Strengthening the m&e system of soroti integrated hiv/aids and malaria project of amref uganda

Transcription

1 Strengthening the m&e system of soroti integrated hiv/aids and malaria project of amref uganda Joel Denis Sama Academic Supervisor: Dr. Solome Nampewo MUSPH-CDC Fellowship Program, Hotel Africana, 14 th August

2 Outline Introduction and Background Project Problem & Rationale Project Objectives Project Implementation Project Outcomes Lessons Learnt Challenges Recommendations Next Steps Acknowledgements 2

3 Introduction and Background African Medical & Research Foundation (AMREF) is >50 years, has existed in Uganda for over 20 years Aims to close the gap between communities and health systems Integrated HIV/AIDS and Malaria Project in Soroti, aims at improving the health and economic status of the community in Soroti district through capacity-development and partnership. District Steering Committee (DSC) oversees, monitors, supports and guides the project implementation Project Managers and Officers are mainly responsible for M&E and reporting (monthly, quarterly and annual) 3

4 Problem Statement & Rationale Problem: The M&E system of Soroti Integrated HIV/AIDS and Malaria Project was incomplete and not strong enough: no documented M&E plan; data collection tool was incomprehensive; project staff & DSC members had inadequate understanding M&E functions. Rationale Strengthening the M&E system of this project would improve performance measurement, systematic review and re-planning, reporting & documentation 4

5 Project Objectives General Objective To strengthen the M&E system of Soroti Integrated HIV/AIDS and Malaria Project of AMREF Uganda so as to improve performance measurement, systematic review and re-planning, reporting and documentation by the project staff and DSC members. 5

6 Project Objectives Specific Objectives 1. To review project indicators 2. To develop an M&E plan for the project 3. To update data collection tool of the project 4. To increase understanding of project staff and DSC members in M&E related functions 6

7 Project Implementation Objective 1: To review project indicators 1. Document review (NPMMP , project logframe, indicators of other organisations, etc) 2. Outcome and impact indicators mapped out 3. New indicators introduced and defined 4. M&E Logical framework developed and shared with other project staff and DSC members 7

8 Project Implementation Objective 2: To develop an M&E plan for the project 1. Document review (project strategy, AMREF strategy, M&E systems of other organisations, etc) 2. M&E plan developed and shared with other project staff and DSC members 8

9 A SECTION OF M&E LOGICAL FRAMEWORK Reporting Activity Indicator Indicator Definition and Unit of Measure Baseline Measure Year of Baseline Data Project Targets Sources of data Data collection methods Frequency Responsibi lity Objective 2: Develop integrated community-based models to prevent, treat and mitigate the impact of HIV/AIDS, malaria and water and sanitation related diseases Percentage of households that own one or more mosquito nets (treated or untreated) Definition: Number of households that own one or more mosquito nets (treated or untreated) / Total number of households in the project area * 100 Unit of measure: percentage 84% % Household surveys, project reports, baseline survey, mid-term evaluation, final evaluation Interviews Document reviews Annually Project staff DSC Consultant 1. Procurement and distribution of ITNs Percentage of pregnant women who sleep under an insecticide-treated bed net (ITN) Definition: Number of pregnant women who sleep under an insecticide-treated bed net (ITN) in project supported sub-counties *100 / Total number of pregnant women in the survey in project supported subcounties Unit of measure : Percentage 87% % Household surveys, project reports, baseline survey, mid-term evaluation, final evaluation, ITN distribution records Interviews Document reviews Annually Project staff DSC Consultant

10 Overview of M&E Project Project Implementation Objective 3: To update data collection tool of the project Reviewed existing data collection tool and identified gaps Up-to-date and separate data collection tools developed for project staff and DSC members Updated data collection tools shared with other project staff and DSC members 10

11 Project Implementation Project Staff and DSC members discussing the Draft M&E Plan, Indicators and Data collection tools in a workshop 11

12 A SECTION OF OLD TOOL AREA OF INTERVATION Planning and support issues ASSESMENT AREAS/VARIABLES/ISSUES Yes No Are there approved work plans at sub county Do approved work plans of the sub county reflect HIV/AIDS Malaria Water and sanitation as priority issues Evidence of PDC activities reflected in sub county plans Do sub counties conduct joint meetings with CORPs and PDCS (confirm with minutes) Do HMUC meet quarterly ( confirm with minutes of last meeting) Evidence of support by sub county and health unit to CORPS and PDCS Are community health activities reflected in health unit work plans as priority activities Include other observations if any in blank space Does health unit have outreach schedules Who are the key players in outreach activities Health promotion activities Are health education talks given to clients on daily basis Availability of health promotion schedules at sub county/ health unit Are health messages in strategic places for every one to see Are the posters on the following topics available and clearly posted for clients to see? HIV/AIDS Malaria Water and sanitation TB Are there records of people who are counseled At health units By CORPS Evidence on use of integrated communication tool kit (briefly state how it is used) Other observations

13 A SECTION OF ONE OF THE NEW TOOLS Questions Data source/ respondents Objective 1: Develop capacity of local structures to implement PHC services particularly diagnosis and management of HIV/AIDS, malaria and water and sanitation related diseases 1. Number of PDCs trained by the project: PDC training reports 2. Did your PDC hold a quarterly meeting in the previous quarter? 1) Yes 2) No 1. Does your PDC have a 3 year work plan? (If yes, observe work plan and check for representation of needs of communities including HIV/AIDS, Malaria, TB and Watsan as priority issues and comment below) PDC Chairperson or member PDC Chairperson or member 1. Does your PDC have a 1 year operational work plan? (If yes, observe work plan and check for representation of needs of communities including HIV/AIDS, Malaria, TB and Watsan as priority issues and comment below) 1. Are your work plans (3 & 1 year plans) approved by the sub-county? (If yes, observe work plans and check for signs of approval and comment below) 1) Yes 2) No 1. Does your PDC have an operational monitoring plan? (If yes, observe monitoring plan and check relevance of activities)

14 Project Implementation The updated data collection tools pre-tested and used DSC Member interviewing a VHT member Project staff conducting an interview with household members 14

15 Overview of M&E Project Project Implementation Objective 4: To increase understanding of project staff and DSC members in M&E related functions Assessed M&E capacity and training needs of Staff and DSC Members Appropriate training content developed Project staff and DSC members trained in M&E MUSPH-CDC Fellowship Program facilitator, Dr. Ramadhan Hizaamu, facilitated at the training workshop. 15

16 Project Implementation Project Staff and DSC members in M&E training session 16

17 Project Outcomes M&E activities are more focussed. Improved tracking of progress in achieving project objectives Increased partnership with stakeholders. Increased understanding of M&E among project staff and DSC members Increased capacity of stakeholders for project sustainability. Improved documentation of project outcomes, best practices and lessons. 17

18 Lessons Learnt Increased awareness of stakeholders about M&E concepts increases their interest and level of involvement in M&E activities of the project. Stakeholder involvement in M&E processes cultivates a sense of ownership of the project and increases its possibility for sustainability. Participation of fellowship facilitators in implementation of Fellows M&E projects builds trust and confidence of host institutions in the fellowship program and fellows. 18

19 Challenges Time for implementation was not enough The funds ceiling limited the scope of interventions. Fellow lobbied for more funds from the host institution, which agreed to support 19

20 Recommendations AMREF Increase support for M&E and scale-up interventions Allocate more resources to handle M&E functions independent of project implementation. SPH-CDC HIV/AIDS Fellowship Program Increase support supervision to fellows Increase the fund ceiling. 20

21 Next Steps Disseminate project results to MUSPH-CDC Fellowship Program, AMREF Uganda staff and stakeholders Continue lobbying for more funds for M&E activities Continuously improve the M&E system of project Document interventions for sharing as a good practice with other AMREF projects and stakeholders. 21

22 Acknowledgements Acknowledgements MUSPH-CDC Fellowship Program management AMREF staff and management Academic Supervisor: Dr. Solome Nampewo Institution Supervisor: Mr. N. Tumukwasibwe Dr. Ramadhan Hizaamu All M&E Fellowship facilitators Team Members: Jesca A., Akullo A., Olwenyi M., Ofwono I. Fellows 22

23 Thank You!! 23