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The importance of Impact Evaluation of HIV/TB workplace programmes Nathea Nicolay

The importance of Impact Evaluation of HIV/TB workplace programmes Nathea Nicolay AIDS Risk Consulting 2 April 2009. What is Monitoring and Evaluation? Performance measurement of HIV/TB workplace programmes Step 1: Goals and objectives Step 2: Select Indicators

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The importance of Impact Evaluation of HIV/TB workplace programmes Nathea Nicolay

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  1. The importance of Impact Evaluation of HIV/TB workplace programmes Nathea Nicolay AIDS Risk Consulting 2 April 2009

  2. What is Monitoring and Evaluation? Performance measurement of HIV/TB workplace programmes Step 1: Goals and objectives Step 2: Select Indicators Step 3: Identify sources and methods of data collection Step 4: Data collection Step 5: Interpreting and sharing the results Workshop: case studies Workshop: reporting back Impact indicators to determine return on investment and impact on financial bottom line Agenda

  3. Business world uses: Performance measurements and results Public health sector uses: Monitoring and Evaluation Monitoring is the routine, daily assessment of ongoing activities and progress. Evaluation is the episodic assessment of overall achievements. Both M&E are necessary for a co-ordinated national response to the epidemic. Monitoring and Evaluation What is Monitoring and Evaluation?

  4. HIV and AIDSRisk Management Measure Manage Monitor

  5. Monitoring and Evaluation INPUT Resources: Policies People Money Equipment PROCESS Training Management Activities OUTPUT Short term output OUTCOME Results: Behaviours Practices IMPACT Long term effect: Incidence Prevalence Mortality Morbidity Monitoring of Process Measuring of Outcomes and Impact

  6. Step 1: What is the goal of the programme? Broad statement: “Reduce HIV and TB related workplace costs” What are the objectives? Specific Measurable Appropriate Realistic Time-bound “Reduce HIV and TB related workplace costs by 10% in one year.” HIV/TB WORKPLACE PROGRAMME: Goals and objectives

  7. World-wide recession

  8. Reduce new infections: peer education condom distribution awareness campaigns Increase take-up on treatment: wellness days VCT Increase adherence to treatment HIV disease management Education HIV/TB WORKPLACE PROGRAMME: Examples

  9. Increase take-up on treatment of HIV and TB through wellness days Fewer deaths, disability claims Reduced HR costs – absenteeism, training and recruitment Reduced medical expenses Reduced HIV and TB related workplace costs HIV/TB WORKPLACE PROGRAMME: Treatment

  10. Step 2: What are your indicators? Process and Input indicators for wellness days No of people reached No of people tested No tested positive Cost of wellness days Time taken to roll-out HIV/TB WORKPLACE PROGRAMME: Treatment

  11. Outputs No enrolled out of those positive Outcomes Cumulative number on treatment increased from 300 to 400 Impact Take-up on treatment increased to 40% Mortality reduced Morbidity reduced Absenteeism reduced Medical costs reduced Linked to finances: HIV and AIDS related costs – reduced by 15% HIV/TB WORKPLACE PROGRAMME: Treatment

  12. Step 3: Identify sources and methods of data collection Specify data needed to wellness day service provider Or HR train staff to collect data themselves during wellness days Step 4: Collecting the data Step 5: Interpreting and sharing the results HIV/TB WORKPLACE PROGRAMME: Treatment

  13. HIV and AIDS actuarial Impact Assessment Quick and cheap Illustrates: Fewer deaths, disabilities Reduced EB costs: Group Life Assurance, Permanent Health Insurance Reduced HR costs – absenteeism, training and recruitment Reduced medical expenses Reduced HIV and TB related workplace costs Example of Impact Indicators

  14. Demographic Impact Assessment: AIDS deaths per mille

  15. Total HIV/TB related workplace costs

  16. Total savings due to 60% treatment take-up

  17. Total HIV/AIDS related costs broken down for 2008 with current 60% take-up on ART

  18. Summary of HIV/AIDS related costs in 2006

  19. Summary of HIV/AIDS related costs in 2007

  20. Year on year HIV/TB related workplace costs have reduced by 10% Compared to a baseline of No treatment of TB/HIV – savings of R3.5 million were made Conclusion

  21. Monitoring and evaluation is needed to assess the outcomes and impact of HIV/TB workplace interventions Several layers of M&E needed for valuable assessment Importance of data and training Importance of communication to the stakeholders Conclusion

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