Transcript Strategic information on ART - Kevin O'Reilly (WHO) ppt, 62kb

Strategic Information on ART
Scale up
Kevin O'Reilly
Department of HIV/AIDS
WHO
Strategic Information for ART:
agreement with key partners
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Framework for strategic information
national level indicators (being finalised)
estimating need
district level capacity (SAM) (under
development)
• patient tracking and clinical monitoring
– assessing resistance
A FRAMEWORK for Monitoring and Evaluation
Input
People
Money
Equipment
Policies
etc.
Process
Training
Logistics
Management
IEC/BCC
etc.
Output
Outcome
Services
Service use
Knowledge
Behavior
Safer
Practices
(population
level)
Impact
HIV/STI
transmission
Reduced
HIV impact
Data collection and frequency
for Monitoring and Evaluation
Input
Process
Output
Programme Monitoring
Frequency: on-going
Outcome
Household
Surveys,
Facility
Surveys,
Coverage
Surveys
1/ 2-3 years
Impact
HIV/STI
surveillance
population-based
1/ 1-3 years
Initiatives, Indicators, and Tools
for Strategic Information
Core consensus Indicators for all Initiatives based on United Nations General
Assembly Special Session (UNGASS) and recent meetings
Input
Process
Output
Outcome
Household Surveys
Facility Surveys
Coverage Surveys
Programme Monitoring
Impact
HIV/STI
Surveillance
Patients’ tracking
HMIS in PEPFAR, CDC, MAP, GFATM
DHS,
AIDS Indicators Surveys,
Service Availability Mapping
(SAM),
Health Facility Surveys,
Coverage Surveys
Second
Generation HIV
Surveillance
Basic Principles for Strategic
information
• Use or reinforce the existing system
• identify and co-ordinate with all partners
in country (PEPFAR, Clinton, etc)
• make the information “strategic”-planning to use the data
• public and private--what to include?
Basic Principles for Patient
Monitoring
• Use or reinforce the existing system to
extent possible
• co-ordinate with all partners on agreed
approach
• feasibility…everywhere
• “strategic”—collecting only what is
needed and will be used
Linking Clinic level and National
data
National level indicators
Clinic level data
Key issues
• Clinical variables
– Local level: patient progress and response
– National level: outcome, impact, resistance
• Programme monitoring
– Local programme performance & operational
challenges
– National programme monitoring
• Logistics
– Performance and problem identification
We must keep it simple!!!