Detailed Mechanism Funding and Narrative

Years of mechanism: 2010 2011 2012 2013 2014 2015

Details for Mechanism ID: 10281
Country/Region: Uganda
Year: 2013
Main Partner: University of California at San Francisco
Main Partner Program: NA
Organizational Type: University
Funding Agency: HHS/CDC
Total Funding: $3,145,495

The M&E Technical Assistance (META) Project is a collaboration between UCSF, Makerere University School of Public Health (MaKSPH), Ministry of Health( MOH) and Uganda AIDS Commission (UAC). In the first two years of the project, META focused on strenghtneing M&E capacity for 12 CDC supported Implementing Parters (IPs) with the goal of improving IPs ability to collect, manage, analyze, report and use data to inform decision making and evaluate impact. IP electronic data systems were strengthened to support the M&E functions of the organisation. META is currently supporting MakSPH develop a graduate M&E course in support of efforts to improve M&E human resource capacity in Uganda. In FY 2013 META will support M&E strengthening activities at the national and district level through district-based IPs. Through the National Sub-committee for M&E and Research (SMER), META will support activities towards achievement of one national M&E plan. At IP level, META will train 160 persons from both the CDC-supported IPs and districts to improve electronic data systems and support the conduct of program evaluations. META willl support IPs to roll-out training to their district staff in all regions of Uganda thus cascade training and improve resource efficiency. In the first two years, four Uganda META staff trained in evaluation methodology and will transfer these skills to MakSPH and the IPs. The Uganda HSSIP requires evaluation of programs at various stages of implementation. In FY 2013 $500,000 is earmarked from the acceleration plan for basic program evaluations including PMTCT option B+. This will support periodic assessment of the change in targeted results and link particular outcomes to specific activities and help to determine the effectiveness of programs.

Funding for Strategic Information (HVSI): $2,525,495

META is funded to support SI Pivot 1 Alignment to USG supported systems with the national information system and Pivot 3 Strong/robust basic M&E systems at service delivery points and districts across CDC funded Implementing Partners (IPs). META will continue to support national, district and organizations in M&E. At the national level META will intervene at the work with Ministry of Health (MOH) and Uganda AIDS Commission (UAC) to actualize the three ones. This will include operationalization of national Health Sector HIV/AIDS M&E Framework, support to strengthening data collection using national tools, improve technical quality of data through periodic DQAs and improve data use at district and facility level through focused in-service training for health workers, support to program evaluations so as to foster evidence-based decision-making and program improvement. Specific focus will be on combination prevention interventions.

At the national MoH level, META will support selected activities of the national Sub-Committee on M&E and Research (SMER) and AIDS Control Program (ACP). This will include support to the development of the national Health Sector HIV/AIDS M&E framework and transitioning parallel reporting systems to the DHIS2. At district level, META will support the development of strong M&E approaches at service delivery points. Additional support will be provided through the MoH Harmonization Officer to advocate for promotion and use of standardized national tools and availability of national HMIS registers in supported districts. At organization level, META will work with CDC funded IPs to enable districts align the national information system to USG requirements. The target populations are M&E, management and program staff at IPs and within the MoH structures.

In collaboration with the IPs, META will perform M&E capacity assessments and provide M&E support to district-based staff in 53 CDC supported districts. At least 160 individuals will be supported through this effort. The training and support will emphasize implementation of M&E plans, streamlined reporting and use of data for evidenced-based decision making. As part of the national research and evaluation agenda META will support MOH and IPs to review service delivery goals, develop evaluation process and outcome protocols. Emphasis is on building national capacity for future evaluations and mainstreaming evaluation within service delivery activities.

Uganda will roll-out Option B+ in a strategic phased approach thats responsive to the challenges. Progressive scale-up of sites will enable a reflective process on implementation experiences. Key issues and lessons generated from prior phases will inform subsequent roll-out plans. For FY 2013 META will support MoH to monitor and evaluate the roll-out of PMTCT Option B+. This will include rapid and intensive monitoring system for combination prevention with Infectious Disease Institute - KCC.

Funding for Biomedical Prevention: Voluntary Medical Male Circumcision (CIRC): $200,000

With support from PEPFAR, Voluntary Medical Male Circumcision (VMMC) is being offered in Uganda as part of a comprehensive HIV prevention package with a target to circumcise 750,000 eligible men in FY 2013. UCSF/META with the funds from COP 12 will support the monitoring and evaluation activities for the VMMC program across the 53 CDC-supported districts where a target of 320,019 eligible men will be circumcised by CDC implementing partners.

UCSF/META in collaboration with the MOH, districts and CDC implementing partners will support the development of M&E tools, undertake quality improvement activities and support district staff to accurately report on VMMC activities in the supported districts

Funding for Treatment: Adult Treatment (HTXS): $420,000

The M&E Technical Assistance project (META) will support the districts in collaboration with the district based CDC-supported Implementing Partners (IP)s that provide care and treatment services. The META target population consists of IP M&E staff, the District Health Officer, the District Bio-Statistician and the Records Person at facilities who must interpret and use ART data. Support to cohort analysis for MoH quarterly report will be an area of focus. Working with three additional care and treatment (C&T) partners that have large geographic coverage (MJAP, Mildmay, and TASO-main) META will support districts to improve the quality of treatment data. Currently, META is supporting Kalangala, Reach-out and Uganda Prisons and will continue to support IPs as they roll out their activities in supported districts. Supported C&T IPs are involved with the following cross-cutting issues: Kalangala Project--mobile fisherman, ReachOut - womens income generation, TASO - malaria and TB, Mildmay -womens reproductive health and TB and MJAP - malaria and TB.

A key position to support this function is the harmonization officer who works closely with the AIDS Control Program at the MOH on issues of policy, guidelines, national indicators and technical working groups, and on target setting, as well as, on the development of data collection tools. This position also works closely with IPs to ensure their tools and indicators are harmonized with national tools, and that they report appropriately to the districts and the national system. The support to the C&T IPs aims at improving their ability to collect, manage, analyze, report and use their data to inform decision making and evaluate impact.

Selected IPs have a range of cross-cutting issues that will be addressed, including mobile communities, womens income generation, reproductive health, malaria and TB. META will continue to work closely with ReachOut to develop a functional and linked data system so they can better use data to evaluate their care and treatment programming. META will continue the support to Mildmay in the implementation of the program evaluation that will describe the relationship of neurocognitive disorders and treatment.

Through this effort, META will train 10 care and treatment IP staff in the following: Basics of M&E, M&E plan development, program evaluation protocols, data use for decision-making, qualitative data analyses, data management, SQL software, and basics of data system development including cohort analysis. IP staff will draw plans to train district and health facility staff in their areas of jurisdiction.

Subpartners Total: $0
Makerere University: NA
Ministry of Health and Social Welfare - eSwatini: NA
Key Issues Identified in Mechanism
End-of-Program Evaluation