Monitoring &Evaluation System in Health Program

1. Monitoring &Evaluation System in Health Program

2. Brief overview of NACP • Reporting units and quality aspects • Data sets • Learning/ Analysis of the data sets • M&E framework • Developing M&E system

3. NACP-III • Goal: To halt and reverse the epidemic in India by 2012. • The objectives of NACP-III are: • Prevention of new infections (saturation of HRG coverage and scaling up interventions for the general population) • Increased proportion of PLHA receiving care, support and treatment • Strengthening capacities at district, state and national levels • Building strategic information management systems

4. NACP-III at a glance Prevention Care, Support & Treatment Capacity Building Strategic Information Management High risk populations Low risk populations Care & support Monitoring and Evaluation Institutional Strengthening • Blood safety • Integrated Counselling and Testing PPTCT • STI care • IEC and social mobilisation • Mainstreaming • Targeted Interventions • STI care • Condom promotion • Enabling environment • ART • HIV-TB co-ordination • Treatment of opportunistic infections • Community care centres • Post-Exposure Prophylaxis • HIV Sentinel Surveillance • Behavioural Surveillance • Monitoring and Evaluation • Operations research • DAPCU • Technical resource groups • Enhanced HR at NACO, SACS and districts • Enhanced training activities

5. Approximately 13000 Units are capturing and sending the Program Data

6. Trends of sero-positivity among PPTCT and ICTC (general clients)

7. Trends of STI data in Interventions among HRGs

8. Targeted Intervention program – Syphilis screening HRGs

9. HRG- Condom distribution

10. Targeted Intervention program => % Condom distributed

11. What did we learn from the above data sets? What indicators we need to capture Whether triangulation of data is possible to do Program analysis How the Program implementation is going on What are the Program gaps Where the intervention focus should be and why What all interventions are needed and by whom

12. DATA – quality

13. System Based M and E Framework Policy, People, Equipments, Kits, Consumables etc No. Condom distributed, No. HIV Testing, No. People Trained etc Reduction in HIV/AIDS Transmission Training, Logistics, Establishing Facilities, Counseling Referral etc, Behavior, Attitude and , Practice Change

14. Illustration for Input, Process, Output, Outcome, and Impact Problem Inputs Process • Identification of Health care providers. • Identification / establishing of Health care facilities • Training of health care providers and outreach staff • Procurement of STI kits • Availability of IEC materials High Prevalence of STI cases • Health care providers. • Health care facilities • STI medicines • Outreach staff Impact Outcome Output • Health care providers providing quality STI services. • clients being treated for STI services. • clients given STI kits. • Improved knowledge on STI care among clients • of health care provider identified • of health care services identified and established • STI kits available at each of the health care centers • # Health care providers trained to administer medicine • Increase knowledge on STI care and treatment Decrease in incidence of STI cases

15. What do we need to do Identify the areas where interventions are planned Identify the structures doing interventions Identify appropriate indicators – inputs, process, output, outcome and impact indicators Develop the system of collecting these indicators ANALYSE these indicators at Facility Level, Monitoring level and Policy Level structures BASED ON THE ANALYSIS BRING IN CHANGES IN POLICY, IMPLEMENTATION and INTERVENTIONS

16. Thanks