Components Of M E Systems La 4
- 1. Comprehensive M&E Systems: Identifying Resources to Support M&E Plans for National TB Programs Lisa V. Adams, MD E&E Regional Workshop Kiev, Ukraine May 23-26, 2006
- 2. Key Elements of an M&E System M&E management Link to program/strategy goals and objectives Indicators Data-collection systems Data analysis, use, and dissemination plans
- 4. How can a comprehensive M&E system support the NTP? Efficient use of data and resources Responsive to key stakeholders Guarantee that donor-funded M&E efforts contribute to national needs Encourage communication between all those responsible for addressing TB
- 5. Objectives of an M&E system Measure progress Improve accountability and management of resources Efficiently and effectively use data Improve coordination with partners Collect accurate, complete, and timely information on national efforts to control tuberculosis
- 6. Steps to strengthen and implement an M&E System 1.) M&E Situation Analysis 2.) Develop M&E plan 3.) Establish/Strengthen M&E Unit 4.) Implementation of M&E Plan 5.) Mechanisms for Management and Quality Control of M&E Activities
- 7. Step 1 : M&E Situation Analysis Objectives: Identify existing M&E practices, indicators, and data sources already being collected Identify gaps where indicators will need to be developed and data sources identified for the M&E plan of the national TB program Assess national M&E capacity and needs for capacity development Identify potential for integration of TB M&E into national HIS
- 8. Step 1: M&E Situation Analysis Methodology Desk review: essential documents Structured interviews with national-level stakeholders Structured interviews with regional and district-level stakeholders, including community organizations Structured interviews with data users at all levels
- 9. Step 2: Develop M&E Plan Develop clear goals and objectives to meet challenges Propose interventions (solutions) Select and/or develop indicators to measure interventions Identify data sources and ensure collection is feasible Identify those responsible for data analysis, use, and dissemination
- 10. Step 3: Establish/Strengthen M&E Unit M&E Unit within the NTP or implementing organization Ensure adequate financial resources Strengthen human capacity Ensure regular supervision of data collection and reporting
- 11. Step 4: Implementation of M&E Plan Develop a strategy to build and maintain M&E capacity at national and sub-national levels Adapt forms and guidelines for M&E at different levels Coordinate with sub-national, national, and international M&E experts to support implementation of plan Train staff at different levels Develop guidelines for reporting requirements
- 12. Step 5: Mechanisms for Management and Quality Control of M&E Activities If necessary, adapt national database for indicators and report generation Carry out regular assessments of quality of M&E reporting at district (and regional) level (bi-annual system, each year half of the districts) Carry out regular assessments of quality of program monitoring Establish feedback mechanisms!
- 13. M&E System Costs Rule of Thumb is 10% of program budget (GFATM says 5-7%) - Situation Analysis and Design of M&E plan for proposal - Strengthening of M&E unit - Routine Data Collection - Data Management and Reporting - Build Capacity for Data Analysis and Use - Quality Control Improvements - Special Surveys
- 14. Priorities for M&E Systems Development and Strengthening - Who will implement the system? - How will the data be collected? - How will the data be analyzed and used? - How will the quality be ensured?
- 15. Checklist of a Good M&E System An overall national data-dissemination plan A well-disseminated informative annual report of the M&E unit Annual meeting to disseminate and discuss M&E and research findings with policy-makers and planners A clearinghouse for generation and dissemination of findings A centralized database or library of all data collection, including ongoing research Coordination of national and donor M&E dissemination needs Data Dissemination An overall national data collection and analysis plan A plan to collect data and analyze indicators at different levels of M&E Systemwide knowledge and capacity (e.g., tools and budget) to collect and use data A plan to supervise, support, and ensure the quality of data collection A plan to ensure the translation of data into problem identification, strategic planning, policy formulation, etc. Data Collection, Analysis, and Use A set of priority indicators and additional indicators at different levels of M&E, some of which are comparable over time and with other countries Indicators Well-defined national program goals and targets Regular reviews/evaluations of the progress of the implementation of the national program plans Guidelines and guidance to districts and regions or provinces for M&E Guidelines for linking M&E to other sectors Coordination of national and donor M&E needs Clear Goals A unit or individual within the central unit of the program who is responsible for M&E A significant contribution to the national M&E budget A formalized (M&E) link with national and local research institutions, professional associations, and academic institutions A formalized (M&E) link with leading NGOs, donors, and community-based organizations Epidemiologist and/or social science expertise in the M&E unit or affiliated with the unit Data processing and statistical expertise in the M&E unit or affiliated with the unit Data dissemination expertise in the M&E unit or affiliated with the unit M&E UNIT
- 16. Lessons Learned from Successful M&E Systems Collect complete input and output data Requires internal self-assessment and external evaluation System should be a simple as possible Standardized core set of tools to collect and analyze data Human capacity to collect, verify, enter and analyze data M&E system built into the design of the program Sub-national data important for national level and even more so for program management and decision-making Source: GFATM Tool Kit
- 17. Resources GFATM (2004). Monitoring and Evaluation Toolkit HIV/AIDS, Tuberculosis and Malaria WHO (2004). Global Tuberculosis Control: Surveillance, Planning, Financing. WHO Report 2004. WHO/IUATLD (2005). Anti-TB Drug Resistance Surveillance in the World. Report No. 3. WHO (2004). Compendium of Indicators for Monitoring and Evaluating National Tuberculosis Programs. WHO (1998). Tuberculosis Handbook . SWEF Research Network (2003). Common Research Protocol. Monitoring and Evaluating the Health System-wide Effects of the Global Fund to Fight AIDS, Tuberculosis and Malaria. PHRPlus (2003). The System Wide Effects of The Global Fund : A Conceptual Framework Econ Analysis (2005). Inventory of M&E practices and systems for global health organizations.
- 18. Group Work: Components of an M&E System Work in groups with your country colleagues Using the checklist of a good M&E system, identify 2 gaps and 2 strengths in your own NTP’s M&E system Draft M&E Plan Rabota v grupas s kollegami po strane Ispolzuya proverochniy spisok horoshey systemi M&E, opredelite 2 probela I dve silnyh storoni vashei sistemi M&E NTP Razrabotka Plana Otzenki I Monitoringa
Editor's Notes
- #2: Some summarizing of the sessions and key messages of the past few days
- #4: Show a continuum of data demand, generation, collection, and use activities. This continuum is cyclical, reflecting an ongoing, iterative process. Partners work to ensure that data users demand quality data and that data producers understand users’ priorities and information needs.
- #5: #1-With a strong M&E system you can ensure that indicators and methodologies are comparable over time and reduce duplication of effort. This is particularly important where resources are scarce. #2-NTP often need to report to various constituents (program managers, politicians, donors, researchers, etc…) #3-…Rather than simply serving the reporting needs of agencies or legislatures overseas #4-Lab, nurses, community outreach, etc… requires shared planning, coordination execution and analysis, or data dissemination
- #7: We have already done steps 1 and 2. This presentation and the following group activity will focus on steps 3 and 4.
- #8: Review this quickly
- #9: Interview key informants
- #10: Challenges such as MDR-TB Last bullet – to ensure accountability Use M&E framework to develop an M&E plan will do this later this morning.
- #11: Financial resources - Budget of 5-7% of grant proposal - If within NTP, significant government contribution Human resources - M&E expertise leading and involved in the unit (program monitoring, information systems, epidemiology, statistics, data processing, and social science) - Involvement of academia (epidemiology, social sciences, communication) Involvement of key NGOs, donors, and international organizations *It is essential to work within the existing system and unit
- #15: If there is good M&E plan in the proposal, it should be able to answer all of these questions.
- #16: Run through this and pass out handout of this. Explain that the next group activity will be using this as a point of discussion to assess their own M&E system.