Monitoring and Evaluation of National HIV/AIDS Response
Description
The scale up of the responses to HIV epidemics need to be accompanied by an increasing emphasis on measurable indicators and results. These include programme monitoring data, behavioural and biological trend data that enable to evaluate the efectiveness of HIV prevention and control. Evaluation of the successes and gaps in programmatic responses is achieved by establishing and development of a country monitoring and evaluation (M&E) system. This involves the development of national M&E plans based upon a simple framework, selected indicators and a plan for data collection, reporting, analysis and dissemination, training and capacity building of M&E staff and development of a Country Response Information System (CRIS). The CRIS was developed in 2002 in response to a need for an information system to assist with UNGASS reporting and facilitate overall monitoring and evaluation. The CRIS application has been developed in the UNAIDS Monitoring and Evaluation Department in close collaboration with the Monitoring, Operations Research, and Evaluation Unit and the Resource Tracking and Projections Unit.
Learning Objectives
The aim of this course is to provide participants with practical guidance on how to develop a national system of monitoring and evaluation of HIV programmes. The module is structured around five key themes – introduction to monitoring and evaluation (M&E), measuring impact, measuring coverage, using M&E data and setting up a national M&E system.
This course will provide an overview of M&E methods and approaches for most at-risk populations and include recommended key indicators and data collection methods. It addresses the use of strategic information for programme planning, monitoring, and evaluation. Input indicators measure what goes into a programme (money, staff, commodities, etc.), while output indicators measure what comes out of it (number of HIV tests conducted, persons contacted by outreach workers, etc.). Outcome indicators measure the short to medium term results expected at the population level and include indicators that measure changes in HIV-related risk behaviours. Impact indicators are measures of the longer term results expected to occur in the target population. For HIV prevention programmes, this refers to HIV incidence (rate of new infections), though impact indicators are usually expressed as prevalence due to difficulties in obtaining incidence data. Programme outcome and impact indicators are measures of a programme’s intended effect on the population being targeted by the interventions. Outcome and impact indicators are obtained from surveillance surveys.
Key Topics
HIV/AIDS epidemiology and the impact of the epidemic
Basic concepts of M&E and principles of M&E in low-level and concentrated epidemics
The UNAIDS approach to monitoring and evaluation
Overview of UNGASS national level indicators focusing on the relevance to local context
The features of a good M&E system
Selecting and defining coverage indicators
Behavioural and epidemiological methods for obtaining impact indicators
M&E tools and data flow
Use of HIV surveillance data for programme planning and assessing impact
Introduction to recent initiatives to improve M&E of HIV/AIDS
Introduction to Country Response Information System (CRIS)
Dissemination and use of M&E data
Challenges with M&E
Key references
The 2007 AIDS epidemic update reports on the latest developments in the global AIDS epidemic.
UNAIDS/WHO
http://data.unaids.org/pub/EPISlides/2007/2007_epiupdate_en.pdf
http://data.unaids.org/pub/EPISlides/2007/2007_epiupdate_ru.pdf
Guidelines and resource documents on National AIDS Spending Assessment (NASA)
http://www.unaids.org/en/Coordination/FocusAreas/track-monitor-evaluate.asp
Country Response Information System (CRIS): Country Operations Guide
UNAIDS
http://data.unaids.org/pub/BaseDocument/2007/cris_cog_en.pdf
http://data.unaids.org/Publications/IRC-pub02/JC885-CRIS_Overview_en.pdf
Monitoring and Evaluation Toolkit: HIV/AIDS, Tuberculosis and Malaria
WHO, UNAIDS
http://www.theglobalfund.org/pdf/guidelines/pp_me_toolkit_en.pdf
http://www.theglobalfund.org/pdf/guidelines/pp_me_toolkit_ru.pdf
Measuring the Systems Effects of the Global Fund with a focus on additionality,
partnerships and sustainability
GFATM
http://www.theglobalfund.org/pdf/pp_mse_en.pdf
UNAIDS Terminology Guidelines
http://www.nkd.lt/files/leidiniai/UNAIDS_Terminology_guide.pdf
National AIDS Programmes. A Guide to Monitoring and Evaluation
UNAIDS
http://www.who.int/hiv/pub/surveillance/unaids0017e.pdf
Monitoring and Evaluation to Assess and Use Results (MEASURE) framework
Measure Evaluation
http://www.cpc.unc.edu/measure
Indicators for Monitoring and Evaluation of HIV/AIDS Care and Support Programme
UNAIDS, WHO
http://data.unaids.org/Publications/IRC-pub06/jc1013-caresupport_en.pdf
Guide to monitoring and evaluating national HIV/AIDS prevention programmes for young people
UNAIDS, WHO
http://data.unaids.org/Publications/IRC-pub06/JC949-NAP-YoungPeople_en.pdf
National guide to monitoring and evaluating programmes for the prevention of HIV in infants and young children
UNAIDS/WHO
http://www.searo.who.int/LinkFiles/Facts_and_Figures_7-nationalguideyoungchildren.pdf
Guidelines for effective use of data from HIV surveillance systems
WHO
http://data.unaids.org/Publications/IRC-pub06/JC1010-UsingData_en.pdf
Monitoring HIV/AIDS Programs: A Facilitator's Training Guide
FHI
http://www.fhi.org/en/HIVAIDS/pub/guide/meprogramguide.htm
Teaching Methods
The course consists of lectures, exercises and presentations. Work in small groups will enable skills building and learning through case examples and discussions.
Target Audience
National AIDS programme managers; government officials responsible for planning and implementation of HIV prevention policies and services; WHO and UN staff; other key stakeholders from NGOs, academic and educational organisations, health care workers, other organisation responsible for planning and implementation of HIV prevention and treatment policies and services.
Duration
The course takes place in five days.
Partners
UNAIDS Regional Support Team Eastern Europe and Central Asia
UNDP
Croatian National Institute of Public Health, Zagreb, Croatia
Roger Drew, Health and Development Consultant working with the USAID
Joost Hoppenbrouwer, International Consultant on HIV/AIDS, Netherlands
World Bank - The Global HIV/AIDS Monitoring and Evaluation Support Team
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Programme: Training course in Monitoring and Evaluation (M&E) of National AIDS Programmes
