Monitoring and Evaluation for TB Programs Developing a Monitoring and Evaluation Plan Synthesize everything that we have learned earlier this week– logic frameworks, indicator selection, data sources, etc… – end product is to draft an M&E plan for your country

Key M&E Plan Principles M&E Plan complements NTP M&E system The main purpose of the plan is to measure implementation, progress, and results/impact Plan is implemented by many actors It is usually a NATIONAL plan There are many ways to organize and implement plan We will talk about M&E systems later on today.

Stepwise Approach to TB M&E Plan Clear Goals and Objectives Development of Interventions Selection of Appropriate Indicators Data Collection, Analysis, and Use Data Dissemination

Model Plan OBJECTIVE ACTIVITIES INDICATOR MEASUREMENT SOURCE (existing or new) RESPONSIBLE Increase DOTS coverage Expand DOTS to from 50 to 100% of the country % of the BMU implementing the DOTS strategy Annual NTP budget allocated to implement DOTS as required by MDP Numerator: # of BMUs implementing DOTS Denominator: Total # of BMUs Numerator:Total # of funds allocated for DOTS-based TB control in the previous year’s NTP budget Demoninator: Total amount of funds for DOTS-based TB control in the previous year’s annual budget NTP MOH Annual NTP work plan and budget, MDP Increase awareness of TB in the community Organize educational awareness activities: theater, musical concert, films, sports events # and type of TB activity organized in the district % of population in the district that know TB is curable Numerator: # of people who know TB is curable Denominator: Total # of people surveyed Program Reports Community Survey NGOs Consider using one of the group’s goals/objectives from Day One. We’ve seen this before but to reiterate, this is what we want as a final product

Elements of the Plan Source of data Person or entity who is responsible Refer to system checklist – can be useful to identify sources of data and resources for reporting Already covered first three columns during last two days, need to fill out the rest. Need to be as specific as possible – for individual NTP, often useful to put the person’s name.

Key Data Use and Dissemination Questions Who are the potential audiences or users of results of our M&E plan? Which particular findings will be of most interest to each potential audience or use? What are the best channels to reach each potential audience or user?

Using Data for Decision-Making Improve performance and programming Advocate for policy changes Sustain resources for TB control Increase public awareness about TB Encourage communities to support TB patients Improve coordination among partners Provide lessons learned for in-country and international programs

Data Dissemination Develop a strategy early. Answer the three questions in the previous slide. Use as many media channels as appropriate. Be creative and innovative.

Conclusion Wealth of TB data exists at district/facility Standardized tools available for data collection Compendium is a reference for standardized indicators Ensure strategy for analyzing, using, and disseminating data