1. Nigeria Case Study HIVAIDS Specific Slides

2. ANALYZING AND INTERPRETING DATA

3. Summary Data from General ANC, VCT, and Partner Registers VariablesNumber 1.New ANC clients 2.Group pre-test counseled 3.Individual pre-test counseled 4.Accepted HIV test 5A.HIV test result – Positive 5B.HIV test result – Negative 5C.HIV test result – Indeterminate 6 A.Post-test counseled – Positive 6 B.Post-test counseled – Negative 8A.ARV therapy received – Current NVP

4. Are ANC clinics reaching their coverage targets for testing and counseling?

5. Summary Data from General ANC, VCT, and Partner Registers VariablesNumber 1.New ANC clients 2.Group pre-test counseled 3.Individual pre-test counseled 4.Accepted HIV test 5A.HIV test result – Positive 5B.HIV test result – Negative 5C.HIV test result – Indeterminate 6 A.Post-test counseled – Positive 6 B.Post-test counseled – Negative 8A.ARV therapy received – Current NVP

6. Summary Data from General ANC, VCT, and Partner Registers VariablesNumber 1.New ANC clients 6 A.Post-test counseled – Positive 6 B.Post-test counseled – Negative

7. VariablesFacility 1 Facility 2 Facility 3 Facility 4 1.New ANC Clients 74427081051077 6A.Post-test counseling – positive 541051043 6B.Post-test counseling – negative 440204593800 Total post-test counseled 494194083843

8. Are facilities reaching coverage targets?

9. Additional Questions Which facility is performing better/worse than expected? What is the trend over time for these facilities? What is the ratio for this group of facilities? How would you assess each facilitys performance based on the data? What other data or information should you consider in providing recommendations or guidance to the facilities?

10. DATA USE

11. Policy to Program Operations Declining school enrollment among children orphaned or made vulnerable by HIV/AIDS

12. Policy to Program Operations Declining school enrollment… Revised national policy on educational support for MVC

13. Policy to Program Operations Declining school enrollment… Revised national MVC policy National budget line item for educational support for MVC

14. Policy to Program Operations Declining school enrollment… Revised national MVC policy National MVC budget Select priority districts Budget allocations for each district Select priority districts Budget allocations for each district

15. Policy to Program Operations Declining school enrollment… Revised national MVC policy National MVC budget Select priority districts Select local organizations and design activities

16. Policy to Program Operations Declining school enrollment… Revised national MVC policy National MVC budget Select priority districts Select local organizations Train community workers Identify households Implement activities Train community workers Identify households Implement activities

17. Policy to Program Operations Declining school enrollment… Revised national MVC policy National MVC budget Select priority districts Select local organizations Implement activities Monitor progress Identify problems Monitor progress Identify problems

18. Policy to Program Operations Declining school enrollment… Revised national OVC policy National OVC budget Select priority districts Select local organizations Implement activities Monitor progress Modify budgets, activities

19. Decisions and Information Flow Declining school enrollment… Revised national OVC policy National OVC budget Select priority districts Select local organizations Implement activities Monitor progress Modify budgets, activities

20. PROVIDING FEEDBACK

21. Quarterly Performance Indicators #IndicatorNumeratorDenominatorPercentage ART 1% of eligible clients placed on ART # of new clients on ARTSum of # of new clients on ART and clients on ART waiting list 100% 39 2% of current ART clients# of active clients on ART# of cumulative clients on ART 92% 16201765 3% of ART clients in 6- month cohort undergoing repeat CD4 testing # of clients for whom repeat CD4 testing was done at 6 months Total # of active ART clients in 6- month cohort 94% 147156 Pediatric ART 1% of children currently on ART # of active children on ART# of cumulative children on ART 78% 4558 ART Care Follow-up 1% of non-active ART patients who have stopped ART # of patients who stopped ART# of non-active ART patients 0% 0145 2% of non-active ART patients who transferred out # of patients who transferred out# of non-active ART patients 6% 8145 3% of non-active ART patients who died # of patients who died# of non-active ART patients 73% 106145 4% of non-active ART patients who have been lost to follow-up # of patients who have been lost to follow-up. # of non active ART patients. 16% 23145

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23. MEASURE Evaluation is a MEASURE project funded by the U.S. Agency for International Development and implemented by the Carolina Population Center at the University of North Carolina at Chapel Hill in partnership with Futures Group International, ICF Macro, John Snow, Inc., Management Sciences for Health, and Tulane University. Views expressed in this presentation do not necessarily reflect the views of USAID or the U.S. Government. MEASURE Evaluation is the USAID Global Health Bureau's primary vehicle for supporting improvements in monitoring and evaluation in population, health and nutrition worldwide.