Accelerating the response for children affected by AIDS - Monitoring the Response Inter-Agency Task Team on Children and HIV and AIDS Washington 23,
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Accelerating the response for children affected by AIDS - Monitoring the Response Inter-Agency Task Team on Children and HIV and AIDS Washington 23, 24 April 2007 Arjan de Wagt UNICEF NYHQ Global Partner Forum 2006 - Recommendations on M&E Strengthen monitoring and evaluation to improve the accountability and performance of national plans through improving data collection for children. Ensure national monitoring disaggregates by sex and age and includes the core indicators for children affected by HIV and AIDS, and build capacity to ensure information is collected and used to improve practice and to ensure accountability increases around vulnerable children. IATT 2006 tasks for WG M&E Review challenges M&E including: • • • • Challenges with regard to the use of indicators Indicators in Progress Report Comparability between countries in context of universal access Recommendations to the IATT on: • • • M&E National Plans of Action The Progress Report UNAIDS Core Indicators for monitoring Declaration of Commitment and Universal Access What has WG done so far • Sharing information and discussing M&E initiatives: • Harmonization of UNGASS indicators • Draft Coverage Survey results 2006 • East and Southern Africa – M&E capacity building workshops • Child Status Index • OVC Mapping Activity • Developing TOR: • Share information, strengthening partner collaboration and joint initiatives • Estimating numbers of vulnerable children • Prepare 2007 Progress Report Unite for Children. Unite against AIDS. 2007 Progress Report– A more complete picture on the response for children affected by AIDS Arjan de Wagt, NYHQ UNGASS indicators Indicator Definition Epidemic Type Measurement Tool Current school attendance among orphans and nonorphans aged 10–14 All countries Population-based survey; Every 2 yrs, at least every 4-5 yrs Percentage of orphaned and vulnerable children aged 0-17 whose households received free basic external support in caring for the child High HIVprevalence countries Population-based surveys; Every 4-5 yrs • 2007 review of UNGASS indicators left the two OVCs indicators as is. • Education indicator does not require reporting of ratio Universal Access Indicators High Level Meeting: “setting, in 2006,…., ambitious national targets …” • Core indicators recommended by UNAIDS 1 of 7 core indicators is on external services for. • East and Southern Africa as of mid September 2006: • 6/20 endorsed UA targets • 8/20 expected by the end 2006 • 6/12 with advanced or final indicators had indicator on OVC support • Coverage targets 27% - 100% (Progress Report: Universal Access Target Setting in East and Southern Africa Report to Regional UN HIV and AIDS Team. Prepared by UNAIDS-RST for ESA, 30 October 2006. PPT) Some data available % of children orphaned • Data for most countries • Orphaned due to AIDS estimates for Africa • Planned estimates for other countries Education • 44 report on education indicator • 27 countries ratio below 95 • 24 have measured at least twice • 15/24 increased ratio of at least 0.5 • 4/24 drop in ration of at least 0.5 External Support • 14 countries reported • Coverage between 1% (Senegal) and 95% (Botswana); medium 10%; • In 2007 many more DHS and MICS data sets with OVCs module available Ratio of the proportion of orphans attending school to the proportion of non-orphans attending school Ratio of the proportion of orphans (mother and father both dead) ages 10-14 attending school to the proportion of non orphans (living with at least one parent) ages 10-14 attending school 1.2 Earlier data 1 M ost recent data 0.8 0.6 0.4 Data provided by UNICEF based on analysis of DHS, 2007 Zimbabwe Zambia Uganda Togo Tanzania Senegal Rwanda Nigeria Namibia Mozambique Mali Malawi Madagascar Lesotho Kenya Haiti Ghana Eritrea Cote d"ivoire Chad CAR Cameroon Burundi 0 Burkina Faso 0.2 Number of countries with data currently available on two OVC indicators Region Indicator Orphan school Percent of OVC receiving attendance ratio external support East & South Africa (n=21) 19 10 West Africa (n=24) 17 7 Latin America & the Caribbean (n=36) 5 0 Central & Eastern Europe/CIS (21) 0 0 Middle East & North Africa (n=20) 1 0 East Asia & Pacific (n=27) 2 0 South Asia (n=8) 0 0 44 17 Total Countries with planned or ongoing surveys including OVC modules Region Country MICS III DHS ESARO Botswana x ESARO Ethiopia x ESARO Kenya x ESARO Leostho x ESARO Madagascar x ESARO Namibia x ESARO Rwanda x ESARO Uganda x ESARO Zambia x ESARO Zimbabwe x WCARO Burkina Faso x WCARO Central African Republic x WCARO Congo, DRC x WCARO Côte d'Ivoire x WCARO Equatorial Guinea x WCARO Ghana x WCARO Guinea-Bissau x WCARO Mali WCARO Niger x WCARO Sao Tome and Principe x WCARO Senegal WCARO Sierra Leone x WCARO Togo x x x x Countries with planned or ongoing surveys including OVC modules … MICS III EAPRO Lao PDR x EAPRO Thailand x ROSA Bangladesh x TACRO Belize x TACRO Dominican Republic x TACRO Guyana x TACRO Haiti TACRO Jamaica DHS x x Monitoring national response • Guidance to Govts, Internal organizations and NGOs • Supplements UNGASS indicators • 10 core and 7 additional • Most through surveys, only efforts index through key informants interview Reporting on progress • Progress report on behalf of IATT • 15 indicators Conclusion: •Amount of data on the response is very limited • New report planned end 2007 M&E Limitations • Data coming from surveys – every 3-5 years • Definitions of OVCs differ: • Between countries • In countries between partners that provide services • Between goals, objectives, targeting criteria, actual service delivery and M&E indicators • No standardized service package: difficult to measure, difficult to compare, difficult to contextualize • Double counting • Counting services does not say anything about impact on children and quality of services Proposed TOR Working Group on M&E – Monitoring Progress • Strengthen national M&E capacity • • • Regional trainings and national follow up National coverage reports based on NPA M&E framework Mapping activity • Publish 2007 Progress report children affected by AIDS based on: • • • • New DHS / MICS data analysis Efforts index 2007 Coverage survey results 2005 National level NGO coverage data OVC Mapping Activity Goal • Use (GIS) Geospatial Mapping as a tool for planning, evaluating and monitoring OVC activities and services Outputs • GIS Maps showing distribution of OVC, coverage by OVC care providers, distribution of services and GAPS for 14 African countries Resources • PEPFAR M&E Data, Census Data, DHS Data, Child and DevInfo Databases, Project data, National data, Vulnerability projections Partners • • • • • • • • OGAC, USAID, State Dept. DevInfo UN UNICEF BuCen CDC National Statistics Bureaus Univ. North Carolina Constella Futures Group Discussion • Is the TOR complete • What else can be done to improve national M&E capacity? • Do all national partners provide coverage data? • Monitoring national response and publishing at regional and global level • What about lower prevalence settings? Unite for Children. Unite against AIDS. Presentation: Monitoring national responses on children affected by AIDS