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Restitution du groupe de travail «Suivi / Evaluation ». President: MBW Dogo-Muhammed Facilitateurs: Francois Diop, World Bank Seni Kouanda, IRSS Secretary: Tesfaye Ashagari Rapporteurs: Lisa NICHOLS, USAID/ ATN Plus, Mali. Leçons opérationnelles principales (1).
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Restitution du groupe de travail «Suivi / Evaluation » President: MBW Dogo-Muhammed Facilitateurs: Francois Diop, World Bank Seni Kouanda, IRSS Secretary: Tesfaye Ashagari Rapporteurs: Lisa NICHOLS, USAID/ ATN Plus, Mali
Leçons opérationnelles principales (1) • Decisions are made politically by politicians who sometimes do not have evidence but are pressured to make a decision therefore there is no time to develop M&E system; • Baseline data is often not available prior to the intervention; it is a luxury due to time constraints and political pressure to initiate policies; • Data is available from HMIS about service use, etc. but financial data is often missing and there is not enough information on financing.
Leçons opérationnelles principales (2) • Systematic development of M&E with quality internal and external component information needed; • Many initiatives don’t have a framework for evaluation which makes it difficult to appreciate the impact of the initiative and the causal links.
Recommandations aux décideurs politiques • A framework for evaluation can help to provide structure to a program and a common understanding of goal/ objectives, inputs, outputs, outcomes, etc. Also develop consensus on a small, common set of indicators. • Health policy analysis should be part of M&E; when it comes to financing should include periodic PERs, NHA and Benefit Incidence Analysis • A budget should be allocated for tools for rapid/routine data collection from clinical level on: drugs, health worker performance, financing flows (money/time), service use. • M&E systems should be consolidated to reduce data collection burden and harmonize use. • M&E results should be made public to allow for informed decision making
Recommandations aux PTF • Advocate to promote more investment in evaluation and to facilitate evaluation (10% of activity/program budgets) • Emphasize training and capacity building in M&E and development of tools/manuals • User friendly/disaggregated/prioritized systems should be put in place
Priorités pour les experts • Harmonized, user friendly tools are needed. Tools should collect data that can be disaggregate and information should be prioritized. • Capacity building for the development and use other techniques and surveys should be carried out to overcome lack of data or baseline information; for example, mid-term evaluations, combining information requirements into existing household surveys • We need to develop other ways of assessing / evaluating if the most vulnerable and poorest populations are being reached.