New Challenges in M&E Lets go

Scaling Up Monitoring & Evaluation Strategic Information PROGRAM GUIDANCE RESULT NEEDS OPPORTUNITIES Resources New directions INCREASING DEMAND FOR INFORMATION

STRATEGIC INFORMATION INCREASING EMPHASIS ON DATA USE AND UTILITY DATA DEMAND GENERATION

WHAT DO WE MEAN BY STRATEGIC INFORMATION? DATA KNOWLEDGE ÎNFORMATION ACTION Analysis Understanding Application Generating information and knowledge to influence policy making, programme action, and research Assessment INCREASING EMPHASIS ON DATA USE AND UTILITY DATA DEMAND GENERATION

WHAT KIND OF INFORMATION DO WE NEED? Needs, resources, access, coverage What are and will be the needs for services? What resources are available and what will be needed? How many have access? Who has access? Programme Monitoring & Evaluation Is the programme performing according to plans? Is the programme able to contain drug resistance development? Does the programme make a difference? Is it achieving its goals? How much does it cost and how cost effective is it? Patient monitoring Operations Research How can programme implementation be improved? What are the best models of implementation? What can be done to improve health systems? Research Can we provide more efficacious and more effective interventions? What impact do programmes have? INCREASING COMPLEXITY

MONITORING AND EVALUATION INCREASING M&E IMPORTANCE -

INCREASING VOLUME M&E MONITORING AND EVALUATION Indicators Tools Methods No programme No data

COVERAGE Build national monitoring systems Global coverage survey of key informants 2003 Global district access/coverage survey 2004 : health system focus How Many Now?

MEASUREMENT ISSUES Second generation surveillance Self-reported risk behaviour in household surveys Frustration with measurement of risk behaviours through self-reports in general population

EVALUATION Scaling Up Impact Careful planning Multiple data sources Integration of surveillance and M&E necessary M&E does not automatically imply good evaluation: but we need more Evaluation

Coordination More efforts to coordinate and harmonize, focus on country and global levels All on board?

District focus More decentralization of M&E will present a challenge to national systems