1. Monitoring & Evaluation: Overview Sam Muhula CHAK-M&E Officer ACHA-P workshop

2. Do you ever wonder how -%age of ART clients in 6 month cohort undergoing repeat CD4 testing rose from 52% to 73% is come about? OR Prevalence of low birth weight in a country is 20%, Results from M&E efforts

3. What is M&E Process by which data is collected, analyzed in order to provide information to policy makers and others for use in program planning and project management

4. MonitoringEvaluation What do you do? Measures how well the program activities have met expected objectives? How much does implementation vary from site to site? Extent to which changes in outcome can be attributed to the program Did the program benefit the intended people? Focuses more on quality of program ongoing continuous process carried out at intervals collection of data at multiple points thr’out program cycle data collected at intervals determine if activities need adjustments to improve desired outcomes control group needed- change in outcome attributed to program

5. Graphic illustration of program monitoring over time

6. Intention is to reduce the gap Graphic illustration of program impact

7. Use of information Find out causes of attrition in our program – Lost To Follow Up- Community component – Death- find out major cause of death – Transferred out- why – Stopped ART- self or physician?

8. M & E functions YesNo Illustrates progress towards achievements Highlights successes & shortcomings management of useful information Provide information needed for planning & decision making Provides evidence of effects of interventions Set up feedback systems neutral × Used to “police” others and there work × determines failure × identifies those to punish × data manipulation to create false outcomes × data only reported upwards, and not used locally

9. M & E plans

10. M&E plan includes; Anticipated relationship between activities, outputs and outcomes List of data sources Cost estimates for M&E activities Responsible parties Monitoring schedule Indictor definitions Dissemination and utilization plan of information gained

11. M&E plan matrix ObjectivePerforma nce Indicators Indicator DefinitionData Sour ce Resp onsib le party Freque ncy of reports Target Values To facilitate south - south exchange & learning No. of facilitated visits conducted The indicator describes the facilitated exchange and learning visits among the south-south partners and CHAs for learning practical lessons from the experiences that exist Monthly /quarterl y/bi- annually /annuall y

12. Indicators Variable that measures an aspect of a program Measures the value of change in meaningful units Focuses in a single aspect of a program – Narrowly defined to capture the aspect as precisely as possible Can be quantitative or qualitative – Quantitative-numeric (Nos. or &ages) – Qualitative-descriptive (can be used to supplement the Nos. & %ages)

13. Indicators (cont) Qualitative indicators adds richness of information about the context in which the program has been operating – Examples; availability of updated CHAs directory, updated ACHAP website

14. Challenges with M&E Advance proper planning – M&E and programs do not communicate – Issues with budget – Not able to meet targets – Not able to evaluate program Different funders=different and ever changing monitoring &reporting requirements Inadequate understanding of what M&E is all about Poor reporting culture

16. Some online resources; Measure evaluation training website – http://www.cpc.unc.edu/measure/training http://www.cpc.unc.edu/measure/training Global health e-learning website – http://www.globalhealthlearning.org. http://www.globalhealthlearning.org