Goal: To ensure yield of quality data for decision- making that will ensure the long- term capability of HIV/AIDS response. The objectives for this Implementing Mechanisms are; 1) To strengthen and coordinate multi- sectoral M&E system; 2)To improve data flow vertical and horizontal; 3) To improve data use, HIV/AIDS data triangulation through health and social service sectors; 4) Strengthen capacity to partners on Monitoring and Evaluation activities; 5) Improve HIV incidence measures; 6) To adopt best practices on evidence- based and strategic decision making System strengthening: To support the GoT efforts, DOD SI Team will work collaboratively with local partners, USG SI Team and other stakeholders on establishing the M&E program for district health workers to address some of the M&E challenges arise in the districts. This will provide access to trainings which develop a solid understanding M&E and how can be used to improve planning, budgeting and policy formulation processes. Also to ensure that data analysis and the use of data to improve service delivery is included in existing Pre-Service and/or In-Service programmes. DOD SI team will ensure that the deployment of M&E systems and training fits with national visions. DOD SI Team will undertake Data Quality Assessments aiming at improving the data and capacity of the implementing partners and the GoT counterparts. DQA will be done to both Treatment and Community outreach Partners. Cross-Cutting programs and key issues (policy and tools) Good policies and comprehensive monitoring and evaluation tools will contribute to overall strengthening of national AIDS response in Tanzania under the principle of the "Three Ones": one agreed HIV/AIDS Action Framework that provides the basis for coordinating the work of all partners; one National AIDS Coordinating Authority, with a broad-based multi-sectoral mandate; one agreed country-level Monitoring and Evaluation System, in order to achieve the most effective and efficient use of resources, and to ensure rapid action and results-based management. DOD SI Team will build capacity on policy development to implementing partners, and also will ensure that Monitoring and Evaluation tools are available at all levels. IM strategy to become more cost-efficient over time DOD SI Team will work hand-in-hand with GoT through partners to establish strong units within the MOHSW (RMOs, and DMOs) and TACAIDS that can help bring all the various data sources together and create meaningful feedback products for the sector as a whole. Information Sources include internal and external data sources (from an MOHSW perspective, aggregate data systems and operational data systems from all vertical programs, and link with other GOT entities like POPSM, PMORALG, National Bureau of Statistics (NBS). This coordination will help to bring about cost effectiveness status. Geographic coverage and target populations DOD is serving three regions of southern highlands these are; Mbeya region, Rukwa and Ruvuma. DOD supports both treatment as well as community services. For treatment DOD has four major (Prime) partners which are Mbeya Regional Medical Office, Mbeya Referral Hospital, Rukwa Regional Medical Office and Ruvuma Medical Office and for Community services DOD supports four major partners (prime) KIHUMBE and Mbeya HIV network in Mbeya, RODI in Rukwa and SONGONET in Ruvuma but each prime works closely with sub-partners, number of sub-partners vary from one major partner to other. DOD SI Team has a responsibility of supporting all these partners on M&E/SI issues. So in this case targeted population is data managers, M&E officers and decision makers at various levels. How IM links to PF goals This Implementing Mechanism adheres directly to sixth goal in the partnership framework which is (Evidence-based and Strategic Decision-making goal). DoD SI will build capacity of its implementing partners on M&E issues ranging from understanding the indicators, data collection tools, data collection procedures and data compilation, analysis and interpretation then dissemination of results for use. DOD SI Team will make sure that data flow is consistent and partners understand reporting timelines, but also more emphasis will be put on yielding quality data and data triangulation practices. M&E plans DOD SI Team will continue to build a sustainable M&E plan in DOD supported regions (Mbeya, Rukwa and Ruvuma) to address M&E issues through regular comprehensive trainings and strong supportive supervisions. The above mentioned activities aiming on harvesting quality data that will avail on better planning and proper decision making. DoD SI Team will work on harmonizing data collection tools, make use of established National Data Management Systems. Data Quality Assessment will be conducted (DQA) to ensure yield of accurate, reliable and precise informations.

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DOD SI Team will support SI activities to partners in all three regions which are under DOD support (Mbeya, Rukwa and Ruvuma). SI/M&E activities in these regions are carried out by both Treatment as well as Community services partners. FY 10 DOD SI Team will ensure that intensive capacity building activities are done in regular bases through comprehensive trainings which will avail to develop a solid understanding M&E and how can be used to improve planning, budgeting and policy formulation processes, trainings will align with strong regular supportive supervisions that will be complemented by Technical Assistance component. The above planed activities will help to ensure that the deployment of Monitoring and Evaluation systems fits with national visions for data flow and work towards the goal of being able to use Government of Tanzania reporting system for PEPFAR reporting within the regions. SI Team will work hand-in-hand with University Computing Center to expand use of electronic CTC-2 database with corresponding equipment within sites; this activity involves supply of computers and other devices, trainings with technical assistance. DOD SI Team is aiming to fulfill PF goal 6 (Evidence based decision making) which is driven by quality data, so Data Quality Assessment (DQA) will be undertaken by DOD SI Team in their sites