This activity also related to Tulane University's activity narratives, MEASURE, National Association of State

and Territorial AIDS Directors (NASTAD), Centers of Disease Control (CDC), Solutions, Institut Haitien De

l'Enfance (IHE), Haiti's National Plan Unite de Gestion du Projet in Strategic Information, and International

Training and Education Center on HIV (ITECH) in laboratory infrastructure.

SUMMARY:

This activity is aimed at backstopping the overall development of the HIS for HIV/AIDS supported by

PEPFAR on various areas. It encompasses: (i) Support the USG team for the preparation of the PEPFAR

annual and semi-annual reports and for overall planning effort (ii) technical assistance to the Ministry of

Health for elaboration of the M&E framework, M&E plan, and the M&E regional workshops on HIV/AIDS and

for the generation of reports on demand (iii) technical assistance to IHE for the improvement of data

collection and reporting processes as well as data quality control mechanisms (iv) technical assistance to

SOLUTIONS for the overall design and continuous enhancement of the web-based (MESI) and for the

improvement of data base management and data quality inputs (v) technical assistance to the Regional

Information Officers of the USG team (RIO) in the rolling out of the internetworking infrastructure, especially

in system design and implementation. The primary emphasis of this activity is: training and workshops,

HMIS, USG data base and reporting system, and IT. Specific target population include physicians, nurses

or health professionals involved in data collection, management and analysis, Statisticians and data clerks,

District Regional Officers, Regional Information Officers, NGOs, and local organization consultants involved

in M&E and data.

BACKGROUND:

Prior to the advent of PEPFAR, the USG team had received support from a specialized US-based

organization to help with the development of an M&E system for the national HIV/AIDS program with a

mandate to standardize indicators, organize M&E 101 training for the MOH staff and key USG partners, and

support the dissemination of HIV/AIDS data. This mandate expanded under PEPFAR to incorporate

progressively additional tasks such as: (i) support the USG team for preparation of PEPFAR reports (ii)

support to the reinforcement of IT infrastructure and the training of field staffs in basic computer skills, (iii)

technical support to local organizations such as IHE and SOLUTION for data collection validation, reporting

and analysis. The strategy adopted by this support organization to deliver this technical assistance has

been to detail a full time M&E officer in Haiti and commission specialized short term consultancies for

specific works. Through this assistance: more than 600 individuals received M&E training in various areas;

an architecture for the rational deployment of IT infrastructure has been developed and implemented with a

perspective of establishing a countrywide network; 42 sites have been outfitted with basic computer

equipment and internet connection; field personnel have received hands-on training at different sites for the

use of computer and internet; the USG team has received regular support to prepare its annual and semi

annual reports; processes and mechanisms at the two local institutions, IHE and SOLUTION has made

significant improvements. As the contractor for these activities came under the UTAP mechanism, the USG

team has put into place a competitive process to find a follow on contractor.

ACTIVITES AND EXPECTED RESULTS:

ACTIVITY 1:

TBD in collaboration with the Haitian Ministry of Health and Le Centre d'Information et de Formation en

Administration de la Santé (CIFAS) will provide intensive trainings in the fundamental concepts and tools of

monitoring and evaluating HIV/AIDS programs. These workshops "Monitoring and Evaluation of HIV/AIDS

Programs and Data Quality Control" target physicians, nurses, social workers, statisticians as well as other

health professionals involved with the implementation of HIV/AIDS programs. These individuals will be able

to generate relevant quality data as well as to analyze and use them for improving health systems in Haiti.

They will also be able to provide training and assistance to others health programs. Six trainings will be

held during the one year period, they are categorized by groups: (i) Interns (ii) Residents (iii) Nurses and

Auxilliaires, Data Clerks and Statisticians , Site directors , Social Workers.

ACTIVITY 2: TBD will support the MOH by providing specialized consultancy to lead and organize the task

force and workshops for developing the National M&E Plan for the National AIDS Control Program. The

consultant will lead the task force by: 1) organizing task force and working group meetings; 2) ensuring

efficient control of information; 3) working with all partners; 4) obtaining technical assistance from Tulane as

needed; 5) leading the drafting of the document.

ACTIVITY 3: TBD will provide technical assistance and backstopping to IHE to ensure completeness,

accuracy and quality of data that are being reported from the sites. Indeed IHE needs substantial

assistance to face with difficulties with late reporting, facility capacity to process and report this data, lack of

clearly defined indicators. TBD's assistance will include: (i) continuous assessment of the relevance of the

data collection and reporting tools and their adjustments to the need of the programs (ii) regular data audit

that focuses on the existing data quality, instruments, reporting templates and the data base currently being

used (iii) joint site visits with IHE to review facility protocols and procedures and assess data quality by

comparing central database with log books (iv) comparison between data posted on the electronic systems

(MESI and EMR) and data entered into paper systems (iv) support for the preparation of a curriculum

adapted to different categories of personnel. (v) support to IHE for the development of a manual to better

define the indicators (vi) training of IHE statisticians and data base managers in use of statistical package

software such as SPSS to increase their capacity for analysis (iv) Regular meetings with umbrella

organization implementing the PEFAR program such as PIH, GHESKIO, MSH which are collecting data

both to feed the national system and to serve their own needs to ensure harmonization of their system with

the national system. TBD will help create a tool for the audit of their data. This overall assistance will be

provided through both the TBD local M&E officer and through specialized short term consultancy. The

expected result is to ensure that the processes, mechanisms, and tools existing for data collection,

validation and reporting are adequate and are set to provide good quality data.

ACTIVITY 4: TBD will provide technical assistance for the continuous development of MESI. Though

SOLUTION the developer of MESI will be on a sub-contract with IHE, TBD will : (i) provide its technical

support in order to continually assess the status of the MESI data base system for its completeness, its

relevance and accuracy. Mechanisms will be developed to verify the MESI database and confirm that data

have been updated (ii) provide technical oversight/guidance for the development of key technical support

documents to facilitate the uniform and consistent operation of the system. These documents may include:

data management plan and data quality plans and procedures. (iii) collaborate with SOLUTION for the

formulation of new queries for generation of reports from the database and for the design of data reporting

templates to be incorporated into the MESI (iv) work with SOLUTION to incorporate into MESI a set of

relevant and dynamic graphics for the display of information . (v) Develop built-in formula for data validation

(v) Develop and implement with SOLUTION a data dissemination and use plan that includes promotion for

the MESI database itself among implementing partners.

ACTIVITY 5:

Activity Narrative: Support the USG team in the preparation of the PEPFAR semi annual and annual reports. Through it local

coordinator, TBD will provide a support to the USG team for the crunching and validation of data during

preparation of reports.

•Number of local organizations provided with technical assistance for strategic information activities = 3

•Number of individuals trained in strategic information (includes M&E, surveillance, and/or HMIS) = 500