Detailed Mechanism Funding and Narrative

Details for Mechanism ID: 5150
Country/Region: Haiti
Year: 2007
Main Partner: John Snow, Inc
Main Partner Program: NA
Organizational Type: Private Contractor
Funding Agency: USAID
Total Funding: $600,000

Funding for Care: Adult Care and Support (HBHC): $50,000

Need narrative.

Funding for Care: Orphans and Vulnerable Children (HKID): $50,000

SUMMARY: This activity aims at providing technical assistance and ensuring data quality. The primary target is OVC implementing partners.

BACKGROUND: MEASURE Evaluation has supported M&E activities in Haiti since 2001 and has worked with the Ministry of Health and many USG implementing partners. Recently MEASURE and PEPFAR/Haiti have been working toward the development of community based indicators in order to improve the monitoring and evaluation of programs related to those activities. Main stakeholders in OVC activities in the PEPFAR program are involved in this process.

ACTIVITIES AND EXPECTED RESULTS Activity 1. JSI/MEASURE will provide quality assurance supervision on data collection, data review to improve data quality and reporting on the OVC activities. JSI/MEASURE will work with and provide technical assistance when needed to partners NGOs involved in OVC activities in order to improve their reporting and M&E capability.

Funding for Strategic Information (HVSI): $500,000

Linked to Activities 9336, 9341, 9310, 9348, 9284.

SUMMARY: This activity will: (i) assist the United States Government (USG) Team to develop an information system for community-based activities and incorporate related reporting templates into the Monitoring and Evaluation Surveillance Interface (MESI), which is an existing web-based reporting system (ii) facilitate data demand and information use, from data management information systems already in place through the President's Emergency Plan for AIDS Relief (PEPFAR), such as MESI and Electronic Medical Record (EMR); (iii) provide technical assistance in setting up a data validation system for the health information system (HIS) for HIV/AIDS; (iv) improve coding and archiving systems within the HIS for HIV/AIDS . The major emphasis areas are monitoring and evaluation (M&E), and health management information system (HMIS). The primary target for the interventions is MOH staff at the central and departmental levels.

BACKGROUND: MEASURE Evaluation has supported M&E activities in Haiti since 2001. Building on this experience, MEASURE will work at the national level, coordinating with a variety of stakeholders such as the MOH, Unité Centrale de Coordination du Programme de Lutte contre les IST/VIH/SIDA (UCC), the Global Fund, and other USG implementing partners. The Carolina Population Center will work with sub-partners JSI and Constella Futures.

ACTIVITIES AND EXPECTED RESULTS: Activity 1: JSI/MEASURE will strengthen the integration of the HIV/AIDS HIS into the overall HMIS. This activity will expand on the results achieved in FY06, in collaboration with Tulane University, by focusing on the implementation of the strategic plan to integrate HIV/AIDS data into the overall HMIS in Haiti. A special emphasis will be placed on short-term PEPFAR reporting requirements. The USG support should enable the HIS system to meet both short- and long-term HIV/AIDS health information goals (including meeting the information needs of HIV/AIDS initiatives such as PEPFAR and the Global Fund, as well as the needs of the MOH. In FY07, MEASURE Evaluation will ensure that the HIS produces quality data and regularly reports HIV/AIDS data to PEPFAR and the Global Fund; implement and monitor the performance of the patient referral system within the health care system; and provide technical assistance to the 10 regional health department offices to strengthen their capacity to validate, analyze and use data.

Activity 2: JSI/MEASURE will strengthen and expand the archiving and filing system in collaboration with IHE to ensure continuity of HIV/AIDS care. In FY07, the following activities will be carried out: provide folders, tickler files and file cabinets to simplify the patient tracking and manage work flow; train at least two staff members at each site (96 sites including PEPFAR-supported public and non-governmental organization [NGO] sites) in coding, filing and archiving with special emphasis on confidentiality and record keeping; and conduct field visits in collaboration with IHE to oversee the use of the folders.

Activity 3: JSI/MEASURE will develop a paper-based system for monitoring performance of non facility-based interventions and incorporate the corresponding reporting templates into MESI. Activities supporting community level program information reporting for FY07 represent a continuation of the process begun in FY06. The USG Team will collaborate with the Government of Haiti (GOH) and also reach out to partner NGOs and local implementing community-based and faith-based organizations (CBOs and FBOs). Activities will include: creating an inventory of grassroots programs and stakeholders; defining and harmonizing information needs, indicators and a reporting form; expanding national indicators and the reporting form to the local level to include inputs from local stakeholders reflecting the needs of the participating communities; providing technical assistance to partner NGOs in identifying their data needs and the opportunities for using the data collected to improve their programs; and enhancing M&E activities of local stakeholders (CBOs, FBOs) through consensus meetings and M&E training.

Activity 4: JSI/MEASURE will facilitate data demand and information use (DDIU). Building on completion of step 1 in FY06, the tools and approaches selected during the DDIU assessment will be applied and rolled out to achieve the expected results defined during the assessment. The outcome of the exercise should be a set of "tableau de bord" and reporting templates to facilitate rational decision making at each level of the health

system. The process will involve significant training activities, especially for the central and departmental levels of the MOH along with the ARV and palliative care sites.

- Activity 5: JSI/MEASURE will organize workshops on data review, use and dissemination (including department newsletters) to improve data quality and reporting; print data collection forms (registers, monthly reports forms); and help produce and print the MOH annual report. To this end, JSI/MEASURE will recruit a data analyst and use specialists to reinforce the capacity of the National Health Information System Service in data use and dissemination. In conjunction with IHE, JSI/MEASURE will also organize training sessions for facility personnel on completion of the data collection forms (registers, monthly report forms). These training sessions will include facilitated discussions with facility personnel on their data needs and opportunities for using the data collected to improve services. JSI/MEASURE will facilitate the participation of selected MOH personnel to relevant international short-term trainings.

Activity 6: JSI MEASURE will work in collaboration with TULANE UNIVERSITY and International Training and Education Center on HIV (I-TECH) to support IHE in its effort to roll out data collection instruments, as well as gather, validate and process data for the national program.