2. New M&E Requirements Increased Accountability USA versus South Korea

3. Why?? Increased Attention –The White House, the Congress, the Press, other stakeholders Weekly testimony or meetings with staffers 245 Q & As last year Increased Resources – Congress, the Global Trust Fund

4. As a result … Greater Scrutiny –GAO –OMB –Inspector General

5. More Congressionally-Mandated Reports 2001: Three HIV/AIDS Reports – HIV/AIDS – Mother to Child Transmission – Orphans & Vulnerable Children 2002: Three HIV/AIDS Reports – HIV/AIDS – IAVI – Global Fund 2003: Eleven HIV/AIDS Reports in the Draft Legislation

6. But currently… Can’t report on a set of standard indicators at the national level Can’t show consistent trend over time Can’t show progress systematically at the project level

7. In response … Expanded Reporting Requirements National HIV Sero-prevalence Rates – ( BUCEN) National Level Change in Sexual Risk Behavior – ( DHS+) USAID-Assisted Program Progress & Coverage – ( Synergy)

8. HIV/AIDS Seroprevalence Rates By 2007, annual reporting for all rapid scale up and intensive focus countries Rates for 15-24 year olds USAID collaborators - CDC, WHO, UNAIDS have the lead in strengthening national surveillance systems

9. National Change in Sexual Risk Behavior First standardized national survey by 2002 or 2003 Repeated at least every 3-5 years Report on –Number of sex partners –Condom Use at Last Risky Sex –Median age at First Sex

10. USAID -Assisted Program Areas Condom Social Marketing – Condom sales -VCT Programs –# clients –# VCT centers STI Services –# clients –# clinics OVC Programs –# OVC @ care –# Programs MTCT Programs –# H+ women @ ARV –# facilities Care & Support –# H+ Receiving care –# programs ARV Treatment –#HIV+ @ ARV

11. Not all Reporting Indicators Should Be Performance Indicators Missions need to collect & report on all the relevant standard indicators Missions should not automatically use these indicators as their performance indicators Some reporting indicators will be –above manageable interest – move too slowly to achieve measurable change within strategy period

12. To Achieve National Impact Does not require covering all populations and all geographic areas, especially in low prevalence countries Does require identification & estimation of critical population Does require reaching and targeting critical populations

13. Surviving Audits Pay attention to your PMP –Complete –Up to Date Understand requirements for quality assurance Document, document, document

14. USAID/W Assistance Let us know your needs We can assist –virtually –directly - TDY help from GH, AFR and CA staff –training –some support for surveys and other data collection

15. But please … Priority countries will need to use portion of their increased budget on M&E!

16. Don’t forget the 3 Cs! Collaboration Coordination Cooperation UNGASS, Millennium Development, Global Trust Fund, World Bank MAP, Expanded Response

17. We are only an email away!!!