CHAZCHAZ Strategies for M&E by a Strategies for M&E by a Global Fund PR: CHAZ Global Fund PR: CHAZ

experience experience

www.chaz.org.zm

Catherine Mulikita

23-26 February 2009 Kampala Uganda

2009

ContentContent

“He sent them to preach the Kingdom of God and heal the sick” Luke 9:2

1. CHAZ profile2. History of the CHAZ GF Programmes3. M&E Strategies - Key M&E indicators for the Programmes - Data collection and management: data

flow mechanisms - Challenges - Solutions to challenges

CHAZ ProfileCHAZ Profile

1970

2008

“He sent them to preach the Kingdom of God and heal the sick” Luke 9:2

Establishment

Membership

CHAZ was established in 1970 as an interdenominational(Catholic and Protestant) Umbrella organization for 131 Church Health Institutions (CHIs) and Community Based Programmes.

CHIs are located in all the 9 Provinces of Zambia, in 54 Districts.The CHAZ membership comprises of 31 Hospitals (inclusive of The 9 Training Schools), 74 Rural Health Centres and 26 Community Based Programmes (including 9 Catholic Dioceses).

CHAZ provides 30% of Health Services in Zambia and over 50%in rural areas. We are in 9 Provinces and 54 Districts

CHAZ signed a Memorandum of Understanding with the GRZ(MoH). Through it, the MoH has been seconding Health Workers to CHIs and providing 75% of funds for their running cost.

Coverage

CHAZ-GRZPartnership

GF Health Programmes ComponentsGF Health Programmes Components

“He sent them to preach the Kingdom of God and heal the sick” Luke 9:2

Programmes

• HIV/AIDS

• Malaria

• Tuberculosis Control

• IGA

History of CHAZ GF ProgrammesHistory of CHAZ GF Programmes

“He sent them to preach the Kingdom of God and heal the sick” Luke 9:2

PR• CHAZ became one of the GF’s 4 PRs in 2003.

Framework• CHAZ has its own systems which feed into the national system• Implements its GF programmes within the framework of the

national programmes. Role• To contribute to the national reduction of the 3 disease burdens

(ATM).

M&E• Has scaled up services in CHIs and their respective communities.• Monitors GF programmes in line with the national monitoring and

reporting systems.

M&E StrategiesM&E Strategies

“He sent them to preach the Kingdom of God and heal the sick” Luke 9:2

Key Indicators• Each disease component has key indicators which are

tracked from community to health facility to CHAZ.• The key indicators feed into the national system.

M&E• Monitoring and collection of community level indicators is

facilitated by Community Based Volunteers who are supervised by Health Workers in the respective CHIs

GF Programmes Key IndicatorsGF Programmes Key Indicators

“He sent them to preach the Kingdom of God and heal the sick” Luke 9:2

GF Key Indicators

HIV/AIDS TuberculosisMalaria

PLWHAs on ART

PLWHAs on Nutritional Supplement

HIV+ Women on MTCT Prophylaxis

PLWHAs on HBC

OVC Supported

ITNs Distributed

U5 All Cause Mortality

TB Cases Successfully Treated

HIV+ with TB

New Smear PositiveTB Cases Detction

Data Flow MechanismData Flow Mechanism

“He sent them to preach the Kingdom of God and heal the sick” Luke 9:2

LFA

MoH

CHAZCHAZ

District Health Office

Provincial Health Office

Community Volunteers

Health Workers in Health Facilities

Selection & Training of Community VolunteersSelection & Training of Community Volunteers

“He sent them to preach the Kingdom of God and heal the sick” Luke 9:2

Selection of Community Volunteers (CV)

selected from the community:• People who have been cured of TB• PLWHAs• Ordinary community members

Capacity Building

The CVs are trained by health workers in Church Health Institutions (CHIs) near their respective communities in:

• TB DOTs• ART Adherence Support • How to conduct awareness campaigns

Data Flow MechanismData Flow Mechanism

“He sent them to preach the Kingdom of God and heal the sick” Luke 9:2

Community- CHI Level

• Each disease has its own community tools used by CVs.• These tools save as reports and are submitted to the CHI on a monthly basis.• The CHI incorporates this data in their quarterly reports submitted to CHAZ/District health office/provincial health office

CHAZ Level

• CHAZ aggregates CHI reports • The process includes report analysis• Feed back

ChallengesChallenges

“He sent them to preach the Kingdom of God and heal the sick” Luke 9:2

Reports

• Poor record keeping• Incomplete reports• Late reports

•Global Fund demands

Human Resource •Staff attrition/turnover

Solutions to ChallengesSolutions to Challenges

“He sent them to preach the Kingdom of God and heal the sick” Luke 9:2

Report• Bi-annual review meetings/workshops• Technical support visits• Data quality audits/verification• Prompts to trigger reporting

Human Resource • Incentives• Capacity Building

Thank You and God Bless Thank You and God Bless

“He sent them to preach the Kingdom of God and heal the sick” Luke 9:2