Monitoring and evaluation system



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THE RCQHC/ HCP/ACP PAEDIATRIC HIV/AIDS TRAINING PROJECT

MONITORING AND EVALUATION SYSTEM

FOR

PAEDIATRIC HIV/AIDS TRAINING COMPONENT

DATE: JUNE 2011

LIST OF ABREVIATIONS

ACP AIDS Control Program

AIDS Acquired Immunodeficiency Syndrome

F Female


GOV Government

HC Health Centre

HCP Health Communication Partnership

HCW Healthcare Worker

HIV Human Immunodeficiency Virus

M Male


M&E Monitoring and Evaluation

MO Medical Officer

MOH Ministry of Health

NGO Non-governmental Organization

RCQHC Regional Centre for Quality of Health Care

TBD To Be Discussed

TOT Trainer of Trainers

TABLE OF CONTENTS


TABLE OF CONTENTS iv

ACKNOWLEDGEMENT vii

1. INTRODUCTION viii

1.2 Objectives ix

1.3 Approach to M&E ix

1.3.1 Monitoring x

1.3.2 Evaluation xi

2. M&E SYSTEM FRAMEWORK xi

2.1 Data Collection System xii

2.2 Data Processing, Analysis and Reporting xii

2.3 Data Storage xii

2.4 Evaluation and Feedback xiii

2.5 Stakeholders xiii

3. DATA COLLECTION INSTRUMENTS xiv

3.1 Standard Attendance Form xiv

3.2 Paediatric HIV/AIDS Training Report xiv

3.3 TOT Observation Tool and Observation Report xv

3.4 End Evaluation Participant Tool xv

3.5 Post Training Supervision Tool xvi

BIBLIOGRAPHY xvi

ANNEXES 17

1.0 SUMMARY PERFORMANCE INDICATORS 17

1.1 TRAINER OF TRAINERS 17

Number of supervised TOT in HIV Care and Treatment who demonstrated the ability to train independently or to train with minimal support divided by the number that was supervised 17

Unit: Percent 17

Database summary report 17

National, 17

Regions, 17

gender 17

TBD 17


ACP 17

Number of supervised TOT in HIV Counseling who demonstrated the ability to train independently or to train with minimal support divided by the number that was supervised 17

Unit: Percent 18

National, 17

Regions, 17

Gender 17

TBD 17

ACP 17


1.2 FRONTLINE HEALTHCARE WORKERS 18

1.0 PERFORMANCE INDICATOR REFERENCE SHEET 20

1.1 TRAINER OF TRAINERS 20

Definition: Percent of supervised TOT in HIV Counseling who demonstrated the ability to train independently or to train with minimal support. 25

Numerator: Number of supervised TOT in HIV Counseling who demonstrated the ability to train independently or to train with minimal support 25

Denominator: The number of TOT personnel in HIV Counseling who were supervised 25

1.2 FRONTLINE HEALTHCARE WORKERS 25

2.0 TOOLS 31

2.1 STANDARDIZED PAEDIATRIC HIV/AIDS TRAINING ATTENDANCE FORM 31

2.2 TOT OBSERVATION TOOL 33

2.3 PARTICIPANT DAILY EVALUATION FORM 34

2.4 PARTICIPANT END EVALUATION FORM 35

2.5 POST TRAINING SUPPORT SUPERVISION TOOL 36

MINISTRY OF HEALTH – UGANDA 37

TIME TABLE FOR POST TRAINING SUPPORT SUPERVISION VISIT 40

1. PREPARATION FOR POST TRAINING FOLLOW UP VISIT (to be filled before leaving for the field) 40

3.0 SUMMARY REPORTS 52

TRAINING REPORT 53

4.0 COURSE ASSESSMENT AND EVALUATION 55

TOT OBSERVATION REPORT 58




ACKNOWLEDGEMENT


This document is a product of efforts by two consultant Medical Epidemiologists with training in paediatrics; Ezekiel Mupere MBChB, M.Med (Paediatrics), PhD (Epidemiologist) and Eric Wobudeya MBChB, M.Med (Paediatrics), MSc. (Epidemiology). The consultants were facilitated by staff from three stakeholders: Regional Centre for Quality of Care (RCQHC), AIDS Control Program (ACP), and Health Communication Partnership (HCP). We are grateful to the consultants, all staff (Eva Magambo, Ruth Musekura, Kimberly Burns Case, and Robert Nangai from HCP; Dr. Peter Elyanu from ACP; and Dr. Daniel Tumwine, Dr. Henry Barigye, Dr. Micheal Mawanda, and Mr. Taasi Geoffrey from RCQHC), and stakeholders who participated in a series of consultative meetings to conceptualize and operationalize the framework, tools, indicators, and database.

This document was made possible by the support of the American people through the United States Agency for International Development (USAID) and RCQHC. The views expressed by the authors do not necessarily reflect those of these organizations.



1. INTRODUCTION


In Uganda it is estimated that 130,000 children under 14 years are living with HIV with 42,000 children in immediate need of life saving antiretroviral drug treatment. However, only 17,000 of these (41%) are receiving this essential intervention. Tackling the paediatric HIV/AIDS pandemic is possible where resources are available, services are accessible, and efforts coordinated. 

The Regional Centre for Quality of Health Care (RCQHC) is affiliated to Makerere University School of Public Health. RCQHC’s mission is to provide leadership in building regional capacity to improve the quality of health care in Africa by promoting evidence-based better practices.

The Regional Centre for Quality of Health Care (RCQHC) in partnership with the Health Communication Partnership (HCP) is currently implementing a 2-year initiative to support the MOH/AIDS Control Program (ACP) to scale up paediatric HIV services in Uganda. The program aims to strengthen the capacity of healthcare providers in Uganda to offer quality paediatric HIV/AIDS services (care, treatment and support). This RCQHC/HCP/ACP project will train national and regional trainers for paediatric HIV/AIDS services and also offer them support supervision as they train frontline healthcare providers.

The purpose of this Monitoring and Evaluation (M&E) system is to establish a unified and coherent tracking of the trainings and supervision provided to the trainer of trainers (TOT), and the trainings provided to the frontline health care workers (HCW). The data collected through this framework will be used for tracking and reporting training outputs to the ACP at the MOH and other stakeholders in a timely manner, monitoring and evaluating the implementation of the project’s trainings, and feedback review to all stakeholders.


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