1 / 20

M&E-The Ethiopian Experience

M&E-The Ethiopian Experience. MERG Meeting Geneva,Switzerland Oct. 25-26,2004 Dr. Wuleta Lemma, CDC/Tulane/WB M&E and Surveillance Advisor, HAPCO/MoH. Outline. Background M&E---Case Study After Bangkok New Development. Status of HIV/AIDS . Background-Ethiopia.

benjamin
Download Presentation

M&E-The Ethiopian Experience

An Image/Link below is provided (as is) to download presentation Download Policy: Content on the Website is provided to you AS IS for your information and personal use and may not be sold / licensed / shared on other websites without getting consent from its author. Content is provided to you AS IS for your information and personal use only. Download presentation by click this link. While downloading, if for some reason you are not able to download a presentation, the publisher may have deleted the file from their server. During download, if you can't get a presentation, the file might be deleted by the publisher.

E N D

Presentation Transcript

  1. M&E-The Ethiopian Experience MERG Meeting Geneva,Switzerland Oct. 25-26,2004 Dr. Wuleta Lemma, CDC/Tulane/WB M&E and Surveillance Advisor, HAPCO/MoH

  2. Outline • Background • M&E---Case Study • After Bangkok • New Development

  3. Status of HIV/AIDS

  4. Background-Ethiopia • People living with HIV/AIDS ……..…………….….. 1.5 million • Estimated percent of adults (15–49) infected with HIV ….. 4.4% • Rural = 2.6%; Urban = 12.6% • Cumulative deaths due to AIDS ………………..…... > 1 million • Children infected and living with HIV ………………... 96,000 • Cumulative number of children orphaned by AIDS …... 540, 000 • Number of pregnant women living with HIV …………. 130,000 • Number of PLWHA needing ART ……………………. 245,000

  5. Weighted urban HIV prevalence: 12.5%

  6. : 2.8% (2004) 2004 prevalence range: 1.0% - 5.2% Assumed start of rural HIV epidemic: 1984

  7. No. HIV-pos, 2003: Female: 810,000 Male: 650,000 Total: 1.5 million

  8. M&E-The Ethiopia experience

  9. Challenges to “One M&E System” • No M&E unit at the national level • Indicators not harmonized- Everybody have their own – Ministries, Donors, CSO etc • No unified data collection formats- Organizations have their own different formats for similar indicators- “Same person ” at lower fills it all !!!! • Different report-Information Flow • Limited not unified capacity building plan -- including training and human capacity at all levels to role out a national M&E system • Non existence of an integrated data base (including HMIS) • Surveillance more developed than Program Monitoring • Limited Budget for M&E • Non-existent and disjointed Evaluation plan • Infrastructure (road, telecommunication, networking, etc) varies from region to region

  10. M&E-2003-present • M&E Department at national ( 5 Staff ), Regional HAPCOs and district focal persons. M&E team includes MoH • Secured budget (MAP,GF, PEPFAR and Others) • Comprehensive training plan for all regions developed – ToT manual to follow • Equipment (Computers & accessories) for all regional M&E Departments and all new ART sites- Take advantage of Woreda net • National M&E Framework (with indicators, methods of data collection, Information flow, who collects what etc) after extensive consultation published in December 2003 and distributed to all Regions, NGOs, FBOs & Donors

  11. M&E 2003-present • National M&E Operational Plan with detail M&E Formats for all program activities • Assessment of National Financial Monitoring System of NHAPCO • Harmonization of GF requirement with national Indicators • Consolidated Surveillance and M&E resourcemapping for MoH completed • Expanded Surveillance : 66 sites for 2003, almost twice the number sampled in 2001 (34 sentinel surveillance sites in 2001) • first BSS done/report distributed nationwide (>27,000 sample) • BBS-2 starting

  12. After Bangkok

  13. University Students • 2003/4 (1996 ET) M&E data collected • 2 University Students/ Region plus • ~2 per District (606 district) • Most regions completed • Information includes at Federal level --Sector Ministries, Bilateral, Multilateral and NGOs

  14. Example-Forms

  15. M&E Operational Manual-12 modules-meeting in Nov, 2004 (>150 people)

  16. Other-Opportunity/Challenge • Ethiopia approved for the largest GF (GF2+GF4 > $600M, PEPFAR around 50M/year) • ~10-12% for M&E(inc. HMIS) and Surveillance/year • FMoH- HMIS (HMIS and M&E Advisory Committee formed-Work stared) • LMIS • Lab Information system • Patient monitoring system • M&E National/Regional ToT training • Training on Medical Record

  17. The Network Model Formal Health System Levels Service Components ART Specialty care Acute Illness Care HIV Counseling and Testing Pain Management Tertiary Referral Hospitals ( 5) C O M M U N I T Y Regional / Zonal Hospital Uniformed Services District Hospital District Hospital District Hospital Health Center HIV counseling and testing, PMTCT, OI treatment and prophylaxis, TB dx , ART follow up, nutrition counseling and support, psychosocial support [ pain management] Health Center Health Center Health Center Transporters CSW Health Posts HEP: basic general health care CHWs Basic care, including pain and symptom relief Home based Care

  18. New Development/Strategies • HAPCO to Report to MoH • Implication on M&E not clear (assumed not much as the National M&E Framework was accepted in SPM) • Implication on structure not clear • Health Extension Workers (23,000 to be deployed in 5 years). 2005 M&E training planned • Performance based District Block grants

  19. Thanks!!!

More Related