1. Engagement Strategies for Monitoring & Evaluation
Lisa V. Adams, MD
E&E Regional Workshop
Kiev, Ukraine
May 23-26, 2006

2. M&E Strategies Technical strategy Engagement strategy Data collection
Reporting system
Training
Engagement strategy
Motivation of staff to participate – where is the resistance?
Creating a culture of information
Data submission vs. data collection
Feedback mechanism (data flow=bi-directional)
E&E Regional Workshop on Monitoring and Evaluation of Tuberculosis Programs

3. Successful Engagement
Polio eradication
- National Immunization Days
HIV-surveillance and program-monitoring
- Links to activism TB
- Examples, please?
E&E Regional Workshop on Monitoring and Evaluation of Tuberculosis Programs

4. Advocacy 2005 Global TB Report Are there linkages?
Weak political commitment
Insufficient funds
Low public awareness
Weak M&E systems
Are there linkages?
E&E Regional Workshop on Monitoring and Evaluation of Tuberculosis Programs

5. Synergy: Programmatic Strengths & Weaknesses Accountability
Political Commitment
$$$
Monitoring & Evaluation
Priorities for Action
Synergy between M&E and political commitment – what is the relationship?
Already spent time on function of M&E to facility priority setting, identify programmatic strengths and weaknesses, important role of accountability.
How does it relate to political commitment?
Implementation of New Strategies
E&E Regional Workshop on Monitoring and Evaluation of Tuberculosis Programs

6. Low Public Awareness….
TB often remains neglected a public-health issue
TB has an image problem!
- Stigma
Needs higher profile, and to highlight successes as well as challenges
Effective advocacy
E&E Regional Workshop on Monitoring and Evaluation of Tuberculosis Programs

7. Conclusions What lies beyond reporting, M&E plans?
Capacity building (in M&E and in general)
Understanding of why managers collect all this data
Strengthening M&E systems
Keeping TB M&E on the radar screen
Remember: M&E system is what allows you to demonstrate program effectiveness
E&E Regional Workshop on Monitoring and Evaluation of Tuberculosis Programs