Strengthening the m&e system of soroti integrated hiv/aids and malaria project of amref uganda Joel Denis Sama Academic Supervisor: Dr. Solome Nampewo MUSPH-CDC Fellowship Program, Hotel Africana, 14 th August 2009 g 1 n i p o l e v e D
Outline Introduction and Background Project Problem & Rationale Project Objectives Project Implementation Project Outcomes Lessons Learnt Challenges Recommendations Next Steps Acknowledgements g 2 n i p o l e v e D
Introduction and Background African Medical & Research Foundation (AMREF) is >50 years, has existed in Uganda for over 20 years Aims to close the gap between communities and health systems Integrated HIV/AIDS and Malaria Project in Soroti, aims at improving the health and economic status of the community in Soroti district through capacity-development and partnership. District Steering Committee (DSC) oversees, monitors, supports and guides the project implementation Project Managers and Officers are mainly responsible for M&E and reporting (monthly, quarterly and annual) g 3 n i p o l e v e D
Problem Statement & Rationale Problem: The M&E system of Soroti Integrated HIV/AIDS and Malaria Project was incomplete and not strong enough: no documented M&E plan; data collection tool was incomprehensive; project staff & DSC members had inadequate understanding M&E functions. Rationale Strengthening the M&E system of this project would improve performance measurement, systematic review and re-planning, reporting & documentation g 4 n i p o l e v e D
Project Objectives General Objective To strengthen the M&E system of Soroti Integrated HIV/AIDS and Malaria Project of AMREF Uganda so as to improve performance measurement, systematic review and re-planning, reporting and documentation by the project staff and DSC members. g 5 n i p o l e v e D
Project Objectives Specific Objectives 1. To review project indicators 2. To develop an M&E plan for the project 3. To update data collection tool of the project 4. To increase understanding of project staff and DSC members in M&E related functions g 6 n i p o l e v e D
Project Implementation Objective 1: To review project indicators 1. Document review (NPMMP 2007-12, project logframe, indicators of other organisations, etc) 2. Outcome and impact indicators mapped out 3. New indicators introduced and defined 4. M&E Logical framework developed and shared with other project staff and DSC members g 7 n i p o l e v e D
Project Implementation Objective 2: To develop an M&E plan for the project 1. Document review (project strategy, AMREF strategy, M&E systems of other organisations, etc) 2. M&E plan developed and shared with other project staff and DSC members g 8 n i p o l e v e D
A SECTION OF M&E LOGICAL FRAMEWORK Reporting Year of Indicator Definition and Unit of Baseline Project Targets Sources of data Data collection Activity Indicator Baseline Responsibi Measure Measure methods Frequency Data lity Objective 2: Develop integrated community-based models to prevent, treat and mitigate the impact of HIV/AIDS, malaria and water and sanitation related diseases Definition: Number of households Household that own one or more mosquito nets surveys, project Interviews Project staff Percentage of households that own (treated or untreated) / Total number reports, baseline one or more mosquito nets (treated 84% 2004 94% Document Annually DSC of households in the project area * survey, mid-term or untreated) reviews Consultant 100 evaluation, final Unit of measure: percentage evaluation 1. Procurement and distribution of ITNs Definition: Number of pregnant Household women who sleep under an surveys, project insecticide-treated bed net (ITN) in reports, baseline Interviews Project staff Percentage of pregnant women who project supported sub-counties *100 survey, mid-term 87% 2004 97% Annually DSC sleep under an insecticide-treated Document / Total number of pregnant women in evaluation, final bed net (ITN) reviews Consultant the survey in project supported sub- evaluation, ITN counties distribution Unit of measure : Percentage records g n i p o l e v e D
Overview of M&E Project… Project Implementation Objective 3: To update data collection tool of the project Reviewed existing data collection tool and identified gaps Up-to-date and separate data collection tools developed for project staff and DSC members Updated data collection tools shared with other project staff and DSC members g 10 n i p o l e v e D
Project Implementation Project Staff and DSC members discussing the Draft M&E Plan, Indicators and Data collection tools in a workshop g 11 n i p o l e v e D
A SECTION OF OLD TOOL AREA OF INTERVATION ASSESMENT AREAS/VARIABLES/ISSUES Yes No Planning and support issues Are there approved work plans at sub county Do approved work plans of the sub county reflect HIV/AIDS Malaria Water and sanitation as priority issues Evidence of PDC activities reflected in sub county plans Do sub counties conduct joint meetings with CORPs and PDCS (confirm with minutes) Do HMUC meet quarterly ( confirm with minutes of last meeting) Evidence of support by sub county and health unit to CORPS and PDCS Are community health activities reflected in health unit work plans as priority activities Does health unit have outreach schedules Who are the key players in outreach activities Include other observations if any in blank space Health promotion activities Are health education talks given to clients on daily basis Availability of health promotion schedules at sub county/ health unit Are health messages in strategic places for every one to see Are the posters on the following topics available and clearly posted for clients to see? HIV/AIDS Malaria Water and sanitation TB Are there records of people who are counseled At health units By CORPS Evidence on use of integrated communication tool kit (briefly state how it is used) Other observations g n i p o l e v e D
A SECTION OF ONE OF THE NEW TOOLS Questions Data source/ respondents Objective 1: Develop capacity of local structures to implement PHC services particularly diagnosis and management of HIV/AIDS, malaria and water and sanitation related diseases Number of PDCs trained by the project:__________________________ PDC training reports 1. Did your PDC hold a quarterly meeting in the previous quarter? 1) Yes 2) No 2. PDC Chairperson or member 1. Does your PDC have a 3 year work plan? (If yes, observe work plan and check for representation of needs of communities including HIV/AIDS, Malaria, TB and PDC Chairperson or Watsan as priority issues and comment below) member _________________________________________________________________________________________________________________________________ _________________________________________________________________________________________________________________________________ 1. Does your PDC have a 1 year operational work plan? (If yes, observe work plan and check for representation of needs of communities including HIV/AIDS, Malaria, TB and Watsan as priority issues and comment below) _________________________________________________________________________________________________________________________________ _________________________________________________________________________________________________________________________________ 1. Are your work plans (3 & 1 year plans) approved by the sub-county? (If yes, observe work plans and check for signs of approval and comment below) 1) Yes 2) No _________________________________________________________________________________________________________________________________ Does your PDC have an operational monitoring plan? (If yes, observe monitoring plan and check relevance of activities) 1. _________________________________________________________________________________________________________________________________ _________________________________________________________________________________________________________________________________ g n i p o l e v e D
Project Implementation The updated data collection tools pre-tested and used Project staff conducting an DSC Member interviewing a interview with household VHT member members g 14 n i p o l e v e D
Overview of M&E Project… Project Implementation Objective 4: To increase understanding of project staff and DSC members in M&E related functions Assessed M&E capacity and training needs of Staff and DSC Members Appropriate training content developed Project staff and DSC members trained in M&E MUSPH-CDC Fellowship Program facilitator, Dr. Ramadhan Hizaamu, facilitated at the training workshop. g 15 n i p o l e v e D
Project Implementation Project Staff and DSC members in M&E training session g 16 n i p o l e v e D
Project Outcomes M&E activities are more focussed. Improved tracking of progress in achieving project objectives Increased partnership with stakeholders. Increased understanding of M&E among project staff and DSC members Increased capacity of stakeholders for project sustainability. Improved documentation of project outcomes, best practices and lessons. g 17 n i p o l e v e D
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