Tanzania mainland
National HIV Monitoring
and Evaluation (M&E)
System
What it is, how it works, and
how it involves you
Presentation Outline
1. MKUKUTA, the NMSF, Health Sector HIV
Strategy and the National HIV M&E
system
2. The goal, strategic objectives and
components of the national HIV M&E
system
3. The current status of the national HIV
M&E system
4. Roles and responsibilities of
stakeholders in the national HIV M&E
system
Part 1
Linkages between MKUKUTA,
NMSF, Health Sector HIV strategy
and the national HIV M&E system
MKUKUTA,
with
Some objectives relating to
HIV – confirming it as a
national priority
HIV Policy
NMSF,
which contains
HIV and AIDS response
goals and objectives
Health sector HIV strategy
based on NMSF
Nat’l HIV M&E System
National HIV indicators
Data sources
Implemented in/at
Health
facilities
Community
Work places
Routine data
from MoHSW
Surveys /
Surveillance
Routine data from community –
TOMSHA
Part 2
Goals, strategic objectives and
components of the national HIV
M&E system
Goal of the National HIV M&E
System
To use relevant and comprehensive
evidence provided in a timely manner
in HIV-related planning and decisionmaking.
Strategic Objectives of the
National HIV M&E System
1. To ensure an enabling environment for HIV
monitoring and evaluation
2. To harmonize existing national and sub-national
M&E systems and functions, including data
3. To produce accurate data on the achievement of
the objectives of the national HIV response
4. To promote the use of available HIV and AIDS
information for planning and decision-making.
5. To strengthen the national capacity for HIV and
AIDS-related research and development
Components of the National HIV M&E system
in Tanzania Mainland
Part 3
Progress with the
operationalisation of the national
HIV M&E system in Tanzania
mainland
Status of Components
1. Organisational Structures for HIV M&E
–
–
–
–
Staff at national level (TACAIDS and NACP) in
place, but too few
No staff at district level with M&E
responsibilities
M&E technical support at LGA levels not yet in
place
LGA-driven HIV response requires an LGAdriven M&E system – TOMSHA is still to be
operationalised
Status of Components
2.
Human Capacity
–
–
Three curricula developed – one on M&E concepts, one
on TOMSHA implementation and one on TOMSHA
management
Training in TOMSHA has taken place for the following
stakeholders:
•
•
•
•
•
•
–
More training is needed
•
•
–
HIV implementers
CHACs
RFAs
Umbrella organisations
UN volunteers
Regional HIV Focal Points
In M&E concepts for HIV implementers
In the new TOMSHA module as part of LGMD for the
CHACs
Other forms of capacity building (e.g. mentorship and
demonstration visits) are needed
Status of Components
3. HIV M&E Partnerships
– M&E TWG in existence, but weak: does
not meet regularly, its membership is
not constant, MoHSW not chairing
4. M&E Framework & Operational
Plan
– Developed; needs updating after NMSF
finalisation
– TOMSHA guidelines – just reviewed
Status of Components
5. Costed M&E Work Plan
–
–
–
Road Map developed; development partners
contributed
More buy-in needed
New road map for 2008 – 2012 being developed:
linked to MTEF budget for TACAIDS
6. HIV M&E Advocacy, Communications and
Culture
–
–
HIV M&E advocacy severely lacking
HIV M&E not included in the national HIV
communications and advocacy strategy
Status of Components
7. Surveys and surveillance
– well-developed, ongoing
– THIS planned
– Workplace survey to be undertaken
8. Routine monitoring data
– NACP: fragmented, being strengthened;
– TACAIDS: TOMSHA being operationalised
Status of Components
9. Supervision and Data Auditing
– Guidelines developed for TOMSHA
supervision for 3 levels:
•
•
•
TACAIDS to regions
Regions to districts
Districts to implementers
– Supervision of health facility routine data not
yet undertaken
10. HIV Information System
– Linked to LGMD: integration at district level
– National HIV database
– TORs developed
Status of Components
11.
HIV Learning and Research
–
Biomedical research well-coordinated by MoHSW
–
Social sciences research – not well coordinated
–
Global Fund 5-year evaluation: Once-off study to
determine results to which the Global Fund contributed
–
TMAP – RFA evaluation completed at the end of 2006
–
National synthesis study – drivers of the epidemic at
regional level (before next MTR)
12.
Data Dissemination and Use
–
NACP: produced data and information products
–
TACAIDS: yet to produce a single M&E information
product from M&E system
Part 4
Roles and responsibilities of
stakeholders in terms of the
national HIV M&E system in
Tanzania mainland
TACAIDS Responsibilities
• Coordinate HIV M&E system operationalisation, in line
with its mandate
• Mainstream M&E into all its functions
• Advocate for HIV M&E
• Build capacity of staff in M&E
• Interact with HIV database: review, analyse and add
new information
• Participate in supervision
• Validate results from TOMSHA
• Prepare information products
• Share data widely
MoHSW Responsibilities
• Prepare routine data and submit electronically
to TACAIDS, as per national M&E Operations
Plan
• Chair M&E TWG
• Prepare surveys and surveillance, and involve
TACAIDS in it
• Submit survey and surveillance data to
TACAIDS
• Prepare information products
• Oversee clinical / biomedical HIV research
Public Sector, Private
Sector and Civil Society
Responsibilities
• Report on TOMSHA
• Manage TOMSHA at district level
• Receive improved information about the RESPONSE
to the epidemic
• See spatial analysis of information
• Be able to link spread of epidemic to response to
epidemic
• Review financial expenditure per thematic area
• Participate in quarterly reviews at district level
• Participate in supervision visits
• Use data to better plan and implement HIV
interventions
Development Partner
Responsibilities
• Fund National HIV M&E Costed Work plan (Road
Map)
• Encourage stakeholders report on TOMSHA
• Make it compulsory for those that they fund to
report on TOMSHA
• Use TOMSHA data when reporting
• Receive and use information from M&E system
• Reduce individual reporting burdens
• Improved planning
• Improved review of NMSF
General Public
Involvement
• Will have more and improved
information not only about the spread of
the epidemic, but also about the
response to the epidemic
• Understand how they can get involved
• Obtain ‘real time’ information from the
web
• Know where to obtain assistance