EPIDIMOLOGY UNIT ITSON L10_Monitoring & Evaluation.pptx

At the end of this lesson, participants will be able to:
Use IDSR indicators to monitor surveillance and response activities at all levels
Identify targets and indicators for your level
Monitor surveillance activities at all levels
Evaluate the system and conduct after action review post outbreaks
Use results to take action to improve surveillance and response

1. Lesson 10: Monitoring & Evaluation

2. Learning objectives At the end of this lesson, participants will be able to: Use IDSR indicators to monitor surveillance and response activities at all levels Identify targets and indicators for your level Monitor surveillance activities at all levels Evaluate the system and conduct after action review post outbreaks Use results to take action to improve surveillance and response 2 Lesson 10: Monitoring & Evaluation .

3. The surveillance cycle: Monitor and Evaluate 3 Lesson 10: Monitoring & Evaluation . Report Analyze/Interpret Prepare/Respond Identify Communicate Monitor & Evaluate

4. Introduction You are on a journey. First you plan, then you check on your progress as you go then you evaluate the trip Where am I going? How far is it? Where am I now? Will I get there on time? Is there a better way to get there next time? 4 Lesson 10: Monitoring & Evaluation .

5. Basic concepts Monitoring: Continuous tracking of implementation of planned surveillance activities How do we monitor performance? Use of indicators Comparison with targets set locally, by LGA, State, or National Why monitoring? Identify weaknesses to take corrective measures Monitor progress Evaluation: Periodically assesses whether surveillance objectives have been achieved 5 Lesson 10: Monitoring & Evaluation .

6. Differences between monitoring and evaluation 6 Lesson 10: Monitoring & Evaluation .

7. Similarities between monitoring and evaluation Both look at performance in relation to set targets Both use Indicators Both look at how resources are being used Both are planned activities Both use data 7 Lesson 10: Monitoring & Evaluation .

8. Indicators and targets Indicator Statement to measure achievement of an activity objective Example: Is reporting done on time? 8 Lesson 10: Monitoring & Evaluation . Target Desired level of achievement Example: 80% of monthly reports have been sent on time to national level

9. Indicators and targets Use indicators in accordance with IDSR Technical guidelines Select indicators that are most relevant to the LGA’s plan for improving surveillance IDSR Indicators 32 core indicators for National level 32 core indicators for State level 34 core indicators for LGAs level 25 core indicators for health facility level 9 Lesson 10: Monitoring & Evaluation .

10. Data required for measuring the indicators After you have selected relevant indicators specify the numerator and the denominator For e.g. an LGA objective is for all health facilities to keep trend lines for selected priority diseases Indicator: Proportion of health facilities in the LGA that keep trend lines for priority diseases Numerator: No of health facilities that keep trend lines for priority diseases Denominator: No of health facilities in the LGA 10 Lesson 10: Monitoring & Evaluation .

11. Location of data tools used in monitoring 11 Lesson 10: Monitoring & Evaluation .

12. Examples of performance indicators at health facility level Availability of standard-case definition Availability of IDSR forms (001A, B &C; 002; 003; rumour log) Number of events recorded in EBS log within the reporting period (100%) Number of cases of priority diseases for immediate case-based reporting that were reported within24 hours by health facilities (100%) Proportion of priority diseases with laboratory data (100%) 12 Lesson 10: Monitoring & Evaluation .

13. Examples of performance indicators at LGA level 13 Lesson 10: Monitoring & Evaluation . Proportion of health facilities with standard-case definition (100%) Proportion of HFs with IDSR guidelines (100%) Proportion of health facilities with standardized registers and IDSR forms (100%) Proportion of health facilities reporting information using EBS (100%)

14. Evaluate performance of surveillance and response system Purpose of evaluation is to assess the effectiveness of the system in terms of: Step 1: Define your objectives Step 2: Develop the evaluation indicators Step 3: Develop evaluation methods and tools Step 4: Identify people to conduct the evaluation Step 5: Conduct the evaluation Step 6: Identify problems and their causes Step 7: Update plans for improvement to the IDSR strategy Step 8: Provide feedback to health facilities about the evaluation 14 Lesson 10: Monitoring & Evaluation .

15. Exercise 1: Setting indicators In your group, review your assigned indicator ( pg 59) Fill in the blanks, using the example as a guide 15 Lesson 10: Monitoring & Evaluation .

16. Exercise 2: Calculating indicators On your own, use the information in the table to:pg 65 Calculate timeliness of reporting for each health facility Calculate the completeness of reporting for each health facility How many health facilities reached the 80% target? Which health facility was the best for timely reporting? 16 Lesson 10: Monitoring & Evaluation .

17. Points to remember Monitoring is essential to maintain quality surveillance activities Monitoring makes it possible to improve and strengthen the system Evaluation/AAR assists us to measure the level of achievement based on the set objectives For monitoring process, indicators will be used to measure the level of achievements of set goals Decisions on how activities will be monitored and evaluated should be part of the initial plan Give feedback to the health facilities about their evaluation 17 Lesson 10: Monitoring & Evaluation .

18. The surveillance cycle: Monitor and Evaluate 18 Lesson 10: Monitoring & Evaluation . Report Analyze/Interpret Monitor & Evaluate Prepare/Respond Identify Communicate

19. How I can use this at my job 19 Lesson 10: Monitoring & Evaluation . TOPIC HOW CAN I USE THIS AT MY JOB Outbreak investigation - Explanatory Epidemiology   Outbreak investigation - Explanatory and response   Risk Communication   EOC   Monitoring & Evaluation   Supervise & Provide Feedback   Cross border surveillance   Creating PPT Slides   Problem Analysis Scientific presentations