Towards a model M&E system for AIDS programs Kampala April

Steps in development and implementation of AIDS M&E system Development of M&E strategy and M&E plan Develop mechanisms for implementation and production of results Implementation of plan

Establish / strengthen M&E committee Subcommittee under AIDS Commission or AIDS Council with representatives from (preferably M&E practitioners): –AIDS Commission (chair) –Sectoral ministries (Health (2), Education, Agriculture and others) –Leading AIDS NGOs –Academia (epidemiology, social sciences, communication) –Bilateral donors / international organizations –People living with HIV/AIDS Ensure resources for AIDS M&E Committee Stage 1

M&E Situation Analysis Objectives and Contents Objectives: –To identify existing M&E practices, indicators, and data sources for HIV/AIDS in each sector –To identify gaps where indicators will need to be developed and data sources identified for the M&E plan of the national AIDS program –To assess M&E capacity and needs for capacity development Includes: –multiple sectors, donors, NGOs and private sector; –dissemination as M&E practice –assessment of different levels (community, district, regional, national) Stage 2

M&E Situation Analysis Methods Desk review: essential government and non- government documents Interviews with stakeholders in government (various sectors), private organizations, NGOs, international organizations and agencies (guidelines for interviews to systematically obtain information on M&E practices and indicators) Interviews with stakeholders at regional and district levels and with community organizations Stage 2

Develop M&E plan Framework, Indicators, Data Collection Draft M&E system with framework, indicators and data collection methods, linked to the national strategic plan (e.g. with help of consultants for NAC); also include dissemination and data use plan Broad stakeholder workshop to review draft (2 days) Finalize M&E plan based on workshop inputs and obtain approval for final draft Publish and disseminate, including decision-makers Stage 3

Develop Capacity for Implementation of M&E Plan Develop strategy to build and maintain capacity in M&E at national and subnational levels, and in multiple sectors Develop forms and guidelines for M&E at different levels: operational manual based on M&E plan Establish ties with national and international expertise in M&E to support implementation of M&E plan Training of staff at different levels Stage 4

Mechanisms for Management and Quality Control of M&E Activities Develop data base for national and subnational indicators and report generation Carry out regular assessments of quality of M&E reporting at district (and regional) level and sectors (bi-annual system, each year half of the districts) Carry out regular assessments of quality of program monitoring Establish feebdack mechanisms! Stage 5

National AIDS Commission NAC M&E Technical Committee Implementing organizations (NGOs, CBOs, private sector etc.) Reporting structure: Financial and programme monitoring Regional AIDS Committee District AIDS Committee National level Ministries NGOs Private sector

National AIDS Commission NAC M&E Technical Committee Implementing organizations (NGOs, CBOs, private sector etc.) Reporting structure: Financial and programme monitoring + outcome / impact assessment Regional AIDS Committee District AIDS Committee National level Ministries NGOs Private sector MoH Surveillance (HIV,STI) National and subnational surveys (general pop, target groups, facilities)

Input Process Output Outcome Impact Frequency of data collection for key indicators HIV/STI surveillance and surveys Household and target group Surveys Facility surveys Programme Monitoring (including finance) Monthly / Quarterly Every 2-3 years Annual

Example of a national level data collection system Routine information system & surveillance Facility survey Facility survey DHS AIDS survey Risk group survey: BSS/PLACE Risk group survey: BSS/PLACE District rapid assessment