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Tanzania mainland National HIV Monitoring and Evaluation (M&E) System

Tanzania mainland National HIV Monitoring and Evaluation (M&E) System. What it is, how it works, and how it involves you. Presentation Outline. MKUKUTA , the NMSF, Health Sector HIV Strategy and the National HIV M&E system

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Tanzania mainland National HIV Monitoring and Evaluation (M&E) System

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  1. Tanzania mainland National HIV Monitoring and Evaluation (M&E) System What it is, how it works, and how it involves you

  2. Presentation Outline • MKUKUTA, the NMSF, Health Sector HIV Strategy and the National HIV M&E system • The goal,strategicobjectives and components of the national HIV M&E system • The current status of the national HIV M&E system • Roles and responsibilities of stakeholders in the national HIV M&E system

  3. Part 1 Linkages between MKUKUTA, NMSF, Health Sector HIV strategy and the national HIV M&E system

  4. MKUKUTA, with Some objectives relating to HIV – confirming it as a national priority M&E of HIV response Nat’l HIV M&E System National HIV indicators Data sources NMSF, which contains HIV and AIDS response goals and objectives Health sector HIV strategy based on NMSF Implemented in/at Routine data from MoHSW Health facilities Surveys / Surveillance Community Routine data from community – TOMSHA Work places Implementation of HIV response HIV Policy

  5. Part 2 Goals, strategic objectives and components of the national HIV M&E system

  6. Goal of the National HIV M&E System To use relevant and comprehensive evidence provided in a timely manner in HIV-related planning and decision-making.

  7. Strategic Objectives of the National HIV M&E System • To ensure an enabling environment for HIV monitoring and evaluation • To harmonize existing national and sub-national M&E systems and functions, including data • To produce accurate data on the achievement of the objectives of the national HIV response • To promote the use of available HIV and AIDS information for planning and decision-making. • To strengthen the national capacity for HIV and AIDS-related research and development

  8. Components of the National HIV M&E system in Tanzania Mainland

  9. Part 3 Progress with the operationalisation of the national HIV M&E system in Tanzania mainland

  10. Status of Components • Organisational Structures for HIV M&E • Staff at national level (TACAIDS and NACP) in place, but too few • No staff at district level with M&E responsibilities • M&E technical support at LGA levels not yet in place • LGA-driven HIV response requires an LGA-driven M&E system – TOMSHA is still to be operationalised

  11. Status of Components • Human Capacity • Three curricula developed – one on M&E concepts, one on TOMSHA implementation and one on TOMSHA management • Training in TOMSHA has taken place for the following stakeholders: • HIV implementers • CHACs • RFAs • Umbrella organisations • UN volunteers • Regional HIV Focal Points • More training is needed • In M&E concepts for HIV implementers • In the new TOMSHA module as part of LGMD for the CHACs • Other forms of capacity building (e.g. mentorship and demonstration visits) are needed

  12. Status of Components • HIV M&E Partnerships • M&E TWG in existence, but weak: does not meet regularly, its membership is not constant, MoHSW not chairing • M&E Framework & Operational Plan • Developed; needs updating after NMSF finalisation • TOMSHA guidelines – just reviewed

  13. Status of Components • Costed M&E Work Plan • Road Map developed; development partners contributed • More buy-in needed • New road map for 2008 – 2012 being developed: linked to MTEF budget for TACAIDS • HIV M&E Advocacy, Communications and Culture • HIV M&E advocacy severely lacking • HIV M&E not included in the national HIV communications and advocacy strategy

  14. Status of Components • Surveys and surveillance • well-developed, ongoing • THIS planned • Workplace survey to be undertaken • Routine monitoring data • NACP: fragmented, being strengthened; • TACAIDS: TOMSHA being operationalised

  15. Status of Components • Supervision and Data Auditing • Guidelines developed for TOMSHA supervision for 3 levels: • TACAIDS to regions • Regions to districts • Districts to implementers • Supervision of health facility routine data not yet undertaken • HIV Information System • Linked to LGMD: integration at district level • National HIV database • TORs developed

  16. Status of Components • HIV Learning and Research • Biomedical research well-coordinated by MoHSW • Social sciences research – not well coordinated • Global Fund 5-year evaluation: Once-off study to determine results to which the Global Fund contributed • TMAP – RFA evaluation completed at the end of 2006 • National synthesis study – drivers of the epidemic at regional level (before next MTR) • Data Dissemination and Use • NACP: produced data and information products • TACAIDS: yet to produce a single M&E information product from M&E system

  17. Part 4 Roles and responsibilities of stakeholders in terms of the national HIV M&E system in Tanzania mainland

  18. TACAIDS Responsibilities • Coordinate HIV M&E system operationalisation, in line with its mandate • Mainstream M&E into all its functions • Advocate for HIV M&E • Build capacity of staff in M&E • Interact with HIV database: review, analyse and add new information • Participate in supervision • Validate results from TOMSHA • Prepare information products • Share data widely

  19. MoHSW Responsibilities • Prepare routine data and submit electronically to TACAIDS, as per national M&E Operations Plan • Chair M&E TWG • Prepare surveys and surveillance, and involve TACAIDS in it • Submit survey and surveillance data to TACAIDS • Prepare information products • Oversee clinical / biomedical HIV research

  20. Public Sector, Private Sector and Civil Society Responsibilities • Report on TOMSHA • Manage TOMSHA at district level • Receive improved information about the RESPONSE to the epidemic • See spatial analysis of information • Be able to link spread of epidemic to response to epidemic • Review financial expenditure per thematic area • Participate in quarterly reviews at district level • Participate in supervision visits • Use data to better plan and implement HIV interventions

  21. Development Partner Responsibilities • Fund National HIV M&E Costed Work plan (Road Map) • Encourage stakeholders report on TOMSHA • Make it compulsory for those that they fund to report on TOMSHA • Use TOMSHA data when reporting • Receive and use information from M&E system • Reduce individual reporting burdens • Improved planning • Improved review of NMSF

  22. General Public Involvement • Will have more and improved information not only about the spread of the epidemic, but also about the response to the epidemic • Understand how they can get involved • Obtain ‘real time’ information from the web • Know where to obtain assistance

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