SlideShare a Scribd company logo
Operational Guidelines for
Monitoring and Evaluation of HIV
Programmes for Sex Workers, Men
who Have Sex with Men and
Transgender People
July 15, 2014
Sharon Weir and William Miller
University of of North Carolina
Purpose of the Guidelines
To provide operational guidance for M&E of
programmes for:
 Female, male and transgender sex workers
 Men who have sex with men
 Transgender people
Guidance at 3 levels:
 National
 Sub-national
 Service-delivery
Approach
 3 levels
 From Size estimation to impact
 Involvement of key populations
 Simple checklists, decision trees and examples
 Provide links to relevant tools and resources
 Indicators Illustrative
 Guidelines must be adapted to country context
Key Concepts
1. 8 Step Public Health Questions Model
2. Causal Pathway
3. Combination Prevention Programme
4. Programme Impact Pathway
IT’S NOT JUST ABOUT INDICATORS!!
Are prevention
programmes
effective?
What activities
are we
implementing?
Are we doing
them right?
What should we
be doing to
reduce HIV
transmission?
2. Measure Determinants
3. Know your response
4. Input monitoring
5. Quality monitoring
6. Monitoring outputs and coverage
7. Outcome monitoring and evaluation
8. Impact monitoring and evaluation
1. Know your epidemic
Causal Pathway from
Programmes to Prevention
To illustrate the logic behind indicators and motivate programmes to use indicators
Implement
Combination
Prevention
Programme
Reduce
Biologic
Susceptibility
and/or
Exposure to HIV
Prevent
transmission of
HIV
Combination Prevention Programme
Enabling Environment at the Community Level
Package of Individual Level High Quality Health Services
Biomedical Services
• HIV testing and counselling
• Linkage to care, viral load
reduction
• STI screening and treatment
• Psychosocial interventions
• Harm reduction
• HBV Immunization
Behaviour Change
Services
• Condom
Promotion and
Distribution
• Education and
Risk Reduction
Counselling
I
M
P
A
C
T
Inputs
Outcomes:
Direct biologic
Outputs/
Coverage
Combination
Prevention
Programme
Outcomes:
Critical enabler
PROGRAM IMPACT PATHWAY
Steps 1-3: Plan
What should we be doing to reduce HIV
transmission among key populations?
Step 1
What is the magnitude and geographic distribution of
the HIV epidemic over time among key populations?
1. How many people from each key population
live in the country, each sub-national area and
the local catchment area? How is each
population distributed across sub-national
areas?
2. What information is available about the
extent of HIV infection?
What are the baseline estimates of the direct
biologic determinants of HIV transmission and
social enablers?
1. Biologic:What are baseline measures
of key indicators of biologic exposure,
susceptibility and infectiousness?
2. Environment:What are other
individual, community and structural
factors contributing to the epidemic?
Step 2
Survey Data on Biologic
Determinants
 Number of sexual partners
 Extent to which partnerships are overlapping
 Number of HIV-discordant partnerships
 Age at first sex
 Use of condoms during vaginal and anal sex
 Use of condom-compatible lubricants during anal sex
 Effective treatment of sexually transmitted infections
 Among people who use drugs: number of injections with
non-sterile needles
Critical Enabler Assessment
Structural, community and individual factors that contribute to HIV
transmission risk Barrier Strength
Structural Level Social Enablers
 Stigma and discrimination
 Public health policies and availability of comprehensive HIV
services
 Lack of medical education and training for health professionals in
health care concerns of MSM
 Punitive laws, policies & practices
Social and Community Level Social Enablers
 Social norms, beliefs, and values within communities with regard
to MSM
 Community responses, availability of support in cases of
violence, etc.












How is the Combination Prevention Programme
defined and what are the targets for outputs,
coverage, outcomes and impact?
1. What Combination Prevention Programme of health services and
critical enabler interventions is needed?
2. What are the operational definitions of "a person being reached”
with each service?
3. What sub-populations, sub-areas or setting-specific populations
should be monitored?
4. What services are currently available in each sub-national area?
5. What are the 2-year targets for impact, outcome and coverage
indicators in each sub-national area?
6. Based on the above, what is the national Programme Impact
Pathway?
Step 3
Steps 4-6: Monitor
What activities are we
implementing? Are we doing them
right?
Step 4
What resources are needed to meet
targets?
What resources are available?
What is the gap in resources?
What services and critical enabler interventions
are currently implemented?With what quality?
1. Are national quality standards
available? Are they updated
regularly?
2. What is the quality of each service
being provided? Are programme
enablers addressed?
Step 5
Universal Quality Standards
Standards on involving key populations:
 The populations identified for targeted prevention services are included in needs
assessment, planning, delivery, and evaluation of HIV prevention services
Standards on users’ rights:
 Users are fully informed of the nature and content of the services as well as the
risks and benefits to be expected
 Confidentiality and privacy of users is maintained at all times
 Guarantee of human rights; removal of legal barriers to access prevention and
care
 Access to medical and legal assistance for key populations who experience sexual
coercion or violence
Are output targets achieved?What proportion
of key populations receive services?
1. What outputs will be monitored and
aggregated? How will double-counting
of users be avoided?
2. How is service coverage (geographic,
population) calculated and interpreted?
3. What are the trends over time for
outputs, service availability, the enabling
environment, coverage and the HIV
prevention and treatment cascades?
Step 6
HIVTesting andTreatment
Cascade
2000
1000
700
500 400 300 200
0
500
1000
1500
2000
2500
NumberofMSM
Stage of Engagement in HIV Care
Steps 7-8: Evaluate
Are programmes effective?
Step 7
1. Outcome Monitoring: Are there
changes in biologic determinants of
HIV transmission?Are there changes in
the environment?
2. Outcome Evaluation: Are the changes in
outcomes due to the programme?
Is the combination HIV prevention programme
reducing HIV transmission?
1. Has HIV prevalence increased or
decreased in these populations?
2. Did the HIV prevention
programme decrease new
infections?
Step 8
Acknowledgements
 Keith Sabin, AllisonCrocket, UNAIDS
 Jenny Butler, Marleen van der Ree, UNFPA
 Abu Abdul-Quader, CDC
 Ludo Bok, UNDP
 AnnetteVerster,WHO
 MaryAnnTorres, ICASO
 MariaAu, USAID
 Sandra Kuzmanovska,Global Fund
 MaryAnnTorres, ICASO
 And many others
The research presented here has been supported by the
President’s Emergency Plan for AIDS Relief (PEPFAR)
through the United States Agency for International
Development (USAID) under the terms of MEASURE
Evaluation cooperative agreement GHA-A-00-08-00003-
00. Views expressed are not necessarily those of
PEPFAR, USAID or the United States government.
MEASURE Evaluation is implemented by the Carolina
Population Center at the University of North Carolina at
Chapel Hill in partnership with Futures Group, ICF
International, John Snow, Inc., Management Sciences for
Health, and Tulane University.

More Related Content

What's hot

Using Geographic Information Systems and mHealth to Inform Programming
Using Geographic Information Systems and mHealth to Inform ProgrammingUsing Geographic Information Systems and mHealth to Inform Programming
Using Geographic Information Systems and mHealth to Inform Programming
MEASURE Evaluation
 
Building a Resilient Health System in Liberia: Health Information System (HIS...
Building a Resilient Health System in Liberia: Health Information System (HIS...Building a Resilient Health System in Liberia: Health Information System (HIS...
Building a Resilient Health System in Liberia: Health Information System (HIS...
MEASURE Evaluation
 
Health Information Systems Strengthening (HISS) in Kenya
Health Information Systems Strengthening (HISS) in KenyaHealth Information Systems Strengthening (HISS) in Kenya
Health Information Systems Strengthening (HISS) in Kenya
MEASURE Evaluation
 
Collecting the PEPFAR OVC MER Essential Survey Indicators: Frequently Asked Q...
Collecting the PEPFAR OVC MER Essential Survey Indicators: Frequently Asked Q...Collecting the PEPFAR OVC MER Essential Survey Indicators: Frequently Asked Q...
Collecting the PEPFAR OVC MER Essential Survey Indicators: Frequently Asked Q...
MEASURE Evaluation
 
Strengthening Routine Health Information Systems (RHIS): Strategic Directions
Strengthening Routine Health Information Systems (RHIS): Strategic DirectionsStrengthening Routine Health Information Systems (RHIS): Strategic Directions
Strengthening Routine Health Information Systems (RHIS): Strategic Directions
MEASURE Evaluation
 
Interoperability & Crowdsourcing: Can these improve the management of ANC pro...
Interoperability & Crowdsourcing: Can these improve the management of ANC pro...Interoperability & Crowdsourcing: Can these improve the management of ANC pro...
Interoperability & Crowdsourcing: Can these improve the management of ANC pro...
MEASURE Evaluation
 
Building Information Systems for Community Programs
Building Information Systems for Community ProgramsBuilding Information Systems for Community Programs
Building Information Systems for Community Programs
MEASURE Evaluation
 
Impact Evaluation of Approaches to Strengthen Health Facility Operation and M...
Impact Evaluation of Approaches to Strengthen Health Facility Operation and M...Impact Evaluation of Approaches to Strengthen Health Facility Operation and M...
Impact Evaluation of Approaches to Strengthen Health Facility Operation and M...
MEASURE Evaluation
 
Using Maps in Decision Making to Strengthen Programs for Orphans and Vulnerab...
Using Maps in Decision Making to Strengthen Programs for Orphans and Vulnerab...Using Maps in Decision Making to Strengthen Programs for Orphans and Vulnerab...
Using Maps in Decision Making to Strengthen Programs for Orphans and Vulnerab...
MEASURE Evaluation
 
Global Health M&E: What’s Next?
Global Health M&E: What’s Next?Global Health M&E: What’s Next?
Global Health M&E: What’s Next?
MEASURE Evaluation
 
Using PMTCT data to identify HIV epidemic hotspots at sub-national levels; le...
Using PMTCT data to identify HIV epidemic hotspots at sub-national levels; le...Using PMTCT data to identify HIV epidemic hotspots at sub-national levels; le...
Using PMTCT data to identify HIV epidemic hotspots at sub-national levels; le...
MEASURE Evaluation
 
Measuring National M&E System Strengthening in Nigeria: Application of the Mo...
Measuring National M&E System Strengthening in Nigeria: Application of the Mo...Measuring National M&E System Strengthening in Nigeria: Application of the Mo...
Measuring National M&E System Strengthening in Nigeria: Application of the Mo...
MEASURE Evaluation
 
Surfing a Great Wave: Data Science and Global Health
Surfing a Great Wave: Data Science and Global HealthSurfing a Great Wave: Data Science and Global Health
Surfing a Great Wave: Data Science and Global Health
MEASURE Evaluation
 
Custom Country Tool: Global Application
Custom Country Tool: Global ApplicationCustom Country Tool: Global Application
Custom Country Tool: Global Application
MEASURE Evaluation
 
Strengthening National M&E Systems for Orphans and Vulnerable Children Progra...
Strengthening National M&E Systems for Orphans and Vulnerable Children Progra...Strengthening National M&E Systems for Orphans and Vulnerable Children Progra...
Strengthening National M&E Systems for Orphans and Vulnerable Children Progra...
MEASURE Evaluation
 
Information Products to Drive Decision Making
Information Products to Drive Decision  MakingInformation Products to Drive Decision  Making
Information Products to Drive Decision Making
MEASURE Evaluation
 
Making Information Available to Improve Health
Making Information Available to Improve HealthMaking Information Available to Improve Health
Making Information Available to Improve Health
MEASURE Evaluation
 
Technical Leadership in Monitoring and Evaluation
Technical Leadership in Monitoring and EvaluationTechnical Leadership in Monitoring and Evaluation
Technical Leadership in Monitoring and Evaluation
MEASURE Evaluation
 
Enhancing FP/RH Decision Making through GIS Data Linking
Enhancing FP/RH Decision Making through GIS Data LinkingEnhancing FP/RH Decision Making through GIS Data Linking
Enhancing FP/RH Decision Making through GIS Data Linking
MEASURE Evaluation
 
MEASURE Evaluation: Results framework and resources
MEASURE Evaluation: Results framework and resourcesMEASURE Evaluation: Results framework and resources
MEASURE Evaluation: Results framework and resources
MEASURE Evaluation
 

What's hot (20)

Using Geographic Information Systems and mHealth to Inform Programming
Using Geographic Information Systems and mHealth to Inform ProgrammingUsing Geographic Information Systems and mHealth to Inform Programming
Using Geographic Information Systems and mHealth to Inform Programming
 
Building a Resilient Health System in Liberia: Health Information System (HIS...
Building a Resilient Health System in Liberia: Health Information System (HIS...Building a Resilient Health System in Liberia: Health Information System (HIS...
Building a Resilient Health System in Liberia: Health Information System (HIS...
 
Health Information Systems Strengthening (HISS) in Kenya
Health Information Systems Strengthening (HISS) in KenyaHealth Information Systems Strengthening (HISS) in Kenya
Health Information Systems Strengthening (HISS) in Kenya
 
Collecting the PEPFAR OVC MER Essential Survey Indicators: Frequently Asked Q...
Collecting the PEPFAR OVC MER Essential Survey Indicators: Frequently Asked Q...Collecting the PEPFAR OVC MER Essential Survey Indicators: Frequently Asked Q...
Collecting the PEPFAR OVC MER Essential Survey Indicators: Frequently Asked Q...
 
Strengthening Routine Health Information Systems (RHIS): Strategic Directions
Strengthening Routine Health Information Systems (RHIS): Strategic DirectionsStrengthening Routine Health Information Systems (RHIS): Strategic Directions
Strengthening Routine Health Information Systems (RHIS): Strategic Directions
 
Interoperability & Crowdsourcing: Can these improve the management of ANC pro...
Interoperability & Crowdsourcing: Can these improve the management of ANC pro...Interoperability & Crowdsourcing: Can these improve the management of ANC pro...
Interoperability & Crowdsourcing: Can these improve the management of ANC pro...
 
Building Information Systems for Community Programs
Building Information Systems for Community ProgramsBuilding Information Systems for Community Programs
Building Information Systems for Community Programs
 
Impact Evaluation of Approaches to Strengthen Health Facility Operation and M...
Impact Evaluation of Approaches to Strengthen Health Facility Operation and M...Impact Evaluation of Approaches to Strengthen Health Facility Operation and M...
Impact Evaluation of Approaches to Strengthen Health Facility Operation and M...
 
Using Maps in Decision Making to Strengthen Programs for Orphans and Vulnerab...
Using Maps in Decision Making to Strengthen Programs for Orphans and Vulnerab...Using Maps in Decision Making to Strengthen Programs for Orphans and Vulnerab...
Using Maps in Decision Making to Strengthen Programs for Orphans and Vulnerab...
 
Global Health M&E: What’s Next?
Global Health M&E: What’s Next?Global Health M&E: What’s Next?
Global Health M&E: What’s Next?
 
Using PMTCT data to identify HIV epidemic hotspots at sub-national levels; le...
Using PMTCT data to identify HIV epidemic hotspots at sub-national levels; le...Using PMTCT data to identify HIV epidemic hotspots at sub-national levels; le...
Using PMTCT data to identify HIV epidemic hotspots at sub-national levels; le...
 
Measuring National M&E System Strengthening in Nigeria: Application of the Mo...
Measuring National M&E System Strengthening in Nigeria: Application of the Mo...Measuring National M&E System Strengthening in Nigeria: Application of the Mo...
Measuring National M&E System Strengthening in Nigeria: Application of the Mo...
 
Surfing a Great Wave: Data Science and Global Health
Surfing a Great Wave: Data Science and Global HealthSurfing a Great Wave: Data Science and Global Health
Surfing a Great Wave: Data Science and Global Health
 
Custom Country Tool: Global Application
Custom Country Tool: Global ApplicationCustom Country Tool: Global Application
Custom Country Tool: Global Application
 
Strengthening National M&E Systems for Orphans and Vulnerable Children Progra...
Strengthening National M&E Systems for Orphans and Vulnerable Children Progra...Strengthening National M&E Systems for Orphans and Vulnerable Children Progra...
Strengthening National M&E Systems for Orphans and Vulnerable Children Progra...
 
Information Products to Drive Decision Making
Information Products to Drive Decision  MakingInformation Products to Drive Decision  Making
Information Products to Drive Decision Making
 
Making Information Available to Improve Health
Making Information Available to Improve HealthMaking Information Available to Improve Health
Making Information Available to Improve Health
 
Technical Leadership in Monitoring and Evaluation
Technical Leadership in Monitoring and EvaluationTechnical Leadership in Monitoring and Evaluation
Technical Leadership in Monitoring and Evaluation
 
Enhancing FP/RH Decision Making through GIS Data Linking
Enhancing FP/RH Decision Making through GIS Data LinkingEnhancing FP/RH Decision Making through GIS Data Linking
Enhancing FP/RH Decision Making through GIS Data Linking
 
MEASURE Evaluation: Results framework and resources
MEASURE Evaluation: Results framework and resourcesMEASURE Evaluation: Results framework and resources
MEASURE Evaluation: Results framework and resources
 

Viewers also liked

Measuring Success in Repositioning Family Planning
Measuring Success in Repositioning Family PlanningMeasuring Success in Repositioning Family Planning
Measuring Success in Repositioning Family Planning
MEASURE Evaluation
 
Measuring Ethnic and Sexual Identities: Lessons from Two Studies in Central A...
Measuring Ethnic and Sexual Identities: Lessons from Two Studies in Central A...Measuring Ethnic and Sexual Identities: Lessons from Two Studies in Central A...
Measuring Ethnic and Sexual Identities: Lessons from Two Studies in Central A...
MEASURE Evaluation
 
Addressing Complexity in the Impact Evaluation of the Cross-Border Health Int...
Addressing Complexity in the Impact Evaluation of the Cross-Border Health Int...Addressing Complexity in the Impact Evaluation of the Cross-Border Health Int...
Addressing Complexity in the Impact Evaluation of the Cross-Border Health Int...
MEASURE Evaluation
 
Assessing HIV Service: Use and Information Systems for Key Populations in Nam...
Assessing HIV Service: Use and Information Systems for Key Populations in Nam...Assessing HIV Service: Use and Information Systems for Key Populations in Nam...
Assessing HIV Service: Use and Information Systems for Key Populations in Nam...
MEASURE Evaluation
 
Using the PLACE Method to Inform Decision Making
Using the PLACE Method to Inform Decision MakingUsing the PLACE Method to Inform Decision Making
Using the PLACE Method to Inform Decision Making
MEASURE Evaluation
 
Including AIDS-affected young people in OVC research: Challenges and opportu...
Including AIDS-affected young people in OVC research:  Challenges and opportu...Including AIDS-affected young people in OVC research:  Challenges and opportu...
Including AIDS-affected young people in OVC research: Challenges and opportu...
MEASURE Evaluation
 
Monitoring Scale-up of Health Practices and Interventions
Monitoring Scale-up of Health Practices and InterventionsMonitoring Scale-up of Health Practices and Interventions
Monitoring Scale-up of Health Practices and Interventions
MEASURE Evaluation
 
Community Trace and Verify in Tanzania
Community Trace and Verify in TanzaniaCommunity Trace and Verify in Tanzania
Community Trace and Verify in Tanzania
MEASURE Evaluation
 
The Prevalence, Experience and Management of Pain
The Prevalence, Experience and Management of PainThe Prevalence, Experience and Management of Pain
The Prevalence, Experience and Management of Pain
MEASURE Evaluation
 
RHINO Forum Kickoff: iHRIS Open Source HR Information Solutions
RHINO Forum Kickoff: iHRIS Open Source HR Information SolutionsRHINO Forum Kickoff: iHRIS Open Source HR Information Solutions
RHINO Forum Kickoff: iHRIS Open Source HR Information Solutions
Routine Health Information Network
 
Integration as a Health Systems Strengthening Intervention: Case Studies from...
Integration as a Health Systems Strengthening Intervention: Case Studies from...Integration as a Health Systems Strengthening Intervention: Case Studies from...
Integration as a Health Systems Strengthening Intervention: Case Studies from...
MEASURE Evaluation
 
Assessment of Constraints to Data Use
Assessment of Constraints to Data UseAssessment of Constraints to Data Use
Assessment of Constraints to Data Use
MEASURE Evaluation
 
Monitoring Referrals to Strengthen Service Integration
Monitoring Referrals to Strengthen Service IntegrationMonitoring Referrals to Strengthen Service Integration
Monitoring Referrals to Strengthen Service Integration
MEASURE Evaluation
 
Evaluating Impact of OVC Programs: Standardizing our methods
Evaluating Impact of OVC Programs: Standardizing our methodsEvaluating Impact of OVC Programs: Standardizing our methods
Evaluating Impact of OVC Programs: Standardizing our methods
MEASURE Evaluation
 
M&E for Social Service System Strengthening
M&E for Social Service System Strengthening M&E for Social Service System Strengthening
M&E for Social Service System Strengthening
MEASURE Evaluation
 
Evaluations of Gender-Integrated Reproductive Health Interventions: A Review ...
Evaluations of Gender-Integrated Reproductive Health Interventions: A Review ...Evaluations of Gender-Integrated Reproductive Health Interventions: A Review ...
Evaluations of Gender-Integrated Reproductive Health Interventions: A Review ...
MEASURE Evaluation
 
Strengthening an Organization’s Capacity to Demand and Use Data
Strengthening an Organization’s Capacity to Demand and Use DataStrengthening an Organization’s Capacity to Demand and Use Data
Strengthening an Organization’s Capacity to Demand and Use Data
MEASURE Evaluation
 
Beyond Indicators and Reporting: M&E as a Systems Strengthening Intervention
Beyond Indicators and Reporting: M&E as a Systems Strengthening InterventionBeyond Indicators and Reporting: M&E as a Systems Strengthening Intervention
Beyond Indicators and Reporting: M&E as a Systems Strengthening Intervention
MEASURE Evaluation
 
Data Demand and Use Training Materials
Data Demand and Use Training MaterialsData Demand and Use Training Materials
Data Demand and Use Training Materials
MEASURE Evaluation
 
Evaluating HIV Policy Advocacy: The Local Capacity Initiative
Evaluating HIV Policy Advocacy: The Local Capacity Initiative Evaluating HIV Policy Advocacy: The Local Capacity Initiative
Evaluating HIV Policy Advocacy: The Local Capacity Initiative
MEASURE Evaluation
 

Viewers also liked (20)

Measuring Success in Repositioning Family Planning
Measuring Success in Repositioning Family PlanningMeasuring Success in Repositioning Family Planning
Measuring Success in Repositioning Family Planning
 
Measuring Ethnic and Sexual Identities: Lessons from Two Studies in Central A...
Measuring Ethnic and Sexual Identities: Lessons from Two Studies in Central A...Measuring Ethnic and Sexual Identities: Lessons from Two Studies in Central A...
Measuring Ethnic and Sexual Identities: Lessons from Two Studies in Central A...
 
Addressing Complexity in the Impact Evaluation of the Cross-Border Health Int...
Addressing Complexity in the Impact Evaluation of the Cross-Border Health Int...Addressing Complexity in the Impact Evaluation of the Cross-Border Health Int...
Addressing Complexity in the Impact Evaluation of the Cross-Border Health Int...
 
Assessing HIV Service: Use and Information Systems for Key Populations in Nam...
Assessing HIV Service: Use and Information Systems for Key Populations in Nam...Assessing HIV Service: Use and Information Systems for Key Populations in Nam...
Assessing HIV Service: Use and Information Systems for Key Populations in Nam...
 
Using the PLACE Method to Inform Decision Making
Using the PLACE Method to Inform Decision MakingUsing the PLACE Method to Inform Decision Making
Using the PLACE Method to Inform Decision Making
 
Including AIDS-affected young people in OVC research: Challenges and opportu...
Including AIDS-affected young people in OVC research:  Challenges and opportu...Including AIDS-affected young people in OVC research:  Challenges and opportu...
Including AIDS-affected young people in OVC research: Challenges and opportu...
 
Monitoring Scale-up of Health Practices and Interventions
Monitoring Scale-up of Health Practices and InterventionsMonitoring Scale-up of Health Practices and Interventions
Monitoring Scale-up of Health Practices and Interventions
 
Community Trace and Verify in Tanzania
Community Trace and Verify in TanzaniaCommunity Trace and Verify in Tanzania
Community Trace and Verify in Tanzania
 
The Prevalence, Experience and Management of Pain
The Prevalence, Experience and Management of PainThe Prevalence, Experience and Management of Pain
The Prevalence, Experience and Management of Pain
 
RHINO Forum Kickoff: iHRIS Open Source HR Information Solutions
RHINO Forum Kickoff: iHRIS Open Source HR Information SolutionsRHINO Forum Kickoff: iHRIS Open Source HR Information Solutions
RHINO Forum Kickoff: iHRIS Open Source HR Information Solutions
 
Integration as a Health Systems Strengthening Intervention: Case Studies from...
Integration as a Health Systems Strengthening Intervention: Case Studies from...Integration as a Health Systems Strengthening Intervention: Case Studies from...
Integration as a Health Systems Strengthening Intervention: Case Studies from...
 
Assessment of Constraints to Data Use
Assessment of Constraints to Data UseAssessment of Constraints to Data Use
Assessment of Constraints to Data Use
 
Monitoring Referrals to Strengthen Service Integration
Monitoring Referrals to Strengthen Service IntegrationMonitoring Referrals to Strengthen Service Integration
Monitoring Referrals to Strengthen Service Integration
 
Evaluating Impact of OVC Programs: Standardizing our methods
Evaluating Impact of OVC Programs: Standardizing our methodsEvaluating Impact of OVC Programs: Standardizing our methods
Evaluating Impact of OVC Programs: Standardizing our methods
 
M&E for Social Service System Strengthening
M&E for Social Service System Strengthening M&E for Social Service System Strengthening
M&E for Social Service System Strengthening
 
Evaluations of Gender-Integrated Reproductive Health Interventions: A Review ...
Evaluations of Gender-Integrated Reproductive Health Interventions: A Review ...Evaluations of Gender-Integrated Reproductive Health Interventions: A Review ...
Evaluations of Gender-Integrated Reproductive Health Interventions: A Review ...
 
Strengthening an Organization’s Capacity to Demand and Use Data
Strengthening an Organization’s Capacity to Demand and Use DataStrengthening an Organization’s Capacity to Demand and Use Data
Strengthening an Organization’s Capacity to Demand and Use Data
 
Beyond Indicators and Reporting: M&E as a Systems Strengthening Intervention
Beyond Indicators and Reporting: M&E as a Systems Strengthening InterventionBeyond Indicators and Reporting: M&E as a Systems Strengthening Intervention
Beyond Indicators and Reporting: M&E as a Systems Strengthening Intervention
 
Data Demand and Use Training Materials
Data Demand and Use Training MaterialsData Demand and Use Training Materials
Data Demand and Use Training Materials
 
Evaluating HIV Policy Advocacy: The Local Capacity Initiative
Evaluating HIV Policy Advocacy: The Local Capacity Initiative Evaluating HIV Policy Advocacy: The Local Capacity Initiative
Evaluating HIV Policy Advocacy: The Local Capacity Initiative
 

Similar to Operational Guidelines for Monitoring and Evaluation of HIV Programmes for Sex Workers, Men who Have Sex with Men and Transgender People

Final Grant Paper
Final Grant PaperFinal Grant Paper
Final Grant Paper
Miriam Holbrook
 
JC2763_PopulationBasedSurveys_en
JC2763_PopulationBasedSurveys_enJC2763_PopulationBasedSurveys_en
JC2763_PopulationBasedSurveys_en
Velma Lopez
 
HIVTestingImplementationGuide_Final
HIVTestingImplementationGuide_FinalHIVTestingImplementationGuide_Final
HIVTestingImplementationGuide_Final
Mary Beth Levin
 
Statement of intent
Statement of intentStatement of intent
Statement of intent
Domson Odoom
 
Prevention Continuum
Prevention ContinuumPrevention Continuum
Prevention Continuum
Office of HIV Planning
 
Grant Proposal Hwy2Health
Grant Proposal Hwy2HealthGrant Proposal Hwy2Health
Grant Proposal Hwy2Health
Miriam Holbrook
 
National aids control programme
National aids control programmeNational aids control programme
National aids control programme
Immanuel Joshua
 
Buprenorphine Therapy in the HIV Primary Care Setting: Training and Integration
Buprenorphine Therapy in the HIV Primary Care Setting: Training and IntegrationBuprenorphine Therapy in the HIV Primary Care Setting: Training and Integration
Buprenorphine Therapy in the HIV Primary Care Setting: Training and Integration
Impact Marketing + Communications
 
National AIDS Control Programme
National AIDS Control ProgrammeNational AIDS Control Programme
National AIDS Control Programme
Dr Lipilekha Patnaik
 
Hennepin HIV Strategy Rev 11.2.15
Hennepin HIV Strategy Rev 11.2.15Hennepin HIV Strategy Rev 11.2.15
Hennepin HIV Strategy Rev 11.2.15
A Wittnebel Consulting
 
Community HIV Program Indicators
Community HIV Program IndicatorsCommunity HIV Program Indicators
Community HIV Program Indicators
MEASURE Evaluation
 
ICTC, PPTCT & ART Centre
ICTC, PPTCT & ART CentreICTC, PPTCT & ART Centre
ICTC, PPTCT & ART Centre
Ishan Sanodiya
 
F4 Lentine
F4 LentineF4 Lentine
F4 Lentine
Paul Melton
 
Positive health dignity_and_prevention_operational_guidelines_-_unaids_gnp_2013
Positive health dignity_and_prevention_operational_guidelines_-_unaids_gnp_2013Positive health dignity_and_prevention_operational_guidelines_-_unaids_gnp_2013
Positive health dignity_and_prevention_operational_guidelines_-_unaids_gnp_2013
clac.cab
 
CSHDU Hoiphuc
CSHDU HoiphucCSHDU Hoiphuc
CSHDU Hoiphuc
Alain Bergeron
 
2010 10 22_slides_nbo wkshp_revision 4_vk
2010 10 22_slides_nbo wkshp_revision 4_vk2010 10 22_slides_nbo wkshp_revision 4_vk
2010 10 22_slides_nbo wkshp_revision 4_vk
Verne Kemerer
 
AIDS CONTROL
AIDS CONTROLAIDS CONTROL
AIDS CONTROL
KULDEEP VYAS
 
Mental Health & HIV Integration - Melissa Sharer and Malia Duffy
Mental Health & HIV Integration - Melissa Sharer and Malia DuffyMental Health & HIV Integration - Melissa Sharer and Malia Duffy
Mental Health & HIV Integration - Melissa Sharer and Malia Duffy
CORE Group
 
Taking Public Health Action To Stop Chronic NonCommunicable Diseases
Taking Public Health Action To Stop Chronic NonCommunicable DiseasesTaking Public Health Action To Stop Chronic NonCommunicable Diseases
Taking Public Health Action To Stop Chronic NonCommunicable Diseases
Elvira Beracochea
 
Anton Pozniak: "The Test and Treat Approach: Achieving 90-90-90"
Anton Pozniak: "The Test and Treat Approach: Achieving 90-90-90"Anton Pozniak: "The Test and Treat Approach: Achieving 90-90-90"
Anton Pozniak: "The Test and Treat Approach: Achieving 90-90-90"
HopkinsCFAR
 

Similar to Operational Guidelines for Monitoring and Evaluation of HIV Programmes for Sex Workers, Men who Have Sex with Men and Transgender People (20)

Final Grant Paper
Final Grant PaperFinal Grant Paper
Final Grant Paper
 
JC2763_PopulationBasedSurveys_en
JC2763_PopulationBasedSurveys_enJC2763_PopulationBasedSurveys_en
JC2763_PopulationBasedSurveys_en
 
HIVTestingImplementationGuide_Final
HIVTestingImplementationGuide_FinalHIVTestingImplementationGuide_Final
HIVTestingImplementationGuide_Final
 
Statement of intent
Statement of intentStatement of intent
Statement of intent
 
Prevention Continuum
Prevention ContinuumPrevention Continuum
Prevention Continuum
 
Grant Proposal Hwy2Health
Grant Proposal Hwy2HealthGrant Proposal Hwy2Health
Grant Proposal Hwy2Health
 
National aids control programme
National aids control programmeNational aids control programme
National aids control programme
 
Buprenorphine Therapy in the HIV Primary Care Setting: Training and Integration
Buprenorphine Therapy in the HIV Primary Care Setting: Training and IntegrationBuprenorphine Therapy in the HIV Primary Care Setting: Training and Integration
Buprenorphine Therapy in the HIV Primary Care Setting: Training and Integration
 
National AIDS Control Programme
National AIDS Control ProgrammeNational AIDS Control Programme
National AIDS Control Programme
 
Hennepin HIV Strategy Rev 11.2.15
Hennepin HIV Strategy Rev 11.2.15Hennepin HIV Strategy Rev 11.2.15
Hennepin HIV Strategy Rev 11.2.15
 
Community HIV Program Indicators
Community HIV Program IndicatorsCommunity HIV Program Indicators
Community HIV Program Indicators
 
ICTC, PPTCT & ART Centre
ICTC, PPTCT & ART CentreICTC, PPTCT & ART Centre
ICTC, PPTCT & ART Centre
 
F4 Lentine
F4 LentineF4 Lentine
F4 Lentine
 
Positive health dignity_and_prevention_operational_guidelines_-_unaids_gnp_2013
Positive health dignity_and_prevention_operational_guidelines_-_unaids_gnp_2013Positive health dignity_and_prevention_operational_guidelines_-_unaids_gnp_2013
Positive health dignity_and_prevention_operational_guidelines_-_unaids_gnp_2013
 
CSHDU Hoiphuc
CSHDU HoiphucCSHDU Hoiphuc
CSHDU Hoiphuc
 
2010 10 22_slides_nbo wkshp_revision 4_vk
2010 10 22_slides_nbo wkshp_revision 4_vk2010 10 22_slides_nbo wkshp_revision 4_vk
2010 10 22_slides_nbo wkshp_revision 4_vk
 
AIDS CONTROL
AIDS CONTROLAIDS CONTROL
AIDS CONTROL
 
Mental Health & HIV Integration - Melissa Sharer and Malia Duffy
Mental Health & HIV Integration - Melissa Sharer and Malia DuffyMental Health & HIV Integration - Melissa Sharer and Malia Duffy
Mental Health & HIV Integration - Melissa Sharer and Malia Duffy
 
Taking Public Health Action To Stop Chronic NonCommunicable Diseases
Taking Public Health Action To Stop Chronic NonCommunicable DiseasesTaking Public Health Action To Stop Chronic NonCommunicable Diseases
Taking Public Health Action To Stop Chronic NonCommunicable Diseases
 
Anton Pozniak: "The Test and Treat Approach: Achieving 90-90-90"
Anton Pozniak: "The Test and Treat Approach: Achieving 90-90-90"Anton Pozniak: "The Test and Treat Approach: Achieving 90-90-90"
Anton Pozniak: "The Test and Treat Approach: Achieving 90-90-90"
 

More from MEASURE Evaluation

Managing missing values in routinely reported data: One approach from the Dem...
Managing missing values in routinely reported data: One approach from the Dem...Managing missing values in routinely reported data: One approach from the Dem...
Managing missing values in routinely reported data: One approach from the Dem...
MEASURE Evaluation
 
Use of Routine Data for Economic Evaluations
Use of Routine Data for Economic EvaluationsUse of Routine Data for Economic Evaluations
Use of Routine Data for Economic Evaluations
MEASURE Evaluation
 
Routine data use in evaluation: practical guidance
Routine data use in evaluation: practical guidanceRoutine data use in evaluation: practical guidance
Routine data use in evaluation: practical guidance
MEASURE Evaluation
 
Tuberculosis/HIV Mobility Study: Objectives and Background
Tuberculosis/HIV Mobility Study: Objectives and BackgroundTuberculosis/HIV Mobility Study: Objectives and Background
Tuberculosis/HIV Mobility Study: Objectives and Background
MEASURE Evaluation
 
How to improve the capabilities of health information systems to address emer...
How to improve the capabilities of health information systems to address emer...How to improve the capabilities of health information systems to address emer...
How to improve the capabilities of health information systems to address emer...
MEASURE Evaluation
 
LCI Evaluation Uganda Organizational Network Analysis
LCI Evaluation Uganda Organizational Network AnalysisLCI Evaluation Uganda Organizational Network Analysis
LCI Evaluation Uganda Organizational Network Analysis
MEASURE Evaluation
 
Using Organizational Network Analysis to Plan and Evaluate Global Health Prog...
Using Organizational Network Analysis to Plan and Evaluate Global Health Prog...Using Organizational Network Analysis to Plan and Evaluate Global Health Prog...
Using Organizational Network Analysis to Plan and Evaluate Global Health Prog...
MEASURE Evaluation
 
Understanding Referral Networks for Adolescent Girls and Young Women
Understanding Referral Networks for Adolescent Girls and Young WomenUnderstanding Referral Networks for Adolescent Girls and Young Women
Understanding Referral Networks for Adolescent Girls and Young Women
MEASURE Evaluation
 
Data for Impact: Lessons Learned in Using the Ripple Effects Mapping Method
Data for Impact: Lessons Learned in Using the Ripple Effects Mapping MethodData for Impact: Lessons Learned in Using the Ripple Effects Mapping Method
Data for Impact: Lessons Learned in Using the Ripple Effects Mapping Method
MEASURE Evaluation
 
Local Capacity Initiative (LCI) Evaluation
Local Capacity Initiative (LCI) EvaluationLocal Capacity Initiative (LCI) Evaluation
Local Capacity Initiative (LCI) Evaluation
MEASURE Evaluation
 
Development and Validation of a Reproductive Empowerment Scale
Development and Validation of a Reproductive Empowerment ScaleDevelopment and Validation of a Reproductive Empowerment Scale
Development and Validation of a Reproductive Empowerment Scale
MEASURE Evaluation
 
Sustaining the Impact: MEASURE Evaluation Conversation on Maternal and Child ...
Sustaining the Impact: MEASURE Evaluation Conversation on Maternal and Child ...Sustaining the Impact: MEASURE Evaluation Conversation on Maternal and Child ...
Sustaining the Impact: MEASURE Evaluation Conversation on Maternal and Child ...
MEASURE Evaluation
 
Using Most Significant Change in a Mixed-Methods Evaluation in Uganda
Using Most Significant Change in a Mixed-Methods Evaluation in UgandaUsing Most Significant Change in a Mixed-Methods Evaluation in Uganda
Using Most Significant Change in a Mixed-Methods Evaluation in Uganda
MEASURE Evaluation
 
Lessons Learned In Using the Most Significant Change Technique in Evaluation
Lessons Learned In Using the Most Significant Change Technique in EvaluationLessons Learned In Using the Most Significant Change Technique in Evaluation
Lessons Learned In Using the Most Significant Change Technique in Evaluation
MEASURE Evaluation
 
Malaria Data Quality and Use in Selected Centers of Excellence in Madagascar:...
Malaria Data Quality and Use in Selected Centers of Excellence in Madagascar:...Malaria Data Quality and Use in Selected Centers of Excellence in Madagascar:...
Malaria Data Quality and Use in Selected Centers of Excellence in Madagascar:...
MEASURE Evaluation
 
Evaluating National Malaria Programs’ Impact in Moderate- and Low-Transmissio...
Evaluating National Malaria Programs’ Impact in Moderate- and Low-Transmissio...Evaluating National Malaria Programs’ Impact in Moderate- and Low-Transmissio...
Evaluating National Malaria Programs’ Impact in Moderate- and Low-Transmissio...
MEASURE Evaluation
 
Improved Performance of the Malaria Surveillance, Monitoring, and Evaluation ...
Improved Performance of the Malaria Surveillance, Monitoring, and Evaluation ...Improved Performance of the Malaria Surveillance, Monitoring, and Evaluation ...
Improved Performance of the Malaria Surveillance, Monitoring, and Evaluation ...
MEASURE Evaluation
 
Lessons learned in using process tracing for evaluation
Lessons learned in using process tracing for evaluationLessons learned in using process tracing for evaluation
Lessons learned in using process tracing for evaluation
MEASURE Evaluation
 
Use of Qualitative Comparative Analysis in the Assessment of the Actionable D...
Use of Qualitative Comparative Analysis in the Assessment of the Actionable D...Use of Qualitative Comparative Analysis in the Assessment of the Actionable D...
Use of Qualitative Comparative Analysis in the Assessment of the Actionable D...
MEASURE Evaluation
 
Sustaining the Impact: MEASURE Evaluation Conversation on Health Informatics
Sustaining the Impact: MEASURE Evaluation Conversation on Health InformaticsSustaining the Impact: MEASURE Evaluation Conversation on Health Informatics
Sustaining the Impact: MEASURE Evaluation Conversation on Health Informatics
MEASURE Evaluation
 

More from MEASURE Evaluation (20)

Managing missing values in routinely reported data: One approach from the Dem...
Managing missing values in routinely reported data: One approach from the Dem...Managing missing values in routinely reported data: One approach from the Dem...
Managing missing values in routinely reported data: One approach from the Dem...
 
Use of Routine Data for Economic Evaluations
Use of Routine Data for Economic EvaluationsUse of Routine Data for Economic Evaluations
Use of Routine Data for Economic Evaluations
 
Routine data use in evaluation: practical guidance
Routine data use in evaluation: practical guidanceRoutine data use in evaluation: practical guidance
Routine data use in evaluation: practical guidance
 
Tuberculosis/HIV Mobility Study: Objectives and Background
Tuberculosis/HIV Mobility Study: Objectives and BackgroundTuberculosis/HIV Mobility Study: Objectives and Background
Tuberculosis/HIV Mobility Study: Objectives and Background
 
How to improve the capabilities of health information systems to address emer...
How to improve the capabilities of health information systems to address emer...How to improve the capabilities of health information systems to address emer...
How to improve the capabilities of health information systems to address emer...
 
LCI Evaluation Uganda Organizational Network Analysis
LCI Evaluation Uganda Organizational Network AnalysisLCI Evaluation Uganda Organizational Network Analysis
LCI Evaluation Uganda Organizational Network Analysis
 
Using Organizational Network Analysis to Plan and Evaluate Global Health Prog...
Using Organizational Network Analysis to Plan and Evaluate Global Health Prog...Using Organizational Network Analysis to Plan and Evaluate Global Health Prog...
Using Organizational Network Analysis to Plan and Evaluate Global Health Prog...
 
Understanding Referral Networks for Adolescent Girls and Young Women
Understanding Referral Networks for Adolescent Girls and Young WomenUnderstanding Referral Networks for Adolescent Girls and Young Women
Understanding Referral Networks for Adolescent Girls and Young Women
 
Data for Impact: Lessons Learned in Using the Ripple Effects Mapping Method
Data for Impact: Lessons Learned in Using the Ripple Effects Mapping MethodData for Impact: Lessons Learned in Using the Ripple Effects Mapping Method
Data for Impact: Lessons Learned in Using the Ripple Effects Mapping Method
 
Local Capacity Initiative (LCI) Evaluation
Local Capacity Initiative (LCI) EvaluationLocal Capacity Initiative (LCI) Evaluation
Local Capacity Initiative (LCI) Evaluation
 
Development and Validation of a Reproductive Empowerment Scale
Development and Validation of a Reproductive Empowerment ScaleDevelopment and Validation of a Reproductive Empowerment Scale
Development and Validation of a Reproductive Empowerment Scale
 
Sustaining the Impact: MEASURE Evaluation Conversation on Maternal and Child ...
Sustaining the Impact: MEASURE Evaluation Conversation on Maternal and Child ...Sustaining the Impact: MEASURE Evaluation Conversation on Maternal and Child ...
Sustaining the Impact: MEASURE Evaluation Conversation on Maternal and Child ...
 
Using Most Significant Change in a Mixed-Methods Evaluation in Uganda
Using Most Significant Change in a Mixed-Methods Evaluation in UgandaUsing Most Significant Change in a Mixed-Methods Evaluation in Uganda
Using Most Significant Change in a Mixed-Methods Evaluation in Uganda
 
Lessons Learned In Using the Most Significant Change Technique in Evaluation
Lessons Learned In Using the Most Significant Change Technique in EvaluationLessons Learned In Using the Most Significant Change Technique in Evaluation
Lessons Learned In Using the Most Significant Change Technique in Evaluation
 
Malaria Data Quality and Use in Selected Centers of Excellence in Madagascar:...
Malaria Data Quality and Use in Selected Centers of Excellence in Madagascar:...Malaria Data Quality and Use in Selected Centers of Excellence in Madagascar:...
Malaria Data Quality and Use in Selected Centers of Excellence in Madagascar:...
 
Evaluating National Malaria Programs’ Impact in Moderate- and Low-Transmissio...
Evaluating National Malaria Programs’ Impact in Moderate- and Low-Transmissio...Evaluating National Malaria Programs’ Impact in Moderate- and Low-Transmissio...
Evaluating National Malaria Programs’ Impact in Moderate- and Low-Transmissio...
 
Improved Performance of the Malaria Surveillance, Monitoring, and Evaluation ...
Improved Performance of the Malaria Surveillance, Monitoring, and Evaluation ...Improved Performance of the Malaria Surveillance, Monitoring, and Evaluation ...
Improved Performance of the Malaria Surveillance, Monitoring, and Evaluation ...
 
Lessons learned in using process tracing for evaluation
Lessons learned in using process tracing for evaluationLessons learned in using process tracing for evaluation
Lessons learned in using process tracing for evaluation
 
Use of Qualitative Comparative Analysis in the Assessment of the Actionable D...
Use of Qualitative Comparative Analysis in the Assessment of the Actionable D...Use of Qualitative Comparative Analysis in the Assessment of the Actionable D...
Use of Qualitative Comparative Analysis in the Assessment of the Actionable D...
 
Sustaining the Impact: MEASURE Evaluation Conversation on Health Informatics
Sustaining the Impact: MEASURE Evaluation Conversation on Health InformaticsSustaining the Impact: MEASURE Evaluation Conversation on Health Informatics
Sustaining the Impact: MEASURE Evaluation Conversation on Health Informatics
 

Recently uploaded

مصحف القراءات العشر أعد أحرف الخلاف سمير بسيوني.pdf
مصحف القراءات العشر   أعد أحرف الخلاف سمير بسيوني.pdfمصحف القراءات العشر   أعد أحرف الخلاف سمير بسيوني.pdf
مصحف القراءات العشر أعد أحرف الخلاف سمير بسيوني.pdf
سمير بسيوني
 
ISO/IEC 27001, ISO/IEC 42001, and GDPR: Best Practices for Implementation and...
ISO/IEC 27001, ISO/IEC 42001, and GDPR: Best Practices for Implementation and...ISO/IEC 27001, ISO/IEC 42001, and GDPR: Best Practices for Implementation and...
ISO/IEC 27001, ISO/IEC 42001, and GDPR: Best Practices for Implementation and...
PECB
 
RESULTS OF THE EVALUATION QUESTIONNAIRE.pptx
RESULTS OF THE EVALUATION QUESTIONNAIRE.pptxRESULTS OF THE EVALUATION QUESTIONNAIRE.pptx
RESULTS OF THE EVALUATION QUESTIONNAIRE.pptx
zuzanka
 
Présentationvvvvvvvvvvvvvvvvvvvvvvvvvvvv2.pptx
Présentationvvvvvvvvvvvvvvvvvvvvvvvvvvvv2.pptxPrésentationvvvvvvvvvvvvvvvvvvvvvvvvvvvv2.pptx
Présentationvvvvvvvvvvvvvvvvvvvvvvvvvvvv2.pptx
siemaillard
 
The basics of sentences session 7pptx.pptx
The basics of sentences session 7pptx.pptxThe basics of sentences session 7pptx.pptx
The basics of sentences session 7pptx.pptx
heathfieldcps1
 
math operations ued in python and all used
math operations ued in python and all usedmath operations ued in python and all used
math operations ued in python and all used
ssuser13ffe4
 
Pharmaceutics Pharmaceuticals best of brub
Pharmaceutics Pharmaceuticals best of brubPharmaceutics Pharmaceuticals best of brub
Pharmaceutics Pharmaceuticals best of brub
danielkiash986
 
Standardized tool for Intelligence test.
Standardized tool for Intelligence test.Standardized tool for Intelligence test.
Standardized tool for Intelligence test.
deepaannamalai16
 
BIOLOGY NATIONAL EXAMINATION COUNCIL (NECO) 2024 PRACTICAL MANUAL.pptx
BIOLOGY NATIONAL EXAMINATION COUNCIL (NECO) 2024 PRACTICAL MANUAL.pptxBIOLOGY NATIONAL EXAMINATION COUNCIL (NECO) 2024 PRACTICAL MANUAL.pptx
BIOLOGY NATIONAL EXAMINATION COUNCIL (NECO) 2024 PRACTICAL MANUAL.pptx
RidwanHassanYusuf
 
Electric Fetus - Record Store Scavenger Hunt
Electric Fetus - Record Store Scavenger HuntElectric Fetus - Record Store Scavenger Hunt
Electric Fetus - Record Store Scavenger Hunt
RamseyBerglund
 
skeleton System.pdf (skeleton system wow)
skeleton System.pdf (skeleton system wow)skeleton System.pdf (skeleton system wow)
skeleton System.pdf (skeleton system wow)
Mohammad Al-Dhahabi
 
HYPERTENSION - SLIDE SHARE PRESENTATION.
HYPERTENSION - SLIDE SHARE PRESENTATION.HYPERTENSION - SLIDE SHARE PRESENTATION.
HYPERTENSION - SLIDE SHARE PRESENTATION.
deepaannamalai16
 
What is Digital Literacy? A guest blog from Andy McLaughlin, University of Ab...
What is Digital Literacy? A guest blog from Andy McLaughlin, University of Ab...What is Digital Literacy? A guest blog from Andy McLaughlin, University of Ab...
What is Digital Literacy? A guest blog from Andy McLaughlin, University of Ab...
GeorgeMilliken2
 
Bonku-Babus-Friend by Sathyajith Ray (9)
Bonku-Babus-Friend by Sathyajith Ray  (9)Bonku-Babus-Friend by Sathyajith Ray  (9)
Bonku-Babus-Friend by Sathyajith Ray (9)
nitinpv4ai
 
Wound healing PPT
Wound healing PPTWound healing PPT
Wound healing PPT
Jyoti Chand
 
How to deliver Powerpoint Presentations.pptx
How to deliver Powerpoint  Presentations.pptxHow to deliver Powerpoint  Presentations.pptx
How to deliver Powerpoint Presentations.pptx
HajraNaeem15
 
spot a liar (Haiqa 146).pptx Technical writhing and presentation skills
spot a liar (Haiqa 146).pptx Technical writhing and presentation skillsspot a liar (Haiqa 146).pptx Technical writhing and presentation skills
spot a liar (Haiqa 146).pptx Technical writhing and presentation skills
haiqairshad
 
Nutrition Inc FY 2024, 4 - Hour Training
Nutrition Inc FY 2024, 4 - Hour TrainingNutrition Inc FY 2024, 4 - Hour Training
Nutrition Inc FY 2024, 4 - Hour Training
melliereed
 
Stack Memory Organization of 8086 Microprocessor
Stack Memory Organization of 8086 MicroprocessorStack Memory Organization of 8086 Microprocessor
Stack Memory Organization of 8086 Microprocessor
JomonJoseph58
 
How to Setup Warehouse & Location in Odoo 17 Inventory
How to Setup Warehouse & Location in Odoo 17 InventoryHow to Setup Warehouse & Location in Odoo 17 Inventory
How to Setup Warehouse & Location in Odoo 17 Inventory
Celine George
 

Recently uploaded (20)

مصحف القراءات العشر أعد أحرف الخلاف سمير بسيوني.pdf
مصحف القراءات العشر   أعد أحرف الخلاف سمير بسيوني.pdfمصحف القراءات العشر   أعد أحرف الخلاف سمير بسيوني.pdf
مصحف القراءات العشر أعد أحرف الخلاف سمير بسيوني.pdf
 
ISO/IEC 27001, ISO/IEC 42001, and GDPR: Best Practices for Implementation and...
ISO/IEC 27001, ISO/IEC 42001, and GDPR: Best Practices for Implementation and...ISO/IEC 27001, ISO/IEC 42001, and GDPR: Best Practices for Implementation and...
ISO/IEC 27001, ISO/IEC 42001, and GDPR: Best Practices for Implementation and...
 
RESULTS OF THE EVALUATION QUESTIONNAIRE.pptx
RESULTS OF THE EVALUATION QUESTIONNAIRE.pptxRESULTS OF THE EVALUATION QUESTIONNAIRE.pptx
RESULTS OF THE EVALUATION QUESTIONNAIRE.pptx
 
Présentationvvvvvvvvvvvvvvvvvvvvvvvvvvvv2.pptx
Présentationvvvvvvvvvvvvvvvvvvvvvvvvvvvv2.pptxPrésentationvvvvvvvvvvvvvvvvvvvvvvvvvvvv2.pptx
Présentationvvvvvvvvvvvvvvvvvvvvvvvvvvvv2.pptx
 
The basics of sentences session 7pptx.pptx
The basics of sentences session 7pptx.pptxThe basics of sentences session 7pptx.pptx
The basics of sentences session 7pptx.pptx
 
math operations ued in python and all used
math operations ued in python and all usedmath operations ued in python and all used
math operations ued in python and all used
 
Pharmaceutics Pharmaceuticals best of brub
Pharmaceutics Pharmaceuticals best of brubPharmaceutics Pharmaceuticals best of brub
Pharmaceutics Pharmaceuticals best of brub
 
Standardized tool for Intelligence test.
Standardized tool for Intelligence test.Standardized tool for Intelligence test.
Standardized tool for Intelligence test.
 
BIOLOGY NATIONAL EXAMINATION COUNCIL (NECO) 2024 PRACTICAL MANUAL.pptx
BIOLOGY NATIONAL EXAMINATION COUNCIL (NECO) 2024 PRACTICAL MANUAL.pptxBIOLOGY NATIONAL EXAMINATION COUNCIL (NECO) 2024 PRACTICAL MANUAL.pptx
BIOLOGY NATIONAL EXAMINATION COUNCIL (NECO) 2024 PRACTICAL MANUAL.pptx
 
Electric Fetus - Record Store Scavenger Hunt
Electric Fetus - Record Store Scavenger HuntElectric Fetus - Record Store Scavenger Hunt
Electric Fetus - Record Store Scavenger Hunt
 
skeleton System.pdf (skeleton system wow)
skeleton System.pdf (skeleton system wow)skeleton System.pdf (skeleton system wow)
skeleton System.pdf (skeleton system wow)
 
HYPERTENSION - SLIDE SHARE PRESENTATION.
HYPERTENSION - SLIDE SHARE PRESENTATION.HYPERTENSION - SLIDE SHARE PRESENTATION.
HYPERTENSION - SLIDE SHARE PRESENTATION.
 
What is Digital Literacy? A guest blog from Andy McLaughlin, University of Ab...
What is Digital Literacy? A guest blog from Andy McLaughlin, University of Ab...What is Digital Literacy? A guest blog from Andy McLaughlin, University of Ab...
What is Digital Literacy? A guest blog from Andy McLaughlin, University of Ab...
 
Bonku-Babus-Friend by Sathyajith Ray (9)
Bonku-Babus-Friend by Sathyajith Ray  (9)Bonku-Babus-Friend by Sathyajith Ray  (9)
Bonku-Babus-Friend by Sathyajith Ray (9)
 
Wound healing PPT
Wound healing PPTWound healing PPT
Wound healing PPT
 
How to deliver Powerpoint Presentations.pptx
How to deliver Powerpoint  Presentations.pptxHow to deliver Powerpoint  Presentations.pptx
How to deliver Powerpoint Presentations.pptx
 
spot a liar (Haiqa 146).pptx Technical writhing and presentation skills
spot a liar (Haiqa 146).pptx Technical writhing and presentation skillsspot a liar (Haiqa 146).pptx Technical writhing and presentation skills
spot a liar (Haiqa 146).pptx Technical writhing and presentation skills
 
Nutrition Inc FY 2024, 4 - Hour Training
Nutrition Inc FY 2024, 4 - Hour TrainingNutrition Inc FY 2024, 4 - Hour Training
Nutrition Inc FY 2024, 4 - Hour Training
 
Stack Memory Organization of 8086 Microprocessor
Stack Memory Organization of 8086 MicroprocessorStack Memory Organization of 8086 Microprocessor
Stack Memory Organization of 8086 Microprocessor
 
How to Setup Warehouse & Location in Odoo 17 Inventory
How to Setup Warehouse & Location in Odoo 17 InventoryHow to Setup Warehouse & Location in Odoo 17 Inventory
How to Setup Warehouse & Location in Odoo 17 Inventory
 

Operational Guidelines for Monitoring and Evaluation of HIV Programmes for Sex Workers, Men who Have Sex with Men and Transgender People

  • 1. Operational Guidelines for Monitoring and Evaluation of HIV Programmes for Sex Workers, Men who Have Sex with Men and Transgender People July 15, 2014 Sharon Weir and William Miller University of of North Carolina
  • 2. Purpose of the Guidelines To provide operational guidance for M&E of programmes for:  Female, male and transgender sex workers  Men who have sex with men  Transgender people Guidance at 3 levels:  National  Sub-national  Service-delivery
  • 3. Approach  3 levels  From Size estimation to impact  Involvement of key populations  Simple checklists, decision trees and examples  Provide links to relevant tools and resources  Indicators Illustrative  Guidelines must be adapted to country context
  • 4. Key Concepts 1. 8 Step Public Health Questions Model 2. Causal Pathway 3. Combination Prevention Programme 4. Programme Impact Pathway IT’S NOT JUST ABOUT INDICATORS!!
  • 5. Are prevention programmes effective? What activities are we implementing? Are we doing them right? What should we be doing to reduce HIV transmission? 2. Measure Determinants 3. Know your response 4. Input monitoring 5. Quality monitoring 6. Monitoring outputs and coverage 7. Outcome monitoring and evaluation 8. Impact monitoring and evaluation 1. Know your epidemic
  • 6. Causal Pathway from Programmes to Prevention To illustrate the logic behind indicators and motivate programmes to use indicators Implement Combination Prevention Programme Reduce Biologic Susceptibility and/or Exposure to HIV Prevent transmission of HIV
  • 7. Combination Prevention Programme Enabling Environment at the Community Level Package of Individual Level High Quality Health Services Biomedical Services • HIV testing and counselling • Linkage to care, viral load reduction • STI screening and treatment • Psychosocial interventions • Harm reduction • HBV Immunization Behaviour Change Services • Condom Promotion and Distribution • Education and Risk Reduction Counselling
  • 9. Steps 1-3: Plan What should we be doing to reduce HIV transmission among key populations? Step 1 What is the magnitude and geographic distribution of the HIV epidemic over time among key populations? 1. How many people from each key population live in the country, each sub-national area and the local catchment area? How is each population distributed across sub-national areas? 2. What information is available about the extent of HIV infection?
  • 10. What are the baseline estimates of the direct biologic determinants of HIV transmission and social enablers? 1. Biologic:What are baseline measures of key indicators of biologic exposure, susceptibility and infectiousness? 2. Environment:What are other individual, community and structural factors contributing to the epidemic? Step 2
  • 11. Survey Data on Biologic Determinants  Number of sexual partners  Extent to which partnerships are overlapping  Number of HIV-discordant partnerships  Age at first sex  Use of condoms during vaginal and anal sex  Use of condom-compatible lubricants during anal sex  Effective treatment of sexually transmitted infections  Among people who use drugs: number of injections with non-sterile needles
  • 12. Critical Enabler Assessment Structural, community and individual factors that contribute to HIV transmission risk Barrier Strength Structural Level Social Enablers  Stigma and discrimination  Public health policies and availability of comprehensive HIV services  Lack of medical education and training for health professionals in health care concerns of MSM  Punitive laws, policies & practices Social and Community Level Social Enablers  Social norms, beliefs, and values within communities with regard to MSM  Community responses, availability of support in cases of violence, etc.            
  • 13. How is the Combination Prevention Programme defined and what are the targets for outputs, coverage, outcomes and impact? 1. What Combination Prevention Programme of health services and critical enabler interventions is needed? 2. What are the operational definitions of "a person being reached” with each service? 3. What sub-populations, sub-areas or setting-specific populations should be monitored? 4. What services are currently available in each sub-national area? 5. What are the 2-year targets for impact, outcome and coverage indicators in each sub-national area? 6. Based on the above, what is the national Programme Impact Pathway? Step 3
  • 14. Steps 4-6: Monitor What activities are we implementing? Are we doing them right? Step 4 What resources are needed to meet targets? What resources are available? What is the gap in resources?
  • 15. What services and critical enabler interventions are currently implemented?With what quality? 1. Are national quality standards available? Are they updated regularly? 2. What is the quality of each service being provided? Are programme enablers addressed? Step 5
  • 16. Universal Quality Standards Standards on involving key populations:  The populations identified for targeted prevention services are included in needs assessment, planning, delivery, and evaluation of HIV prevention services Standards on users’ rights:  Users are fully informed of the nature and content of the services as well as the risks and benefits to be expected  Confidentiality and privacy of users is maintained at all times  Guarantee of human rights; removal of legal barriers to access prevention and care  Access to medical and legal assistance for key populations who experience sexual coercion or violence
  • 17. Are output targets achieved?What proportion of key populations receive services? 1. What outputs will be monitored and aggregated? How will double-counting of users be avoided? 2. How is service coverage (geographic, population) calculated and interpreted? 3. What are the trends over time for outputs, service availability, the enabling environment, coverage and the HIV prevention and treatment cascades? Step 6
  • 18. HIVTesting andTreatment Cascade 2000 1000 700 500 400 300 200 0 500 1000 1500 2000 2500 NumberofMSM Stage of Engagement in HIV Care
  • 19. Steps 7-8: Evaluate Are programmes effective? Step 7 1. Outcome Monitoring: Are there changes in biologic determinants of HIV transmission?Are there changes in the environment? 2. Outcome Evaluation: Are the changes in outcomes due to the programme?
  • 20. Is the combination HIV prevention programme reducing HIV transmission? 1. Has HIV prevalence increased or decreased in these populations? 2. Did the HIV prevention programme decrease new infections? Step 8
  • 21.
  • 22.
  • 23.
  • 24. Acknowledgements  Keith Sabin, AllisonCrocket, UNAIDS  Jenny Butler, Marleen van der Ree, UNFPA  Abu Abdul-Quader, CDC  Ludo Bok, UNDP  AnnetteVerster,WHO  MaryAnnTorres, ICASO  MariaAu, USAID  Sandra Kuzmanovska,Global Fund  MaryAnnTorres, ICASO  And many others
  • 25. The research presented here has been supported by the President’s Emergency Plan for AIDS Relief (PEPFAR) through the United States Agency for International Development (USAID) under the terms of MEASURE Evaluation cooperative agreement GHA-A-00-08-00003- 00. Views expressed are not necessarily those of PEPFAR, USAID or the United States government. MEASURE Evaluation is implemented by the Carolina Population Center at the University of North Carolina at Chapel Hill in partnership with Futures Group, ICF International, John Snow, Inc., Management Sciences for Health, and Tulane University.