12 Components of a Functional National HIV M&E System

1. 12 Components of a Functional National HIV M&E System A short introduction and overview Prepared by: Marelize Gorgens-Albino, The World Bank Global AIDS M&E Team (GAMET)

2. Purpose of the Presentation • To present, explain and discuss a globally-agreed organizing framework for when is a national HIV M&E system functional – the 12 components of a national HIV M&E system • To share experiences of how the 12 components have been used to help build functional national HIV M&E systems • To show how the 12 components are applicable in a country’s HIV M&E system Prepared by: Marelize Gorgens-Albino, The World Bank Global AIDS M&E Team (GAMET)

3. Introduction • In 2004 partners agreed on the Three Ones as management principles to consider when planning an HIV response • One agreed HIV/AIDS Action Framework that provides the basis for coordinating the work of all partners • One National AIDS Coordinating Authority, with a broad based multi-sector mandate • One agreed country level Monitoring and Evaluation System Prepared by: Marelize Gorgens-Albino, The World Bank Global AIDS M&E Team (GAMET)

4. The Three Ones: Not only applicable at the National Level Source: Binagwaho and Gorgens, 2007 Prepared by: Marelize Gorgens-Albino, The World Bank Global AIDS M&E Team (GAMET)

5. Introduction …continued • It soon became clear that one national M&E system (3rd of the Three Ones) was least developed of the Three Ones Prepared by: Marelize Gorgens-Albino, The World Bank Global AIDS M&E Team (GAMET)

6. Why is 3rd of Three Ones least developed?CHALLENGES for Nat’l HIV M&E systems • Multisectoral national M&E systems are new: • Governments assume a coordination role across government entities and with civil society and private sector • Multisectoral M&E system – civil society and private sector to report to government on a regular basis • Lack of a conducive legislative and policy environment • The profession & discipline of M&E is new: • M&E still seen as ‘policing’ function • M&E still done at the end of a project • M&E not yet built into project design and implementation • Few academic M&E courses with systems-orientation • M&E not an established career path in governments – not built into government establishment posts • Different understanding of M&E concepts • Different professional and academic backgrounds in M&E Prepared by: Marelize Gorgens-Albino, The World Bank Global AIDS M&E Team (GAMET)

7. Why is 3rd of Three Ones least developed?CHALLENGES for Nat’l HIV M&E systems • The concept of harmonizing M&E systems is new: • Three Ones principles of ‘one M&E system’ implies that development partners and governments become less ‘data hungry’ • Those who need data should draw information from one system – at least for impact and outcome level indicators • Different indicator sets in international guidelines: only recently that one indicator registry was being developed • Institutions operationalising M&E systems are new: • Most NACs created after 2000 – young institutions still cementing their own mandate, structure and operational styles • Technical support in national M&E system building is new – UNAIDS Technical Support Facility runs training courses in M&E for their consultants Prepared by: Marelize Gorgens-Albino, The World Bank Global AIDS M&E Team (GAMET)

8. To address these challenges it would be helpful to have: • One common definition - agreed to by everyone - of what needs to be in a national multisectoral HIV M&E system and when is such a system functional (so that we all know and agree when the national HIV M&E system is successful) • One assessment tool with which to assess the status of the M&E system (so that we know which parts are weak, and how to support them) • One national costed HIV M&E work plan to which government and all partners contribute (so that we all work together to make the weak parts of the system strong) Prepared by: Marelize Gorgens-Albino, The World Bank Global AIDS M&E Team (GAMET)

9. ONE definition for what is a national HIV M&E system has been developed The definition for ‘what is’ a national HIV M&E system is based on 12 components of a system • Why components?The definition is based on a systems approach to HIV M&E • What is a system? A system is a group of interacting, interrelated, and interdependent components forming a complex whole (Senge, 1990) • In a systems approach, one needs to: • identify the components of the system (knowing that they are interrelated) as a means to describe the system; and • ensure that each component is functional as a means to ensure that the system is functional • Therefore, when the definition of an HIV M&E system was developed, its components were identified • Why 12 components? Operational experience by governments and different development partners over time has shown that these are the components needed to make the system functional. Different countries in different regions had these components of their systems Prepared by: Marelize Gorgens-Albino, The World Bank Global AIDS M&E Team (GAMET)

10. 12 Components Introduction • What is the 12 components? • It is an ORGANISING FRAMEWORK • Why? We can organise all aspects of the HIV M&E system according to the 12 components • Who does the 12 components belong to? • It does not belong to the World Bank or GAMET • All partners, including UNAIDS, the US government, the Global Fund and others have agreed on the 12 components as an organising framework • The 12 components will be approved at the end of the year at a global reference group by all partners • Therefore, the 12 components belongs to everyone • What are the 12 components? See the next slide Prepared by: Marelize Gorgens-Albino, The World Bank Global AIDS M&E Team (GAMET)

11. 12 Components Prepared by: Marelize Gorgens-Albino, The World Bank Global AIDS M&E Team (GAMET)

12. How can / has the 12 components been used? • Is the basis for conducting M&E system status assessments, e.g. Mozambique, Angola, Swaziland, Tanzania mainland and Zanzibar, GLIA, Horn of Africa • Used to develop joint M&E reports after joint missions, e.g. Swaziland • Enables partners to agree on who will support which part of the HIV M&E system, e.g. Tanzania mainland and Zanzibar • Could be used to develop indicators for the M&E system itself (the M&E of the M&E system), e.g. Tanzania and Swaziland Prepared by: Marelize Gorgens-Albino, The World Bank Global AIDS M&E Team (GAMET)

13. How can / has the 12 components been used? • Used to develop job descriptions of national HIV M&E unit staff, e.g. GLIA, Tanzania mainland, Namibia (all 12 components need to be included in the jobdescriptions of the M&E unit staff) • Could be the organising framework for the national HIV M&E framework and joint HIV work plan, e.g. Zanzibar, Namibia,Tanzania mainland, GLIA • Forms a backdrop against which to organise capacity building efforts for HIV M&E • Provides a checklist of what kind of information needs to be captured in the national HIV database, e.g. Zanzibar database specifications Prepared by: Marelize Gorgens-Albino, The World Bank Global AIDS M&E Team (GAMET)