“Organizing Framework for Functional National HIV/AIDS M&E Systems – 12 Components: A Tool to Strengthen M&E in Nigeria” Kola Oyediran (MEASURE Evaluation), Presenter. Co authors: Ogungbemi, Atobatele, Sagbohan, Boone, LaFond,Bamidele Presented at the PEPFAR conference on Health Information Systems Integration, Sustainability and Country Ownership (HISISCO) that took place August 9-13.

1. Organizing Framework for functional National HIV and AIDS M&E system – 12 Components: A tool for strengthen National M&E system evidence from Nigeria Kola Oyediran MEASURE Evaluation Presented at on-going 2010 PEPFAR KEYS TO HEALTH SYSTEMS INTEGRATION, SUSTAINABILITY, AND COUNTRY-OWNERSHIP CONFERENCE Coauthors: Kayode Ogungbemi, NACA; Akinyemi Atobatele, USAID Nigeria; Job Sagbohan, UNAID Nigeria; David Boone, MEASURE Evaluation; Anne Lafond, MEASURE Evaluation; Samson Bamidele, MEASURE Evaluation

2. Background Current gaps/challenges in the HIV/AIDS M&E system M&E still donor driven Institutions with nascent M&E system Competition among sectors M&E not responsive to needs of stakeholders; too many cooks in the kitchen Multiple data collection event and tools, increasing the burden at service delivery points Poor data quality; when HW are over worked Wastage and leakage in resources

3. Rationale New national strategic framework for HIV and AIDS developed Thus need to develop new M&E framework to monitor new NSF and NSP

4. Process of Assessment Development of concept paper Identification of the assessment tool – organizing framework for functional M&E system Desk review relevant materials and documents Stakeholders workshop where 12 components assessment tool completed Work plan to address identified weaknesses developed Results shared with relevant stakeholders

5. The M&E Assessment Cycle 1. Assess M&E System – Periodically through a multi-stakeholder workshop 4. Follow up – Day to day follow up, Regular reviews linking investments in M&E to improvements in the M&E system. 2. Develop/review M&E plan/ work plan – Should include measures to address identified gaps & show partners role & contribution 3. Implement M&E plan – stakeholders implement their part according to responsibilities in the work plan Assessment of Nigeria's HIV M&E System November 2009)

6. 12 Components Introduction The 12 Components is an ORGANISING FRAMEWORK Can be used to map andorganise all aspects of the HIV M&E system Developed by multiple partners; World Bank, USG, World Bank/GAMET, UNAIDS, the Global Fund Endorsed by the UNAIDS M&E Reference Group (MERG)

7. 12 Components

12. Key Action Points after Assessment Develop of a costed M&E workplan Research and Evaluation agenda drafted National M&E technical working group is under going review Harmonization of indicators and tools commences Strategy for strengthening sub-national levels

13. Conclusions Government and stakeholders have understanding of existing M&E system Signals that government and donors ready to address identified strengths and weaknesses Developed costed M&E work-plan guiding investment and coordination of activities Government driven the standardization and harmonization of indicators, data collection and reporting tools

14. MEASURE Evaluation is a MEASURE project funded by the U.S. Agency for International Development and implemented by the Carolina Population Center at the University of North Carolina at Chapel Hill in partnership with Futures Group International, ICF Macro, John Snow, Inc., Management Sciences for Health, and Tulane University. Views expressed in this presentation do not necessarily reflect the views of USAID or the U.S. Government. MEASURE Evaluation is the USAID Global Health Bureau's primary vehicle for supporting improvements in monitoring and evaluation in population, health and nutrition worldwide. Visit us online at http://www.cpc.unc.edu/measure.