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For the MEASURE Evaluation Symposium: From Data to Impact:  Using Health Data for Results Presented by Dr. Tobi Saidel on behalf of A2 Partners Arusha, Tanzania, Jan 28, 2009 Addressing the Evidence/Policy Divide: Integrated Analysis and Advocacy Project
Focus of Presentation ,[object Object],[object Object],[object Object],[object Object],[object Object]
A 2 : What and Why ,[object Object],[object Object],[object Object]
[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],A 2 : What and Why A2 is a process for answering  crucial questions
A 2 : What and Why ,[object Object],[object Object],[object Object],[object Object],Large amount of data are collected  but remain largely  un used or  under used
Programmatic and Policy Objectives:  (What does A2 aim to do)? ,[object Object],[object Object],[object Object],[object Object],A2 is designed to bridge the “ Evidence-Policy Divide”
A 2 : What and Why ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],Data Use is not a “one-off”  “ slam-dunk” activity
The Process (1): Local teams gather and synthesize  existing data to understand the current stage  of the epidemic and the response ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],This activity involves many local stakeholders and it takes  months (not days)
The Process (2): Develop a local model  of the epidemic (Asian Epidemic Model) ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],AEM Calculation Engine Observed HIV trends (white lines) Injecting drug users Female sex workers Adult males Adult females Probabilities of transmission and start years
The Process (2): Use the model to determine where new infections come from… ,[object Object],[object Object],[object Object]
… and to tell us where the epidemic is going ,[object Object],[object Object],[object Object],[object Object],[object Object]
The process (3): Evaluate the impact of different programs choices & resource  a llocation decisions. .... Responses and resources needed for maximum impact ,[object Object],[object Object],[object Object],[object Object],[object Object]
The process (4):Turn strategic information into action ,[object Object],[object Object],[object Object],[object Object],[object Object],Implementation of the most effective policies and programs, and mobilization of adequate resources
The process (4): Development of advocacy action plans… ,[object Object],[object Object],..and implementation of advocacy activities:
Example of A 2  application in Ho Chi Minh City,Vietnam
Ho Chi Minh city ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Baseline scenario using AEM Clients of FSWs will contribute the largest number of new infections in HCMC in the next 20 years Male clients MSM Low-risk female
New infections for various scenarios relative to baseline projection (from 2006 to 2010)  (Using AEM and GOALS)
Relationship between number of infections averted and amount invested
Cost per infection averted  depends on amount invested
Future treatment costs avoided for different levels of prevention investment
Main outcomes/actions in Vietnam  as a result of A 2   ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Main challenges in the A 2  process  ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Future challenges ,[object Object],[object Object]
Conclusions ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
A 2  Partners ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

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A2 Saidel

  • 1. For the MEASURE Evaluation Symposium: From Data to Impact: Using Health Data for Results Presented by Dr. Tobi Saidel on behalf of A2 Partners Arusha, Tanzania, Jan 28, 2009 Addressing the Evidence/Policy Divide: Integrated Analysis and Advocacy Project
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  • 15. Example of A 2 application in Ho Chi Minh City,Vietnam
  • 16.
  • 17. Baseline scenario using AEM Clients of FSWs will contribute the largest number of new infections in HCMC in the next 20 years Male clients MSM Low-risk female
  • 18. New infections for various scenarios relative to baseline projection (from 2006 to 2010) (Using AEM and GOALS)
  • 19. Relationship between number of infections averted and amount invested
  • 20. Cost per infection averted depends on amount invested
  • 21. Future treatment costs avoided for different levels of prevention investment
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