Introduction to Monitoring and Evaluation for National TB Programs

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Introduction to Monitoring and Evaluation for
National TB Programs
20 September 2005
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Overview

• What is monitoring and evaluation (ME)?
• How can you use ME for program management?
• Practical applications of monitoring and
  evaluation

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What is ME?

• Data collection?
• Reporting?
• Analysis?
• Supervision?

• Policy support
• Program design implementation
• Systematic
• Working smarter, not harder

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Definitions

• Monitoring is the routine reporting of data on
  program implementation and performance
• Evaluation is the periodic assessment of program
  impact at the population level and value

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Monitoring

• Has the program been implemented according to the
  plan?
• Are there any changes in program resources or
  service utilization?
• Are there any weaknesses in the implementation of
  the program?
• Where are the opportunities to improve program
  performance?

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Evaluation

• Are there any changes in behavior or health
  outcomes in the target population?
• To what extent are observed changes in the target
  population related to program efforts?

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Improve the quality and quantity of staff
involved in TB control
Training of health workers to identify and refer
TB suspects for sputum testing in a timely
fashion
Decrease average number of days from
identification of TB suspect and initiation of DOT
GFATM implements supply chain activity to keep
labs stocked and avoid delays in testing sputum
?
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Monitoring vs. Evaluation

• Level of measurement
• Monitoring Data come from routinely reported data
• Example Monthly service statistics
• Evaluation Data are measured at the population
  level
• Example Prevalence of MDR-TB in Country X

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The ONION
Chris Dye, 2002
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Why is ME important for National TB Programs?

• To follow epidemiological trends in TB
• To identify strengths and weaknesses in program
  design and/or implementation
• To address changing priorities
• To convince policy makers of the need for action
  and financial and human resources

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Uses of ME for program management (1)

• Informs decisions about program operations and
  service delivery
• Ensures effective and efficient use of resources
• Determine whether or not the program is
  implemented according to plan

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Uses of ME for program management (2)

• Meets reporting requirements by different
  agencies and government sectors
• Evaluates the extent to which the program/project
  is having or has had the desired impact

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Practical applications (1)
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Practical applications (2)
Case Case notification

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Practical applications (3)
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Comments/questions?