PEPFAR Next Generation Indicators Community Prevention Programs USG/Kenya November 30, 2010 PanAfric Hotel Nairobi, Kenya

Transcription

1 PEPFAR Next Generation Indicators Community Prevention Programs USG/Kenya November 30, 2010 PanAfric Hotel Nairobi, Kenya

2 Meeting Objectives Rationale for PEPFAR Next Generation Indicators Understand indicator definitions, reporting requirements and minimal package of services for Community Prevention NGIs Discuss data collection and management issues related NGIs Way forward

3 Overview of PEPFAR NGIs

4 Development of PEPFAR NGIs Aligns, where possible, with globally harmonized indicators already reported by many host nations; Minimizes PEPFAR-specific reporting requirements to allow PEPFAR country teams flexibility to design M&E plans in-line with host countries; and strikes a better balance between support for USG reporting needs and national M&E systems.

5 Directional Shifts in NGI Development Better balance of USG reporting needs with country ownership Better global harmonization of indicators and reporting requirements Better in-country harmonization of indicators Focus on Measures of Coverage and Program Quality Measures of Cost Move from Downstream/Upstream to Direct/National

6 Harmonization with Health Information Systems in Kenya SI Team and USG Partners participated in KNASP III indicator harmonization meetings to support the inclusion of NGIs USG promotes the use of nationally approved data collection tools by all partners Ongoing work with GOK to support the development of national data collection tools

7 Selection of PEPFAR/Kenya NGIs All Essential/Reported indicators as per OGAC guidance Additional NGI indicators based on need specific to program implementation in Kenya Shift from reporting on traditional to individual/small group for prevention outreach activities

8 No. PEPFAR/Kenya Community Prevention NGIs Indicator Prevention Sub Area 4: Injection and Non-injection drug use P4.1D Number of injection drug users (IDUs) on opioid substitution therapy (new) Prevention Sub Area 5: Male Circumcision P5.1.D P5.2.D P5.3D P5.4D Number of males circumcised as part of the minimum package of MC for HIV prevention services (new) Number of circumcised clients experience at least one moderate or severe adverse event (AE) during or following surgery, within the reporting period (new) Number of locations providing MC surgery as part of the minimum package of MC for H IV prevention services (new) Number of males circumcised within the reporting period who return at least once for post-operative follow-up are (routine or emergent) within 14 days of surgery (new)

9 PEPFAR/Kenya Community Prevention NGIs No. Indicator Prevention Sub Area 7: Prevention with Positives P7.1.D Number of PLHIV reached with a minimum package of Prevention with PLHIV interventions (new) Prevention Sub Area 8: Sexual and other Behavior Risk Prevention P8.1.D P8.2.D P8.3.D P8.4D Number of the targeted population reached with individual and/or small group level HIV prevention interventions that are based on evidence and /or meet the minimum standards required (replaces 5.2 and 2.1) Number of the targeted population reached with individual and /or small group level HIV prevention interventions that are primarily focused on abstinence and/or being faithful and are based on evidence and/or meet the minimum standards required (replaces 2.1) Number of MARP reached with individual and/or small group level HIV preventive interventions that are based on evidence and/or meet the minimum standards required (new) Number of targeted condom service outlets (same)

10 PEPFAR/Kenya Community Prevention NGIs No. Indicator Prevention Sub Area 12: Gender P12.1D P12.2D P12.3D P12.4D Male Norms and Behaviors: Number of people reached by an individual, small group or community-level intervention or service that explicitly addresses norms about masculinity related to HIV/AIDS (new) Gender Based Violence and Coercion: Number of people reached by an individual, small group or community-level intervention or service that explicitly addresses gender-based violence and coercion related to HIV/AIDS (new) Women s Legal Rights and Protection: Number of people reached by an individual, small group or community-level intervention or service that explicitly addresses the legal rights and protection of women and girls impacted by HIV/AIDS (new) Number of people reached by an individual, small group or community-level intervention or service that explicitly aims to increase access to income and productive resources of women and girls impacted by HIV/AIDS (new)

11 Sexual and Other Behavioral Risk Prevention NGIs

12 Overview of Framework to Move Research to Practice: Introducing Evidence-based Behavioral Interventions for Kenya Jennifer Galbraith, PhD Mary Mwangi, PhD PEPFAR Next Generation Indicators Community Prevention Programs November 30, 2010 PanAfric Hotel The findings and conclusions in this presentation are those of the authors and do not necessarily represent the views of the Centers for Disease Control and Prevention.

13 Overview Rationale for Evidence-based Behavioral Interventions (EBIs) Definitions NGI EBI Activities Assessment tool Selecting, Adaptation, Packaging and Scale-up of existing interventions Comprehensive package of services for prevention Guidelines for data collection and management

14 Rationale for Evidence-based Behavioral Interventions (EBIs)

15 Rationale for Development of a Research to Practice Framework Large investment in research but not translating into practice Next Generation Indicators from PEPFAR Better resource utilization on interventions that work An important piece of combination prevention

16 What are behavioural interventions? Behavioral interventions increase knowledge and skills (e.g., communication, negotiation, refusal, condom use) in HIV prevention, change attitudes, and motivate individuals to adopt healthier behaviors.

17 Next Generation Indicators (Essential/reported) P8.1.D: Number of the target population (general population) reached with individual and/or small group level HIV prevention interventions that are based on evidence and/or meet the minimum standards P8.2.D: Number of the targeted population reached with individual and/or small group level preventive interventions that are primarily focused on abstinence and/or being faithful, and are based on evidence and/or meet the minimum standards required P8.3.D: Number of MARP reached with individual and/or small group level interventions that are based on evidence and/or meet the minimum standards

18 How does NGI define evidence-based behavioural interventions? Interventions based on the country s epidemic, the drivers of that epidemic, and the most current understanding of behavioral and/or social science. Have been rigorously evaluated and have been shown to have significant and positive evidence of efficacy (e.g. elimination or reduction of risky sexual or drug taking behaviors). Considered to be scientifically sound, provide sufficient evidence of efficacy in other contexts and/or target populations, and address HIV prevention needs of the communities by targeting the specific target population.

19 Minimum Standards Required (NGI) In the absence of evidence-based interventions: other interventions that could be considered for implementation are those who meet the minimum standards required. These interventions are: based on sound behavioral science theory do have some empirical evidence in the form of being based on formative assessment results based on a past successful program.

20 Monitoring EBIs All programs should use process monitoring data to: continually gage the appropriateness of the intervention plan to collect outcome monitoring data to determine effectiveness. In order to count persons reached, the interventions must: have a clearly defined audience have clearly defined goals and objectives be based on sound behavioral and social science theory be focused on reducing specific risk behaviors have activities that address the targeted risk behaviors employ instructionally sound teaching methods provide opportunities to practice relevant risk reduction skills

21 EBI Activities

22 EBI TWG Activities Overview Systematic assessment of intervention curricula currently used by PEPFAR partners to determine if they include characteristics found in effective programs & cover conventional health education standards Selection, adaptation, re-packaging and scale-up of EBIs from U.S. & other countries Identification and packaging of interventions developed & rigorously evaluated in Kenya with proven efficacy Operational research to determine if interventions remain efficacious and to develop and evaluate new interventions

23 Development of an assesment tool Systematic assessment of intervention curricula currently used by PEPFAR partners to determine if they: Meet PEPFAR minimum standards required Include characteristics found in effective programs Cover conventional health education standards Accurate Acceptable Feasible Other?

24 Why the Characteristics of Effectiveness are Important They help translate key research findings into practice. They help move prevention from improving knowledge to improving behavior. They clarify what partners should address to change behavior. They provide a sciencebase for performance standards that focus on achieving health outcomes. 24

25 Way forward for assessment tool TWG for development of the tool Develop draft assessment tool Test tool Have review and launch Tentative completion date: February, 2011

26 Selecting, Adaptation, Packaging and Scale-up of existing interventions Select intervention: Assess community, assess agency capacity, examine interventions Adapt Intervention: Identify adaptation needs, examine best adaptation practices, draft adapted materials, pre-test activities Implement: Prepare agency, pilot test intervention, create implementation plan Monitoring: Process & Outcome monitoring and evaluation at all stages key to success

27 Selection, adaptation, re-packaging and scale-up of EBIs for Kenya Packaged and scaled up: Families Matter Program Prevention with Positives Currently being packaged: Healthy Choices I and II Possible packaging: Friends of Youth Stepping Stones Possible adaptation: Connect/Eban Respect Start POL Mpowerment Focus on Youth/ImPACT Sister to Sister Safe in the City

28 Comprehensive package of services for prevention Comprehensive prevention programs include interventions at multiple levels (e.g., mass media, community-based, workplace, small group, and individual) as well as providing a range of messages that are appropriate for the country s epidemic and the specific target group. Prevention programs should appropriately link to services such as male circumcision and counseling and testing, address stigma and discrimination, and increase awareness of social norms that affect behaviors.

29 Youth Gen Pop MARPs Unifor servs per Uncircm ales PLWH Comprehensive packages of services Prison ers IDU Peer education and outreach Sexual risk assessment, risk reduction counseling and skills training Routine HIV testing and counseling which incorporates all strategies for T&C STI screening and treatment (consistent with National protocol for STI management) Promotion and distribution of condoms Access to HIV care and treatment (including PEP) Access to reproductive health services (post-abortion services, cervical counseling screening) Access to family planning X X X X X X X X X X X X X X (entry) X X X X X X X X (& lub) X x X X X X X X X X X X X

30 Youth Gen Pop MARPs Unifor servs per Uncircm ales PLWH Prison ers Minimum packages of services (cont d) IDU Referrals to other appropriate services More involvement of people living with AIDS (MIPA) X X X x X X X MARPs or Youth friendly services X X Provision of Voluntary Male Medical circumcision based on national and WHO guidelines X (Access to) X Youth development programs X Parental programs (monitoring and communication) Mentoring programs X Targeted mass media, community programs, school programs, workplace programs, and interpersonal communication deliver appropriate messages. X X X Male circumcision education and information (including written materials) X

31 Youth Gen Pop MARPs Unifor servs per Uncircm ales PLWH Prison ers Minimum packages of services (cont d) IDU Male reproductive health and healthy sexual norms information including family planning Leadership training X X Family outreach including spouse support group X Counseling and alcohol reduction program X X X (& drug) TB screening and referral and access to treatment Facilitated partner testing and disclosure X X X (entry) Peer support groups X Sexual violence and human rights education Education of condoms and lubricant X X

32 General Population Deliver the following messages through targeted individual and small group prevention intervention programs : Know your status/universal testing Reduce partners Increase condom use Eliminate concurrency Improve risk perception Be aware of discordancy Decrease stigma and discrimination Change harmful gender norms

33 Referrals and Linkages Prevention activities and messages continue to be integrated into other health programs in order to avert new infections. Prevention programs will work closely with other programs (e.g., care and treatment) to identify referral mechanisms to ensure that clients receive appropriate services as outlined above. Where a comprehensive package of services is offered, an M&E system will be incorporated into the package.

34 Guidelines for Data Collection and Management

35 Guidance on Data Collection Discussions on data collection needs ongoing Feedback from partners is critical Levels of data collection: KePMS: PEPFAR monitoring and evaluation (reporting to OGAC) Program level: Program monitoring, planning and decision making; Data collection needs will by partner, target group, intervention/comprehensive package of services and unit of intervention (individual or group)

36 PEPFAR Indicators P8.1.D (Essential/Reported) Number of the targeted population reached with individual and/or small group level preventive interventions that are based on evidence and/or meet the minimum standards required By Male/Female By age: (10-14, 15+) Proposed age groups 10-14, 15-19, 20-24, 25+

37 P 8.2D (Essential/Reported) Number of the targeted population reached with individual and/or small group level preventive interventions that are primarily focused on abstinence and/or being faithful, and are based on evidence and/or meet the minimum standards required By Age: 10-14, 15-19, 20-24, 25+

38 P8.3.D (Essential/Reported) Number of MARP reached with individual and/or small group level interventions that are based on evidence and/or meet the minimum standards required By MARP type: CSW, IDU, MSM, Other Vulnerable Populations e.g. Fisher folks By sex: Male and Female By Age: 10 14, 15 +

39 P8.4.D (Essential/Reported) Number of targeted condom service outlets (Defined as a physical condom outlet or peer educator known by the community as a point to access condoms; that is refilled regularly)

40 Expanded KePMS Data Collection Implementing partner, sub-partners Target groups (Youth, MSM, CSW, Fisher folk, Truckers, general population ) Geographical information: county, location, sublocation, village Name of Evidence-Based intervention(s)/comprehensive package including referrals /curriculum Duration/No. of sessions completed Intervention unit: individual or group Referral uptake Numbers trained in specific EBIs

41 Program Level Data Collection Each EBI will have a monitoring and evaluation data collection tool designed to help program managers in monitoring and improving delivery and to facilitate reporting purposes. Partners implementing specific EBIs will use or adapt these tools as part of ongoing EBI work spearheaded by NASCOP Other national data collection tools (e.g. HTC)

42 Way Forward Further discussions on standardized expanded Sexual and other prevention indicators in KePMS Review of Prevention DQA plan and guide for use by PEPFAR and partners Partner feedback welcome

43 Questions? Asante Sana

44 Sample Monitoring and Evaluation Data: Families Matter Program! FMP is a group level intervention Reduces sexual risk behavior among children aged 9-12 years Parents are equipped with knowledge, skills, comfort and confidence to deliver primary prevention messages to their children. Offered in 5 sessions by 2 facilitators Children attend the 5th session.

45 FMP Process Monitoring Forms Facilitator checklist Participant attendance checklist Demographic information form Facilitator session logs Participant satisfaction questionnaire FMP cycle summary sheet

46 Monitoring and Evaluation of FMP Group # ; for facilitator pair # Day of week session is held & session start time Province/District/Location/Sub-location Facilitator 1 & 2 (names) Male /female (facilitator gender)

47 Monitoring and Evaluation of FMP Session date (date of each of the 5 sessions) Duration (of session) # of participants in each session # of children attending session 5 # of participants completing all 5 sessions (male and female) Mother/father, Sister/brother, step parent, grandparent, Uncle/Auntie, other Participant satisfaction questions (1-13)

48 Summary data Implementing partner Total # groups facilitated during the 5 week period 3 most frequent reasons why participants missed sessions (from facilitator session logs) Changes facilitators made to the sessions activities (from facilitator session logs) Anything else box

49 Male Circumcision NGIs

50 Sub Area 5: Male Circumcision Prevention Sub Area 5: Male Circumcision P5.1.D PEPFAR Output Routine Program 1 Number of males circumcised as part of the minimum package of MC for HIV prevention services 1 by age: <1, 1-14, 15+ WHO/UNAIDS Manual for Male Circumcision Under Local Anesthesia P5.2.D PEPFAR Output Routine Program 2 Number of clients circumcised who experienced one or more moderate or severe adverse event(s) within the reporting period 2 by severity (moderate and/or severe) Draft WHO Guide C4.1 P5.3.D PEPFAR Output Number of locations providing MC surgery as part of the Routine Program 3 minimum package of MC for HIV prevention services within the reporting period MC TWG P5.4.D PEPFAR Output Number of males circumcised within the reporting period Routine Program 3 who return at least once for post-operative follow-up care (routine or emergent) within 14 days of surgery MC TWG

51 Sub Area 5: Male Circumcision New Indicator P5.1.D (PEPFAR Output) Number of males circumcised as part of the minimum package of MC for HIV prevention services Purpose: To monitor the scale-up of male circumcision programs. The total number of males circumcised indicates either change in the supply of or demand for MC services. These data provide input into prevention cost-effectiveness costing models. Disaggregation: Two levels: Essential/reported and recommended at partner level Age: <1, 1-14, 15+ (Essential reported) Additional age categories (Recommended) HIV status (Recommended) Service location/setting (Recommended) Harmonization: Partially with draft WHO MC M&E Guidelines

52 Sub Area 5: Male Circumcision New Indicator P5.2.D (PEPFAR Output) Number of circumcised clients experiencing at least one moderate or severe adverse event (AE) during or following surgery, within the reporting period Indicator type: Essential/not reported Disaggregation: Various levels recommended: By severity (moderate and/or severe) Timing of AE(s) Specific AE(s) The date of surgery, not the date of AE(s), must fall within the reporting period. AEs include MC cases involving an occupational exposure to blood/body fluids.

53 Sub Area 5: Male Circumcision New Indicator P5.3.D (PEPFAR Output) Number of locations providing MC surgery as part of the minimal package of services within the reporting period Indicator type: Essential/not reported Disaggregation: Type of location Fixed/static where Services are routinely offered/provided daily preferably by staff stationed there Outreach where teams of providers visit smaller health facilities (with trained but inadequate providers to routinely offer MC services) at scheduled times to provide MC services Mobile where MC services are provided in a non-health facility ( markets, schools, churches, community halls)

54 Sub Area 5: Male Circumcision New Indicator P5.4.D (PEPFAR Output) Number of males circumcised within the reporting period who return at least once for post-operative follow-up care (routine or emergent) within 14 days of surgery Indicator type: Essential/not reported Disaggregation: None

55 Sub Area 5: Male Circumcision General information on New MC Indicators Males circumcised under general anesthesia should not be counted, as PEPFAR does not fund this level of service. Children may receive PEPFAR-funded MC as long as the procedure is performed using local anesthesia and in accordance with the WHO/UNAIDS/Jhpiego Manual for Male Circumcision Under Local Anesthesia. Programs are required to report on the actual number of males circumcised in accordance with the WHO/UNAIDS/Jhpiego Manual for Male Circumcision Under Local Anesthesia so that the overall uptake and delivery of the PEPFAR-funded MC minimum services package in the country can be monitored, outcomes evaluated, and impact of MC on HIV incidence at a population level can be modeled. Non-PEPFAR funded providers also performing MCs within the reporting period will not be captured by these indicators, and any broader evaluations of population-level uptake will need to be interpreted accordingly.

56 Male Circumcision Indicators- Minimum Package Should offer HCT Should exclude STIs (and syndromic Rx) Should promote male sexual & reproductive health Should provide & promote consistent condom use Should encompass BCC & risk reduction involve FBO and churches to promote behavior Link to care and treatment for HIV +s

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62 Prevention with Positives NGIs

63 8 National PwP strategies Encourage Knowledge of HIV status /HIV testing Supportive disclosure Partner testing, identification of discordant couples Provision of ART and adherence Behavioral risk reduction counseling including condom use Reproductive health counseling STI prevention and treatment Meaningful involvement of PLHIV ( MIPA )

64 Minimum Package of Services for PwP Assessment of sexual activity and provision of condoms (and lubricant) and risk reduction counseling (if indicated) Assessment of partner status and provision of partner testing or referral for partner testing Assessment for STIs and (if indicated) provision of or referral for STI treatment and partner treatment Assessment of family planning needs and (if indicated) provision of contraception or safer pregnancy counseling or referral for family planning services Assessment of adherence and (if indicated) support or referral for adherence counseling Assessment of need and (if indicated) refer or enroll PLHIV in community-based program such as home-based care, support groups, post-test-clubs, etc.

65 Sub Area 7: Prevention with People Living with HIV P7.1.D (PEPFAR Output) Number of People Living with HIV/AIDS (PLHIV) reached with minimum package of Prevention with PLHIV (PLHIV) interventions Purpose: to measure how well clinic/facility-based and community-based programs are reaching PLHIV with a minimum package of prevention interventions and services that includes evidenced based behavioral and biomedical interventions designed to protect the health of the infected person and reduce the spread of HIV to their sex partners and children. Denominator (recommended): Total estimated number of PLHIV in the catchment area* Disaggregation (recommended): By Setting: Number reached in a clinic/facility-based setting; Number reached in a community/home-based setting Note: The service provided to the partner or family member may meet the defined criteria for another indicator and (if so) should be counted there, i.e. Testing and Counseling (#P11.1.D), CARE (#C1.1.D), or Early Infant Diagnosis (#C4.1.D).

66 5 National Priority PwP Indicators

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69 PwP Pilot Facilities Coast - Port Reitz and Bomu Medical Clinic 2. Nairobi - Coptic Mission Hospital and EDARP - Kayole 3. Central - Maragua D. H. 4. Eastern - Embu PGH and Isiolo D.H 5. RVP - Kericho D.H and Mosoriot RHTC 6. Nyanza - Siaya D. H and Ahero D.H 7. Western - Kakamega PGH and St. Mary's Mumias Mission Hospital 8. North Eastern Garissa PGH

70 Progress/ Way Forward NASCOP/HIS leadership and USG/IP teams for both implementation and M&E components M&E PwP TWG sub-committee chaired by NASCOP in place. Reporting on PwP data effective Oct 2010 in 13 pilot sites / Using Program tool National M&E roll out begins in Jan 2011

71 Injection and Non-injection Drug Use NGIs

72 Session 2: PREVENTION Sub Area 4: Injection & Non-Injection Drug Use Prevention Sub Area 4: Injection and Non-injection drug use P4.1. D PEPFAR Output Routine Program 1 Number of injecting drug users (IDUs) on opioid substitution therapy PEPFAR MARP Sexual Prevention TWG

73 Session 2: PREVENTION Sub Area 4: Injection & Non-Injection Drug Use New Indicator P4.1.D (PEPFAR Output) Number of injecting drug users (IDUs) on opioid substitution therapy (OST) Purpose: To monitor access and delivery of OST services for IDUs, and referrals and linkages to Care, ARV treatment, PMTCT for female IDUs, and a range of other prevention services. Denominator (recommended for partner level only): Total estimated number of IDUs Core Package of Services for IDUs: Tailoring HIV prevention programs to substance abusers Offering HIV-infected drug users a comprehensive program to reduce their risk of transmission Supporting substance abuse programs as an HIV prevention measure

74 Considerations for Injection and Noninjection Drug Use NGIs to be completed by facilitator Definitions and program guidance for minimum standards within this program area Definition: to conduct HIV/AIDS prevention through activities to help avoid substance abuse and intravenous drug use that can lead to HIV infection HIV Prevention-focused programs for IDUs to reduce the risk of infection

75 Minimum Package for IDU Community outreach Needle/syringe programs Drug dependence treatment (Opioid substitution) HTC ART STI prevention and Tx Condom promotion IEC TB Hepatitis

76 HIV Prevention Package for IDUs Community outreach programs Needle/syringe programs Drug dependence treatment

77 Collecting data.. Program level: - Numbers reached through small groups or individual sessions/programs - community mobilizations - numbers on drug dependence Tx - numbers on ART - numbers who know their status

78 National HMIS - IDUs Links with the national HIS/NASCOP in the collection and sharing of these data Work-in-progress

79 Gender NGIs

80 Sub Area 12: Gender Prevention Sub Area 12: Gender P12.1.D PEPFAR Output Routine Program 3 Male Norms and Behaviors: Number of people reached by an individual, small-group, or communitylevel intervention or service that explicitly addresses norms about masculinity related to HIV/AIDS. 3 By sex: Male and Female PEPFAR Gender TWG 3 By Age (0-15, 15-24, 25+) P12.2.D PEPFAR Output Routine Program 3 Gender Based Violence and Coercion: Number of people reached by an individual, small group or community-level intervention or service that explicitly addresses gender-based violence and coercion related to HIV/AIDS. 3 By sex: Male and Female PEPFAR Gender TWG 3 By Age (0-15, 15-24, 25+) P12.3.D PEPFAR Output Routine Program 3 Women's Legal Rights and Protection: Number of people reached by an individual, small-group, or community-level intervention or service that explicitly addresses the legal rights and protection of women and girls impacted by HIV/AIDS. 3 By sex: Male and Female PEPFAR Gender TWG 3 By Age (0-15, 15-24, 25+) P12.4.D PEPFAR Output Routine Program 3 Number of people reached by an individual, small group, or community-level intervention or service that explicitly aims to increase access to income and productive resources of women and girls impacted by HIV/AIDS. 3 By sex: Male and Female PEPFAR Gender TWG 3 By Age (0-15, 15-24, 25+)

81 Sub Area 12: Gender Currently, there are no essential gender indicators Gender is recognized as Gap area. Gender is cross-cutting PEPFAR will continue to work through the M&E Reference Group indicator sub-group to address gender

82 Considerations for Gender Indicators Why focus on gender? HIV disproportionately affects women and girls, and there is a need to address underlying gender inequities that leave females vulnerable. Gender is a key focus of both USG and GOK programming GHI Principle: Implement a Woman and Girl Centered Approach GOK commitment Ministry, Gender and GBV Technical Working Group High priority must be placed on: Working to reduce gender inequalities and gender-based violence Expanding priority gender activities Integrating gender considerations throughout all programs Adequately tracking gender data to ensure integration, quality, and impact Programs should address the 5 strategic areas for PEPFAR: Increasing gender equity in HIV/AIDS activities and services Reducing violence and coercion Addressing male norms and behaviors Increasing women s legal rights and protection Increasing women s access to income, productive resources, and education

83 Key Data Collection and Management Issues

84 Inconsistencies in Partner Reported Results Changes to partner-reported results be documented and communicated as appropriate Results received after reports have been submitted to USG must be documented by source of origin and used in updating previously reported results to USG

85 Performance targets inconsistent and not always included in the performance management plan Performance targets are established for each indicator and implement a system to ensure that the targets are consistently updated and aligned in its performance management plans and the implementing partners progress reports.

86 Reported results could not be verified at implementing partner level Partners to establish a data compilation and filing system that permits users to access support for data reported

87 Next Steps and Way Forward

88 Next Steps and Way Forward- Partners Partners should begin adapting their M&E systems to support the collection, management and reporting of NGIs. Prime partners to expand support to sub-grantees/cbos in M&E activities Work with sub-grantees/cbos to share, discuss on understand NGIs requirements Ensure availability of completed of primary data collection tools and additional source documents at sub-grantee/cbo level Begin collecting data for NGIs if not yet started Establish or continue routine review activities with sub-grantees/cbos to compare data, support M&E strengthening activities and address issues Partners were encouraged to work closely with sub-grantees to ensure good M&E practices in order to address issues of data quality specifically between their data and the data being reported and maintained at the prime-partner level.

89 Next Steps and Way Forward- USG Update KePMS: KePMS currently includes all of the NGIs but will be updated to include the Kenya-specific disaggregations where necessary. A2Evaluation is already addressing this along with the need to train new projects/partners in KePMS. Standardize data collection for NGIs: USG SI and STP ITTs will call meeting in Jan/Feb with partners for the review and discussion of data collection forms for community prevention NGIs. Provide Kenya-specific NGI guidance: SI ITT will develop guidance on community prevention NGIs that includes a list of the indicators and suggestions for data collection and management. In the meantime, partners should refer to this presentation and NGI Reference Guide. Project close-out guidance: SI ITT will develop reporting guidance for projects that are closing out. It is expected that projects closing out will submit their final PDAT to the KePMS by a specific date.