Planning ME to Tell Our ACSM Story Objectives
Planning M&E to Tell Our ACSM Story
Objectives • Discuss how ACSM activities can address barriers to help reach national TB control targets. • Describe how ACSM planning and M&E planning connect to “tell the story” of ACSM activities. • Describe the main steps of ACSM and M&E planning. • Explain the purpose and content of an M&E plan.
BARRIERS • POOR KNOWLEDGE OF TB SYMPTOMS Individual and Group Levels • POOR KNOWLEDGE OF TB CARE AND CURE • MISPERCEPTION OF COSTS • PREFERENCE FOR NON-DOTS SERVICES • EXPECTATIONS ABOUT MEDICAL • ATTITUDE ABOUT SERVICES (GET HEALTH MEDS NOT • STIGMA RELATED SERVICES TESTS) TO TB DIAGNOSIS • STIGMA • LOW RISK • NORMS PERCEPTION SEEK CARE GO TO DOTS • TIME, COST, DISTANCE TO DOTS FACILITY System Level • POOR KNOWLEDGE OF DIAGNOSTIC STEPS COMPLETE DIAGNOSIS • POOR KNOWLEDGE OF LENGTH OF TREATMENT • STIGMA COMPLETE TREATMENT (AND BEGIN TREATMENT FOLLOW-UP SMEARS) • TIME, COST, DISTANCE TO DOTS FACILITY • PROVIDERS’ POOR KNOWLEDGE OF CORRECT • LACK OF LINKAGE • POOR QUALITY PROCEDURES BETWEEN DOTS OF SERVICES AND OTHER • PROVIDERS’ • HEALTH PROVIDERS (NON POOR PROVIDERS FAIL -DOTS AND HIV INTERPERSONAL TO GIVE CARE) COMMUNICATION ADEQUATE SKILLS INFORMATION • MISSED • LACK OF DIAGNOSIS • LACK OF RESOURCES AND/OR LACK OF MEDICATION (INCL. HUMAN REFERRAL BY RESOURCES) NON-DOTS PROVIDERS COMPLETE TREATMENT (AND FINAL SMEAR) • TIME, COST, DISTANCE TO DOTS FACILITY • POOR QUALITY OF SERVICES • HEALTH PROVIDERS FAIL TO GIVE ADEQUATE INFORMATION • LACK OF MEDICATION
NTP Goal: Reduce TB incidence and mortality. NTP Objective: By 2014, improve treatment success by 10% in District Y Outcomes: increased patient satisfaction, > treatment adherence, > treatment success rate Challenge: Treatment success rate is low among urban poor Activity: Train urban clinic TB doctors on IPCC Barrier: Urban poor do not visit DOTS clinic because they are treated poorly by staff Communication Objective: By Dec 2013, improve interpersonal communication and counseling (IPCC) skills of TB doctors in District Y.
Strategic Plans versus Action Plans STRATEGIC PLAN WORK/ACTION PLAN • Narrative • Template, some narrative • Long-term (NTP plan) • Short-term (one year) • “Big-picture” strategies • Activities • Who will do what, plus why and how • Who will do what • Puts strategies into action • Aligns ACSM with national TB control strategies, priorities, and changing environment
Strategic Plan Action Plan or Work Plan Objective 1. 1 Create a national ACSM network of TB professionals and mechanisms for ACSM coordination. Establish ACSM Workgroup. Define 1. 1. formed. member roles and X Eka 1 Roles and coordinating mechanisms defined. mechanisms. 1. 1. Identify 10 regional 2 contact persons. 10 contact persons identified. X Eka 1. 1. Train 10 regional 3 contacts in ACSM. 1 training held. 10 ACSM contacts trained. X Eka Conduct 10 regional 10 trainings held. 1. 1. ACSM trainings with 80 TB stakeholders 4 80 TB stakeholders. trained. 1. 1. Create electronic 5 ACSM listserve. Listserve created. Send 10 quarterly 1. 1. 10 updates listserve updates to 6 submitted. network members. X X X X X Eka Objective 1. 2 Mobilize local NGOs to participate in ACSM activities. (continue as needed) 4 NGOs recruited. X 1. 2. Recruit 4 local 1 NGOs. Nin o
Strategic Plan: Typical Outline • Executive Summary • Current Epidemiology Data on TB • TB Control: Current Efforts, Challenges, and Gaps • Overview of ACSM in TB prevention and care • ACSM Strategy (2013 -20__) • Alignment with National and International TB Control Objectives and Gap Analysis • ACSM Objectives and Activities • Monitoring and Evaluation • Budget
ACSM Action Plan: Template • NTP Goal and Objective • ACSM Objectives • Activities • Inputs • Outputs • Responsible Staff/Nongovernmental Organization • Timeline
Telling Our Story • • Why is our work important? What have we accomplished? Who needs to know about this? What do we want them to know? M&E Planning
Apply results to ACSM planning Conduct evaluation Develop ACSM action plan M&E for ACSM Steps in Planning and Implementation Conduct routine monitoring Draft M&E plan Create M&E framework PHASE 1: PLANNING PHASE 2: IMPLEMENTATION Conduct ACSM needs assessment
M&E Plans: Master Strategy Data Collection Data Quality Evaluation Strategy Indicators Framework Data Use and Reporting M&E Plan Budget
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