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Moldova national M&E system in HIV and AIDS

Moldova national M&E system in HIV and AIDS. Liliana Caraulan HIV Program Coordinator Center for Health Policies and Studies June 27, 2011. Rationale. Government-based and Government-led National M&E System One of the 3-Ones of the National Response to HIV and AIDS

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Moldova national M&E system in HIV and AIDS

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  1. Moldova national M&E system in HIV and AIDS Liliana Caraulan HIV Program Coordinator Center for Health Policies and Studies June 27, 2011

  2. Rationale • Government-based and Government-led National M&E System • One of the 3-Ones of the National Response to HIV and AIDS • Aim: provide quality data for evidence-informed strategic planning for the national response • Legal basis – National M&E Plan approved by Government as integral part of NAP (GD no.1143 of 16.12.2010) • Goal of the National M&E Plan: guide and coordinate the effective collection, analysis, aggregation and use of data for the assessment of progress trends in the national response to HIV/AIDS and for enhanced decision making process

  3. Legal Framework NAP • includes measurable and time-bound objectives with multi-year targets for both banks (Transdniester region included) • includes indicators to track progress towards NAP results, baselines and targets; data sources; roles and responsibilities of stakeholders National M&E Plan • operationalizes M&E Plan describing a Framework of Results Hierarchy and associated indicators to track progress towards such results; includes annual targets for impact and outcome indicators M&E Operational Manual M&E Work Plan 2011-2012 • costed and time-bound; including stakeholders roles and contributions M&E calendar 2011-2015

  4. Assess M&E system Follow-up Develop/review M&E Plan/Work Plan Implement M&E Plan and Work Plan M&E system strengthening • Regular M&E system participatory self-assessments – based on 12 Components Tool (2008, 2011) • M&E system assessed at MTR and final Program Evaluation – Response Analysis 2010 • Ongoing assessment for the M&E system performance • Strengths and weaknesses – basis for developing and updating National M&E Plan, OM & WP

  5. M&E System organizational framework 12 functional components

  6. Organizational structures with function in HIV M&E Comp 1 • National AIDS Center – coordination of program monitoring and internal data audits • National Center for Health Management, M&E of National Programs Unit – data quality control and external audit • Joint HIV/TB M&E TWG under the auspices of NCC – coordination of M&E Plan implementation

  7. Human Capacity for HIV M&E Comp 2 • Capacity Building Strategy 2010 – 2013 as outlined in OM – revision planned in 2011 • Annual NAP Capacity Building Plan 2011 – includes capacity building in M&E • National capacity building register under development – database of trainings, persons trained and facilitators • Capacity building register available at PR level • Institutionalization of M&E training – M&E module in distance learning on HIV (SMPH); M&E module within MPH program

  8. Partnerships to plan, coordinate and manage the M&E system Comp 3 • Operational M&E TWG • Multi-sectorial participation as TWG members and invitees – including NGO and sub-national level • TWG TOR under revision • Quarterly meetings + ad-hoc meetings • Meetings planned and minutes placed on www.ccm.md

  9. M&E Plan and Costed M&E Work Plan Comp 4&5 National, multi-sectorial HIV M&E Plan • Integral part of the NAP and specifies principles and organizational arrangements for monitoring and evaluation • Aligned with the existing policies • Developed through a participatory process • Based on the findings of M&E system assessments • Stipulates principles of data collection, aggregation, analysis and use for program implementation, provides information on key indicators, main data sources, information flow, information products and institutional responsibilities • Includes tables with indicators definitions and roles & responsibilities of stakeholders National M&E Plan

  10. M&E Plan and Costed M&E Work Plan (cont.) Comp 4&5 • Structured around 12 components of the national HIV and AIDS M&E System • Goals and objectives of national M&E plan • Levels of M&E system, roles and functions across levels/sectors • Data flow • Target setting principles and methods, based on Universal Access principles • Results framework, NAP & M&E plan, • Indicators definitions by program area • Data source for national indicators M&E Operational Manual

  11. M&E Plan and Costed M&E Work Plan (cont.) Comp 4&5 • National data depository (SIDATA) • Systems for data quality assurance • Supportive supervision and oversight • Information products • Dissemination of data for enhanced data use • Capacity building strategy • Advocacy and communication for HIV and AIDS M&E in Moldova • Work Plan and budget estimates for M&E • Implementation Cycle for National M&E Action / Work Plan M&E Operational Manual

  12. M&E Plan and Costed M&E Work Plan (cont.) Comp 4&5 M&E Work Plan 2011-2012 Biennium Costed National HIV M&E Work Plan • Planned performance reviews – MTR, final evaluation • Planned major data collection activities – IBBS, GPS, epidemiological studies including estimations & projections • Time-bound and costed interventions to address M&E system weaknesses, structured around the 12 components • Budgetary shortfalls estimated • Implementing institution and partners indicated for each intervention M&E calendar 2011-2015

  13. Communication, Advocacy and Culture for HIV M&E Comp 6 • M&E Advocacy Plan for 2011-2012 as annex to OM • Information products detailed in OM (Ch.8), include: • annual HIV and AIDS M&E report • annual and semiannual report to GF • annual UA, biennial UNGASS, MDG contribution (MDG 6) • ad hoc information, etc. • Dissemination channels described in OM (e-mail, relevant websites, events and workshops, (e-)newsletters, etc.) • Regular update of www.aids.md; www.ccm.md; www.cnms.md, www.cnsp.md, www.pas.md, www.ucimp.md, www.soros.md, www.ligaaids.md, etc. • Commitment for M&E at decision making level

  14. Routine HIV Program Monitoring Comp 7 • Data sources for national indicators - described in OM (Ch.4): administrative statistics and surveys • Most program areas – IS: • SIME-TB; • SIME-HIV/STI; • VCT; • Unique Identifier; • Methadone Register • Most data collection at service-providers level – standardized, based on line protocols • Inter-sectorial & NGO reporting – under development with good practices (MoLSPF, DPI of MoJ, SFM as an NGO Umbrella)

  15. Surveys and Surveillance Comp 8 • Epidemiological surveillance - described in OM (Ch.4) • New National Protocol on HIV Surveillance developed and currently under approval • Regular data collection among: • MARPS (2001, 2003-2004, 2007, 2009-2010) - BSS • Youth (2006, 2008, 2010) - KAP • General population (2005, 2007, 2009, 2010) - KAP • Surveys in: • MARA (2007-2008), • PLHIV (2008), • Migrants (2006, 2010), • Employees (2008), • Uniformed services • Financed almost exclusively by donors

  16. National and Sub-national HIV databases Comp 9 • National data depository (SIDATA) concept developed through extensive consultations and review of stakeholders data needs • Data flows, roles and responsibilities described in National M&E Plan • Piloting planned based of PR indicator sets • Transdniester region - specific sub-national indicator set under development

  17. Supportive Supervision and Data Auditing Comp 10 • Yet, most underdeveloped component • OM – framework for data quality assurance and supportive supervision (Ch.6) • Roles of NAC & NCHM in, respectively, internal and external audit • Data validation mechanisms for routine program monitoring institutionalized • Supportive supervision and data quality auditing in the framework of GFATM grants • Supportive supervision - oversight functions of National AIDS Center for labs, VCT, epidemiologists • Data quality guide developed

  18. HIV Evaluation and Research Agenda Comp 11 • Evaluation and research outlined in the OM, WP • Regular participatory performance reviews – MTR, final program evaluation • Sector evaluations - Prevention; PMTCT • Lessons learnt through complex multi-sectorial evaluations of former NAP (MTR, RA) & sector evaluations (Prevention; PMTCT) fed into development of NAP 2011-2015 • M&E TWG – coordination of research and evaluation

  19. Comp 12 Data Dissemination and Use • Dissemination of data to stakeholders for enhanced data use is outlined in OM (Ch.9) • E-mail, websites, e-newsletters, NCC Bulletin • Media • Formal dissemination workshops and events – feeding into national decision-making processes (example MTR, triangulation dissemination workshops followed by action plan development)

  20. Thank you for your attention

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