Monitoring and Evaluation Frameworks What is an ME

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Monitoring and Evaluation Frameworks ØWhat is an M&E Framework? ØWhy do we use M&E

Monitoring and Evaluation Frameworks ØWhat is an 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

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

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

M&E LOGICAL FRAMEWORKS Illustrate the relationships between program Inputs, Processes, Outputs, and Outcomes. Links

M&E LOGICAL FRAMEWORKS Illustrate the relationships between program Inputs, Processes, Outputs, and Outcomes. Links the program to desired Impact.

M&E logical framework for TB programme INPUT PROCESS OUTPUT OUTCOME IMPACT Resources Management Case

M&E logical framework for TB programme INPUT PROCESS OUTPUT OUTCOME IMPACT Resources Management Case detection TB infection Clinical and managerial Staff Communication Diagnostic services Case treatment TB morbidity Case holding TB mortality Drugs Laboratories Advocacy Human resources development Surveillance system Treatment services 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 •

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

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

Conclusions ØWhich program components should be monitored? ØStrategic and systematic planning of M&E ØAppropriate

Conclusions ØWhich program components should be monitored? ØStrategic and systematic planning of M&E ØAppropriate methodology for M&E activities ØIndicator selection

Haba na haba, hujaza kibaba. Little and little, fills the measure. -Swahili kanga writing

Haba na haba, hujaza kibaba. Little and little, fills the measure. -Swahili kanga writing

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