Presentation on
Strategic Plan for
Monitoring and Evaluation
1386 – 1390

Monitoring and Evaluation Strategy
• Stewardship is one of the MoPH’s primary responsibilities
• The MoPH has an obligation to monitor and evaluate its programs and their impact
• Also to provide and support a strategic plan for monitoring and evaluation
• Relies on set of evidence-based initiatives

• To monitor and evaluate health services and their impact
• To provide the best available information on priority indicators
• To provide relevant, high quality data and information on health system performance
• To coordinate the design and use of monitoring and evaluation plans and systems at the MOPH.
(Integration of System)

M&E Director
M&E Officers (8) Temporary Staff Support Staff (2)

• Health Management Information System (HMIS)
• National Health Services Performance
Assessment (NHSPA)
• Disease Early Warning System (DEWS)
• Human Resources Data Base
• Research and Informatics Department
• Technical departments of the Ministry
• Results from other assessments and studies

• Multiple lists of indicators exist within MOPH
– MDGs
– ANDS
– National Health and Nutrition Sector Strategy
– Program Budgeting
– Individual programs and departments
• There is a clear need to align these lists
• M&E Strategy is an opportunity to achieve this alignment

STAKEHOLDERS
• Afghan Public Health Institute (APHI)
• Health Management Information System
Department (HMIS)
• Research and Informatics
• Provincial Public Health Directorates
• Additional Key Partners
– GCMU
– Nutrition, EPI, RH, NACP, TB, Malaria, Blood Bank

• World Bank
• USAID
• EC/EPOS
• (MSH)/TechServe
• JHU/IIHMR
• CDC
• UNICEF, WHO
• Global Fund

• Providing updated information on:
• Priority Health Indicators
• Afghanistan Health Fact Sheet
• Integrated data from disease, nutrition or other surveillance
• GAVI Alliance, Country Coordinating Mechanism,
Global Fund and other institutional donors
• An archive of data sources and information about the health sector
• Database for the National Monitoring Checklist

Scope of work (Continued)
• Conducting performance assessments of health service delivery, including:
– BPHS: National Health Services Performance
Assessment and Balanced Scorecard
(annual)
– EPHS and other provincial hospitals: Hospital
Performance Assessment (annual)
– Special investigations of health services (ad hoc)

Scope of work (Continued)

Advising and development

Reviewing the M&E sections of key MOPH strategies (e.g., IEC, reproductive health, HIV,
TB, malaria, etc,)

Chairing the weekly Monitoring and
Evaluation Advisory Board meetings

Conducting background research for
Information Group meetings (chaired by the
Deputy Minister for Technical Affairs)

Scope of work (Continued)
• Promoting data utilization and a culture of data
– Training on data analysis and utilization
• Workshops on data use, sharing of results and other activities with stakeholders and provincial personnel and national program managers
– Discussing results with technical staff, managers and decisionmakers
• Presentations and discussions at Provincial Public Health Director quarterly meetings
• Presentations and discussions during missions, as well as regular and ad hoc forums at Central MOPH
– Putting reports and other results on the MOPH web site
– Sharing with the media press releases, presentations, fact sheets and copies of reports

Scope of work (Continued)
• Communicating
– Communicating results and their policy and programmatic implications to the MOPH leadership, etc.
– Communicating results with their policy and programmatic applications to provincial and district levels
• Capacity building
– Building the capacity of central and provincial MOPH staff on the use of available tools
• Intensive short courses
• Regular courses
• Ongoing technical support and interaction

Requirements for further development of the
M&E Directorate
• Increasing the organizational capacity of the M&E Directorate to be able to carry out the functions now carried out by
JHU/IIHMR
• Capacity building of the expanded M&E
Directorate
• Adequate funds

Suggested organizational chart with proposed funding source
M&E Director
(MoPH)
Policy/Strategy
Implementation
Incentive (Gavi)
PRRed
(Admin/Achiev ing)
Incentive
(Gavi)
(Data
(Management)
Salary –
MoPH
Incentive
(Gavi)
GCMU
Consultants
GCMU
M&E Officers
(14)
MoPH
M&E Officers
(Spl. Services)
MoPH
2 Support Staff
(Gavi)
2 Drivers
(GAVI)
Monitors (5)
(GAVI)

• 12 Month Course (System Sustainability)
(funding GAVI)
• Technical assistance from EPOS,
JHU/IIHMR, MSH/TechServe, others
• GIS, Web-based Data Info System
(Hardware and Software- GAVI. Technical assistance and Training – EPOS)

Resource Requirements
• Accommodation (Container) – GAVI
• Equipment – GAVI
• Communication – GAVI
• Transport - GAVI

Resource Requirements
• Data Sharing Workshop for PHDs and program managers to take evidence based policy decisions.
• Improving M and System at the provincial level (provision of resources and capacity)
• To implement the National Monitoring
Checklist

• Special monitoring missions for providing evidence based information to facilitate decision making for the authorities.
• National Health Service Performance
Assessments
– BPHS (from April 2008)
– EPHS (from April 2008)

• Endorsing M and E Strategy.
• Resource allocation (MoPH and Donors).
• Up grading structural set up and integration of system.

• Two-day Workshop for 34 PHDs twice a year
• Missions (3 persons per team X 7 days X
8 Provinces) per month