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M & E approaches for key population programs: perils, pitfalls, and promising practices
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Transcript of M & E approaches for key population programs: perils, pitfalls, and promising practices
Key Population Data for Decision Making
Nana Fosua Clement, FHI360, Ghana.
December 4, 2015Washington, DC
M & E approaches for key population programs: perils, pitfalls, and promising practices
Ghana : SHARP, SHARPER into LINKAGES
Background
SHARP, SHARPER unto LINKAGES
• USAID-funded projects for KP HIV interventions in Ghana
• Strong component of M & E design for interventions• M & E design fit within country context for effective
collaboration from relevant stakeholders and smooth execution.
• Projects led by FHI360
Perils and pitfalls (SHARP: 2004 – 2009)
Country context – limited KP data so focus on general population for HIV intervention
• FSW data available for programming• Very limited data on MSM so few development
partners and CSO implementing KP interventions.• Country focus on general pop HIV (known/available
data)• First bio-behavioural study on MSM - homophobic
environment, chased out from community, study on hold for 3 months
• M & E tools developed for effective data collection – time consuming and slow
Perils and pitfalls (SHARPER: 2010 – 2014)
Country context - Quality mechanisms for standardized M&E for programing
• KP – stigma, discrimination, fear • Utilization of evidence-based data available from
M & Eo public health facilitieso CSO communityo KP community
• Interest in KP program increase thus need to standardize intervention including M&E (good and bad)
Perils and pitfalls (LINKAGES:2015 –2016) Country context – UNAIDS 90-90-90 strategy
• Community KP prevention intervention with running M & E system, CST services tracked for general population at public health facilities
• M & E system to merge both – data for decision making and effective programming
• Transition period vrs. national M & E system launch
Promising practices
• Performance monitoring to include performance-based feedback, dialogue and funding - strengthens the capacity of implementers to implement improved interventions and to show greater accountability.
• KP IBBSS : FSW - 3 completed, 1 underway; MSM – 1 completed, 1 underway
• Development/Standardized data collection tools and strategic documents for effective programming
o KP SOP, KP Strategic Plan (SP) and National SPo Community mapping - Better target services to KP
hotspotso National KP data collection tools
Promising practices
• Effective M & E result in ‘branding’ and ownership of program by KP community
• National KP TWG to coordinate KP interventions including M & E issues
• UIC – data collection and access to services without fear
»
I am someone’s hope - FSW It’s my turn - MSM
Lesson learnt
• Very careful with HOW, WHEN, WHERE, and TO WHOM sensitive KP information is released.
• Be particularly wary of the press – gain trust with the KP community and stakeholders
Result - proper KP data for decision making.
»
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