Location via proxy:   [ UP ]  
[Report a bug]   [Manage cookies]                
Scribd Logo
Upload

Welcome to Scribd!

  • 19 views

    Program in Zambia: Strengthening Monitoring and Evaluation Systems in The TB

    Uploaded by

    reem esam
    The document summarizes efforts to strengthen monitoring and evaluation systems for tuberculosis (TB) programs in Zambia. It describes how an electronic case-based data management system was developed and implemented with support from the USAID-funded Challenge TB project. Key activities included developing M&E plans and tools, training health staff, implementing patient-level databases, and conducting data quality audits. Results showed improved data reporting, reduced reporting discrepancies, and increased access to data to inform decision-making. The importance of ongoing training, data review, and use of data management best practices for strong national M&E systems is highlighted.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd

    Program in Zambia: Strengthening Monitoring and Evaluation Systems in The TB

    Uploaded by

    reem esam
    19 views3 pages
    The document summarizes efforts to strengthen monitoring and evaluation systems for tuberculosis (TB) programs in Zambia. It describes how an electronic case-based data management system was developed and implemented with support from the USAID-funded Challenge TB project. Key activities included developing M&E plans and tools, training health staff, implementing patient-level databases, and conducting data quality audits. Results showed improved data reporting, reduced reporting discrepancies, and increased access to data to inform decision-making. The importance of ongoing training, data review, and use of data management best practices for strong national M&E systems is highlighted.

    Original Title

    Zambia_M&E_Technical_Brief

    Copyright

    © © All Rights Reserved

    Available Formats

    PDF, TXT or read online from Scribd

    Did you find this document useful?

    Is this content inappropriate?

    The document summarizes efforts to strengthen monitoring and evaluation systems for tuberculosis (TB) programs in Zambia. It describes how an electronic case-based data management system was developed and implemented with support from the USAID-funded Challenge TB project. Key activities included developing M&E plans and tools, training health staff, implementing patient-level databases, and conducting data quality audits. Results showed improved data reporting, reduced reporting discrepancies, and increased access to data to inform decision-making. The importance of ongoing training, data review, and use of data management best practices for strong national M&E systems is highlighted.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    19 views3 pages

    Program in Zambia: Strengthening Monitoring and Evaluation Systems in The TB

    Uploaded by

    reem esam
    The document summarizes efforts to strengthen monitoring and evaluation systems for tuberculosis (TB) programs in Zambia. It describes how an electronic case-based data management system was developed and implemented with support from the USAID-funded Challenge TB project. Key activities included developing M&E plans and tools, training health staff, implementing patient-level databases, and conducting data quality audits. Results showed improved data reporting, reduced reporting discrepancies, and increased access to data to inform decision-making. The importance of ongoing training, data review, and use of data management best practices for strong national M&E systems is highlighted.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    of 3

    ZAMBIA TECHNICAL BRIEF

    Strengthening Monitoring and


    Evaluation Systems in the TB
    program in Zambia
    BACKGROUND
    • An effective monitoring and evaluation (M&E) system is a critical
    component of a TB program for program management and
    implementation.
    • The use of a paper-based system, inadequate data management,
    delayed data reporting, and inadequate human resources contribute
    to suboptimal quality of data and its utilization for decision-making.
    • There was need to develop and implement an electronic case-based
    data management system.

    OBJECTIVE
    • To strengthen M&E systems in the National Tuberculosis and
    Leprosy Program (NTLP) in Zambia.

    RESPONSE

    The USAID-funded Challenge TB (CTB) project in Zambia supported the


    following activities:
    • Development of the M&E Plan for the 2017-2021 National Strategic
    Plan.
    • Revision and printing of the recording and reporting tools in line
    with new TB manual and guidelines.
    • Revision of the NTLP quarterly reporting tool and development of a
    database to capture facility-level aggregate data.
    • Onsite training of Ministry of Health (MoH) staff in data
    management and performance management to strengthen the data
    collection system and improve skills in data analysis and use of data
    for program monitoring and evaluation.
    • Development of a patient-level database for drug-resistant (DR) TB.
    • Semi-annual data quality audits (DQA).
    • Secondment of an M&E specialist to the NTLP M&E unit.
    • Production and distribution of DataToCare weekly reports with the
    NTLP.1

    1 Challenge TB Zambia (2019). Final Project Report. Lusaka.


    RESULTS

    • Challenge TB Zambia trained 118 Provincial and District TB


    managers in Performance Management.
    • The NTLP now has access to DR-TB patient level data on a monthly
    basis for decision making. The patient-level database was designed
    to improve the quality of DR-TB services provided to patients by
    having a comprehensive patient level data captured from patients.
    • Unlike in the past, the NTLP at national level is able to analyze
    facility-level data. The quarterly reporting database developed by
    Challenge TB allows for the capturing and storage of facility-level
    data at the central level and at all other levels.
    • The percentage of facilities reporting quality data to the national
    level increased from 57 percent in 2017 to 67 percent in 2018. This
    was measured using the standardized M&E DQA tool which was
    assessing the systems and data reported on a quarterly basis.
    • The TB case notification data reporting discrepancy decreased
    from 3 percent in 2017 to 1 percent in 2018. This discrepancy was
    measured by comparing what data is in the facility registers,
    quarterly reports filed at the facilities, and quarterly data reported at
    the national level at the NTLP.
    I - M&E Structure,
    Functions and
    Capabilities
    99% 90%
    100
    88%
    80 74%
    II - Indicator
    Definitions and
    V - Data use for
    Decision-making
    Reporting 60
    Guidelines

    40

    20

    0
    III - Data-collection Verification % Available % On Time % Complete
    IV - Data Management and Reporting Forms Factor
    Processes and Tools

    The overall data management assessment A review of 2018 data and reporting
    results for all the audited sites assessment results during DQA
    Source: Ministry of Health (2018) NTP Data Source: Ministry of Health (2018) NTP Data
    Quality Audit Report Quality Audit Report 2018
    LESSONS LEARNED

    • A good M&E system


    requires adequate
    numbers of staff who
    are well-trained.
    • Periodic review of data
    for completeness,
    timeliness and
    accuracy, including
    correct data entry,
    storage, verification,
    compilation and
    analysis improves the
    quality of data collected and used for decision-making. This requires
    well-structured tools and objectives as well as the involvement of all
    program staff, including clinical and M&E personnel.
    • Weekly data reporting helps to track the performance of any
    innovation. DataToCare weekly reporting generated by CTB
    Zambia and submitted to the NTLP helped to identify and address
    challenges that facilities were facing.
    • Data use at all levels is facilitated by good data management
    practices and capabilities.
    • Continuous capacity building for facility staff, district and provincial
    TB coordinators should be encouraged to ensure sustainability of
    data use at all levels.

    CONCLUSION

    A strong national M&E system is essential for producing high quality data
    for decision-making. This requires continued capacity building at all levels in
    data utilization and overall data management.

    The Global Health Bureau, Office of Infectious Disease, US Agency for International Development, financially supported this publication through Challenge TB under the terms of Agreement
    No. AID-OAA-A-14-00029. This publication is made possible by the generous support of the American people through the United States Agency for International Development (USAID). The
    contents are the responsibility of Challenge TB and do not necessarily reflect the views of USAID or the United States Government.

    ACKNOWLEDGEMENTS
    This technical brief is based on the work which was supported by Challenge TB Zambia Project. Challenge TB Zambia would like to thank
    National TB Control Program Staff at the Central, Provincial and District levels and to all staff working at the health facility level and the
    cooperating partners who participated in the implementation of the project. Appreciation also goes to USAID for providing financial resources to
    carry out activities. Finally, gratitude goes to the FHI 360 HQ and regional office and the Challenge TB project management unit for the support
    and guidance rendered throughout the project implementation.

    ZNFU Office Block, Off Nangwenya Road,


    !"#$%&!'#"&('#)'*+&,-./0.#1&2+&3)"&4&5)"&2/$$*&6*$$%7358&4&559:+
    Show Grounds Area, Lusaka
    ZAMBIA OFFICE ;"<#&("<%=<%$#+&!"#$%&!'#"+&(<%>$0.<&!?&,$@A&B8C3 Telephone: +260 211 368 190-9

    You might also like