1. Planning M&E to Tell Our ACSM Story

2. Objectives Discuss how ACSM activities can address barriers to help reach national TB control targets. Describe how ACSM planning and M&E planning connect to tell the story of ACSM activities. Describe the main steps of ACSM and M&E planning. Explain the purpose and content of an M&E plan.

3. BARRIERS Individual and Group Levels System Level POOR KNOWLEDGE OF TB SYMPTOMS POOR KNOWLEDGE OF TB CARE AND CURE STIGMA RELATED TO TB DIAGNOSIS LOW RISK PERCEPTION MISPERCEPTION OF COSTS PREFERENCE FOR NON-DOTS SERVICES ATTITUDE ABOUT HEALTH SERVICES STIGMA NORMS POOR KNOWLEDGE OF DIAGNOSTIC STEPS EXPECTATIONS ABOUT MEDICAL SERVICES (GET MEDS NOT TESTS) POOR KNOWLEDGE OF LENGTH OF TREATMENT STIGMA POOR KNOWLEDGE OF LENGTH OF TREATMENT STIGMA POOR KNOWLEDGE OF LENGTH OF TREATMENT STIGMA SEEK CAREGO TO DOTS COMPLETE DIAGNOSIS BEGIN TREATMENT COMPLETE TREATMENT (AND FOLLOW-UP SMEARS) COMPLETE TREATMENT (AND FINAL SMEAR) TIME, COST, DISTANCE TO DOTS FACILITY LACK OF LINKAGE BETWEEN DOTS AND OTHER PROVIDERS (NON-DOTS AND HIV CARE) MISSED DIAGNOSIS AND/OR LACK OF REFERRAL BY NON-DOTS PROVIDERS PROVIDERS POOR KNOWLEDGE OF CORRECT PROCEDURES PROVIDERS POOR INTERPERSONAL COMMUNICATION SKILLS LACK OF RESOURCES (INCL. HUMAN RESOURCES) TIME, COST, DISTANCE TO DOTS FACILITY POOR QUALITY OF SERVICES HEALTH PROVIDERS FAIL TO GIVE ADEQUATE INFORMATION LACK OF MEDICATION TIME, COST, DISTANCE TO DOTS FACILITY POOR QUALITY OF SERVICES HEALTH PROVIDERS FAIL TO GIVE ADEQUATE INFORMATION LACK OF MEDICATION TIME, COST, DISTANCE TO DOTS FACILITY POOR QUALITY OF SERVICES HEALTH PROVIDERS FAIL TO GIVE ADEQUATE INFORMATION LACK OF MEDICATION

4. NTP Goal: Reduce TB incidence and mortality. Challenge: Treatment success rate is low among urban poor Barrier: Urban poor do not visit DOTS clinic because they are treated poorly by staff Activity: Train urban clinic TB doctors on IPCC Outcomes: increased patient satisfaction, > treatment adherence, > treatment success rate NTP Objective: By 2014, improve treatment success by 10% in District Y Communication Objective: By Dec 2013, improve interpersonal communication and counseling (IPCC) skills of TB doctors in District Y.

5. Strategic Plans versus Action Plans STRATEGIC PLAN Template, some narrative Short-term (one year) Activities Who will do what Puts strategies into action WORK/ACTION PLAN Narrative Long-term (NTP plan) Big-picture strategies Who will do what, plus why and how Aligns ACSM with national TB control strategies, priorities, and changing environment

6. Strategic PlanAction Plan or Work Plan Objective 1.1 Create a national ACSM network of TB professionals and mechanisms for ACSM coordination. 1.1.1 Establish ACSM Workgroup. Define member roles and coordinating mechanisms. ACSM Workgroup formed. Roles and mechanisms defined. X Eka 1.1.2 Identify 10 regional contact persons. 10 contact persons identified. X Eka 1.1.3 Train 10 regional contacts in ACSM. 1 training held. 10 ACSM contacts trained. X Eka 1.1.4 Conduct 10 regional ACSM trainings with 80 TB stakeholders. 10 trainings held. 80 TB stakeholders trained. XX Eka 1.1.5 Create electronic ACSM listserve. Listserve created. X Eka 1.1.6 Send 10 quarterly listserve updates to network members. 10 updates submitted. XXXXXXXXXXEka Objective 1.2 Mobilize local NGOs to participate in ACSM activities. 1.2.1 Recruit 4 local NGOs. 4 NGOs recruited.X (continue as needed) Nin o

7. Strategic Plan: Typical Outline Executive Summary Current Epidemiology Data on TB TB Control: Current Efforts, Challenges, and Gaps Overview of ACSM in TB prevention and care ACSM Strategy (2013-20__) Alignment with National and International TB Control Objectives and Gap Analysis ACSM Objectives and Activities Monitoring and Evaluation Budget

8. ACSM Action Plan: Template NTP Goal and Objective ACSM Objectives Activities Inputs Outputs Responsible Staff/Nongovernmental Organization Timeline

9. Why is our work important? What have we accomplished? Who needs to know about this? What do we want them to know? M&E Planning Telling Our Story

10. Conduct ACSM needs assessment Develop ACSM action plan Create M&E framework Draft M&E plan Conduct routine monitoring Conduct evaluation Apply results to ACSM planning M&E for ACSM Steps in Planning and Implementation PHASE 1: PLANNING PHASE 2: IMPLEMENTATION

11. M&E Plans: Master Strategy M&E Plan FrameworkIndicators Data Collection Data Quality Data Use and Reporting Evaluation Strategy Budget