STRENGTHENING AMREF M&E SYSTEM

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Amie Lawson
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1 STRENGTHENING AMREF M&E SYSTEM Fellows: Academic Mentor: Institutional Mentor: Asiimwe Elizabeth Margret Ojok Morrish Humphrey Dr. Kugonza Kamanyire Dr. Susan Wandera MakSPH CDC Fellowship dissemination workshop 5 th October 2012

2 Overview Background: AMREF Statement of problem Project Results Challenges and lessons learnt conclusion and next steps

3 Background: AMREF Founded in 1957 in Kenya as Flying Doctors of East Africa. Registered in Uganda Focus on health of women and children. Business Plan Projects in Uganda.

4 Problem Statement META analysis of AMREF M& &E system in 2010: AMREF had 23 projects, 4 had M&E staff. Most projects had adhoc and fragmented M&E Country office, Weak structure for M&E with no clear authority and mandate No country M&E plan Project M&E staff called upon - need of M&E services. Break of information because of adhoc assignments/people

5 The project Overall goal To strengthen the country monitoring and evaluation system for AMREF Uganda Specific objectives To conduct a situational analysis to establish and document current M&E system To develop country M&E framework/plan To develop & implement an electronic web based M&E database

in March 2012 M&E staff & managers presented their

6 Phase-One: Situation Analysis Review of existing Project M&E systems 2 days workshop was held in Kampala in March 2012 M&E staff & managers presented their project M&E strategies Checklist used to assess the M&E components

7 Phase-One: Situation Analysis Out puts 4 Technical Working Groups (TWGs) HIV, TB &Malaria; Maternal &Child Health; Water, Sanitation & Hygiene, Clinical & Diagnostic In 2 months, TWGs supported all 23 projects to harmonize M&E structures functions and processes Draft project M&E plans & tools were prepared for review A draft list of country level indicators developed for review in the meeting that followed in May 2012 in Gulu

8 Phase - 2: Develop Country M&E Framework & Plan Harmonization of project M&E systems 3 days workshop in Gulu with 19 participants Project M&E plans were reviewed and finalized now in use Draft country M&E plan generated Indicators (Impact, Intermediate Out tcomes, Short-term Outcomes and Outputs) Consolidation of 130+ indicators to 30 core national indicators Data sources & collection tools identified for each indicator Roll out country M&E plan - Luwero & Kampala in August 2012

9 Indicator review M&E fellow facilitates team to review indicators before a breakaway session A member of the HIV/TB and Malaria TWG presents their generated indicators

10 Results Harmonized projects & documented Country M&E Plans inline with HSSIP, NDP & AMREF businesss plan National AMREF Development Plan HIV Project HIV/AIDS TB UGANDA MAT Project Water, Sanitation & Hygiene Sexual & reproductive health E learning. AMREF Kenya AMREF Tanzania AMREF GLOBAL

11 Results M&E Unit created in Country office (headed by M&E fellow) Increased data use (routine & surveys) 8 papers BAPM April 2012, Integration conference September & ASTMH conference Nov Improved M&E skills of 25 project staff Reply Reply to all Forward Help From: You forwarded this message on 8/29/2012 9:20 PM. To: Elizabeth Asiimwe Cc: Subject: Attachments: DeAcetis, Judy [j.deacetis@sherwoodgroup.com] ASTMH Poster Abstract Acceptance Notice <BASE href=" ebmail.a <META HTTP EQUIV="Content T <html <head> American Society of Tropical Medicine and Hygiene 61st Annual Meeting November 11 15, 2012 Atlanta Marriott Marquis Atlanta, Georgia USA Poster Abstract Acceptance Notice To: Elizabeth M. Asiimwe Abstract: <b>empowering Village Health Teams, a value addition to health services delivery in resource limited settings; case study of Kiboga and Kyankwanzi districts in Uganda</b> Original Abstract Number: 1638 New Presentation Number: 325 Sent: Fri 8/24/2012 2:23 AM Thank you for submitting a n abstract to the ASTMH 61st Annual Meeting

All AMREF M&E managers AMREF Uganda M&E TWG with M&E managers from

12 Results Increased donor, stakeholders satisfaction & confidence. AMREF Netherlands CEO 1/10/2012 debrief remarks. All AMREF M&E managers AMREF Uganda M&E TWG with M&E managers from AMREF Kenya, Tanzania, S. Africa, S. Sudan, Ethiopia & Senegal and the director of M&E in AMREF headquarter

13 Results Improved tracking and reporting, data quality and information use within AMREF Uganda & Headquarter. Central database Office Logins Profile updates Activity HQ 39 0 Kenya Uganda Tanzania 4 0 Other 2 0

14 Phase 3: Web- based M&E Database

15 Challenges & Lessons learnt Challenges Busy schedules of project teams Delayed release of funds M&E is often last in, first out when budgets are tight Overload of one person in central M&E unit Lessons learnt Creative collaborative solutionss can hasten the process of M&E system development Leading, influencing & strengthening a country level M&E system is possible at any level critiques of rural officers

16 Conclusion & next steps Strengthening of a country M& &E system is possible and key but is a long, intensive process involving multiple stakeholders All projects currently have harmonized M&E plans, linking directly into AMREF country M&E system, developed in line with the one AMREF business plan, the HSSIP & NDP. Next steps Training of non M&E staff ownership sustainability Annual review of the M&E systems

17 Acknowledgement Mak-SPH/CDC Fellowship Program Dr. Susan Wandera (Institutional mentor) Dr. Kugonza Sylvester. (Institutional Mentor) AMREF team M&E Fellows