Ensuring Program Quality and Progress through Monitoring & Evaluation

Understanding if the project is achieving what it set out to do


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Monitoring and evaluation enables programs to track targets for the project against what is actually happening and provides insights for program improvement. You will need to develop an appropriate an M&E system for your program. Figuring out what that system is involved balancing the need for a wide range of information about PrEP uptake, continuation, adherence, and infection with the feasibility of collecting and compiling those data. The intensity of data collection may change as programs go to scale.

Information collection systems

Monitoring systems collect data to help track actual performance versus targets for a project. Depending on the size of the program, systems can collect detailed, individual data or broader aggregate data. For example, the data collection capacity of a local, small-scale program can be much more targeted and specific than that of a far-reaching, national level program. Information collection systems provide the raw data, (the “what”), that feed into a deeper understanding of programs (the “why”). Programs should design their collection systems based on their realistic capacity to collect and analyze data, and use existing tools and indicators where possible. Many tools are available to use or adapt.

The promise of new HIV prevention options on the horizon offers an opportunity for countries to re-evaluate their systems for measuring the performance of pre-exposure prophylaxis (PrEP) programs. Rather than simply adapting current monitoring and evaluation (M&E) indicators, they can apply lessons from their experiences with oral PrEP to develop measures that are more useful and easier to integrate in routine data collection. The current global and national indicators for oral PrEP are challenging to collect and interpret and do not enable program managers to estimate program impact or future resource needs. In addition, each funder and national Ministry of Health requires slightly different indicators with different reporting periods, which adds to the burden of data collection, reporting, and interpretation.

Building on the recommendations from a series of think tanks on PrEP M&E led by AVAC through the Prevention Market Manager project with support from Jhpiego, the M&E Working Group of the USAID-funded PROMISE and CHOICE collaborations has proposed new indicators that could be used to monitor and evaluate programs providing oral PrEP and all other forms of PrEP as they become available. These indicators aim to simplify routine data collection and reporting to focus on the essential performance metrics of a PrEP program.

Evaluation

Evaluation facilitates understanding of why the data are showing specific findings. If there is a trend of individuals discontinuing PrEP use, evaluations can illuminate the causes behind the discontinuation.

Recommendations for Measuring Effective Use

Jhpiego and the Prevention Market Manager convened a think tank of PrEP experts to examine current methods for monitoring and evaluating PrEP use. This think tank explored the limitations of these methods, and issued preliminary recommendations for a new generation of metrics that better capture and reflect the use and impact of daily oral PrEP. Read more.

Resources

A number of monitoring and evaluation materials are available. This page includes a selection. If you’re looking for something in particular, visit our searchable database or use our help desk.

One notable tool is the WHO module on monitoring and evaluation. It is for people responsible for monitoring PrEP programs at the national and site levels. It provides information on how to monitor PrEP for safety and effectiveness, suggesting core and additional indicators for site-level, national and global reporting.


Help Desk

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Last updated January 22, 2020.