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Transitioning M&E functions: The case of Rwanda By Dr Veronicah MUGISHA, MBcHB, DPH, Mmed

Transitioning M&E functions: The case of Rwanda By Dr Veronicah MUGISHA, MBcHB, DPH, Mmed M&E Director, ICAP-Rwanda. Outline. Background and organization of M&E in Rwanda Planning the transition Implementing the transitioning of M&E functions M&E functions under the transition

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Transitioning M&E functions: The case of Rwanda By Dr Veronicah MUGISHA, MBcHB, DPH, Mmed

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  1. Transitioning M&E functions: The case of Rwanda By Dr Veronicah MUGISHA, MBcHB, DPH, Mmed M&E Director, ICAP-Rwanda

  2. Outline • Background and organization of M&E in Rwanda • Planning the transition • Implementing the transitioning of M&E functions • M&E functions under the transition • Progress to date • Challenges and perspectives

  3. Background • Pre-condition for phase 2 of Track 1.0 funding • Transfer of funding and program management responsibilities from international IPs to local institutions • Transition plan included in Track 1.0 continuing application

  4. Planning the transition • Transition Task Force (TTF) chaired by MoH, CDC; composed of IPs • TTF assessed sites (in Oct 2009) to determine order of transition • Main TA functions identified for transition; each forming a TWG: • Clinical mentorship and quality of services • M&E • Management • UPDC identified by GoR and USG as the local institution to be transitioned to • Political/policy agreement on the readiness to receive TA aimed at strengthening national capacities

  5. Implementing the transitioning of M&E functions • M&E TwG chaired by ICAP, co-chaired by TRACPlus. Members: CDC, AIDSRelief, UPDC, M&E/MoH, HMIS • Meeting weekly to agree on tasks and propose plan for transitioning M&E; develop, pilot and adopt site assessment tools • Detailed discussions and agreement on relevance of key M&E functions • A collaborative and transparent assessment of site level capacities in M&E, Management, quality of care

  6. Key M&E functions provided by IPs • Training on M&E and data management • Mentorship and TA support • Data quality assurance and verification of reports • Database maintenance and support for computer maintenance (preventive maintenance and repair) • Reporting: • APR, SAPR and quarterly narrative reports • Track 1.0 quarterly, semi annual and annual data and reports: narrative and data reports • Collection PEPFAR/Track 1 indicators not routinely reported in MOH monthly reports.

  7. Progress to date (April to July 2010) • Technical meetings between TRACP+, UPDC and IPs • Orientation on tools • Reporting guidelines and indicators • Joint field activities: • Readiness to transition assessment (Oct 2009) • Baseline assessment in April/May 2010 • Mentorship, data collection, verification & preparation of Track 1.0 data reports since April 2010 • TRAC clinic reporting handed over to TRACplus: • ICAP reviewed the Apr-Jun data report • M&E framework and plan for the transition drafted and adopted by TTF

  8. Roles & Responsibilities - consensus • UPDC will: • Take over M&E, data management, and use at DH level • Prepare, compile and transmit PEPFAR and Track 1.0 reports • Monitor data quality • Conclude and oversee contract for maintenance of computers and other IT equipment • TRACPlus will • Ensure data base maintenance and support and migration from IQCHART to open EMR when it becomes ready • DH will: • Supervise HC on M&E and data management • Eventually take over preparation and transition of Track 1.0 reporting to UPDC • IPs will: • Transfer knowledge and skills on M&E tools and reporting to UPDC • Continue to provide TA to UPDC, TRACPlus and district hospitals until the end of transition

  9. Challenges • Low HR capacity in M&E: staff instability, little interest in data management • Gap between policy and implementation • Principle and approach of transition not clear from the beginning: • Different expectations and interpretations • Different appreciation of issues at stake • Transition was USG-driven and took long to be owned by GoR • CDC not yet clear about Track 1 reporting

  10. Perspectives • Detailed discussion and analysis of M&E functions and IP approaches with TRACPlus and UPDC • Transitioning M&E staggered behind subagreement transition (by end of March 2011 for AR and March 2012 for ICAP) • Certain M&E function to continue after 2012?? • Mentorship and TA support on M&E: Filing systems, data quality assurance, improvement, auditing (DQA) and use • Quality assurance and verification of GoR reports (Tracnet, monthly PMTCT, VCT)

  11. Conclusion • Transitioning is a non optional condition • Many challenges • It is possible with full commitment of all parties

  12. Thank you

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