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Monitoring & Evaluation Plan for Health Sector Strategic & Investment

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Monitoring & Evaluation Plan for Health Sector Strategic & Investment GOVERNMENT OF UGANDA Ministry of Health Promoting People’s Health to Enhance Socio-economic Development MONITORING & EVALUATION PLAN FOR HEALTH SECTOR STRATEGIC & INVESTMENT PLAN 2010/11 – 2014/15 Ministry of Health Plot 6 Lourdel Road, Wandegeya P. O. Box 7272, Kampala, Uganda MAY 2011 i Any part of this document may be freely reviewed, quoted, reproduced or translated in full or in part, provided the source is acknowledged. It may not be sold or used in conjunction with commercial purposes or for profit. Government of Uganda, Ministry of Health: Monitoring & Evaluation Plan for the Health Sector Strategic and Investment Plan, 2010/11 – 2014/15. Published by: Ministry of Health PO Box 7272 Kampala, Uganda Email: [email protected] Website: www.health.go.ug i Executive Summary The Ministry of Health launched the Health Sector Strategic and Investment Plan 2010/11 – 2014/15 which defines the medium term health agenda and operationalize Uganda’s aspirations as outlined in the NDP and the Public Investment Plan (PIP) 2010/11 – 2012/13. The development of M&E Plan for HSSIP 2010/11 – 2014/15 has been largely informed by lessons from the Mid Term Review of the second Health Sector Strategic Plan (2005/06 – 2009/10) and was in conjunction with the development of the HSSIP 2010/11 – 2014/15, which took into consideration a wide range of policies, the new emerging diseases, the changing climatic conditions, issues of international health and international treaties and conventions to which Uganda is a signatory. The process of development of the HSSIP M&E plan was highly consultative, participatory and transparent. The Supervision, Monitoring, Evaluation and Research Technical Working Group (SME&R TWG) was responsible for overseeing the development of the HSSIP M&E plan. Stakeholders from Local Governments, Development Partners (DPs), Civil Society, private sector and academia were consulted during the development process. The M&E Plan for HSSIP 2010/11 – 2014/15 aims at establishing a system that is robust, comprehensive, fully integrated, harmonized and well coordinated to guide monitoring of the implementation of the HSSIP and evaluate impact. It is envisaged that this comprehensive M&E plan to which all health partners subscribe shall be the basis for improving the quality of routine information systems and be used to institutionalize mechanisms and tools for measuring quality of both facility and community based services. It should also strengthen dissemination and use of information at both national and sub national levels. I wish to express my appreciation to all of you who worked tirelessly to develop the M&E Plan for HSSIP 2010/11 – 2014/15 on behalf of the people of Uganda. I look forward to the acceleration of the implementation of the M&E Plan for the HSSIP towards attainment of our national and international health goals. For God and My Country DR. CHRISTINE ONDOA MINISTER OF HEALTH ii TABLE OF CONTENTS Executive Summary ................................................................................................. ii Table of Tables ...................................................................................................... vi Table of Figures .................................................................................................... vii Acronyms ............................................................................................................. viii Operational Definitions ........................................................................................... x 1 Introduction ..................................................................................................... 1 1.1 Goal and Objectives of the HSSIP M&E Plan ................................................ 3 1.1.1 Goal ................................................................................................... 3 1.1.2 Specific Objectives .............................................................................. 3 1.1.3 Key Outputs ....................................................................................... 3 1.1.4 Outcomes ........................................................................................... 4 1.2 Process of Development of the HSSIP M&E Plan .......................................... 4 1.3 The HSSIP 2010/11 – 2014/15 Conceptual Framework .............................. 4 1.4 Implications for Sector Monitoring and Evaluation ..................................... 6 2 Monitoring & Evaluation Mechanism for HSSIP 2010/11 – 2014/15 .................. 7 2.1 The General M&E Framework ..................................................................... 7 2.2 The HSSIP Monitoring and Evaluation Tools ............................................... 8 2.2.1 Country Compact for Implementation of the HSSIP 2010/11 – 2014/15 9 2.2.2 Core Indicators for HSSIP 2010/11 – 2014/15 .................................... 9 2.2.3 Programme / Project Specific Indicators ............................................. 9 i 2.2.4 HSSIP M&E Plan ................................................................................... 9 2.2.5 Programme and Project Specific M&E Plans ......................................... 9 2.3 Data Management ................................................................................... 14 2.3.1 Sources of Data for Health Sector Monitoring ................................... 14 2.3.2 Critical gaps and challenges in data management ............................. 15 2.3.3 Data Collection Methods and Tools .................................................. 16 2.3.4 Data Analysis and Synthesis ............................................................. 18 2.3.5 Data Accuracy and Reliability ............................................................ 19 2.3.6 Data Dissemination .......................................................................... 20 2.3.7 Data Communication ........................................................................ 21 2.4 Responsibilities for Data Management by Level ....................................... 23 3 The HSSIP 2010/11 – 2014/15 Monitoring and Review Process ...................... 27 3.1 Country mechanism for review and action ............................................... 28 3.1.1 Performance Monitoring and Review at Central Level ........................ 30 3.1.2 Performance Monitoring and Review at Regional Level ...................... 31 3.1.3 Performance Monitoring and Review in Local Governments/District Level 32 3.1.4 Performance Monitoring and Review at Health Sub-District Level ...... 34 3.1.5 Performance Monitoring and Review at Health Facility Level .............. 35 3.1.6 Performance Monitoring and Review at Community Level ................. 37 3.1.7 Performance Monitoring and Review at VHT Level ............................. 37 3.1.8 The National Health Accounts ........................................................... 38 3.1.9 Joint Review Mission ......................................................................... 38 ii 3.2 Performance Monitoring by the MoFPED and OPM .................................... 39 3.2.1 Performance Monitoring by the MoFPED and OPM at Central Level .... 39 3.2.2 Performance Monitoring by the MoFPED at LG Level .......................... 41 3.2.3 Monitoring Performance of the Supply Chain Management System ... 44 3.2.4 Monitoring by the Health Development Partners ............................... 46 3.3 Linkage between the health sector reviews, disease / programme / project specific reviews and global reporting ................................................................. 46 3.4 Performance Monitoring and Review for Global Health Grants .................. 47 3.5 Performance Monitoring and Review for Civil Society Organisation and Private Sector ..................................................................................................... 48 3.6 Performance Monitoring and Review for Implementing Development Partners Sector .................................................................................................. 49 3.7 Routine Feedback to Sub-national and Key Stakeholders ......................... 49 3.8 Reporting Progress against the NDP 2010/11 - 2014/15 ........................ 49 3.9 Reporting Requirements on International Commitments and Resolutions 49 3.10 HSSIP Evaluation .................................................................................. 52 3.10.1 Programme / Project Evaluation .................................................... 52 3.10.2 Mid Term Review ........................................................................... 52 3.10.3 HSSIP End Term Evaluation ............................................................ 53 4 Surveys .......................................................................................................... 55 4.1 Surveys Commissioned by the MoH ......................................................... 55 4.1.1 Service Availability and Readiness Assessment ................................. 55 4.1.2 HIV/AIDS Epidemiological Surveillance .............................................. 56 iii 4.1.3 The Uganda HIV/AIDS Indicator Survey ............................................. 56 4.1.4 Availability of the six tracer medicines study .................................... 56 4.1.5 Uganda Malaria Indicator Survey ....................................................... 57 4.1.6 National Tuberculosis prevalence survey .......................................... 57 4.1.7 Client Satisfaction Surveys ...............................................................
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