M&E-The Ethiopian Experience.

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M&E-The Ethiopian Experience. MERG Meeting Geneva,Switzerland Oct. 25-26,2004 Dr. Wuleta Lemma, CDC/Tulane/WB M&E and Observation Guide, HAPCO/MoH. Diagram. Foundation M&E - Contextual analysis After Bangkok New Improvement. Status of HIV/Helps . Foundation Ethiopia.
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M&E-The Ethiopian Experience MERG Meeting Geneva,Switzerland Oct. 25-26,2004 Dr. Wuleta Lemma, CDC/Tulane/WB M&E and Surveillance Advisor, HAPCO/MoH

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Outline Background M&E - Case Study After Bangkok New Development

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Status of HIV/AIDS

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Background-Ethiopia People living with HIV/AIDS ……..…………….….. 1.5 million Estimated percent of grown-ups (15–49) contaminated with HIV ….. 4.4% Rural = 2.6%; Urban = 12.6% Cumulative passings because of AIDS ………………..…... > 1 million Children tainted and living with HIV ………………... 96,000 Cumulative number of kids stranded by AIDS …... 540, 000 Number of pregnant ladies living with HIV …………. 130,000 Number of PLWHA requiring ART ……………………. 245,000

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Weighted urban HIV pervasiveness: 12.5%

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: 2.8% (2004) 2004 commonness range: 1.0% - 5.2% Assumed begin of country HIV pandemic: 1984

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No. HIV-pos, 2003: Female: 810,000 Male: 650,000 Total: 1.5 million

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M&E-The Ethiopia experience

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Challenges to “One M&E System” No M&E unit at the national level Indicators not fit Everybody have their own – Ministries, Donors, CSO and so forth No brought together information gathering configurations Organizations have their own diverse arrangements for comparative markers “Same person ” at lower fills it all !!!! Diverse report-Information Flow Limited not bound together limit building arrangement - including training and human limit at all levels to part out a national M&E framework Non presence of an incorporated information base (counting HMIS) Surveillance more created than Program Monitoring Limited Budget for M&E Non-existent and incoherent Evaluation arrangement Infrastructure (street, telecom, organizing, and so on) changes from locale to area

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M&E-2003-present M&E Department at national ( 5 Staff ), Regional HAPCOs and region central persons. M&E group incorporates MoH Secured spending plan (MAP,GF, PEPFAR and Others) Comprehensive preparing arrangement for all areas created – ToT manual to take after Equipment (Computers & frill) for all local M&E Departments and all new ART destinations Take favorable position of Woreda net National M&E Framework (with pointers, techniques for information gathering, Information stream, who gathers what and so on) after broad conference distributed in December 2003 and circulated to all Regions, NGOs, FBOs & Donors

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M&E 2003-present National M&E Operational Plan with subtle element M&E Formats for all project exercises Assessment of National Financial Monitoring System of NHAPCO Harmonization of GF necessity with national Indicators Consolidated Surveillance and M&E asset mapping for MoH finished Expanded Surveillance : 66 locales for 2003, double the number tested in 2001 (34 sentinel observation destinations in 2001) first BSS done/report appropriated across the country (>27,000 test) BBS-2 beginning

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After Bangkok

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University Students 2003/4 (1996 ET) M&E information gathered 2 University Students/Region in addition to ~2 per District (606 region) Most locales finished Information incorporates at Federal level - Sector Ministries, Bilateral, Multilateral and NGOs

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M&E Operational Manual - 12 modules-meeting in Nov, 2004 (>150 individuals)

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Other-Opportunity/Challenge Ethiopia endorsed for the biggest GF (GF2+GF4 > $600M, PEPFAR around 50M/year) ~10-12% for M&E(inc. HMIS) and Surveillance/year FMoH (HMIS and M&E Advisory Committee shaped Work gazed) LMIS Lab Information framework Patient checking framework M&E National/Regional ToT preparing Training on Medical Record

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The Network Model Formal Health System Levels Service Components ART Specialty care Acute Illness Care HIV Counseling and Testing Pain Management Tertiary Referral Hospitals ( 5) C O M U N I T Y Regional/Zonal Hospital Uniformed Services District Hospital District Hospital District Hospital Health Center HIV guiding and testing, PMTCT, OI treatment and prophylaxis, TB dx , ART postliminary, nourishment directing and bolster, psychosocial bolster [ torment management] Health Center Health Center Health Center Transporters CSW Health Posts HEP: essential general medicinal services CHWs Basic consideration, including agony and indication alleviation Home based Care

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New Development/Strategies HAPCO to Report to MoH Implication on M&E not clear (expected very little as the National M&E Framework was acknowledged in SPM) Implication on structure not clear Health Extension Workers (23,000 to be conveyed in 5 years

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