HMIS Monitoring & Evaluation

• Monitoring

  • refers to the systematic collection, analysis, and use of information from programs
  • focuses on implementation for improvement

  Evaluation

  • assesses outcomes and impacts after a program
  • assesses a policy's relevance, effectiveness, efficiency, impact, and sustainability
• Three basic purposes of monitoring

  • Learning from experiences (learning function)
  • Accounting for resources used (inventory)
  • Results obtained (monitoring function)
  • Taking decisions (Steering function)

  Functions of Evaluation

  • Learning Function - feedback learned need to be incorporated into future policies
  • Monitoring Function - review implementation of policies based on objectives and resources mobilized
• Primary aim of M & E in the national health strategic plan?

  • To have a strong M & E and review system for all major disease programs and health systems
  • Assess effects of integrated service delivery
  • Review processes can assess progress
  • Monitored and evaluated progress
• What is the purpose of the Joint Assessment of National Health Strategies (JANS)?

  To align all partners around M & E principles.
• What are the strategies for operationalizing the M & E plan according to the National Health Mission?

  • Be primarily country-focused but support global monitoring.
  • Address M & E needs for multiple users and purposes.
  • Facilitate identification of indicators and data sources.
  • Integrate monitoring and evaluation work across disease-specific programs.
• What is the core component of current efforts to scale up for better health?

  Monitoring and evaluation (M & E).
• What does the M & E framework build upon?

  Principles derived from the Paris declaration on aid harmonization and effectiveness.
• What is the purpose of tracking indicators in monitoring medical services?

  To assess processes and results associated with various indicator domains.
• What should be noted about shifts in outcome and impact indicators?

  They may not be directly attributable to integrated service delivery efforts.
• INDICATOR

  
  

  • a variable whose value changes
  • measures the value of change in meaningful units that can be compared from past and future
• What are the five broad categories of HMIS indicators?

  • Reproductive Health
  • Immunization
  • Disease Prevention and Control
  • Resources Utilization
• What is the purpose of HMIS indicators?

  To monitor key aspects of health system performance.
• What does HMIS provide for monitoring program performance?

  A source of routine data necessary for monitoring various health programs.
• What is the goal of the Maternal Survival Strategies?

  To achieve the fifth Millennium Development Goal of reducing maternal mortality.
• What is the significance of the HMIS indicators related to pregnancy care interventions?

  They provide core input, process, and output indicators for monitoring maternal survival interventions.
• What are the major causes of under-5 deaths in Ethiopia?

  Diarrhea, pneumonia, measles, malaria, HIV/AIDS, and under-nutrition.
• What is the goal of the STOP TB Program?

  To dramatically reduce the global burden of TB by 2015.
• What is one of the main objectives of the STOP TB Program?

  To achieve universal access to high-quality care for all people with TB.
• What are the HMIS indicators to monitor the STOP TB Program?

  • TB patients on DOTS
  • New-smear pulmonary TB cases enrolled
  • TB Case Detection
  • New smear positive or negative pulmonary TB cases detected
  • Treatment outcomes
  • Proportion of newly diagnosed TB tested to HIV
  • HIV-TB Co-infection
• CHILD MORTALITY AND CHILD SURVIVAL INTERVENTIONS

  Indicators:

  • number of treatments for children
  • number of immunized infants
  • latrine/toilet coverage
  • safe water coverage
  • Household with Insecticide Treated Nets (ITN)
• MATERNAL SURVIVAL STRATEGY

  Indicators:

  • 1st and 4th antenatal care attendance
  • abnormal pregnancies
  • institutional cases of maternal morbidity and mortality
  • antepartum hemorrhage
  • hypertension
  • edema
  • Abortion attended at health facilities
  • Abortions conducted at health facilities
• MATERNAL SURVIVAL STRATEGY

  • Antepartum or Prenatal - throughout pregnancy; antenatal
  • Intrapartum - while in labor
  • Post-partum - after birthing
  • Inter-partum - between pregnancies