Planning M&E to Tell Our
ACSM Story
Objectives
•
Discuss how ACSM activities can address barriers to
help reach national TB control targets.
•
Describe how ACSM planning and M&E planning
connect to “tell the story” of ACSM activities.
•
Describe the main steps of ACSM and M&E planning.
•
Explain the purpose and content of an M&E plan.
BARRIERS
• POOR
KNOWLEDGE OF
TB SYMPTOMS
Individual
and
Group
Levels
• POOR
KNOWLEDGE OF
TB CARE AND
CURE
• MISPERCEPTION
OF COSTS
• PREFERENCE
FOR NON-DOTS
SERVICES
• EXPECTATIONS
ABOUT MEDICAL
• ATTITUDE ABOUT
SERVICES (GET
HEALTH
MEDS NOT
• STIGMA RELATED
SERVICES
TESTS)
TO TB DIAGNOSIS
• STIGMA
• LOW RISK
• NORMS
PERCEPTION
SEEK CARE
GO TO DOTS
• TIME, COST,
DISTANCE TO
DOTS FACILITY
System
Level
• POOR
KNOWLEDGE OF
DIAGNOSTIC
STEPS
COMPLETE
DIAGNOSIS
• PROVIDERS’
POOR
KNOWLEDGE OF
CORRECT
• LACK OF LINKAGE
PROCEDURES
BETWEEN DOTS
AND OTHER
• PROVIDERS’
PROVIDERS
POOR
(NON-DOTS AND
INTERPERSONAL
HIV CARE)
COMMUNICATION
SKILLS
• MISSED
DIAGNOSIS
• LACK OF
AND/OR LACK OF
RESOURCES
REFERRAL BY
(INCL. HUMAN
NON-DOTS
RESOURCES)
PROVIDERS
• POOR
KNOWLEDGE OF
LENGTH OF
TREATMENT
• POOR
KNOWLEDGE OF
LENGTH OF
TREATMENT
• POOR
KNOWLEDGE OF
LENGTH OF
TREATMENT
• STIGMA
• STIGMA
• STIGMA
BEGIN
TREATMENT
COMPLETE
TREATMENT (AND
FOLLOW-UP
SMEARS)
COMPLETE
TREATMENT (AND
FINAL SMEAR)
• TIME, COST,
DISTANCE TO
DOTS FACILITY
• TIME, COST,
DISTANCE TO
DOTS FACILITY
• TIME, COST,
DISTANCE TO
DOTS FACILITY
• POOR QUALITY
OF SERVICES
• POOR QUALITY
OF SERVICES
• POOR QUALITY OF
SERVICES
• HEALTH
PROVIDERS FAIL
TO GIVE
ADEQUATE
INFORMATION
• HEALTH
PROVIDERS FAIL
TO GIVE
ADEQUATE
INFORMATION
• HEALTH
PROVIDERS FAIL
TO GIVE
ADEQUATE
INFORMATION
• LACK OF
MEDICATION
• LACK OF
MEDICATION
• LACK OF
MEDICATION
NTP Goal: Reduce TB
incidence and mortality.
NTP Objective: By 2014,
improve treatment success
by 10% in District Y
Outcomes: increased
patient satisfaction,
> treatment adherence,
Challenge: Treatment
success rate is low among
urban poor
> treatment success rate
Activity: Train urban clinic
TB doctors on IPCC
Barrier: Urban poor do not
visit DOTS clinic because
they are treated poorly by
staff
Communication Objective:
By Dec 2013, improve
interpersonal communication and
counseling (IPCC) skills of TB
doctors in District Y.
Strategic Plans versus Action Plans
STRATEGIC PLAN
WORK/ACTION PLAN
•
Narrative
•
Template, some narrative
•
Long-term (NTP plan)
•
Short-term (one year)
•
“Big-picture” strategies
•
Activities
•
Who will do what, plus
why and how
•
Who will do what
•
Puts strategies into action
•
Aligns ACSM with
national TB control
strategies, priorities, and
changing environment
Strategic Plan
Action Plan or
Work Plan
Objective 1.1 Create a national ACSM network of TB professionals and mechanisms for ACSM
coordination.
Establish ACSM
ACSM Workgroup
Workgroup. Define formed.
1.1
member roles and Roles and
X
Eka
.1
coordinating
mechanisms
mechanisms.
defined.
1.1 Identify 10 regional
.2 contact persons.
10 contact persons
identified.
X
Eka
1.1 Train 10 regional
.3 contacts in ACSM.
1 training held.
10 ACSM contacts
trained.
X
Eka
X X
Eka
X
Eka
Conduct 10 regional 10 trainings held.
1.1
ACSM trainings with 80 TB stakeholders
.4
80 TB stakeholders. trained.
1.1 Create electronic
.5 ACSM listserve.
Listserve created.
Send 10 quarterly
1.1
10 updates
listserve updates to
.6
submitted.
network members.
X X X X X X X X X X Eka
Objective 1.2 Mobilize local NGOs to participate in ACSM activities.
(continue as needed)
1.2 Recruit 4 local
4 NGOs recruited.
X
.1 NGOs.
Nin
o
Strategic Plan: Typical Outline
•
Executive Summary
•
Current Epidemiology Data on TB
•
TB Control: Current Efforts, Challenges, and Gaps
•
Overview of ACSM in TB prevention and care
•
ACSM Strategy (2013-20__)
•
Alignment with National and International TB Control
Objectives and Gap Analysis
•
ACSM Objectives and Activities
•
Monitoring and Evaluation
•
Budget
ACSM Action Plan: Template
•
NTP Goal and Objective
•
ACSM Objectives
•
Activities
•
Inputs
•
Outputs
•
Responsible Staff/Nongovernmental Organization
•
Timeline
Telling Our Story
•
•
•
•
Why is our work important?
What have we accomplished?
Who needs to know about this?
What do we want them to know?
M&E Planning
Apply results
to ACSM
planning
Conduct
evaluation
Develop
ACSM action
plan
M&E for ACSM
Steps in Planning and
Implementation
Conduct
routine
monitoring
Draft M&E
plan
Create M&E
framework
PHASE 1: PLANNING
PHASE 2: IMPLEMENTATION
Conduct
ACSM needs
assessment
M&E Plans: Master Strategy
Data
Quality
Data
Collection
Evaluation
Strategy
Indicators
Framework
Data Use
and
Reporting
M&E
Plan
Budget