBV pilot referral system • M&E skills workshops • Designing data system • Developing national M&E plan What will it look like?
  27. 27. Where is the E? -------------------------------------- -------------------------------------- Rigorous evaluations for GBV programs and interventions must include quantitative and qualitative methods What will it look like?
  28. 28. ------------------------------------------------- ---------------------------- ---------------------------- STRUCTURAL INTERVENTIONS FOR GENDER EQUITY AND IMPROVED HEALTH OUTCOMES
  29. 29. What are Structural Interventions?
  30. 30. Conceptual Framework Examples High LowPersonal Volition Drugs “Just say no” Fight drug cartels HIV Obesity “Have fewer partners” “Exercise more” Alleviate poverty Walkable neighborhoods (structural)(behavioral) Conceptual Frameworks
  31. 31. Why Structural Interventions? Why are Structural Interventions Important? Structural interventions can address factors of social injustice Reach greater number of people than behavioral interventions Cost effective Reduce the burden of prevention on individuals
  32. 32. Structural Interventions Challenges of M&E Contextual factors Randomization Secular change Causal pathways Time horizon
  33. 33. Efforts by MEASURE Evaluation on the M&E of Structural Interventions Data available for evaluation of women’s land rights Lessons learned and implications for GBV interventions Systematic literature reviews Structural Interventions
  34. 34. Opportunities New application of existing methods Multi-level methods Network analysis Mixed-methods Innovative interdisciplinary approaches Cost evaluation Opportunities of M&E
  35. 35. Discussion Any questions or comments? How we can advance the field of gender M&E?
  36. 36. Visit our session website for related content: http://www.measureevaluation.org/eop /session-vii

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