1. Program data and standards of care to support transition planning in Mozambique M&E Tecnhical Meeting Johannesburg, South Africa July 29 th Maria Fernanda Alvim

2. ICAP Supported Provinces in Mozambique Gaza: 4 districts Inhambane: 9 districts Maputo City: 2 districts Nampula: 9 districts Zambezia: 5 districts

3. Mozambique Transition Goals » Goal 1 – Transition responsibility for selected ICAP- Mozambique activities to Government of Mozambique (GOM) at multiple levels for health system strengthening (HSS) and sustainability Planning - Technical Areas (ART, PMTCT, TB, CT, Adherence, Peds,, Lab, Pharmacy) » Goal 2: Establish a new Mozambican NGO to facilitate transition by strengthening civil society

4. Planning Process » Step #1: Site meetings to discuss Health Facility Reports prepare by ICAP team » Step # 2: ICAP conducts district team meetings » Step #3: ICAP conducts joint provincial and district meetings Objective: Elaboration of transition workplans with full agreement by District DoH (DDS), Provincial DoH (DPS), and ICAP

5. Support Tool for Work Plan: Health Facility Reports (1) Slideset used for discussion in technical meetings at site, district and provincial-levels including: Results of comprehensive site assessment conducted by ICAP and multidisciplinary site team: space, equipment, infrastructure, patient flow, clinic organization, staffing and human resources Routinely collected key program indicator data in graphic and tabular format (developed by M&E): Indicators: New enrollment on ARV, Exposed Child that initiated CTX, PMTCT cascade, etc MOC CS Bagamoio.ppt MOC CS Bagamoio.ppt

6. Support Tool for Work Plan: Standard of Care results (2) Results from regular semiannual SOC assessments (exercice condutct by clinical team): Adulto SOC CS Bagamoio JSS May 2010 Para encadernar.xls Adulto SOC CS Bagamoio JSS May 2010 Para encadernar.xls

7. Inhambane Transition Planning Meeting, July 2010

8. Support Tools for Work Plan:Planning template(3) Data analysis of potential causes planned activities Homoine Planificacao 1.xls Homoine Planificacao 1.xls » Needs templates Human resources Equipments and supplies Renovations » Budget template Mapa de orcamentacao - Inharime.xls Mapa de orcamentacao - Inharime.xls

9. Support Tools for Work Plan:Planning template(3) Data analysis of potential causes planned activities Homoine Planificacao 1.xls Homoine Planificacao 1.xls » Needs templates Human resources Equipments and supplies Renovations » Budget template Mapa de orcamentacao - Inharime.xls Mapa de orcamentacao - Inharime.xls

10. Lessons learned Health Facility Reports and Standards of Care are useful tools for transition planning: Promoted programmatic data-driven discussion Buy-in for transition of CQI activities to MOH Identified special needs on planning capacity building at districts and provincial level

11. Next steps Standardize graphics and tables (slide set) to include in all health facilities reports; Capacity building in data analysis; Develop a M&E framework at site and provincial level to monitor the transition process (outputs and outcomes indicators and targets)