Module 8: Monitoring and Evaluation Gap Analysis and Intervention Plans

1. Module 8: Monitoring and Evaluation Gap Analysis and Intervention Plans

2. Learning Objectives • Perform M&E gap analysis by identifying current NDOH M&E challenges • Develop M&E intervention plan to begin implementing M&E best practices within NDOH HIV/AIDS programs • Identify lessons learned during the course

3. M&E Challenges

4. Illustrative Resources to Meet Challenges • Time! • Capacity-building • Technical quality and permanence of staff • Stakeholder commitment and participation • Collaborative exchange and dissemination of M&E results with partners and others • Technical assistance where outsourcing is cost-effective

5. Desired Performance Intervention Identification and Design Cause Analysis Gap Actual Performance Evaluation Intervention Implementation Performance and Quality Improvement Model Model Adapted from the International Society for Performance Improvement

6. M&E Gap Analysis in NDOH • Goal • National implementation of best practices in M&E • Key HIV/AIDS program indicator data are available in a timely manner on a routine basis • Measurable Objectives • Monthly summary report data from each facility matches totals calculated from logbooks • Monthly summary data are submitted from facilities to sub-district or district by first week of following month • Monthly summary data entered into DHIS • Each facility receives a quarterly feedback report

7. Motivation Incentives Resources, Capacity Knowledge, Skills, Information Appropriate Interventions Types of Causes Cause Analysis and Intervention Design Strengthening of Management Systems, Provision of Resources Training, Communication

8. Intervention: Incentives • How do we motivate: • Nurses to collect and enter accurate client data into logbooks? • Data capturers to enter data properly and on time? • HIV/AIDS program managers to provide feedback to facilities?

9. Intervention: Strengthening of Management Systems, Provision of Resources • How do we address M&E resource and capacity-building challenges? • Clarify stakeholders’ M&E-related reporting requirements • Put resources in place to assure data are available and analyzed correctly (staff, computers, supervision) • Develop Data Quality Assessment guidance and implement routine data audits

10. Intervention: Training, Communication • How do we address deficits in knowledge, skills and information? • Facilitate meetings to gather information about and document M&E quality gaps (completeness, timeliness, accuracy, dissemination and use of data) • Build fundamental M&E human capacity among program staff (M&E basics) • Build advanced M&E human capacity among program staff • Train staff in qualitative data collection methods

11. M&E Gap and Intervention Plan

12. Lessons Learned During the Course

13. Keep Improving YourM&E The better your M&E System, • the less time / effort M&E will require • the more clearly you will understand your results • the less difficult it will be to identify and correct problems in program implementation or activities • the more easily you will communicate your results • the more convincingly you will be able to demonstrate your program’s impact • the more quickly and appropriately resources can be directed to their most effective, efficient use • the simpler future strategic planning & program implementation, scale-up, or redesign will be