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Measuring National M&E System Strengthening in Nigeria: Application of the Most Significant Change Method

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Presented by Shannon Salentine, Verne Kemerer, and Jessica Fehringer at the 2016 AEA conference.

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Measuring National M&E System Strengthening in Nigeria: Application of the Most Significant Change Method

  1. 1. Measuring National M&E System Strengthening in Nigeria: Application of the Most Significant Change Method Shannon Salentine Verne Kemerer Jessica Fehringer MEASURE Evaluation October 29, 2016 American Evaluation Association Conference
  2. 2. • The strengthening of M&E systems remains a priority focus for national governments and the donor community • Progress made in developing global indicator standards and putting in place key system components • Little in the published literature • Available evidence often anecdotal, fragmented, and difficult to find • Limited objective, evidence-based recommendations Background
  3. 3. Rationale for Approach • Describe how multiple interventions may have together contributed to changes in M&E systems • Lack of baseline data, control, or comparison groups • Absence of a well-defined strategy that cuts across all development partners
  4. 4. Objectives 1. Produce evidence of how M&E system was strengthened from 2007–2012 2. Develop country-level case study to identify M&E system progress and strengths and identify existing needs for strengthening M&E systems
  5. 5. Study Design 1. Topical and country-specific literature review 2. Most significant change (MSC) workshop with key stakeholders 3. Key informant interviews (KIIs) 4. Data analysis of secondary data sources to compile indicators
  6. 6. MSC: Stakeholder Workshop Steps: 1. Stakeholder workshop to identify MSCs • Self-assessment in small groups using adapted 12 Components tool • Self-select into group • Discussion, agree on response, evidence • Plenary report Figure 1. 12 Components M&E Systems Strengthening tool
  7. 7. MSC: KIIs and Verification Steps (continued): 2. 18 key informant interviews with host-country agencies to explore their perspectives on MSCs 3. Verification workshop
  8. 8. MSC Workshop Results • Harmonization of ART, PMTCT and HCT indicators and data collection tools (2012) • Improved data quality due to harmonization and training • States now analyze and use data • Surveys and surveillance routinely conducted and used for the development of M&E plan and international reporting • HIV National Resource Center (NACA) houses the inventory of HIV related surveys and is updated regularly • 3 DHIS in use: the National Health Management Information System (NHMIS), PEPFAR DHIS and NACA DHIS (DHIS 2.0) • The integration of the paper-based NHMIS into the eNNRIMS (2011) • Joint bi-annual DQA exercise using the RDQA Tool • Research committees exist and meet regularly • NACA maintains up-to-date research agenda • Evaluation and research findings are regularly disseminated and used
  9. 9. MSC Workshop Results: MSCs identified in workshop: 1. Indicators are harmonized to improve reporting processes. 2. Data quality has improved as a result of training efforts and the harmonization process. 3. Data are now analyzed and used by states. 4. Surveys and surveillance are used in the development of an M&E plan and for international reporting. 5. Information systems evolved from paper-based stand- alone formats to an integrated electronic system. 6. Evaluation and research are overseen by functional ethics committees. Summary
  10. 10. MSC KIIs and Verification Real change was seen in the following ways: 1. Indicators are harmonized to improve reporting processes. 2. Data quality has improved as a result of training efforts and the harmonization process. 3. Data are now analyzed and used by states. 4. Surveys and surveillance are used in the development of an M&E plan and for international reporting. 5. Information systems evolved from paper-based stand-alone formats to an integrated electronic system. 6. Evaluation and research are overseen by functional ethics committees.
  11. 11. MSC Pros and Cons • Raised interest of stakeholders at beginning • Defined domains of change • Helpful to identify successes in participatory manner • Negative: Potential for stakeholder bias • Performance data useful to determine which SCs warranted follow-up
  12. 12. Questions? For more information: Kemerer V. & Salentine, S. (2014). A case study to measure national M&E system strengthening: Nigeria. Chapel Hill, NC: MEASURE Evaluation, University of North Carolina.
  13. 13. This presentation was produced with the support of the United States Agency for International Development (USAID) under the terms of MEASURE Evaluation cooperative agreement AID-OAA-L-14-00004. MEASURE Evaluation is implemented by the Carolina Population Center, University of North Carolina at Chapel Hill in partnership with ICF International; John Snow, Inc.; Management Sciences for Health; Palladium; and Tulane University. Views expressed are not necessarily those of USAID or the United States government. www.measureevaluation.org

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