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
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.