UNAIDS/S.NOORANI

1. Monitoring and Evaluation of HIV Programs for MSMLinking data to Program Planning, Implementation, and Advocacy Mauricio Cysne International Conference on HIV Infection in Hidden Groups Lisbon, March 28 2011 UNAIDS/S.NOORANI UNAIDS

2. Global M&E - UNGASS 2010 • Among 180 countries reporting globally this year to UNAIDS • MSM (along with IDU and SW indicator data) rank among the lowest in number countries reporting when compared with other general population indicators • Improving the number of countries reporting quality MSM (as well as IDU and SW data) is urgently needed to inform HIV prevention programmes UNAIDS

3. Monitoring & EvaluationWhat is it and why should we do it? • M&E is a framework for organizing, presenting and using information in order to help decision makers to better plan, develop, implement, and evaluate the program response to a given epidemic need. • A cyclical learning process • Through each cycle (Semi-annual, Annual, Biennial, or Multi-year) we seek to understand more so we can plan better, implement more effectively & efficiently, achieve greater outcomes and impact. • Programs are rarely ALL GOOD or ALL BAD • M&E helps us to understand what is working and what is not so that we can keep what works and make the mid-course corrections needed to fix or improve. UNAIDS

4. M&E Framework – Linking Data to Program Planning and Implementation UNAIDS

5. M&E Framework Using Data for Planning and Decision Making UNAIDS

6. M&E - Putting the Framework into PracticeLinking Data to Program Planning UNAIDS

7. M&E - Putting the Framework into PracticeLinking Data to Program Planning and Implementation UNAIDS

8. M&E - Putting the Framework into PracticeLinking Data to Program Planning and Implementation UNAIDS

9. M&E - Putting the Framework into Practice Linking Data to Program Planning and Implementation UNAIDS

10. M&E - Putting the Framework into Practice Linking Data to Program Planning and Implementation UNAIDS

11. M&E - Putting the Framework into Practice Linking Data to Program Planning and Implementation • Define • Numerator, denominator, disaggregation (age, gender) • Describe the variables that will be used to create your indicator as well as any equations or other definitional information required to calculate the indicator • Measurement tool • Surveillance, survey, program records? • Data collection frequency • Monthly, Quarterly, Annually, Biennially? • Responsibility • Who is responsible for what data and at what level? • Purpose and use • Set targets • Collect data • Use operational guideline – now in pilot countries UNAIDS

12. M&E - Putting the Framework into Practice Linking Data to Advocacy • Example from Mozambique • KYE • KYR • NASA/MEGAS • I-RARE • Data Triangulation • Modes of Transmission UNAIDS

13. Incidence model results - 2008 Related to multiple partner behaviours 24% Sex-work related 19% Note: The incidence model requires detailed data. Many of the data required were not available, and many proxy data or estimations were necessary. Such the model results should be interpreted with caution. UNAIDS

14. Figura 63. Gastos em prevenção, por população beneficiária em Moçambique (US$), 2004-2008 Fonte: Análise MEGAS suplementar, J. Durão Nov. 2010 UNAIDS

15. Thank You! • www.unaids.org • Cysnem@unaids.org UNAIDS