Institutional Capacity Assessment of the aids control Program Uganda
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- 2.2 Methods and tools for data collection
- 2.3 Procedures for data collection analysis
Methodology2.1 Study DesignThis was largely a qualitative study involving a qualitative self assessment of the ACP, key informant interviews and short survey was adopted. The participatory self assessment engaged ACP staff and management in an FGD-like session during which a consultant guided participants in rating and analyzing ACP’s institutional capacity in 15 identified domains. Additional information on different aspects of ACP operation was obtained from key informant interviews of the leadership of ACP and other related units within the Ministry of health. A short survey was conducted amongst staff working in dept of National Diseases Control, within the Ministry on their perspectives on different aspects of ACP role in the health sector response. The self assessment design was chosen amongst other reasons because of its potential to motivate local ownership of actionable plans that can be used to address identified issues. 2.2 Methods and tools for data collectionThree methods of data collection were employed for this assessment. First a focus group discussion with ACP staff and management as participants explored ACP performance in 15 different domains (Figure I). Participants rank ACP individually and then collectively on a scale of 1 – 100% to reflect their consensus on ACP capacity and performance in each of the domains. Secondly, using the framework of the WHO health systems building blocks, key informant interviews covered more in-depth questions relating to ACP’s role in the health sector response. Thirdly, perspectives of major stakeholders on ACP operations were also explored by the governance building block using a short survey. A summary of the methods for data collection is shown in (table 2) below. Table 2 Focus, methods and respondents in the ACP assessment
The tool for the participatory self assessment is based on the organizational capacity assessment tool (OCAT) and was adapted from similar tools used elsewhere in sub-Saharan Africa. The lead consultants working in the different health systems building blocks reviewed and adapted the tool to align with the overall thrust of the health sector HIV/AIDS assessment within the local Uganda context. An additional set of tools – Forms A1 and A2 were used to analyze individual and group consensus scores respectively, and to capture the discussions during consensus building. The key informant interview (KII) covered more in-depth, questions relating to the ACP’s mandate within the framework of the health system building blocks. The survey tool covered important perceptions about the ACP and its work as well as the health sector HIV/AIDS response in general. 2.3 Procedures for data collection & analysisThe self assessment FGD was conducted with key officers of ACP in two separate days. ACP staff numbering 12, who play key roles in the unit, participated in the sessions. The FGD sessions were facilitated by an external consultant who is skilled in this process and who has conducted similar assessments elsewhere in Sub-Saharan Africa. Participants’ self assessment of each domain was conducted in a 3 step process; first, the participants independently rate organizational performance in a domain; next, the participants independently re-rate organizational performance in each of the domains after a facilitated discussion with the consultants. Individual scores by participants are indicated in a summary ranking table such as in Table 3 below. Finally, participants jointly reach a consensus on organizational score for each domain as well as outline indicators of strength and weaknesses in that area. This last portion is usually facilitated by a participant nominated by the group from among those present. Table 3: Individual Summary Ranking
Figure (I) Domains Covered by self Assessment 
The key informant interviews were conducted by the lead consultants and research officers of the different building blocks. The interviews adopted a flexible schedule which allowed interview sessions to be conducted in a time and place that was convenient to the respondents. The interview questions were basic themes often followed-up with probe questions about the topic. Additionally, 25 staff members of the department of national diseases control participated in a survey whose aim was to get their perspective on how ACP had performed its mandate in within the health sector. Data from this assessment are mainly qualitative. An initial analysis was conducted with participants as part of the institutional assessment methodology. Data from the KIIs and survey were reviewed and are used to further explain and supplement the analysis of the FGD.
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