Presented by Jessica Fehringer, Shelah Bloom and Carolina Mejia at the MEASURE Evaluation End-of-Phase-III Event.

1. EnGendering Monitoring &
Evaluation:
Jessica A. Fehringer, PhD, MHS
Shelah S. Bloom, ScD, SM, MA
Carolina Mejia, PhD, MPH
MEASURE Evaluation
End-of-Phase-III Event, May 22, 2014
The past, present,
and future

2. Session Overview
• Introduction
Jessica Fehringer
• The Monitoring and Evaluation of Gender-based
Violence
Shelah Bloom
• Structural Interventions for Gender Equity and
Improved Health Outcomes
Carolina Mejia
Discussion

3. ----------------------------------------------------
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Gender Inequality Affects Health Status and
Leads to Health Inequalities between
Men and Women
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A transgendered female dies from tuberculosis; did not
seek treatment because of stigma and discrimination
against LGBT by health service staff.
A teenage boy dies in
an accident because
he tried to meet peers’
expectations that young
men should take risks.
A women contracts HIV
because societal norms
prevent wives from insisting
on condom use with
husbands, tolerate
husbands’ extra-marital sex.
Gender Matters!
Source:World Health Organization,
http://www.who.int/gender/genderandhealth/en/index.html

4. GENDER M&E DEFINED

5. • Gender integrated throughout program cycle, beginning with
program objectives and measurable component of inputs,
processes, outputs, outcomes
• Data collected by sex and using gender-sensitive methods
and sampling
• Analyzed with eye towards potential gender differences
• Used to improve programs and policy
Definition

6. MONITORING
Are programs doing enough?
4
.
Monitoring
Are Programs (adequately) Addressing
Gender?
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7. Monitoring
Sex*-disaggregated Data
Gender-sensitive Indicators
Data Analysis, Reporting, and Use
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8. Evaluation
Are Gender-integrated Programs and Policies
Making a Difference?

9. Evaluation
Measure elements addressing gender
Demonstrate program impact on health status
Generate demand for richer data
Program
RMNCH
+A
HIV

10. WHERE DOES MEASURE
EVALUATION COME IN?

11. OUR GOAL: Advance Gender M&E
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Increase capacity through guidance, tools, and
technical support on collection, analysis and use of
gender-related information for program and policy
decision-making
MEASURE Evaluation’s Goal in Gender

12. WHAT HAVE WE ACCOMPLISHED?

13. In the beginning there was…

14. Improved the Evidence Base

15. Developed New Tools and Resources

16. Accomplishments
Increased Capacity in Gender M&E
For example:
In-depth:
Cote d’Ivoire
Nigeria
Senegal
India
S. Africa
Brief:
Rwanda
Botswana
Laos
Cambodia

17. Accomplishments
Improved Data Availability and Use
Indicator:
Experienced intimate
partner violence in
past 12 months
Performance of Routine Information System
Management (PRISM) framework:
• Spreadsheet tools now include gender-
related questions
• Plus ability to create dynamic tables to
compare indicators by sex

18. Accomplishments
Improved the evidence base
Developed new tools and resources
Increased capacity in gender M&E
Improved data availability and use
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MEASURE Evaluation Phase III has made
significant contributions to advance the
field of gender M&E
.

19. The M&E of GBV
Improving Gender Based Violence (GBV)
Prevention & Response
Where are we now?
What do we need?
What will it look like?

20. We have momentum:
• Decades of research have
pushed programs and
policies on prevention &
response
We are missing structure:
• M&E skills and systems
will drive efforts effectively
and demonstrate results
Where are we now?

21. Global Commitment
• Collaborative effort to add a
gender indicator for global
reporting
• Donors, Organizations &
Researchers
Prevalence of Recent IPV
Where are we now?

22. The Three Ones
• Organize and harmonize many
disparate efforts
o One GBV action framework
integrating strategic approach to
prevent & address GBV
o One national GBV coordinating
mechanism across sectors
o One M&E system (and plan) for
GBV
What do we need?

23. M&E Skills
Capacity building for
GBV professionals
• National
• Regional
• Local
What do we need?

24. Structure
M&E plans
• Local
• National
What do we need?

25. M&E systems:
12 components
• Local
• National
What do we need?
Structure

26. BOTSWANA:
DEVELOPING M&E SKILLS, PLAN, AND SYSTEM
• GBV pilot referral system
• M&E skills workshops
• Designing data system
• Developing national
M&E plan
What will it look like?

27. Where is the E?
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Rigorous evaluations for GBV programs
and interventions must include
quantitative and qualitative methods
What will it look like?

28. -------------------------------------------------
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STRUCTURAL INTERVENTIONS FOR GENDER EQUITY
AND IMPROVED HEALTH OUTCOMES

29. What are Structural Interventions?

30. Conceptual Framework Examples
High LowPersonal Volition
Drugs “Just say no” Fight drug cartels
HIV
Obesity
“Have fewer partners”
“Exercise more”
Alleviate poverty
Walkable neighborhoods
(structural)(behavioral)
Conceptual Frameworks

31. Why Structural Interventions?
Why are Structural
Interventions Important?
Structural interventions can
address factors of social
injustice
Reach greater number of people
than behavioral interventions
Cost effective
Reduce the burden of prevention
on individuals

32. Structural Interventions
Challenges of M&E
Contextual factors
Randomization
Secular change
Causal pathways
Time horizon

33. Efforts by MEASURE Evaluation on the M&E of
Structural Interventions
Data available for evaluation of
women’s land rights
Lessons learned and implications
for GBV interventions
Systematic literature reviews
Structural Interventions

34. Opportunities
New application of existing
methods
Multi-level methods
Network analysis
Mixed-methods
Innovative interdisciplinary
approaches
Cost evaluation
Opportunities of M&E

35. Discussion
Any questions
or comments?
How we can
advance the field
of gender M&E?

36. Visit our session website for
related content:
http://www.measureevaluation.org/eop
/session-vii