Updated April 2009 Reprogramming. Increased by $500,000. Partnership Framework: To support the

rollout of second generation indicators jointly with NASCOP and HMIS Division. This would include review

of the current HMIS tools alongside the proposed Second Generation indicators, design of the new tools,

printing, distribution of lower levels and training of health care workers would require support.

ACTIVITY HAS BEEN MODIFIED IN THE FOLLOWING WAYS FROM COP 2008:

+ Prime partner Macro International/APHIA II Evaluation has been competitively selected to implement the

activity.

+ Support the development and implementation of a national HIV/AIDS data quality assessment strategy to

ensure that MOH/USG partners produce and use quality data.

+ Strengthen national GOK/MOH GIS capacity in addition to providing technical assistance to MOH to carry

out health facility geo-mapping in two provinces.

+ Conduct evaluation capacity building including training to develop the human capacity of USG strategic

information point persons to articulate evaluation questions and to develop basic program evaluation

questions and basic program evaluation protocols.

SECONDARY CROSS CUTTING BUDGET ATTRIBUTIONS

This activity supports key cross-cutting attributions in human capacity development through training of GOK

and USG partner personnel in HMIS, M&E and Surveillance both at national and regional level.

COP 2008

The changes to the program since approval in the 2007 COP are

• due to ceiling problem with Measure Evaluation, a follow-on bilateral agreement through sole source with

University of North Carolina under a new funding mechanism known as APHIA II Evaluation is being

negotiated and once completed will implement the activity,

• the plan to lead a coordinated approach to MARP studies conducted by other implementing partners

through a workshop to standardize the approach and coordinate studies among different partners and to

disseminate findings in a single workshop ($100,000), plan to conduct data quality assessment, develop

and support a data quality monitoring and improvement plan through use of data quality assessment tool for

capacity building in order to both assess the quality of data related to selected PEPFAR indicators

(especially those of high NASCOP and NACC priority) and to institutionalize the capacity within

implementing partners to conduct routine DQAs ($50,000),

• harmonization of GIS datasets across various organizations and programs within the Kenyan health sector

resulting in a base of GIS health sector data ($52,000), and

• plan to support the rollout of District Management Information System (DMIS) to 5 additional districts to

enhance routine collection, analysis and reporting of data on OVC enrollment and school attendance

($250,000). Targets and funding level have also changed.

1. LIST OF RELATED ACTIVITIES

This activity is related to activities in strategic information (#7002, #9220, and #9012).

2. ACTIVITY DESCRIPTION

This activity has several components. The first component of this activity ($720,500), will continue to

support the position of an SI resident advisor ($605,000) to coordinate and support USG PEPFAR reporting

in Kenya by: 1) coordinating PEPFAR reporting among all of Kenya's implementing partners ($10,000); 2)

maintaining the Kenya-Program Monitoring System, KePMS and providing database training to all new

PEPFAR implementing partners (IPs) ($42,300); 3) continuing to work with PSRI to assess the M&E training

needs and provide general (50 people) and targeted (50 people) M&E training to staff of 90 PEPFAR IPs

($63,200 sub-contract to PSRI). In the second component ($750,500), MEASURE will support NACC to fully

develop Community Based Program Activity Reporting (COBPAR) by implementing the stakeholder

consultation and data use modules in the two provinces of Rift Valley and Coast in addition to the on going

national roll out. This is a phased process that will initially start in the two provinces, but gradually, based on

its success, will be expanded to other provinces. MEASURE will achieve this by 1) providing technical

support to build community-level capacity to generate and use information for program planning in these

two provinces and assist with expansion of community level program reporting through the stakeholder

engagement processes in other provinces (sub contract NACC $150,500 and $75,000 TA); 2) assisting

NACC with remote data capture and dissemination through automation of their data entry by purchasing

hardware and providing training at the CACC level for 20 District Technical Committees' computers

($75,000) and for 70 PDA ($175,000) for 60 CACCs; 3) training staff by sub-contracting PSRI ($75,000) to

train 125 people in 5 5-day trainings at Coast and Rift Valley); 4) conducting evaluation of this focused

approach in 2 provinces to learn lessons valuable to its expansion, develop national database (COBPAR,

CRIS), and upgrade the system to allow for routine data analysis ($50,000). MEASURE will carry out a

capacity building assessment, and, jointly with NACC management, develop a capacity building action plan

and follow-up on its implementation ($40,000). For increased system ownership and data use among all

stakeholders, MEASURE will further support 1) upgrading of the COBPAR training manual to include

lessons learnt during training of trainers (TOT) in 2 provinces; 2) inclusion of COBPAR training modules in

management training courses; 3) development and printing of data collection tools (registers) for COBPAR

reporting; and 4) technical assistance for central engagement of stakeholders in reviewing the COBPAR

system and data use ($110,000). The third component ($300,000) will support both short and long-term

M&E training needs in Kenya, in order to build a cadre of professionals in Kenya who are skilled in

monitoring and evaluation of HIV/AIDS programs. In the short run, MEASURE will seek to improve and

increase the number of professionals with HIV/AIDS M&E skills in Kenya, by collaborating with PSRI to

implement two 2-week short course on M&E of HIV/AIDS for 60 program managers and MOH staff,

currently involved in implementing HIV/AIDS programs ($75,000). For long term M&E capacity building in

the country, MEASURE will provide technical support to University of Nairobi/PSRI to develop a graduate

level M&E training course. ($225,000). This support will aid in meeting the high demand for advanced-level

M&E training in Kenya by increasing access to graduate level M&E training at affordable costs.

MEASURE's technical support will be in the area of development/adaptation of the existing M&E training

curricula to be implemented in a MPH-level M&E concentration at the university. PSRI will manage course

operations and cover training expenses through course fees. In the fourth component ($50,000), MEASURE

Activity Narrative: will seek to strengthen existing sources of cause-specific mortality statistics by improving the consistency

and standardization of AIDS mortality data collection procedures and methodology in 5 Demographic

Surveillance Sites (Kilifi, KEMRI, Kibera, Rusinga and Nairobi Urban), Central Bureau of Statistics, and

Ministry of Health. MEASURE will design and support a focused action plan to improve the quality of

mortality data. Technical input and collaboration will also be sought from members of the Health Metrics

Network ‘Monitoring of Vital Events' (MoVE) Task Group specifically: CDC National Center for Health

Statistics, Health Metrics Network, and INDEPTH. Use of facility and community-based data sources,

including resources will be enhanced through a) facilitating implementation of plans for increased

coordination, collaboration, and harmonization of methods relating to mortality surveillance at existing DSS;

b) increasing use of AIDS-specific mortality outputs by stakeholders at all levels through broad-based

stakeholders joint planning and reporting; c) collaborating with existing DSS sites in Kenya and MOH to

expand demographic and mortality surveillance using SAVVY to increase representativeness, quality and

use of AIDS-specific mortality data. Quality assessment methods for Kenya's vital registration

system/routine medical certification and coding of AIDS-related mortality will be strengthened and use of

available mortality data by various stakeholders improved. MEASURE will develop a detailed annual work

plan that will guide the implementation of this activity, monitoring of key results, information dissemination,

reporting and use at all levels of the national HIV/AIDS response.

3. CONTRIBUTIONS TO OVERALL PROGRAM AREA

The activity builds on FY 2006 activities that support the national M&E systems as well as contributing to

the Emergency Plan's training outputs. The activity will provide technical assistance to 110 local

organizations and community based structures in strategic information in addition to supporting the training

of 285 other health care workers like M&E/HMIS Officers, Program managers, District Technical

Committees and CACCS in M&E/HMIS, reporting and data use for program management.

4. LINKS TO OTHER ACTIVITIES

This activity is related to the strategic information activity to be carried out by NASCOP (#7002), where

NASCOP will be rolling out Form 726, Form 727 and program specific client registers for data collection and

reporting at health facilities. It is also related to SI TE/TBD (#9220), that will attempt to investigate the

causes for low reporting rate by health facilities and recommend strategies for achieving 100% reporting

level by health facilities. It is related to strategic information activity to be carried out by Price

WaterhouseCoopers/NACC (#9012) which will support the development of data management infrastructure

and supportive field supervision of COBPAR activities by the M&E Coordinator.

5. POPULATIONS BEING TARGETED

This activity targets host government workers.

6. EMPHASIS AREAS

The major emphasis is USG database and reporting system while minor includes monitoring, evaluation, or

reporting (or program level data collection and information technology (IT) and communications

infrastructure. Measure Evaluation will use the additional funds ($400,000) to 1) strengthen the capacity of

the Resident Advisor's office by recruiting additional Strategic Information Officers to provide the much

needed M&E technical support to PEPFAR partners at provincial and district levels 2) to support the

recruitment, relocation and transition expenses for the new Resident Advisor for Kenya.

New/Continuing Activity: Continuing Activity

Continuing Activity: 15035

Continued Associated Activity Information

Activity Activity ID USG Agency Prime Partner Mechanism Mechanism ID Mechanism Planned Funds

System ID System ID

15035 4067.08 U.S. Agency for University of North 7019 147.08 APHIA II $0

International Carolina Evaluation

Development

7098 4067.07 U.S. Agency for University of North 4300 147.07 Measure $0

International Carolina Evaluation

Development

4067 4067.06 U.S. Agency for University of North 3191 147.06 Measure $1,588,770

International Carolina Evaluation

Development

Emphasis Areas

Health-related Wraparound Programs

* Child Survival Activities

* Family Planning

* Malaria (PMI)

* Safe Motherhood

* TB

Human Capacity Development

Estimated amount of funding that is planned for Human Capacity Development $510,000

Public Health Evaluation

Food and Nutrition: Policy, Tools, and Service Delivery

Food and Nutrition: Commodities

Economic Strengthening

Education

Water

Table 3.3.17: