Introduction to Monitoring and Evaluation for National TB Programs 20 September 2005.
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Introduction to Monitoring and Evaluation for National TB Programs 20 September 2005
Overview What is monitoring and evaluation (M&E)? How can you use M&E for program management? Practical applications of monitoring and evaluation
What is M&E? Data collection? Reporting? Analysis? Supervision? Policy support Program design & implementation Systematic “Working smarter, not harder”
Definitions Monitoring is the routine reporting of data on program implementation and performance Evaluation is the periodic assessment of program impact at the population level and value
Monitoring Has the program been implemented according to the plan? Are there any changes in program resources or service utilization? Are there any weaknesses in the implementation of the program? Where are the opportunities to improve program performance?
Evaluation Are there any changes in behavior or health outcomes in the target population? To what extent are observed changes in the target population related to program efforts?
“Improve the quality and quantity of staff involved in TB control” Decrease average number of days from identification of TB suspect and initiation of DOT Training of health workers to identify and refer TB suspects for sputum testing in a timely fashion GFATM implements supply chain activity to keep labs stocked and avoid delays in testing sputum ?
Monitoring vs. Evaluation Level of measurement: Monitoring Data come from routinely reported data Example: Monthly service statistics Evaluation Data are measured at the population level Example: Prevalence of MDR-TB in Country X
estimated TB cases all true TB cases cases presenting to health facilities cases presenting to public health facilities cases presenting to DOTS facilities cases correctly diagnosed by DOTS facilities diagnosed cases reported by DOTS facilities Chris Dye, 2002 The “ONION”
Why is M&E important for National TB Programs? To follow epidemiological trends in TB To identify strengths and weaknesses in program design and/or implementation To address changing priorities To convince policy makers of the need for action and financial and human resources
Uses of M&E for program management (1) Informs decisions about program operations and service delivery Ensures effective and efficient use of resources Determine whether or not the program is implemented according to plan
Uses of M&E for program management (2) Meets reporting requirements by different agencies and government sectors Evaluates the extent to which the program/project is having or has had the desired impact