1. Strategic Information on ART Scale up Kevin O'Reilly Department of HIV/AIDS WHO

2. Strategic Information for ART: agreement with key partners Framework for strategic information national level indicators (being finalised) estimating need district level capacity (SAM) (under development) patient tracking and clinical monitoring –assessing resistance

3. Input Process Output Outcome Impact A FRAMEWORK for Monitoring and Evaluation People Money Equipment Policies etc. Training Logistics Management IEC/BCC etc. Services Service use Knowledge Behavior Safer Practices (population level) HIV/STI transmission Reduced HIV impact

4. Input Process Output Outcome Impact Data collection and frequency for Monitoring and Evaluation HIV/STI surveillance population-based Household Surveys, Facility Surveys, Coverage Surveys Programme Monitoring Frequency: on-going 1/ 2-3 years 1/ 1-3 years

5. Input Process Output Outcome Impact Initiatives, Indicators, and Tools for Strategic Information HIV/STI Surveillance Patients’ tracking Programme Monitoring Second Generation HIV Surveillance Second Generation HIV Surveillance HMIS in PEPFAR, CDC, MAP, GFATM DHS, AIDS Indicators Surveys, Service Availability Mapping (SAM), Health Facility Surveys, Coverage Surveys DHS, AIDS Indicators Surveys, Service Availability Mapping (SAM), Health Facility Surveys, Coverage Surveys Core consensus Indicators for all Initiatives based on United Nations General Assembly Special Session (UNGASS) and recent meetings Household Surveys Facility Surveys Coverage Surveys

6. Basic Principles for Strategic information Use or reinforce the existing system identify and co-ordinate with all partners in country (PEPFAR, Clinton, etc) make the information “strategic”-- planning to use the data public and private--what to include?

7. Basic Principles for Patient Monitoring Use or reinforce the existing system to extent possible co-ordinate with all partners on agreed approach feasibility…everywhere “strategic”—collecting only what is needed and will be used

8. Linking Clinic level and National data National level indicators Clinic level data

9. Key issues Clinical variables –Local level: patient progress and response –National level: outcome, impact, resistance Programme monitoring –Local programme performance & operational challenges –National programme monitoring Logistics –Performance and problem identification

10. We must keep it simple!!!