Monitoring and Evaluation in HIV Programs

Basic HIV Course for Health Professionals Session 15: Monitoring and Evaluation

Learning Objectives By the end of this session participants should be able to: Explain the purpose of monitoring and evaluation Identify different data collection tools Explain the usage of data transmission, analysis and reporting

Purpose of Monitoring and Evaluation The purpose of monitoring and evaluation in the context of HIV is to: Strengthen monitoring and evaluation of the ART programme Provide monitoring and evaluation guidance to the consolidated ART guidelines

Overview of Monitoring and Evaluation (1) Monitoring and evaluation activities allow health facilities, the health department at all levels, and their partners to assess the extent to which the ART programme is: being implemented and achieving the intended objectives achieving targets

Overview of Monitoring and Evaluation (2) Planned and systematic data gathering, analysis and interpretation are essential for: Monitoring clinical care Patient outcome improvement Logistical appropriateness Program cost-effectiveness Performance measures and improvement Monitoring effectiveness and quality of services

What is Monitoring? A continuous function that uses the systematic collection of data on specified indicators to provide management and the main stakeholders of an ongoing development intervention with indications of the extent of progress and achievement of objectives and progress in the use of allocated funds

What is Evaluation? The systematic and objective assessment of an ongoing or completed project, program or policy including its design implementation and results

Data Collection Tools (1) To facilitate standardised and systematic monitoring, it is compulsory for ART (including paediatric and antenatal care) service points to utilise the approved monitoring data collection tools Clinicians treating patients should ensure that all required data collection tools are completed in detail Ccollection tools can be paper based or electronic (Tier. Net)

Data Collection Tools (2) Refer to pages 193 195 of your participant manual to review definitions of all of the data collection tools

Data Transmission, Analysis, Reporting, and Usage (1) The responsibility for data collection, analysis, management, reporting and usage rests at four levels: facility/hospital outreach/mobile services sub-district/district province and national

Data Transmission, Analysis, Reporting, and Usage (2) The process of data management involves: Clinical documentation by clinicians and pharmacists Service provision capturing in register Data entry by data capturer Data aggregation/collation Data analysis Reporting by program coordinator Data usage

Reporting (1) Reports required by different organisations will be passed up the national monitoring and evaluation reporting channels Reporting is bi-directional. Monitoring and evaluation data, whether analysed or raw must be utilised and reported to the section responsible for corrective action Principles of continuous quality improvement dictate that monitoring and evaluation data not be used punitively nor accessed for anything else, including the courts, other than for performance and quality of care improvement action

Reporting (2) Information from the prescribed records and registers is compiled and used to populate various monitoring reports, which are forwarded to the Sub-district, District and National Departments of Health Monthly and quarterly reports should be forwarded to the next level of reporting according to the district health management information system (DHMIS) policy

Any Questions? Thank you!