Monitoring &Evaluation System in Health Program

Brief overview of NACP Reporting units and quality aspects Data sets Learning/ Analysis of the data sets M&E framework Developing M&E system

Goal: To halt and reverse the epidemic in India by The objectives of NACP-III are: o Prevention of new infections (saturation of HRG coverage and scaling up interventions for the general population) o Increased proportion of PLHA receiving care, support and treatment o Strengthening capacities at district, state and national levels o Building strategic information management systems NACP-III

Targeted Interventions STI care Condom promotion Enabling environment Blood safety Integrated Counselling and Testing PPTCT STI care IEC and social mobilisation Mainstreamin g ART HIV-TB co-ordination Treatment of opportunistic infections Community care centres Post-Exposure Prophylaxis HIV Sentinel Surveillance Behavioural Surveillance Monitoring and Evaluation Operations research DAPCU Technical resource groups Enhanced HR at NACO, SACS and districts Enhanced training activities Prevention High risk populations Low risk populations Care & support Monitoring and Evaluation Institutional Strengthening Care, Support & Treatment Strategic Information Management Capacity Building NACP-III at a glance

Approximately Units are capturing and sending the Program Data

Trends of sero-positivity among PPTCT and ICTC (general clients)

Trends of STI data in Interventions among HRGs

Targeted Intervention program – Syphilis screening HRGs

HRG- Condom distribution

Targeted Intervention program => % Condom distributed

What did we learn from the above data sets? What indicators we need to capture Whether triangulation of data is possible to do Program analysis How the Program implementation is going on What are the Program gaps Where the intervention focus should be and why What all interventions are needed and by whom

DATA – quality Timeliness Regularity ConsistencyCompleteness Quality

System Based M and E Framework InputProcessOutputOutcomeImpact Policy, People, Equipments, Kits, Consumables etc Training, Logistics, Establishing Facilities, Counseling Referral etc, No. Condom distributed, No. HIV Testing, No. People Trained etc Behavior, Attitude and, Practice Change Reduction in HIV/AIDS Transmission

High Prevalence of STI cases  Health care providers.  Health care facilities  STI medicines  Outreach staff  Identification of Health care providers.  Identification / establishing of Health care facilities  Training of health care providers and outreach staff  Procurement of STI kits  Availability of IEC materials  of health care provider identified  of health care services identified and established  STI kits available at each of the health care centers  # Health care providers trained to administer medicine  Increase knowledge on STI care and treatment Decrease in incidence of STI cases Problem Inputs Process Impact Outcome Output Health care providers providing quality STI services.  clients being treated for STI services.  clients given STI kits.  Improved knowledge on STI care among clients Illustration for Input, Process, Output, Outcome, and Impact

What do we need to do Identify the areas where interventions are planned Identify the structures doing interventions Identify appropriate indicators – inputs, process, output, outcome and impact indicators Develop the system of collecting these indicators ANALYSE these indicators at Facility Level, Monitoring level and Policy Level structures BASED ON THE ANALYSIS BRING IN CHANGES IN POLICY, IMPLEMENTATION and INTERVENTIONS

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