1. Accelerating the response for children affected by AIDS
- Monitoring the Response
Inter-Agency Task Team on Children and HIV and AIDS
Washington 23, 24 April 2007
Arjan de Wagt
UNICEF NYHQ

2. Global Partner Forum 2006 - Recommendations on M&E
Strengthen monitoring and evaluation to improve the accountability and performance of national plans through improving data collection for children.
Ensure national monitoring disaggregates by sex and age and includes the core indicators for children affected by HIV and AIDS, and build capacity to ensure information is collected and used to improve practice and to ensure accountability increases around vulnerable children.

3. IATT 2006 tasks for WG M&E Review challenges M&E including:
Challenges with regard to the use of indicators
Indicators in Progress Report
Comparability between countries
in context of universal access
Recommendations to the IATT on:
M&E National Plans of Action
The Progress Report
UNAIDS Core Indicators for monitoring Declaration of Commitment and Universal Access

4. What has WG done so far
Sharing information and discussing M&E initiatives:
Harmonization of UNGASS indicators
Draft Coverage Survey results 2006
East and Southern Africa – M&E capacity building workshops
Child Status Index
OVC Mapping Activity
Developing TOR:
Share information, strengthening partner collaboration and joint initiatives
Estimating numbers of vulnerable children
Prepare 2007 Progress Report

5. Unite for Children. Unite against AIDS.
2007 Progress Report– A more complete picture on the response for children affected by AIDS
Arjan de Wagt, NYHQ
Unite for Children.
Unite against AIDS.

6. UNGASS indicators
Indicator Definition
Epidemic Type
Measurement Tool
Current school attendance among orphans and non-orphans aged 10–14
All countries
Population-based survey;
Every 2 yrs, at least every 4-5 yrs
Percentage of orphaned and vulnerable children aged 0-17 whose households received free basic external support in caring for the child
High HIV-prevalence countries
Population-based surveys;
Every 4-5 yrs
So data only available every 3-5 years
2007 review of UNGASS indicators left the two OVCs indicators as is.
Education indicator does not require reporting of ratio

7. Universal Access Indicators
High Level Meeting: “setting, in 2006,…., ambitious national targets …”
Core indicators recommended by UNAIDS 1 of 7 core indicators is on external services for.
East and Southern Africa as of mid September 2006:
6/20 endorsed UA targets
8/20 expected by the end 2006
6/12 with advanced or final indicators had indicator on OVC support
Coverage targets 27% - 100%
(Progress Report: Universal Access Target Setting in East and Southern Africa Report to Regional UN HIV and AIDS Team. Prepared by UNAIDS-RST for ESA, 30 October PPT)

8. Some data available % of children orphaned Data for most countries
Orphaned due to AIDS estimates for Africa
Planned estimates for other countries
Education
44 report on education indicator
27 countries ratio below 95
24 have measured at least twice
15/24 increased ratio of at least 0.5
4/24 drop in ration of at least 0.5
External Support
14 countries reported
Coverage between 1% (Senegal) and 95% (Botswana); medium 10%;
In 2007 many more DHS and MICS data sets with OVCs module available

9. Ratio of the proportion of orphans attending school to the proportion of non-orphans attending school
Data provided by UNICEF based on analysis of DHS, 2007

10. Number of countries with data currently available on two OVC indicators
Region
Indicator
Orphan school attendance ratio
Percent of OVC receiving external support
East & South Africa (n=21) 19 10
West Africa (n=24) 17 7
Latin America & the Caribbean (n=36) 5
Central & Eastern Europe/CIS (21)
Middle East & North Africa (n=20) 1
East Asia & Pacific (n=27) 2
South Asia (n=8)
Total 44

11. Countries with planned or ongoing surveys including OVC modules
Region
Country
MICS III
DHS
ESARO
Botswana x
Ethiopia
Kenya
Leostho
Madagascar
Namibia
Rwanda
Uganda
Zambia
Zimbabwe
WCARO
Burkina Faso
Central African Republic
Congo, DRC
Côte d'Ivoire
Equatorial Guinea
Ghana
Guinea-Bissau
Mali
Niger
Sao Tome and Principe
Senegal
Sierra Leone
Togo

12. Countries with planned or ongoing surveys including OVC modules …
MICS III
DHS
EAPRO
Lao PDR x
Thailand
ROSA
Bangladesh
TACRO
Belize
Dominican Republic
Guyana
Haiti
Jamaica

13. Monitoring national response
Guidance to Govts, Internal organizations and NGOs
Supplements UNGASS indicators
10 core and 7 additional
Most through surveys, only efforts index through key informants interview

14. Reporting on progress
Progress report on behalf of IATT
15 indicators
Conclusion:
Amount of data on the response is very limited
New report planned end 2007

15. M&E Limitations Data coming from surveys – every 3-5 years
Definitions of OVCs differ:
Between countries
In countries between partners that provide services
Between goals, objectives, targeting criteria, actual service delivery and M&E indicators
No standardized service package: difficult to measure, difficult to compare, difficult to contextualize
Double counting
Counting services does not say anything about impact on children and quality of services

16. Proposed TOR Working Group on M&E – Monitoring Progress
Strengthen national M&E capacity
Regional trainings and national follow up
National coverage reports based on NPA M&E framework
Mapping activity
Publish 2007 Progress report children affected by AIDS based on:
New DHS / MICS data analysis
Efforts index 2007
Coverage survey results 2005
National level NGO coverage data

17. OVC Mapping Activity Goal Outputs Partners
Use (GIS) Geospatial Mapping as a tool for planning, evaluating and monitoring OVC activities and services
Outputs
GIS Maps showing distribution of OVC, coverage by OVC care providers, distribution of services and GAPS for 14 African countries
Resources
PEPFAR M&E Data, Census Data, DHS Data, Child and DevInfo Databases, Project data, National data, Vulnerability projections
Partners
OGAC, USAID, State Dept.
DevInfo UN
UNICEF
BuCen
CDC
National Statistics Bureaus
Univ. North Carolina
Constella Futures Group

18. Discussion Is the TOR complete
What else can be done to improve national M&E capacity?
Do all national partners provide coverage data?
Monitoring national response and publishing at regional and global level
What about lower prevalence settings?

19. Unite for Children. Unite against AIDS. Presentation:
Monitoring national responses on children affected by AIDS