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Health Management Information System Building with Tariq Azim

Dr. Azim explains the HMIS process used in collaboration with the Government of Ethiopia that led to a country-owned system.

Reading: Evaluation Design for Complex Global Initiatives

Evaluation Design for Complex Global Initiatives: Workshop summary
Board on Global Health, Institute of Medicine and Steve Olson, editor. Washington, DC: National Academies Press, 2014.

A workshop was convened by the Institute of Medicine in January 2014 to explore recent evaluation experiences for some of the world’s largest multi-national health initiatives. This summary considers the lessons learned from how these evaluations were designed, carried out, and used. It also explores the relative benefits and limitations of different quantitative and qualitative approaches within the mixed methods designs used for these complex and costly evaluations.

Sustainability Assessment: Institutional Capacity Building in Nigeria

Institutional Capacity Building in Nigeria Sustainability Assessment Report: Obafemi Awolowo University, Ahmadu Bello University Institutional Capacity Building in Nigeria Sustainability Assessment Report: Obafemi Awolowo University, Ahmadu Bello University

In 2012, MEASURE Evaluation conducted a sustainability assessment of its two monitoring and evaluation (M&E) training partners in Nigeria, Ahmadu Bello University (ABU) and Obafemi Awolowo University (OAU). The assessment evaluated the capacity at ABU and OAU to offer workshops that meet M&E workforce needs, develop other M&E products including relevant higher education coursework and certification, and generally serve as Nigeria’s key M&E training and resource institutions.

This sustainability assessment was conducted in two phases and focused on the Population and Reproductive Health Programme (PRHP) and Department of Community Health at OAU and the Department of Community Medicine at ABU. The findings show that the two universities have achieved significant progress toward institutionalizing both M&E training workshops and their own M&E academic programs.

Access the report.

Future of Long-Acting and Permanent Methods of Contraception in Bangladesh

The Future of Long-Acting and Permanent Methods of Contraception in Bangladesh: A Policy BriefThe Future of Long-Acting and Permanent Methods of Contraception in Bangladesh: A Policy Brief

This policy brief gives a systematic review of the trend of demand for and use of long-acting and permanent methods (LAPM), such as IUDs, implants, and female or male sterilizations, and programmatic and socio-cultural factors associated with the low use of LAPM, and combines the findings from the evaluation of the Mayer Hashi project that provided interventions to increase the use of LAPM in 21 districts of Bangladesh during 2010-2013. Recommendations that will help family planning programs strategize and prioritize the future LAPM program actions in Bangladesh are provided.

Access the policy brief.

Seeing the World as a Network – Shannon Salentine

Shannon at Hamdallaye, Niger, in October 1998.

Shannon at Hamdallaye, Niger, in October 1998.

Shannon Salentine demonstrates well the networks of relationships in our project. Shannon is the team leader for ICF and is based in Chapel Hill. As a graduate student at Tulane in 2001, she worked on the Project with Gaby Escudero, who is now with UNC, living in Geneva. After graduating, she worked with IntraHealth. Then in 2005-2007 Shannon returned to MEASURE Evaluation, working with Futures Group on data demand and use. She worked once again for IntraHealth, then moved with her husband, Brandon, to the ICF Nairobi office to work with the National AIDS Control Council under the APHIA II project. There she worked with Edward Kunyanga, the Chief of Party for the MEASURE Evaluation Kenya Associate Award (PIMA), and Sam Wambugu, presently joining the Project as Senior Technical Specialist for Informatics, based in Chapel Hill. In 2011, Shannon returned to the US and MEASURE Evaluation, this time as support to the Project M&E team – especially Christina Bernadotte – and backstop to the Kenya activities.

Shannon at Jackson Hole, Wyoming, with her son in August 2014.

Shannon at Jackson Hole, Wyoming, with her son in August 2014.

Shannon studied comparative politics and journalism at the University of Wisconsin, Madison. One of her first international experiences was during her undergraduate years when she did volunteer work in Prague with special needs children. Her first career-type job was as Director for Community Health Education at a local chapter of the American Red Cross in Wisconsin.

Shannon and Brandon have two children: a 4 year old daughter, Sienna Bea, and a 2 year old son, Kade. The four of them love to spend time outside (see second photo, in the mountains) and enjoy “kindie” rock. Here’s an example:  “Don’t make fun of the Goobler.” I dare you to listen to the song and keep it out of your head for the next hour.

Jim

Evaluation du Systeme Local d’Information Sanitaire avec les outils PRISM Rapport

Evaluation du Systeme Local d’Information Sanitaire (SLIS) avec les outils PRISM Rapport

Le Mali est un pays enclavé de l’Afrique de l’Ouest, classé 178ème sur 182 pays selon l’Indice de développement humain des nations Unies. Malgré les récents progrès réalisés au Mali des efforts considérables restent à faire sur beaucoup d’indicateurs de santé sur le plan mondial: la mortalité maternelle est de 464 décès pour 100000 naissances vivantes; la mortalité chez les enfants de moins de 5 ans est de 98 décès pour 1000 naissances vivantes; et la mortalité infantile est estimée à 58 décès pour 1000 naissances vivantes. La malnutrition est un facteur majeur contribuant à la mortalité maternelle et infantile, et 38% des enfants souffrent de malnutrition chronique.

A Case Study from Ethiopia: Supportive Supervision in M&E

A Case Study from Ethiopia: Supportive Supervision in Monitoring and Evaluation with Community-Based Health Staff in HIV ProgramsA Case Study from Ethiopia: Supportive Supervision in Monitoring and Evaluation with Community-Based Health Staff in HIV Programs

Supportive supervision is a facilitative approach that promotes mentorship, joint problem-solving, and communication between supervisors and supervisees. In Ethiopia, MEASURE Evaluation trained government managers on supportive supervision as part of a project to scale-up the country’s health management information system (HMIS). This report presents a case study of the project that can serve as an example for other programs wishing to use supportive supervision in monitoring and evaluation (M&E).

A single case study design was used. Data were collected through 12 key informant interviews, four observations of supervision visits, and document review. Participants were sampled purposively from three strata: MEASURE Evaluation staff, government supervisors, and community-level staff. Interview transcripts were coded in NVIVO 10 and compared with direct observation notes and documents using thematic content analysis.

Findings suggest that the project was successful in promoting program ownership, standardizing supervision, and improving data quality. Participants attributed these successes to collaboration among government offices, supervision tools, and feedback and training provided to staff by supervisors. The project was less successful at promoting data use for decision making. While participants had theoretical knowledge, there was little actual use of information at health facilities.

Supportive supervision is a promising approach to improve routine data collection for M&E of community-based programs. Programs that wish to use this approach can adapt best practices and lessons learned from this and other projects. Specifically, programs should work in teams of supervisors, address staff motivation and confidence during visits, promote data demand and use, and create a training plan for M&E staff.

Access the case study.

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