Monitoring & Evaluation System for the AMREF Business Plan. Ravi M. Ram, MPH, PhD, Aboubakiry Koulibaly and Paul Agina HQ, Nairobi November 2013



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Monitoring & Evaluation System for the AMREF Business Plan Ravi M. Ram, MPH, PhD, Aboubakiry Koulibaly and Paul Agina HQ, Nairobi November 2013

Purpose AMREF set up M&E System Monitor & Evaluate Business plan Linking M&E and RBM - Example with SD 3.3 (Malaria) Capture results Standardize operations

AMREF Business Plan Strategic Directions SD1 SD2 SD3 SD4 Making pregnancy safer and expanding reproductive health Reducing morbidity and mortality among children Preventing and reducing HIV, TB, malaria morbidity and mortality Preventing and controlling water, hygiene and sanitation related diseases women and children in Reaching disadvantaged communities with quality medical, surgical and diagnostic services. Research and Innovation SD5 SD6 SD7 Develop a stronger and unified ONE AMREF

M&E System for AMREF Methods and approach Monitoring and Evaluation Framework BUSINESS PLAN ACTIVITIES 7 STRATEGIC DIRECTIONS STRONGER AMREF & BETTER HEALTH PROGRAMMING What we put in? What we get out? What we aim to improve? What we aim to achieve? INPUT OUTPUT OUTCOME IMPACT Monitoring Evaluation

M&E System for AMREF Vision for M&E Monitoring & Evaluation To produce knowledge along with lasting health change in all AMREF programmes Improve quality of our work Promote accountability and credibility Empower our communities and other health system partners with knowledge and evidence Use evidence to express African voices for health

M&E System for AMREF Principles Simplicity & Utility Gender/vulnerable group (pro-poor) Transparency & integrity Results-based management (RBM) Goals & objectives Impact & outcomes AMREF as a Learning Organization Strategic perspective

M&E for Business Plan System elements What AMREF s M&E system includes? Results Framework (RF) Logical Framework (LF) Performance Measurement Frame(PMF) Indicator Reference Sheets (IRS) Assessment Plan (baseline, MTR, ETE) Results-based Annual Workplan/Budget Data management and reporting tools

M&E for Business Plan System elements Other elements to be added: Data use and dissemination plan M&E resource plan Data quality/audit guidelines Linkages with PJMS and Finance Full documentation for system

M&E System for AMREF Result and Indicator levels Result or Indicator Project element Reach Timeframe Leverage Goal Beyond beneficiaries End or after project Contribute Objectives Beneficiary communities Mid-term Project end Influence Beneficiary individuals Soon after output Influence Output Activities Staff & Individuals Immediate Direct control Input Resources Project Before activity Direct control Impact Intermed. Outcome Short-term Objectives Outcome

M&E for Business Plan Indicator scale Scale of indicators: Impact (n=1-2, evaluated at 3+ yrs) Int.Outc (n=2-3, evaluated at 1-3 yr) ST.Outc (n=3-5, evaluated at 1-3 yr) Outputs (n~10,quarterly monitoring) Inputs (financial monitoring)

M&E System for AMREF Dashboard example

AMREF M&E System for decision making Generating reports specifically to the AMREF International Board- Health Programming Committee (HPC) Generating outcome data.best practice model for results AMREF scorecards in BP annual report

Results of Mid Term Review for 3 year business plan Objectives for the review: Document a)changes b)extent AMREF s technical strategies are being implemented and demonstrating expected results c) assess extent AMREF s support services and health programmes have modified their functioning to align with the Business Plan and RBM

Results of MTE Purpose of the Business Plan Overall Note 1. Promote a consistent approach to activities across all countries where AMREF works. 2.5/5 2. Scale up AMREF s impact on African and global health by emphasizing evidence based advocacy and policy change. 2.5/5 3. Harmonize the annual planning process across the organization. 3/5 4. Transform AMREF s health priorities into tangible objectives, activities and outcomes. 4/5 5. Track the delivery of outputs and outcomes in a continuous and systemic manner. 2.5/5 6. Use limited resources in the most effective and efficient way to address AMREF s health priorities and achieve desired outcomes. 4/5 7. Enable all entities of AMREF to engage donors, beneficiaries and partners with greater clarity and focus. 2/5 8. Learn from the past and be prepared for and manage the future. 3/5

AMREF WASH project- Senegal About Project; AMREF West Africa first pilot WASH program in 2012 in remote areas in Senegal School Health Project integrating health, nutrition and WASH components to address pupils needs. Program was a challenge to succeed in this poor area where people are more preoccupied by accessibility rather than quality of infrastructures

AMREF WASH project- Senegal Components of results-based M&E system Standardized Indicators Data entry and storage into the AMREF Programs Database Results Based Annual Workplans and Budgets (RAWBS)

AMREF WASH project- Senegal M&E system functioning. Involvement and responsibilities. Data collection jointly by; Ministry of education and its decentralized services, Ministry of health and the health workers, Local authorities and traditional ones and teachers AMREF M&E unit responsible for data analysis and dissemination The MoH and MoE responsible for data validation.

AMREF WASH project- Senegal Data Quality Level one: administration authorities such as education Inspectors, teachers, medical doctors. Field activities coordinated by AMREF field officer Level Two: M&E Officer in regional office collect and analyses data brings main issues to weekly meeting Results shared with stakeholders through regular workshops for final validation before reporting to AMREF HQ or entered in AMREF Programme Database (APD)

AMREF WASH project- Senegal M&E system feed into decision making Data/ information from M&E system creates reports shared to stakeholders and recommendations adopted by MoH Data entered into the AMREF database is analyzed and presented to Senior Management and The International Board and used in determining overall strategic direction of organziation

M&E system contributing to better development outcomes Data and information captured from the success of the project being used by MoH and also by project as evidence to seek further funding collaborated with the national service of water and the national service of hygiene to ensure a good quality control of water and sanitation facilities.

AMREF WASH project- Senegal Joint field visit by AMREF WA, AMREF France and SANOFI ESPOIR to Dr Traore Medical Chief of the District of Louga.

Feedback regarding the effectiveness of the projects resultsbased M&E system? Attestation given to AMREF Regional Director by the Inspector of academy during the official launch of AMREF school health program in Matam

Dhanyavad JEREJEF Merci beau coup Gracias Amsegnalehu Asante Thank You Danken Mwebale Nyo