Post on 01-Jan-2016
The 3 Pillars of Monitoring and Evaluation
Identifying the Performance IndicatorsCollecting information using appropriate M&E tools and methods
Household surveysFacility SurveysHMISQuantifiable Supervisory Checklists
Using M & E results for program decisions
Under-five Mortality – Absolute Difference between low and highNigeria has highest difference in the Region
• All performance indicators should have Base-line and Targets – NHSDP has them
• Should provide data at the required frequency and with adequate disaggregation
• Should be able to identify sub groups that are missing out services (Equity)
Principles of M &E
•Should use 3rd party assessments for Evaluations
1.Independence2.Less distraction for the program
manager
•Clearly defined responsibilities for analysis and use of data• Availability of dedicated staff and • Systems/protocols for reviewing and
using data
•Robust enough to meet the data requirements of RBF /CCT/Contracting which require more precision in measuring results
Principles of M &E
Reduction in Under
5mortality Rates;
Maternal Mortality
Ratios and HIV
prevalence among 15-
24 Year population
Level IHealth Impact
Level 2Program
Outcomes
Level 3Service Delivery outputs
Level 4 Institutional Processes
Level 5Inputs
1. Wards meeting the Staffing requirements to deliver minimum package of services (%)
2. Health Personnel receiving competency based training (Number)
3. Health Facilities Renovated/ Rehabilitated (Number)
4. Health Centers receiving supplies of Essential Medicines for ward Minimum Health Package (%)
1. Increase in Federal and State Budgets allocated for health sector (%)
2. Improved retention of Human Resources for Health (%)
3. Public health facilities having active committees (at least 4 meetings per year) that include community representatives (%)
4. Increase in State HMIS reports meeting minimum quality standards (Number
1. Increase in Children 12-23 months fully immunized (%)
2. Increase in women receiving IPT for malaria during pregnancy (%)
3. Increase in births attended by Skilled providers (%)
4. Improved TB case detection rates (%)
5.Reduction in unmet need for FP services (%)
1. Increase in children under five sleeping under an ITN during the previous night (%)
2.Enhanced condom use at last high risk sex (%)
3. Improved TB Cure rates (%)
4. Increase in contraceptive prevalence rates (%)
The NSHDP Results Framework in Place
Collecting data on NSHDP performance indicators using appropriate M&E tools and methods
Household surveys:
DHS being done once in 5 years – Possibility of Mini DHS in between DHS rounds?MICs proposed once every 3 yearsLQAS being used for Malaria + Program – Scope for using in other programs, but requires capacity building at sub national levelUrgent need for more frequent surveys providing disaggregated data for States/LGAs
Collecting data on NHSDP performance indicators using appropriate M&E tools and methods
Facility Surveys: Being done under the Malaria Program Need to develop design, pilot and
implement
Quantifiable Supervision Checklists: Not being done Will be required with improved results
focus Need to design, pilot and implement
HMIS: In place Quality, coverage and timely reporting
remain a concern Requires systems for validation of data
Using M&E results for program decisions
Lot more work still needs to be done
Developing simple tools for annual State/LGA performance ranking
Capacity building at District and LGA levels on decentralized data analysis
Ensuring robust M&E for RBF/Performance Contracting initiatives
Proposed Organization of Session:
Day 3Quiz : What we know about M&E A brief primer on Monitoring and EvaluationPresentations on different M&E tools and approaches
Day 4 Introduction to New M&E tools : LQASCase StudyDiscussion on next Steps on Development of State Results chains and specific actions for putting in place M&E systems for disaggregated data generation and use