Presentation on

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• Presentation on
• Strategic Plan for
• Monitoring and Evaluation
• 1386 1390

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Monitoring and Evaluation Strategy

• Stewardship is one of the MoPHs primary
  responsibilities
• The MoPH has an obligation to monitor and
  evaluate its programs and their impact
• Also to provide and support a strategic plan for
  monitoring and evaluation
• Relies on set of evidence-based initiatives

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The purpose of the ME Directorate

• To monitor and evaluate health services and their
  impact
• To provide the best available information on
  priority indicators
• To provide relevant, high quality data and
  information on health system performance
• To coordinate the design and use of monitoring
  and evaluation plans and systems at the MOPH.
  (Integration of System)

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Current ME Organizational Chart
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Information sources

• Health Management Information System (HMIS)
• National Health Services Performance Assessment
  (NHSPA)
• Disease Early Warning System (DEWS)
• Human Resources Data Base
• Research and Informatics Department
• Technical departments of the Ministry
• Results from other assessments and studies

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Priority indicators

• Multiple lists of indicators exist within MOPH
• MDGs
• ANDS
• National Health and Nutrition Sector Strategy
• Program Budgeting
• Individual programs and departments
• There is a clear need to align these lists
• ME Strategy is an opportunity to achieve this
  alignment

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STAKEHOLDERS

• Afghan Public Health Institute (APHI)
• Health Management Information System Department
  (HMIS)
• Research and Informatics
• Provincial Public Health Directorates
• Additional Key Partners
• GCMU
• Nutrition, EPI, RH, NACP, TB, Malaria, Blood Bank

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Stakeholders

• World Bank
• USAID
• EC/EPOS
• (MSH)/TechServe
• JHU/IIHMR
• CDC
• UNICEF, WHO
• Global Fund

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Scope of work of ME Directorate

• Providing updated information on
• Priority Health Indicators
• Afghanistan Health Fact Sheet
• Integrated data from disease, nutrition or other
  surveillance
• GAVI Alliance, Country Coordinating Mechanism,
  Global Fund and other institutional donors
• An archive of data sources and information about
  the health sector
• Database for the National Monitoring Checklist

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Scope of work (Continued)

• Conducting performance assessments of health
  service delivery, including
• BPHS National Health Services Performance
  Assessment and Balanced Scorecard (annual)
• EPHS and other provincial hospitals Hospital
  Performance Assessment (annual)
• Special investigations of health services (ad
  hoc)

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Scope of work (Continued)

• Advising and development
• Reviewing the ME sections of key MOPH strategies
  (e.g., IEC, reproductive health, HIV, TB,
  malaria, etc,)
• Chairing the weekly Monitoring and Evaluation
  Advisory Board meetings
• Conducting background research for Information
  Group meetings (chaired by the Deputy Minister
  for Technical Affairs)

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Scope of work (Continued)

• Promoting data utilization and a culture of data
• Training on data analysis and utilization
• Workshops on data use, sharing of results and
  other activities with stakeholders and provincial
  personnel and national program managers
• Discussing results with technical staff, managers
  and decision-makers
• Presentations and discussions at Provincial
  Public Health Director quarterly meetings
• Presentations and discussions during missions, as
  well as regular and ad hoc forums at Central MOPH
  
• Putting reports and other results on the MOPH web
  site
• Sharing with the media press releases,
  presentations, fact sheets and copies of reports

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Scope of work (Continued)

• Communicating
• Communicating results and their policy and
  programmatic implications to the MOPH leadership,
  etc.
• Communicating results with their policy and
  programmatic applications to provincial and
  district levels
• Capacity building
• Building the capacity of central and provincial
  MOPH staff on the use of available tools
• Intensive short courses
• Regular courses
• Ongoing technical support and interaction

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Requirements for further development of the ME
Directorate

• Increasing the organizational capacity of the ME
  Directorate to be able to carry out the functions
  now carried out by JHU/IIHMR
• Capacity building of the expanded ME Directorate
• Adequate funds

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Suggested organizational chartwith proposed
funding source
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Capacity building

• 12 Month Course (System Sustainability) (funding
  GAVI)
• Technical assistance from EPOS, JHU/IIHMR,
  MSH/TechServe, others
• GIS, Web-based Data Info System (Hardware and
  Software- GAVI. Technical assistance and
  Training EPOS)

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Resource Requirements

• Accommodation (Container) GAVI
• Equipment GAVI
• Communication GAVI
• Transport - GAVI

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Resource Requirements

• Data Sharing Workshop for PHDs and program
  managers to take evidence based policy decisions.
• Improving M and System at the provincial level
  (provision of resources and capacity)
• To implement the National Monitoring Checklist

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Resource Requirements

• Special monitoring missions for providing
  evidence based information to facilitate decision
  making for the authorities.
• National Health Service Performance Assessments
• BPHS (from April 2008)
• EPHS (from April 2008)

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The way ahead

• Endorsing M and E Strategy.
• Resource allocation (MoPH and Donors).
• Up grading structural set up and integration of
  system.

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ME Activities supported by GAVI

• Two-day Workshop for 34 PHDs twice a year
• Missions (3 persons per team X 7 days X 8
  Provinces) per month