1. John Spencer
MEASURE Evaluation
March 22, 2017
MEASURE Evaluation
Mid-Project Meeting
The dog who caught the car:
There’s more PEPFAR data
than ever before, now what?
The dog who caught the car:
There’s more PEPFAR data
than ever before, now what?
2. More than a dozen years of
USAID investment in PEPFAR
data infrastructure
3. USAID Investments in PEPFAR Data Infrastructure
2004 – 2015
Source: PEPFAR (data.pepfar.net)
Health System Strengthening (HSS) – HSS activities are
meant to build the capacity of local health systems to
effectively respond to the HIV epidemic.
Strategic Information (SI) – SI includes any program
expenditures for monitoring and evaluation of HIV
programs.
10. What services are being
performed, and some
information about the
people receiving them
Electronic system (DATIM)
to help manage and
analyze data
Where the service sites
are located
Context that can affect
services and populations in
need
23. Alternative site
#1
Alternative site #4
Alternative site #5
Alternative site #3
Alternative site #2
Low volume
facility
One approach
Nearest site
(Euclidean)
Optimal
alternate site
24. Alternative site #1
Alternative site
#4
Alternative site
#5
Alternative site #3
Alternative site #2
Low volume
facility
Overcrowding
River
Barrier
Mountain
Barrier
Travel-time
Barrier
Optimal
alternate site
25. • Service area advantages
• Estimate population in service area
• Gap analysis
• Over or underperforming sites
• Provide a localized picture
30. • Analysis of number of sites at
different service thresholds within
distance bands
• Results reported in spreadsheets
• GIS analysis files for use by
PEPFAR SI GIS person
Second output
31. 1. Timing matters
• Important to have conversations
when people can focus on it
Lessons Learned
32. 1. Timing matters
• Important to have conversations
when people can focus on it
2. Personnel matters
• Turnover can either ignite or ground
the rocket
• Needs to be a champion
Lessons learned
33. Inertia
Newton’s First Law of Motion
The vis insita, or innate force of
matter, is a power of resisting by
which every body, as much as in it
lies, endeavours to preserve its
present state, whether it be of rest
or of moving uniformly forward in
a straight line.
Things continue the way they have unless
something forces a change.
36. This presentation was produced with the support of the United
States Agency for International Development (USAID) under the
terms of MEASURE Evaluation cooperative agreement AID-OAA-
L-14-00004. MEASURE Evaluation is implemented by the Carolina
Population Center, University of North Carolina at Chapel Hill in
partnership with ICF International; John Snow, Inc.; Management
Sciences for Health; Palladium; and Tulane University. Views
expressed are not necessarily those of USAID or the United States
government.
www.measureevaluation.org