Monitoring and Evaluation Frameworks What is a ME

Monitoring and Evaluation Frameworks ØWhat is a M&E Framework? ØWhy do we use M&E Frameworks? ØHow do we develop M&E Frameworks?

M&E Frameworks ► Models, pictures or maps ► Visualize ► Maps the factors that drive an intervention that illustrate how a program should work ► Identify relationships between factors that influence program operation and the successful achievement of objectives

Why do we use M&E frameworks? ► Communication ► As and planning tool a ‘map’ for program’s goals ► Links between resources and activities ► Guide selection of indicators

M&E LOGICAL FRAMEWORKS Logical Framework: Logical frameworks are diagrams that identify and illustrate the relationships between program Inputs, Processes, Outputs, and Outcomes. Purposes: ► Provides a linear interpretation of planned use of resources and desired ends ► Clarifies project/program assumptions about linear relationships between key factors relevant to desired ends

M&E logical framework for TB programme INPUT PROCESS OUTPUT OUTCOME IMPACT Resources NTP – mgt /communication Diagnostic services Case detection TB infection Case treatment TB morbidity Communication Treatment services Case holding TB mortality Clinical and managerial Staff Drugs Laboratories Advocacy Training of staff Surveillance system Knowledge Reduced Stigma CONTEXT Political commitment Health system Availability Access Utilization Socio-economic conditions Epi-context HIV prevalence Malnutrition Alcoholism

Logic Framework example: Directly Observed Therapy INPUT PROCESS OUTPUT OUTCOME IMPACT • Drugs • Training of HCWs • HCWs trained to provide DOT • Improved cure and treatment completion rates • Drugs available at facilities • Decreased failure and default rates • Reduced morbidity/ mortality due to TB • Guidelines for DOT • Human Resources • Distribution of drugs • Supervision • Patients receiving DOT • Treatment outcomes reported • Prevention of MDR-TB

Logic Framework Input Process Output Outcome Impact Program Level (cohort) Population level

Conclusions M&E Frameworks allow a program manager to: ØDecide which program components to monitor ØPlan M&E activities in a strategic and systematic way ØChoose the appropriate methodology for M&E activities ØSelect indicators to monitor and evaluate different program components