[PPT] - soroti integrated hiv/aids and malaria project of amref uganda Joel PowerPoint Presentation

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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, 14th August 2009

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Outline

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

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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)

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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

Problem Statement & Rationale

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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.

Project Objectives

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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

Project Objectives

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Objective 1: To review project indicators

1. Document review (NPMMP 2007-12, 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
ther project staff and DSC members

Project Implementation

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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

Project Implementation

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A SECTION OF M&E LOGICAL FRAMEWORK

Activity Indicator Indicator Definition and Unit of Measure Baseline Measure Year of Baseline Data Project Targets Sources of data Data collection methods Reporting 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 1. Procurement and distribution of ITNs Percentage of households that own

ne or more mosquito nets (treated
r untreated)

Definition: Number of households that own one or more mosquito nets (treated or untreated) / Total number

f households in the project area *

100 Unit of measure: percentage 84% 2004 94% Household surveys, project reports, baseline survey, mid-term evaluation, final evaluation Interviews Document reviews Annually Project staff DSC Consultant 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 sub- counties Unit of measure : Percentage 87% 2004 97% Household surveys, project reports, baseline survey, mid-term evaluation, final evaluation, ITN distribution records Interviews Document reviews Annually Project staff DSC Consultant

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Overview of M&E Project…

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

Project Implementation

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

Project Implementation

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A SECTION OF OLD TOOL

AREA OF INTERVATION ASSESMENT AREAS/VARIABLES/ISSUES Yes No Planning and support issues 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 Does health unit have outreach schedules Who are the key players in outreach activities Include other observations if any in blank space 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

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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:__________________________ 2. Did your PDC hold a quarterly meeting in the previous quarter? 1) Yes 2) No PDC training reports PDC Chairperson or member 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) _________________________________________________________________________________________________________________________________ _________________________________________________________________________________________________________________________________ 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) _________________________________________________________________________________________________________________________________ _________________________________________________________________________________________________________________________________ PDC Chairperson or member

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The updated data collection tools pre-tested and used

Project Implementation

DSC Member interviewing a VHT member Project staff conducting an interview with household members

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Overview of M&E Project…

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.

Project Implementation

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Project Staff and DSC members in M&E training session

Project Implementation

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M&E activities are more focussed. Improved tracking of progress in achieving project

bjectives

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.

Project Outcomes

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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

f Fellows’ M&E projects builds trust and confidence of

host institutions in the fellowship program and fellows.

Lessons Learnt

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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

Challenges

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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.

Recommendations

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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.

Next Steps

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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

Acknowledgements

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

Joel Denis Sama

Outline

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

Introduction and Background

Problem Statement & Rationale

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.

Project Objectives

Specific Objectives

members in M&E related functions

Project Objectives

Objective 1: To review project indicators

indicators of other organisations, etc)

Project Implementation

Objective 2: To develop an M&E plan for the project

M&E systems of other organisations, etc)

and DSC members

Project Implementation

A SECTION OF M&E LOGICAL FRAMEWORK

Overview of M&E Project…

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

Project Implementation

Project Implementation

A SECTION OF OLD TOOL

A SECTION OF ONE OF THE NEW TOOLS

The updated data collection tools pre-tested and used

Project Implementation

Overview of M&E Project…

Project Implementation

Project Implementation

M&E activities are more focussed. Improved tracking of progress in achieving project

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.

Project Outcomes

host institutions in the fellowship program and fellows.

Lessons Learnt

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

Challenges

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.

Recommendations

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.

Next Steps

Acknowledgements

MUSPH-CDC Fellowship Program management AMREF staff and management Academic Supervisor: Dr. Solome Nampewo Institution Supervisor: Mr. N. Tumukwasibwe

All M&E Fellowship facilitators Team Members: Jesca A., Akullo A., Olwenyi M., Ofwono I. Fellows

Acknowledgements

Thank You!!