m&e overview (ii)

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    M&E Overview

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    At the end of this session, participants will

    be able to:

    Understand concepts of monitoring andevaluation

    Understand how to set goals and objectives

    Prepare an M&E plan

    T. Bezabih

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    What Is Monitoring? and What IsEvaluation? How are they different?

    How do they fit together?

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    Monitoring is the routine

    process of data collection

    and measurement of

    progress toward programobjectives.

    Monitoring involves

    counting what we are

    doing.

    Monitoring involves

    routinely looking at the

    quality of our services.

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    The regular follow-up of the implementation of

    planned activities. It also involves

    documentation of project activities

    The systematic and continuous process of

    following and keeping track of indicators in

    order to ensure that the project/program isproceeding according to plan and modifying the

    plan as necessary.

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    Are projected outputs being met?

    Are we heading in the right direction?

    Are we in good time?

    Are the indicators appropriate?

    Did you identify the correct problem and has this problemchanged?

    Are the intervention strategies appropriate to the targetpopulation?

    What can be improved in our project?

    Are we utilizing resources efficiently?

    Gives us the strengths and weaknesses of our project

    Provides updates for stakeholders

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    Assesses progress against setobjectives/outputs

    Supervises implementation

    Assesses effectiveness of implementationstrategies

    Identifies new issues and/or unforeseencircumstances that may be obstacles

    T. Bezabih

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    Identifies necessary corrective measures (strategymodification)

    Verifies information first-hand for immediate

    feedback Strengthens relationships between collaborators(donors, implementers and beneficiaries)

    Serves as a motivation to implementers andbeneficiaries

    Provides an opportunity to verify whether resourcesare being used effectively (cost-effectiveness)

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    Review existing information related to the project. Make a conceptual framework of the project for monitoring.

    Identify monitoring goals and objectives.

    Identify indicators. Determine which categories of workers, supervisors orothers will be responsible for the collection of each categoryof monitoring data.

    Develop a timetable for frequency of monitoring.

    Develop/strengthen a management information system. Develop monitoring instruments.

    Conduct monitoring activities.

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    Analyze monitoring data.

    Write a report.

    Make recommendations.

    Implement recommendations.

    Identify new indicators based on the

    recommendations.

    Modify the monitoring system if necessary.

    Continue to monitor.

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    Evaluation is the use of social

    research methods to systematically

    investigate a programs

    effectiveness. Evaluation requires study design.

    Evaluation sometimes requires a

    control or comparison group.

    Evaluation involvesmeasurements over time.

    Evaluation involves special

    studies.

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    It is a means of problem verification

    It maximizes utilization of resources

    It identifies the strengths/weaknesses of the project

    It provides information for planning and re-planning

    It provides learning opportunities

    It provides an opportunity for problem solving (strategymodification)

    It is a basis for maintaining and/or improving the existing

    strategy It measures the effectiveness of the project/program

    It is a check whether the project was implementedaccording to the detailed plan/design

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    DIFFERENCES BETWEEN MONITORING

    AND EVALUATION

    Monitoring Evaluation

    Who M. Internal management responsibility all levels

    E. Usually incorporates external inputs (objectivity)

    When M. Ongoing

    E. Periodic mid-term, completion, ex-post

    Why M. Check progress, take remedial action, update

    plans

    E. Learn broad lessons applicable to other

    programs/projects, policy review, etc

    Focus on M. Inputs, activities, outputs, process

    E. Outcome, impact

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    Lack of appreciation of the role of monitoring andevaluation.

    Fear of finding mistakes/ Fear of failure

    Lack of transparency and accountability by project

    managers. Lack of knowledge and skills in monitoring and evaluation.

    Cost of re-designing the overall project

    Resistance to change by entire project staff

    People are overwhelmed by more work, lack of time

    Restrictive budgets (lack of funds to accommodatemonitoring and evaluation).

    Fear of piracy by external evaluators.

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    Process Evaluation

    Mid-term Evaluation

    Impact Evaluation Summative Evaluation

    What is it?

    Why is it? When?

    Who conducts it?

    How should the findings be used?

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    Global Fund wants to know how many PLHIV have beenreached by your HBC program this year.

    A local community-based organization wants to start addressingHIV in its community with a comprehensive BCC program and

    starts by collecting key bits of information to find out who ismost in need of the services.

    After a year of conducting your program, you want to know ifthe budget is being spent in the most efficient way.

    NAP+ is interested in finding out if the HBC services providedare being carried out according to national standards of quality.

    HAPCO wants to know if the programs being carried out inAmhara Region are changing the risk behaviors of havingmultiple sexual partners in the Region.

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    The core of any M&E system is the

    goals and objectives of the program

    to be monitored and evaluated.

    If the program goals and objectives

    are written in such a way that they

    can be easily distinguished from

    one another and measured, the jobof the M&E specialist will be much

    easier.

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    General statement that describes the hoped-for

    result of a program (e.g., reduction of HIV

    incidence).

    Goals are achieved over the long term and

    through the combined efforts of multiple

    programs.

    T. Bezabih

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    Specific, operationalized statement detailing thedesired accomplishment of the program.

    A properly stated objective is action-oriented, starts

    with the word to, and is followed by an actionverb.

    Objectives address questions ofwhat and when,but not why" orhow.

    Objectives are stated in terms of results to beachieved, not processes or activities to be

    performed.

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    (S) Specificity Is it specific? Does it covers onlyone rather than multiple activities?

    (M) Measurability Can it be measured or countedin some way?

    (A) Attainability Is the objective actually doable?Can we achieve this goal?

    (R) Relevance How important is this objective tothe work that we are doing? How relevant is it toachieving our goal?

    (T) Time Does the objective give a timeframe bywhen the objective will be achieved, or a timeframeduring which the activity will occur?

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    Start with the outcome of theintervention (purpose), thendefine the outputs and then

    activities that would achievethe outputs. Then finally theimpact.

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    MONITORING &EVALUATION INDICATORS

    An indicator is the quantitative or qualitative

    evidence that will be used to assess progress

    towards an objective.

    Indicators provide the basis for monitoring

    progress and evaluating the achievement of

    outcomes.

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    CLASSIFICATIONS OF INDICATORS

    Input indicators: measure all the investment

    and recurrent cost resources (e.g. human,

    financial, facility, equipment, supplies) needed

    to enable the activities to be delivered

    Process indicators: attempt to set standards

    for the quality of activities to be carried out,

    such as appropriate training methods or an

    adequate supervision plan.

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    CLASSIFICATIONS OF INDICATORS

    Output indicators: measure result of inputs &process:

    Level at which program is functioning (operations):

    e.g. number of services delivered, medicinesprovided, IEC messages delivered

    How well program is functioning in terms of itsobjectives (performance): e.g., adequacy of output

    (e.g. services delivered) in terms of quality, equity,utilization/access, cost-effectiveness, efficiency,sustainability

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    CLASSIFICATIONS OF INDICATORS

    Outcome indicators: measure the main

    changes in the program population that are

    expected in the short-term, such as improved

    knowledge, attitudes or behaviors

    Impact indicators: measures a long-term

    effect that the program aims to produce, such

    as reduction of HIV prevalence

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    Practical Examples

    Examples of Outcomes, Indicators,

    Baselines and Targets (Prevention):

    Table 2 Examples of Outcomes, Indicators,

    Baselines and Targets (Treatment)- Table

    3

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    FEATURES OF GOOD INDICATOR

    Valid: actually measures the phenomenon (e.g.,self-reported vs. facility based data)

    Reliable: produces same results when used morethan once to measure precisely the same

    phenomenon

    Specific: measures only the phenomenon it isintended to measure

    Sensitive: reflects changes in the state of the

    phenomenon Operational: measurable with developed and

    tested definitions and reference standards

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    TYPES OF INDICATORS

    PROCESS - show whether the activities that wereplanned are actually being carried out, and carried outeffectively

    IMPACT - to assess what progress is being made towards

    reaching the objectives, and what impact the work has hadon the different groups of people affected by the work

    QUANTITATIVE indicators involve the definition ofnumerical measures eg number of meetings attended

    QUALITATIVE indicators refer to definingcharacteristics that cannot be quantified. For example,changes in behaviour orpeoples perceptions

    PROXY indicators measure things that represent (orapproximate) changes that cannot be measured directly.

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    CHOOSING INDICATORS

    Select among possible choices based on:

    What level of system youre measuring(inputs, process, outputs, outcomes)

    Data availability & quality

    Cost of collecting data

    Comparability with other programs, projects

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    CRITERIA FOR DEVELOPING AND SELECTING

    INDICATORS

    Result oriented: should focus at measuring resultexpected from the program

    Direct: should always be direct as much as possible.Proxy indicators could only preferred when direct

    indicators are not possible or difficult to use for differentreasons

    Objective: Could be understood without differentinterpretations

    One-dimensional/Independent: output indicatorscannot be used to prove achievement of purpose and

    purpose indicators achievement of goal

    Quantitative: (Whenever possible). However, thereare instances where qualitative indicators could be

    desired or even more useful.

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    CRITERIA FOR DEVELOPING AND

    SELECTING INDICATORS

    Disaggregated: (Whenever possible) usedisaggregated indicators. e.g. by sex, age,geographical location, education level, etc.

    Simplicity/Unambiguous: Simple and clearly definedin the program's context

    Validity/Consistency: The values of the indicatorsshould stay valid/constant as long as they are collectedin identical conditions, no matter who does the

    collecting Specificity: Should measure specific conditions that

    the program aims to do & change

    Sensitivity: should be highly sensitive to changes in a

    program situation.

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    CRITERIA FOR DEVELOPING AND

    SELECTING INDICATORS

    Cost-Effectiveness/Ease of Data Collection:

    Identify and select indicators for which data, time

    and resource (budget) is available

    Relevance/Reliable: Should be relevant to program

    objectives and measure what is expected to achieve

    Timeliness: Should be sensitive to the time it is

    done and possible to collect the data reasonably andquickly.

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    DATA GATHERING, ANALYSIS, AND

    REPORTING STRAGEY

    The HIV/AIDS Monitoring and EvaluationFramework, should clearly define:

    Indicators for the specific HIV/AIDS

    intervention areas Sources of data to generate the indicators

    Measurement tool

    Frequency of data collection

    Responsible body for data collection,compilation, analysis and reporting bylevel

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    Suggested reporting schedules for

    EMSAP II and GF projects

    Level of Indicators Recommended frequency of reportingExample of data collection methods used

    Input/process Continuously Health and non- health servicesstatistics,

    Program monitoring

    Output Quarterly, semi-annually, or annually Health and non-healthservices statistics,

    Program monitoring

    Outcome 1 to 3 years Population-based surveys,

    Health facility surveys,

    Special studiesImpact 2 to 5 years Surveillance,

    Population-based surveys,

    Special studies

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    Refer M&E OVER

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    The proposal submitted to the Global Fund by

    NAP+ has five major core areas: ART

    adherence literacy and counseling, home based

    care, job creation, food and nutrition support

    and capacity building

    Break into five groups and write a goal and

    three SMART Objectives for each of core areasfor the M&E system.

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    Careful selection of the questions you want answered

    through monitoring and evaluation will greatly help you

    develop your M&E processes and work plan.

    At the outset of the planning process, program managersshould ask themselves where they want the program to take

    them.

    Many of these questions will be reflected in the goals and

    objectives.

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    Was the activity carried out as planned?

    Did it reach its target beneficiaries?

    Did any changes in exposure to HIV infectionresult?

    How will the risk behaviors of the targetpopulation be affected?

    What sort of coverage do you expect to have? Did STI/HIV incidence change?

    How much did it cost?

    T. Bezabih

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    Refer back to your previous group activity

    where you developed a goal and a set of

    objectives. Now look at these goals and

    objectives and come up with at least three

    monitoring questions and at least two

    evaluation questions.