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.za Tel: +27 33 345 7994 Fax: +27 33 345 7272 Website: www. cindi.org.za NPO 011-496 PBO 930008976
HANDBOOK on
March 2006
The development of this programme and document was made possible through the generosity of the Rockefeller Brothers Fund
Contents
1 2 3 4 5 6 7 8 9 Background ........................................................................................................................................ 3 The CINDI M&E journey .................................................................................................................... 3 The current buzz around M&E............................................................................................................ 5 From programme cycle to results based M&E ..................................................................................... 8 Mapping the journey information needs and indicators ................................................................. 13 Tools for gathering information ......................................................................................................... 16 Critical reflection: thinking through the journey ................................................................................ 21 Disseminating information ................................................................................................................ 24 Measuring, demonstrating or assessing impact? ................................................................................ 26
10 The basics of evaluation ................................................................................................................... 31 11 Developing an M&E Framework for CINDI Network ........................................................................ 35 12 Acknowledgements and References .................................................................................................. 36
Annex 1: Glossary ................................................................................................................................. 39 Annex 2: Ten criteria for assessing indicators ......................................................................................... 43 Annex 3: Draft M&E Framework ............................................................................................................ 44 Annex 4: UNICEF Framework ............................................................................................................... 59
1. Background
Children in Distress (CINDI) is a network of over 100 concerned organisations seeking to effectively respond to the growing numbers of children affected by HIV and AIDS. CINDIs vision is to be a multi-sectoral well-resourced network of civil society capable of implementing diverse, effective, sustainable care and preventative programmes for children affected or orphaned by HIV and AIDS. The networks mission is to foster among partners a spirit of Ubuntu the principal of caring for each others well being with an attitude of mutual support. CINDI Members: acknowledge the AIDS epidemic is a problem too large for any individual, agency or government department to meet; have found a working framework for their alliance; believe children need protection but fare best within their own families, communities and circles of friends; understand extended families, caregivers and communities need external help if they are to be responsible for meeting the needs of vulnerable children ; emphasise development, not charity.
As a collection of independent initiatives, CINDI Members retain individual character, flexibility and the ability of individuals to respond to individual children, but are strengthened and guided by their link to the Network. Their aim is to identify and help children in distress. The scale of the epidemic and the poverty surrounding it is overwhelming. In terms of the scale of need available financial support is grossly inadequate. Yet the innovative elements of CINDIs work are important guides to the challenge of serving affected children in a manner that is acceptable to communities and sustainable for all the years it will take to raise a generation of children made extremely vulnerable by HIV and AIDS.
to the organisations during the inception phase of the project it seemed that some tools had been developed to monitor programmes. Some of the tools had been developed by trial and error while other tools were borrowed from other programmes. The stipulated reporting requirements of the donors also seemed to fulfil an important monitoring role. Thus the development of the CINDI M&E framework has not happened in a vacuum but builds on experience already gained. The Handbook covers the different elements of the framework that were covered by the learning sessions as well as a proposed results based framework drawn up by participants. Participating organisations shared valuable information on a number of challenges that the development of an M&E system would need to contend with. These are summarised below:
ronment. Such a gap may also exist between NGOs and the CBOs they mentor. There seems to be a we and they mindset which may result in the monitoring tools having limited value as an instrument of planning and change.
what daunting. For CBOs and community structures working in lesser developed areas the challenge of meeting M&E requirements is a critical one as they are already being excluded from accessing much needed funding because of their low levels of capacity. Amongst those development workers who understand and support people centred development there is a growing uneasiness with some of the rigorous reporting requirements of funders. The concerns arise from the shift to a preoccupation with service delivery and product at the expense of development process which shifts power relations in the favour of the less powerful. In the learning sessions there was much discussion about the need to create opportunities for local community structures to fulfil a more empowered role in the response to HIV and AIDS and poverty. It is hoped that the framework will ultimately reflect not only an M&E system that improves accountability and informs planning but that also alters the power relations within the CINDI Network and mobilises and integrates CBOs and local community structures into the mainstream of the response to HIV and AIDS and poverty, especially from the point of view of children in KwaZulu-Natal.
3. Planning information gathering and organisation How will the required information be gathered and organised? 4. Planning critical reflection processes and events How will we analyse the information and use it to make improvements? 5. Planning for quality communication and reporting How and to whom do we want to communicate what in terms of our project activities and processes?
6. Planning the development of the necessary capacities What is needed to ensure our M&E system actually works?
Needs assessment
Monitoring Implementation
The Programme Cycle really represents a mechanism to ensure that service providers: think about what they are trying to achieve before they start develop the most effective plan of action to address their goals ensure that they monitor how effective they are being reflect on what learnings come out of the programme Monitoring and evaluation was kept simple and personal and staff judgement, anecdotal data or haphazardly collected field data was for the most part good enough for most programme managers and funders. (Indeed that is how most government departments worked as well)
2 Liberal use has been made of material from PACT. 2005. Building Monitoring, Evaluation, and Reporting Systems for HIV/AIDS Programmes.
1. Inputs and processes/activities This refers to the resources allocated and processes used to carry out an activity, project or programme. Inputs commonly include resources such as funds, equipment, training aids etc. Processes refer to the activities used to achieve the objectives such as training, capacity building, service provision, information dissemination etc. For example: A project may have an objective of training home based care workers. The funds and training aids are the input and the actual training is the process/ activity. Inputs usually produce results immediately (01 years). 2. Outputs This refers to the consequences of the inputs and processes. For example: The outputs of the above project may be 10 home based care workers having an expanded understanding of issues relating to those in need of home based care. Depending on the nature of the project outputs usually reflect a result achieved in a relatively short time period (02 years). 3. Outcomes This refers to recognizable changes in conditions in the targeted area. Outcomes may reflect behavior or economic change, or expanded service delivery and help us assess whether the activities have contributed toward development outcomes. Outcomes go further than outputs and attempt to answer the question so what? In this way one gets some understanding of the longer term consequences of the outputs. For example: 10 people have increased knowledge as a result of their training as home based care workers. So what? What difference has the training made to those infected or affected by HIV and AIDS? What changes has this brought in the targeted area? Outcomes usually reflect a result achieved over an intermediate time period (25 years). 4. Impacts Impacts are the overall and long-term effects of an intervention. Impacts are the ultimate result probably attributable to interventions over an extended period. For example: After 5 years the 10 home based care workers may have left the programme and thus the long term impact may be negligible alternatively they may have formed the nucleus of a comprehensive programme which contributed to improving the quality of life of those affected and infected by HIV and AIDS. Depending on the nature of the programme impacts usually reflect a result achieved over a longer time period (5-10+ years.)
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Outputs
which leads to ...
Outcomes
(So what?) which leads to ...
Impacts
Resources and processes utilised to produce a result Inputs commonly include: Staff Funds Equipment Facilities Training materials Processes/Activities: Training Mentoring Community mobilisation Establishment of services Establishment of networks Research
Outputs commonly include: Knowledge, awareness understanding change Improved or expansion of access to services, programmes, networks, materials, information Quality change (improved programmes or services)
Outcomes commonly include: Increased coverage of target populations by interventions leading to: Behaviour change such as improved HIV and AIDS prevention practice Improvement in economic situation of children/ caregivers
Impacts commonly include: Quality of life change Overall health status changed such as increased survival Political change human rights policies implemented Socio/cultural/ economic and empowerment change, Resource management change
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Collaboration defined Collaboration basically means working together. At a community level collaboration is an essential part of achieving project goals. Individuals and organisations rely on collaborative efforts and resources of others to achieve meaningful and sustainable outcomes. Collaboration can also be an outcome in itself, as it can be a key element for creating social infrastructure that is sustainable beyond the duration of the project. The main activities in the context of CINDI that facilitate collaboration include: Networking and facilitating dialogue to ensure common understanding. Disseminating information and creating a base for support. Cooperation. Aligning needs to limit duplication, clarifying roles, modifying activities to ensure tasks are completed and goals achieved. Coordination. Sharing resources, formalised links, group decision making such as the clusters, remaining focused on CINDI priorities. Coalition. Shared resources from the existing systems, formalised agreements, Shared decision-making and the development of new resources. Multi-sector collaboration. Shared vision, risks and rewards, highly developed communication.
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In the context of poverty and HIV and AIDS in KZN there are a number of factors that can impact on results. Step 2: Create an initial list of possible indicators by: Internal brainstorming Identifying and building on the experience of other similar organisations Consulting with beneficiaries and experts Identifying existing secondary data sources (data collected by someone else that you use to measure a result). Key data should be available from the local municipality and Statistics South Africa. Referring to those developed by the CINDI Network and existing indicators developed by UNICEF, MDG, Global Fund.
Step 3: Select the best indicators. Consider carefully what the indicators should be achieving and narrow the list to the final indicators that will be used in the monitoring system. Remember to take into consideration the realities of the environment you work in and the costs and time involved in gathering information. Limit the number of indicators used to track each objective or result to two or three. Select only those that represent the most basic and important dimensions of your objectives. Step 4: Draft indicator protocols. Protocols are instruction sheets that capture the reason for selecting indicators, describe the indicator in precise terms, and identify the plans for data collection, analysis reporting and review. Step 5: Collect baseline data. The baseline is a record of what exists in an area prior to an action. The baseline values establish the starting point from which change can be measured. Step 6: Refine indicators and protocols and finalize your selection. Based on initial data collection efforts, refine your indicators and/or your data collection instructions.
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There are a number of tools that can be used to gather information for monitoring and evaluation purposes. Some tools are designed to be used to assess information relating to specific focus areas. The table below outlines a number of tools and the specific focus areas in which they are most appropriate. Their purpose and use in a monitoring and evaluation context including how they may be useful in the context of CINDI is set out below. The steps for using these tools are also set out.
Method
Steps
Core M&E Methods The 10 methods that follow reflect the standard core methods commonly used in M&E exercises Stakeholder Analysis In the context of M&E this helps decide who should be involved in the design of an M&E plan. It is helpful in providing a foundation and strategy for participation throughout the project. In the context of CINDI it is critical to identify the range of stakeholders that need to be included in the planning, implementation and M&E. It is particularly important to include project beneficiaries and representatives from local community structures. Documentation Review This helps to understand the historical evolution and performance of a project. In this way important baseline information can be obtained which helps to inform the development of an M&E system. The changing role of CINDI in response to a changing external environment highlights the need for on going transformation and alignment which is captured in the documents. Biophysical measurements This helps measure physical changes related to any indicator e.g. weight for age etc. From an M&E perspective it can provide statistically reliable information for measuring change and impact. In the CINDI context the use of health related indicators are important for monitoring the progress of vulnerable children. Direct observation To obtain useful and timely information by observing what people do or behaviours. From an M&E point of view this method is often used to complement collected data, understand context and help explain results. In the CINDI context this is an important tool for psycho-social assessments and the work of the Psychosocial Cluster 1. Clarify the main purpose of the stakeholder analysis 2. Decide on criteria for including stakeholders 3. List all organisations and individuals that fit your criteria 4. Reach agreement on how to involve people
1. Be sure about which issues you want to understand better 2. List all possible sources of existing information 3. Prioritise those most likely to provide the required information 4. Collect documentation and check reliabilityanalyse it in terms of the questions you were trying to answer 5. Identify other collection methods to address gaps 1. Be sure about the information being provided by the indicator 2. Ensure availability and standardisation of equipment 3. By comparing recorded data, comparisons can be made over a period of time 4. The Road to Health cards for under fives from public sector clinics are useful in monitoring health related progress 1. Agree on guidelines for what needs to be observed 2. Choose an appropriate observer or observers 3. If necessary train in observational skills 4. Collect and record data as agreed 5. Organise time to discuss observations with relevant stakeholders
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Cost-Benefit Analysis
To provide a format for assessing the range of benefits and costs surrounding a decision. In the M&E context this method is commonly used to evaluate a project by comparing final costs and benefits against those proposed in the design of the project. In the context of CINDI it is important for assessing the value of training and monitoring costs of services.
1. You may need someone with the relevant financial background 2. List all project activities 3. Calculate all project costs for the period 4. For each project activity estimate the benefits which may continue into the future 5. If possible include beneficiaries so that they too can comment on outcomes 1. Agree on purpose and information needs of the questions 2. Decide whether a questionnaire (just a set of questions) or survey (which includes questions and observations is required) 3. Ensure questions are focused and well formulated 4. Agree on target group and number of respondents to be included in sample 5. Pretest questionnaire to ensure they are appropriate and give required information 6. Collect and use information
To gain data from a large number of people in a structured way. Commonly used in M&E exercises as they allow for focussed data collection around indicators. Potentially a very important tool for monitoring and evaluating programmes within the CINDI Network.
Semi-structured interviews
To gain information face to face from an individual or small group using a series of broad questions to guide the conversations but allowing for new ones to arise during the course of the discussion. From an M&E perspective this tool helps to develop an in depth understanding of qualitative issues. Semi-structured interviews could be very useful when trying to understand attitudes, behaviours and beliefs. They can be used in conjunction with other methods. They therefore could be a useful tool for the CINDI Network.
1. Define the purpose and information needs of the inquiry and formulate an interview checklist of open-ended questions. The questions should encourage expression of opinions 2. Agree on who and how many should be interviewed 3. Train people to understand the purpose and develop the proper skills 4. Pretest the interview questions 5. Undertake the interviews and analyse outcomes
Case Studies
To document life stories or sequence of events over a period of time related to person, location, and organisation in order to understand impact. From an M&E perspective they help to give a face to data and help to reflect context of some of the data. A very important tool for CINDI to contextualise local realities. Members should attach case histories to reports to give an idea of process and context remembering to respect confidentiality at all times.
1. Define the purpose and precise information needs of the case study 2. Decide how individuals, households, organisations etc will be selected 3. Decide how the information will be obtained from households, individuals etc. 4. Develop question checklist to guide information collection 5. Collect information and compile case history
Discussion Methods for Groups Group based methods are important when working with participatory projects. Basically the tools are used to encourage discussion and sharpen the focus on issues. In this way they can help an organisation gain an understanding of community perspectives and build these into M&E frameworks. Focus Groups To use group discussion to collect general information, clarify details or gather opinions in a smaller group situation. In the M&E context they are useful for assessing opinions about change, or assessing the quality of project services or providers and identifying areas of improvement. 1. Determine the participants (4-8 people is ideal) which can be homogeneous or heterogeneous 2. Present the group with a broad question e.g. what impact is the CINDI mentoring programme having 3. Discuss the question for the time agreed beforehand (one or two hours maximum) with minimal intervention from the facilitator
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Focus groups can be very important in assessing perceived outcome and impact. The tool can be used to help get information during the planning stages of an intervention. For this reason in the context of CINDI they can used to assess longer term outcomes and impact of programmes. To identify the strengths, weaknesses, opportunities and threats in relation to a project or group and how such an assessment will change over time. From an M&E perspective this method is useful when qualitatively assessing the services provided by a service provider, exploring relationships etc. This tool can help CINDI when involving stakeholders in participatory processes.
4. Take detailed notes of the discussion. Focus groups are best if facilitated in pairs one facilitates and one takes notes 5. To ensure reliability it is suggested that different focus group discussions be held around the same topic
1. The group defines, discusses, and records as many factors as possible under the various headings 2. One way of using the headings is as follows: Strengths: Aspects that are working well in a project Weaknesses: Aspects that have not worked so well in a project Opportunities: How to build on strengths and overcome weaknesses Threats: The aspects that constrain or threaten the range of opportunities 1. Start by asking people through meetings held with individuals, households, communities etc how they would like to be in the future in response to certain focus areas 2. In practical terms ask for people to reflect on an individual basis for about 15 minutes and then get sharing in sub groups so that some consensus emerges 3. The dreams can be written down or represented as a symbol. Dreams can be specified with clear time frames for achievement 4. Once articulated dreams can be expressed as indicators 5. The discussion can be repeated every 6-12 months as a means of monitoring progress 1. Choose the central theme whether it is an M&E indicator or question or scenario to be dramatised 2. Decide who is to work on a drama piece or get different groups e.g. women, young people, elderly each to present their views on a topic like the prevention of HIV and AIDS 3. Participants should construct their drama, in which they present their opinions and thoughts on the topic being discussed 4. Facilitators should record key issues in the performance 5. The group then discusses the issues emerging from the play and conclusions drawn
To have informed discussion about peoples dreams or shared visions for the future of the project or other activity. From an M&E perspective this is a good method for identifying if primary stakeholders feel their well being is increasing or not or whether a project is based on peoples visions for development. This is a powerful tool for capturing community opinions and understandings, planning and developing a M&E system all in one. In the CINDI context this tool is very relevant and can be used to help plan projects.
To encourage groups of people to enact scenes from their lives concerning perceptions, issues and problems that have emerged relating to a project intervention. From an M&E perspective they can also help a group identify possible indicators for a project. A very valuable tool when working with rural people who seem not to articulate problems as well as they can perform them! Drama and role plays can often create a non confrontational way of dealing with differences e.g. generational and gender. In the CINDI context this tool is valuable means of capturing local peoples perceptions of development challenges.
Methods for Spatially-Distributed Information These methods deal with information that has some level of geographic distribution which could relate to health, education or economic issues. Maps can help locate biophysical, economic and social indicators. They can be very elementary such as drawn in sand at a neighbourhood meeting or make use of GPS systems. (CINDI Members should bear in mind Valley Trusts offer to integrate information into their GIS system) Sketch mapping To provide a visual representation in a particular geographical context based on stakeholders perceptions of any focus issue or indicator that is being monitored and evaluated. 1. Ask participants to draw boundaries of the area under discussion. This can be represented on paper or using local materials such as sticks, stones seeds etc.
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Perhaps in the HIV and AIDS context it is important to map areas that are not being adequately served or lack water and sanitation. In the context of CINDI this tool maybe difficult to implement and maintain but it is important that projects reach the most vulnerable households and communities.
2. Participants should draw the main features such as roads, rivers etc. and reflect what is of interest to them or significant to the development effort. 3. Once a base map is in place and translated into a paper map it can be used for social mapping of households and the monitoring and evaluation of the spread of programmes 1. After noting topics and indicators to be observed decide who could provide relevant information 2. If a map is available use it to identify what the route will be. (Can be an hour or a day depending on the size of the area) 3. Already available information should be used to form the basis of observations and measurements during the walk 4. As the walk proceeds the observations should be probed to give further insights and should be recorded 5. Record what has been seen and discussed on a schematic diagram to be used for future monitoring transect walks 6. The frequency of the walks can vary to provide a means of monitoring and evaluation 7. Compare the different observations over time to give an indication of progress
Transects
To undertake a structured walk through an area to observe particular indicators (such as places that present health and safety risks or difficulty in accessing services). In the context of CINDI this can really help NGOs and CBOs to develop a common understanding of local situations. It has the potential of being an important monitoring and evaluation tool. It can also help service providers develop a common understanding of issues with local participants.
Methods for Time Based Patterns of Change These methods help us understand changes related to specific blocks of time e.g. September of one year to September of another year or simply critical events that have occurred during the time span of a project. Diaries To help record events, facts, reactions and/or opinions over time by individual stakeholders or groups. From an M&E perspective, this method is useful for capturing details that might otherwise be missed and that might explain the context in which change occurred. The method might promote understanding of how a change came about or focus on specific performance areas or indicators. In the context of CINDI this tool is probably a useful means of gathering information to support statistical information especially at local community level. Historical trends and timelines To obtain historical understanding of sequential changes that have occurred, relating to particular points of interest. From an M&E perspective this could focus on specific indicators which can be used as triggers in discussions to assess certain changes that can be attributed to project activities. In the context of CINDI this can be a very helpful tool to monitor community perceptions of change and historical aspects of problems. Particularly in relation to the changing environment in which CINDI works this could be very helpful e.g. changes in attitude to VCT following the introduction of ARVs. 1. Introduce the diary early in the life of the project 2. The form and focus of the diary and who records the entries 3. The diaries can be individually written documentation or based on group discussion 4. Diaries can then be used to stimulate discussion and identify changes that might be particularly significant 5. Can be used in conjunction with other statistical methods 6. Reviewing the diary can also be a helpful means of supervision 1. Agree on events/indicators important to the situation at hand. (e.g. the prevalence of AIDS) 2. On a large sheet of paper draw rows and columns to make a matrix. List dates at the top e.g. 1 year ago, 5 years ago, 10 years ago 3. Write in key events/influences that might have impacted on the spread of the disease 4. Work with groups to fill in the information and use it for discussion 5. You might add a fourth column and label it the future in which people identify what they would like to see
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Methods for Analysing Linkages and Relationships Fundamental for all projects is an understanding of changes in relationships and linkages between groups, such as primary stakeholders and organisations and also between issues, activities, causes and effects. This cluster of methods provides ideas on how to analyse such issues by using different visualisation techniques. (Perhaps very important for CINDI in relation to their members and their members in relation to CBOs). Rich Pictures or Mind maps To make a pictorial representation of the elements that need to be considered or are important to a particular (project) situation, including stakeholders and issues, and the interactions and connections between them. From an M&E perspective, a rich picture can help identify what aspects of a situation need to be monitored, which change indicators to track and/or which key stakeholders need to be included in the M&E effort. In the context of CINDI this may be a useful tool for analysing relationships within the CINDI Network. 1. Using a large sheet of paper and symbols, pictures and words, draw a rich picture (or mind map) of the situation (project/group) that you wish to evaluate. This is best done with about 4 to 8 people and it takes a half to 2 hours 2. Start by asking people to note all the physical entities involved, for example, the critical people, organisations or aspects of the landscapes 3. Ask people to present their rich picture by describing the key elements and key linkages between them 4. If there is more than one group, compare their pictures and cluster the ideas that are similar and those that diverge. In this way you can identify the most important issues to discuss, such as critical topics to focus on in an evaluation, possible indicators or key stakeholders to include in M&E 1. Make sure that the topic being assessed is clear. For example, the idea of the capacity of an organisation must be very clear and understood by all of the participants. Have the participants agree on which criteria to use to assess the quality of the topic. These are, in fact, the indicators 2. The selected indicators are arranged in the form of a wheel, with each indicator being one spoke as on a bicycle wheel. The spokes are spaced equidistant to one another. The indicators can be represented by words or symbols 3. Next, participants agree on how to rank each indicator from 0 as the lowest/worst level to 100 (or 25, 10, etc.) representing the highest/ best level. It does not matter if 0 is on the outer edge of the wheel and 100 in the centre or the other way around, as long as all the spokes on the wheel are the same 4. Once the wheel has been made, assess each indicator. If doing this with a group, then there will need to be consensus on the final score (or an average figure). Indicate the place on the spoke that corresponds with the final score given. Then join all the scores, which are marked as points on the spokes, to show what ends up looking like a spider web. A look at the spider web gives a quick overview of key weaknesses and key strengths. The weaker aspects of the issue being assessed are those that have scores closest to 0 5. Previously made wheels can be revisited at subsequent monitoring sessions in order to compare how the situation changes over time
To provide a visual index that helps in assessing the issue being monitored or evaluated in terms of its ideal, or in comparing two or more monitoring sites and how they change over time. This method can also be used to measure how well a project is meeting anticipated targets, or how an organisations capacity changes over time. From an M&E perspective, the spider web provides a visual means of measuring changes in ratings on chosen indicators. In the context of CINDI this tool could be useful for analysing transformation and relationships within the CINDI Network. See example.
Assessment of Organisational Competence of CBO Project Management 20 10 0
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Regularly asking project stakeholders their views Providing constructive feedback Seeking feedback from the people you deal with if you are a manager Valuing field visits and exchange Rewarding critical reflection
Representatives of intended primary stakeholders, project staff and facilitator Representatives of intended primary stakeholders, project staff and facilitator
Assess different information needs, take note of who is doing what agree on priorities, revisit indicators, agree on responsibilities Discussion of successes and problems
Four or five full day meetings during the first six months of the project One day meeting every three months
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Field visit
First hand observation of what is happening in the field, informal discussions about how activities are being implemented. Summary of key successes and challenges. Ideas for changing project outputs and assumptions and review of implications of changes Focussed discussion about the strategy and key activities and revision of priorities and identification of lessons learned Explain the purpose of the session, agree on what the project and stakeholders would like to get out of the session and what preparation is required by whom
Field staff, supervisors of field staff, and project manager Representatives of intended primary stakeholders, staff of implementing partners, all project staff Key stakeholders of the project, intended primary stakeholders, field and project and management staff. Key stakeholders of the project component, intended primary stakeholders, implementing partners field and senior project staff
Weekly visit for field staff, monthly for project director Once a year
Once a year in the first two years, after that once every two years One month prior to supervision mission.
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8. Disseminating information
8.1. Importance of communicating M&E findings
Generally speaking two sets of information will need to be communicated: A wide range of stakeholders including participants should have the opportunity to give feedback on M&E findings. This will help to check accuracy and increase ownership of the M&E exercise. Once there is consensus on the findings they can be communicated to funders, project beneficiaries, government departments and other projects. In this way not only funders needs for accountability will be met but also the findings will fulfil an advocacy role.
Things to think about when disseminating information Ensure your message is clear. Different stakeholders will inevitably focus on different types of information. Agree on frequency for communicating information. Try to organise feedback sessions for key meetings at the different levels. Ensure Timeliness. Ensure feedback sessions are timely so that issues can be dealt with when there is still a level of momentum in project activities. Consider location. Think about the various opportunities for communication at the different levels. Make it a point to ensure information reaches people so that they can give feedback. Make effective use of graphic information to facilitate analysis Visually presented information is easier to understand. When addressing boards and funders learn to use Power Point. At local level, maps and other visual aids may help with analysis and communicate findings Keep focussed on your task. Feedback sessions can easily become a talking event with no real outcomes. Plan the event carefully to include clarifications, additional insights, conclusions and action steps. Make it sincere and thought provoking not just a glib exercise.
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8.3.
Written Reporting Remember to put a human face on impact reports by including stories from people themselves. Work out a reporting strategy that fits the organisation and the level of the field workers. Templates are helpful but they should be drawn up with the local realities in mind. Think through the information that you need to know and that which would be nice to know and keep it simple. Dont let the reporting become the main thrust of the project and an end in itself. Oral Presentations Important information is obtained through personal contacts and oral presentations. Do not underestimate their value and ensure time is given for discussion and feedback. Visual presentations Visual displays such as graphs, charts and maps help illustrate data presented in oral presentations. Photographs, video clips etc also help to convey a picture of what has been done. At local level dramatic presentations can also be a powerful means of communicating issues around a project.
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Demonstrating impact is more likely to reflect a more community driven bottom up approach whereby stakeholders including project participants assess what has been achieved towards a set of goals with a certain level of resources. If efficient resource allocation is the most critical issue to the assessment of impact then demonstrating impact may not succeed in proving this point.
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2. Quasiexperimental design with before and after comparisons of project and control populations. 3. Rapid assessment ex-post impact evaluations
If randomisation is not possible then a control group can be set up which matches the project group
Some evaluations only study groups affected by the project while others include matched control groups. Participatory methods can be used to allow groups to identify changes resulting from the project, who has benefited and who has not, and what were the projects strengths and weaknesses. Triangulation is used to compare the group information with the opinions of key informants and information available from secondary sources. Case studies on individuals or groups may be produced to provide more in-depth understanding of the processes of change.
Could be used to assess wide range of programmes relevant to the CINDI Network
5 Adapted from Monitoring & Evaluation: Some tools, Methods and Approaches. World Bank. 2004
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Such guiding questions can help with the design. What has worked well?6 Following the documenting of best practice in a number of case studies the following observations were made about what works well. One thing that worked well was that impact assessment was a process that contributed to capacity building. By using a participative approach we were able to align our aims with those of the major stakeholders, which meant they were willing to take part in the process. Bringing people together in focus groups promoted the development of inter-organisational working, reflective learning and strategic planning. Therefore, undertaking
6 Summary drawing from four case histories in Measuring Impact: case studies of impact assessment in small and medium sized voluntary organisations. The UK Voluntary Sector Research Group. May 2003.
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an impact assessment was potentially a very useful process. Think of an organisation as part of a system or network, taking into account all stakeholders and activities carried out by the organisation. This will help to highlight impactees, and prevent you from thinking about the intended beneficiary group as the only people who are impacted on; If interviews are being used, keep the structure flexible, allowing unanticipated impacts to be uncovered; Use visual aids such as a network map which represents where the organisation sits in relation to its stakeholders. This is a useful prompt during interviews; Be realistic about what is to be achieved with the time and resources available.
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Formative evaluation provides the information needed to define realistic goals, objectives, and strategies for a programme. Methods to undertake formative evaluation may include: Reviews of existing information and knowledge (literature reviews and discussion with potential beneficiaries and partners) Focus group or small group discussions with relevant stakeholders Individual in-depth interviews or short surveys 2. Process Evaluation Process evaluations take place once activities are underway and focus on tracking the efficiency of a given programme or organisation. Process evaluations focus on: Providing information relating to what extent planned activities are being implemented, How well services are being provided, in what timeframe, at what cost, and with what result.
7 Much of this section derives from the following publication: PACT. 2005. Building Monitoring, Evaluation, and reporting Systems for HIV/AIDS Programmes.
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Analyse how efficiently inputs (money, time, equipment, personnel, etc.) are being used in creation of outputs (products, results, etc.).
Process evaluations help organisations analyse what they planned to do versus what they actually are achieving and are used to adjust implementation strategies. Process evaluations are often conducted informally (staff meetings, etc.) at regular intervals during the programme year to assess progress toward achieving the results. They need to be based on performance data (results from indicator data collection) as well as staff observation of projects and programmes. Methods for process evaluation include: Reviews of service records and regular reporting systems Key stakeholders interviews including project participants Direct observations Population-based surveys, etc. 3. Mid-Term Evaluations Most organisations are also familiar with mid-term evaluations, which are process evaluations conducted halfway through a strategic cycle. Mid-term evaluations may be required or planned for some projects but should also be considered as a way to review programme or strategic plans. Mid-term evaluations usually: Assess the organisations progress in implementing activities Assess progress toward achievement of objectives or benchmarks Assess whether interventions and budgets are sufficient to reach desired results Identify barriers to achievement of results, objectives, and activities Identify opportunities, unanticipated accomplishments, or innovation Specify course correction or changes required
Mid-term evaluations usually suggest actions to bring mid-course adjustments in the last half of the programme. Mid-term evaluations should endeavour to be participatory in nature and include stakeholders in the analysis of programmes. 4. Effectiveness Evaluation Effectiveness or impact evaluations normally take place toward the end of a programme intervention and focus on assessing the overall outcomes and impacts attained. Effectiveness evaluations focus on questions pertaining to what results have been achieved, what short-term and intermediate effects were observed as a result of programme effort, and what the outcomes mean. Does the programme make a difference towards the larger development impact sought? 5. Final Evaluations Most organisations are familiar with final evaluations, which are normally effectiveness evaluations. Final evaluations may be required or planned for some projects but should also be considered as a way to review and update your strategic plan. Final evaluations normally: Assess why progress toward planned results has been positive or negative Test the validity of assumptions underlying a results framework
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Assess how well needs of different project participants were met (e.g., by gender, age, ethnic group) Identify and analyse unintended consequences and effects of activities Assess sustainability of activities and their results Identify lessons learned that may be useful elsewhere and/or by others Where possible final evaluations should be participatory in nature and include stakeholder (target population) analysis of programmes.
Methods for effectiveness evaluation include: Reviews of service records and regular reporting systems Key stakeholder interviews Direct observations Population-based surveys, longitudinal studies, review of secondary data, etc.
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6. Identifying how to document what has been learnt, disseminate findings, and adapt programme activities and/or update underlying premises or results frameworks, thus altering the programme design. 7. Ensuring evaluation and learning processes are participatory. Stakeholder involvement in learning efforts usually promotes a sense of partnership among all the key people and/or groups interested in the organisation and enables a deepened evaluation of intended and unintended impacts.
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2. Permission from International Fund for Agricultural Development (IFAD) to make use of material from their very comprehensive manual Managing for Impact in Rural Development is acknowledged with thanks. 3. The funding allocation from Rockefeller Brothers Fund made this initiative possible and is much appreciated.
References
1 2 3 4 5 6 7 Baker JL. 2000. Evaluating the Impact of Development Projects on Poverty. World Bank. Washington DC/ Connexions. October 2001. A Little Book of Evaluation Core Initiative. November 2004. Participatory Monitoring and Evaluation of Community and Faith based Programmes Coupal, Franoise. July 2001. Results-based Participatory Monitoring & Evaluation Davies Rick, 2001. Monitoring and Evaluating NGO Achievements. Cambridge, UK. Department of Health. September 2004. Monitoring and Evaluation Framework. Family Health International. September 2004. Monitoring HIV/AIDS Programmes. Participant Guide.
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8 9
Global Fund. June 2004. Monitoring and Evaluation Toolkit. HIV/AIDS Tuberculosis and Malaria Gosling L. Edwards, M. 1999. Development manual 5. Practical Guide to Assessment, Monitoring and Evaluation. Save the Children.
10 IFAD. 2002. IFAD Managing for Impact in Rural development. Rome. Italy 11 IPPF. December 2002. Guide for designing Results-Oriented Projects and writing Successful Proposals. 12 Munt. R. Building Collaboration. Australian Institute of Family Studies. 13 NCVO. May 2003. Measuring Impact. Case studies of impact assessment in small and medium sized voluntary organisations. The UK Voluntary Sector Research Group 14 NCVO. May 2003. Measuring Impact. A Guide to resources. The UK Voluntary Sector Research Group 15 Open Society Institute. October 2001. MAPA Project. A practical guide to Integrated project Planning and Evaluation 16 PACT. 2005. Building Monitoring, Evaluation, and reporting Systems for HIV/ AIDS Programmes. 17 Simister N. January 2000. Laying the foundations: The role of data collection in the Monitoring Systems of development NGOs. Occasional Paper 01/00 Centre for Development Studies. University of Bath. 18 Simister N. March 2005. RAISA 11 Monitoring and Evaluation System. INTRAC 19 Taylor J & Soal S. 2003. Measurement in Developmental Practice. From the Mundane to the Transformational. CDRA. Cape Town. 20 UNDP 2002. Handbook on Monitoring and Evaluating for results. Evaluation . Office 21 UNICEF (and others). The framework for the protection, care and support of orphans and vulnerable children in a world with HIV and AIDS. July 2004 22 WHO. 2004. A Guide To Monitoring And Evaluating HIV/Aids Care And Support. National Programmes 23 World Bank. 2004. Monitoring and Evaluation: Some Tools, Methods, & Approaches.
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GLOSSARY8
Adaptive management: An approach to monitoring, evaluation, and management decision-making that involves a cycle of planning, implementation, monitoring, research, and subsequent re-examination of management decisions based on underlying premises and in conjunction with new information. In its simplest form, adaptive management is action in response to learning. Baseline: A record of what exists in an area prior to an action. The baseline values establish the starting point from which change can be measured. Critical assumptions: Conditions outside the control of an organisation that are likely to affect results and that are assumed will or will not take place. Some examples might be the continued existence of a positive policy environment, a relatively free press, absence of severe drought, or a peaceful election process. Data analysis: Concise description of how performance data for individual indicators or groups of related indicators will be analysed to determine progress on results. Data analysis techniques and data presentation formats are identified. Data collection method: The approach to data collection, both primary and secondary, taken by the organisation for each indicator. Primary data refers to data collected specifically within the context of the programme. Secondary data refers to data collected by another source for some other purpose. Data source: The source is the entity from which the data is originally obtained. Data sources may include field staff or clinics, partner organisations, government departments, international organisations, donors, NGOs, private firms, contractors, or activity implementing agencies. Development objective: The overall and long-term effect of an intervention. It is the highest level of impact anticipated. Disaggregated: How data are to be separated to improve the breadth of understanding of results reported. Typical ways to disaggregate data include geographic location, gender, and age. Effectiveness: Measures the degree to which results/objectives have been achieved. An effective organisation is one that achieves its results and objectives. Effectiveness or impact evaluation: Analysis focused on questions pertaining to what results have been achieved, what short-term and intermediate effects were observed as a result of programme effort, and what the outcomes mean. Does the programme make a difference towards the larger development impact sought? Normally, this takes place toward the end of a programme intervention and focuses on assessing the overall outcomes and impacts attained. Efficiency: Measures how productively inputs (money, time, equipment, personnel, etc.) were used in the creation of outputs (products, outcomes, results). An efficient organisation is one that achieves its objectives with the most resourceful expenditures of resources.
8 Adapted from PACT. 2005. Building Monitoring, Evaluation, and Reporting Systems for HIV/AIDS Programmes.
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Evaluation: A systematic process of collecting and analysing information to assess the effectiveness of the organisation in the achievement of goals. Evaluation provides regular feedback that helps an organisation analyse the consequences, outcomes, and results of its actions. Evaluation also provides regular feedback that helps organisations assess their relevance, scope, and sustainability. In its simplest terms, evaluation is the collection and analysis of information to assess the impact of the organisations work. Formative evaluation: Analysis focused on helping organisations identify and understand the operational setting of a potential programme and determine if an intervention is required (and where), what exactly is required, who should be involved in the intervention, and how the intervention should be carried out. Normally, this takes place at the beginning of (or prior to) a programme in the concept and design phase. Formative evaluation provides the information needed to define realistic goals, objectives, and strategies for a programme. Frequency of data collection: How often data is to be collected. The frequency of monitoring will depend on the variables being investigated. Depending on the performance indicator, it may make sense to collect data on a quarterly, annual, or less frequent basis. When planning the frequency and scheduling of data collection, it is important to consider managements needs for timely information for decision-making. Impact-level results: The overall and long-term effects of an intervention. Impacts are the ultimate result attributable to a development intervention over an extended period, such as improvement in food security or higher standards of living. Impacts usually reflect a result achieved over a longer time period (510+ years). Indexed measure: Derived by measuring a compilation of discreet variables across a scale (e.g. key elements or a series of steps are identified, points assigned as to the level of completion of each, and then the total added to determine the level of measurement). Indicator: What will be measured to know if conditions have or have not changed? A performance indicator is a quantitative or qualitative dimension or scale to measure programme results against a strategic objective or a programme outcome. A performance indicator should be a precise, direct measure of the relevant objective. It should be practical; that is, data is available or can be generated and disaggregated where possible and appropriate. Input- and process-level results: The resources and methods employed to conduct an activity, project, and/or programme. Inputs can be physical (e.g., equipment rental or purchase), material (e.g., supplies and provisions), human (labour costs such as salaries for technical assistance, staff, etc.) or financial (such as travel costs, per diem costs, direct and indirect costs). Processes are the methods or course of action selected to conduct work (e.g., training, capacity building, service provision, message promotion). Learning agenda: The programme and processes an organisation identifies to ensure it answers key questions it wants to pose or evaluate. Normally, organisations determine what components of their programmes they want to evaluate or learn about; clarify what exactly they want to learn (pose questions they want to answer or evaluate); identify how they will obtain the data; identify who will be involved in answering the questions and in participating in analysis of answers and when; and identify how they will document what was learned, disseminate findings, and adapt programme activities and or update underlying premises or results frameworks.
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Monitoring: A systematic process of collecting and analysing information to track the efficiency of the organisation in achievement of goals. Monitoring provides regular feedback that helps an organisation track costs, personnel, implementation time, organisational development, and economic and financial results to compare what was planned to actual events. In its simplest terms, monitoring is collection and analysis of information to track what is going on. Monitoring, evaluation, and reporting plan: A comprehensive performance-monitoring plan is designed to track programme/project efficiency and effectiveness/impacts in all the programme/project phases. The variables to be tracked are carefully selected and they must be good measures of the anticipated changes. The monitoring plan describes all the indicators to be monitored, the units of measurement, data sources, methodology of data collection, monitoring frequency, responsibility, baseline values, and targets set within the planning horizon. Outcome-level results: Broad changes in development conditions. Outcomes help answer the so what? question: we trained 100 people and increased their knowledge but did they or did they not change their behavior? Outcomes often reflect behavior or economic changes and help analyse how activities and projects scale up or contribute toward development outcomes. Outcomes usually reflect a result achieved in an intermediate time period (25 years). Output-level results: Information, products, or results produced by undertaking activities or projects. Outputs relate to completion of activities and are the type of results over which managers have a high degree of influence. Outputs reflect what the organisation hoped to produce from a particular input (or set of inputs). For example: if the process is to train people, people trained is the result at the input/process level while knowledge level increased is the result at an output level. The assumption being that if people are trained, they will increase their knowledge on a given subject. Outputs usually reflect a result achieved in a relatively short-time period (02 years). Process evaluations: Analysis focused on providing information relating to what extent planned services are being realized, how well services are being provided, in what timeframe, at what cost, and with what result. Process evaluations analyse how efficiently inputs (money, time, equipment, personnel, etc.) are being used in creation of outputs (products, results, etc.). Process evaluations help organisations analyse what they planned to do versus what they are actually achieving and are used to make adjustments or refinements in tactics or implementation strategies. Protocols: Instructions that capture the reason for selecting indicators, describe the indicator in precise terms, and identify the plans for data collection, analysis reporting, and review. This information is documented not only to clarify and articulate what the indicators mean but also to provide the organisation with the means to collect data over the life of the project and beyond, as required. Protocols also help ensure the reliability of indicators as they provide critical information to help different people repeatedly measure the indicator with the same precision. Proxy indicators or proxy measures: Alternate or indirect measures used to stand in for another indicator when obtaining direct information is too difficult, time-consuming, or sensitive. For example, the number of people trained could be seen as an indirect measure for level of knowledge, if we assume that when people are trained, their level of knowledge always increases. Another example is the household consumption of maize, which could be a proxy indicator for household income if it is known that maize consumption always rises with income gain.
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Reporting: Systematic and timely provision of essential (useful) information at periodic intervals. Reporting provides regular feedback that helps organisations inform themselves and others (stakeholders, partners, donors, etc.) on the progress, problems, successes, and lessons of programme implementation. Result: A consequence of a particular activity, project, or programme that an organisation can effect and for which it is willing to be held accountable. A change in condition attributable in whole or part to an organisation. Results-based monitoring: Sometimes referred to as performance monitoring or outcome monitoring. In addition to tracking general project implementation information (such as how much money was spent on an activity), a monitoring, evaluation and reporting system also measures how an organisations processes, products, and services contribute to broader development objectives. Results framework or results chain: Tabular or log frame presentation of the short-, intermediate-, and long-term results anticipated (inputs, outputs, outcomes, and impactlevel results). The results chain/framework describes the development hypothesis of an organisation, illustrating the cause-and-effect linkage that it believes to exist. The framework is an if then approach to planning and implementation. If we improve the message promotion then people will improve their knowledge about HIV and then people will change their behaviors and then HIV will be reduced. Results in the framework are based on critical assumptions. Secondary data: Data not collected by an organisation but used by that organisation to monitor results. Target: Magnitude or level of outputs expected to be achieved. Targets are values against which the actual programme/project achievements are measured. They should be realistic and quantitative statements of expected outcomes. If the targets are qualitative, there is need for a detailed statement of the expected state of affairs at the end of a planning period. Triangulation: Use of variety of sources, methods or team members to cross check and validate data and information to limit biases Unit of measurement: The precise parameter used to describe the magnitude or size of the indicator.
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9 From: PACT. 2005. Building Monitoring, Evaluation, and reporting Systems for HIV/AIDS Programmes.
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Objective 1: Enhancing the effectiveness of the CINDI Network Members to improve the quality of life of children in the context of HIV/AIDS through collaboration, transformation, and alignment with key provincial, national and global initiatives Output Indicators Number of organisations supported with funding Programme information: Follow up on funding allocations Improved capacitation of community structures as a result of increased funding Baseline information: Current funding allocations Outcomes Outcome Indicators Information and Organisation Tools Tools: Surveys, questionnaires and maps How often: Updated quarterly Tools: Surveys, cost benefit, questionnaires, stakeholder analysis, focus groups How often: Updated quarterly
Inputs/Activities
Outputs
Inputs
Funding for programmes, materials and facilities Number of community representatives on governing structures Improved representivity of communities served in governance structures of organisations Proportion of CINDI Members with increased representivity of communities served in governance structures of organisations
Proportion of NGOs, CBOs and community structures having improved capacity as a result of increased funding for approved projects
Activities
10 There is a concern about the cost of producing documents in isiZulu. Appropriate translation of documents cannot be done by anybody it is specialized and time consuming
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Output Indicators Number of formalised linkages with community groups Programme information: Proportion of community structures linked Improved formalised linkages with community groups Proportion of community based stakeholders with formalised links to the CINDI Network and other key stakeholders Baseline information: Current number of linked organisations Outcomes Outcome Indicators Information and Organisation Tools Tools: Reports, focus groups and questionnaires How often: Information collected quarterly. Data base updated quarterly Tools: Reports and questionnaires How often: Built into strategic plans annually. Data base updated quarterly Programme information: proportion of programmes linked with MDG in programme objectives Baseline information: Number of programmes reflecting rights based approach Programme information: Proportion of programmes reflecting rights based approach Tools: Reports and questionnaires, wheel How often: Built into strategic plans annually. Data base updated quarterly Baseline information: Number of Organisations reflecting alignment with national HIV/ AIDS plan Programme information: Proportion of programmes reflecting national HIV/AIDS plan Tools: Reports and questionnaires How often: Built into strategic plans annually Number of MDGs integrated into programme plans Improved alignment with and integration of MDGs in programme objectives Proportion of programmes reflecting Millennium Development Goals Baseline information: Number of programmes aligned with MDG goals Number of programmes reflecting a rights based approach Improved alignment with and integration of rights based approach in programme objectives Proportion of programmes reflecting a rights based approach Number of programmes reflecting National HIV and AIDS Programme goals Improved alignment with National HIV and AIDS Programme Proportion of programmes reflecting alignment with National HIV and AIDS Programme
Inputs/Activities
Outputs
Activities
Increased alignment with and integration of rights based approach in programme objectives
Increased alignment with and integration of National HIV and AIDS Programme goals (See www.doh.gov.za)
Objective 2: Supporting community based interventions that enhance the quality of life of children in the context of HIV/AIDS Cross cutting all clusters Output indicators Number of organisations supported with funding Baseline information: on funding allocations Programme information: proportion of targeted CBOs being supported Baseline information: Baseline reports on current training and mentoring arrangements with regard to supporting community based initiatives that enhance the quality of life of children Programme information: Proportion of CBOs and community structures able to manage and support programmes for targeted childrens Proportion of CBOs and community structures being supported with funding for approved projects Baseline information: Prevailing standards to care e.g. competencies of child care workers, home based care workers etc. as current resource support. Programme information: Standards of care following exposure to training, mentoring and improved resource support Number of programmes reflecting parameters for increased quality of care Improved quality of care in targeted programmes Proportion of targeted programmes reflecting increased quality of care Tools: Surveys, cost benefit, questionnaires, stakeholder analysis, focus groups How often: Updated quarterly Improved support for community based structures Proportion of CBOs and community structures being supported with funding for approved projects Proportion of CBOs and community structures able to manage and support programmes for targeted children. Outcomes Outcome indicators Information Tools Tools: Surveys, questionnaires and maps How often: Updated quarterly Tools: Surveys, cost benefit, questionnaires, stakeholder analysis, focus groups How often: Updated quarterly
Inputs/Activities
Outputs
Inputs:
Funding for programmes, training, materials facilities and equipment etc. Number of organisations having effective leadership structures and programmes of action in place. Strengthened networks of community representative stakeholders able to holistically support targeted children at local level
Activities:
Handbook on monitoring and evaluation for the CINDI Network Number of organisations supported with funding Improved support community based structures
CBOs and community structures with increased competencies in basic organisational skills
Inputs:
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Output indicators Decrease in level of HIV/ AIDS prevalence in communities served by CINDI Network Programme information: Estimated levels of HIV prevalence in targeted communities. Decrease in level of HIV/AIDS prevalence in communities served by CINDI Network Baseline information: Current estimated levels of HIV prevalence in targeted communities. Outcomes Outcome indicators Information Tools Tools: Surveys, questionnaires, focus groups, mapping, time line How often: Updated quarterly Increased number of targeted children and child care providers having increased knowledge regarding prevention and transmission of HIV and AIDS Increased awareness of and appropriate responses to child abuse in targeted areas Improved levels of awareness of and appropriate responses to child abuse in targeted communities Proportion of targeted areas reflecting decrease in levels of child abuse. Proportion of child abuse cases appropriately responded to Baseline information: Current levels of reported child abuse. Programme information: Follow up on levels of reported child abuse Tools: Surveys, questionnaires, focus groups, mapping, time line How often: Updated quarterly
Inputs/Activities
Outputs
Inputs: Funding for programmes, training, materials facilities and equipment etc
Activities: Training, production of training materials to increase knowledge and understanding of HIV/AIDS prevention, transmission and care
Number of targeted children having increased knowledge regarding prevention and transmission of HIV and AIDS
Inputs: Funding for programmes, training, materials facilities and equipment etc
Number of sessions to promote awareness of and appropriate response to child abuse prevention and treatment (aligned with national and international legislation)
Psychosocial cluster Primary Goal: To build individual psychological and social resources to increase and strengthen their capacity to cope Output indicators Number of organisations supported with funding Programme information: Guidance from relevant organisations Improved emotional well being of targeted children Proportion of children with improved emotional well being (through accessing psychosocial care) including: 1. decrease in depression 2. decrease in psychosomatic and anxiety related symptoms, 3. increase in perception of social support Proportion of targeted children having access to a caring and consistent significant other (adult) Number of targeted households ensuring children attend school Improved educational levels of targeted children Proportion of targeted children who have completed their school year Proportion of children whose grades are appropriate for their age Proportion of children whose absenteeism from school has not exceeded 15 school days Baseline information: Number of children from targeted homes that complete the school year Number of children whose grades are appropriate for age Programme information: Follow up information on number of children from targeted homes that complete the school year and grades are appropriate for age Tools: Reports, surveys and focus groups How often: Updated quarterly Baseline information: Guidance from relevant organisations Outcomes Outcome indicators Information Tools Tools: Reports, surveys, questionnaires, focus groups, How often: Updated quarterly
Inputs/Activities
Outputs
Inputs: Funding for programmes, training, materials facilities and equipment etc Increased number of community members able to provide psychosocial support at local community level Increased availability of user friendly training materials
Trained community members able to provide psychosocial support at local community level
Activities: Training, production of training materials, Facilitation of support for programmes which build psycho social support
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Output indicators Outcomes Outcome indicators Information Tools Tools: Reports and surveys How often: Updated quarterly Number of targeted families making decisions about succession planning for future care of children and assets Improved support and utilisation of succession planning for future care of children and assets Proportion of targeted families making provision for succession planning for care of children and assets. Baseline information: Number of targeted families in which decisions have been made about succession planning for children and care of assets. Programme information: Follow up information on number of targeted families in which decisions have been made about succession planning and care of assets. Proportion of targeted child carers who have been exposed to child care enhancement training. Baseline information: Assessment of current child care capacity of targeted care giver carers. Programme information: Follow up information on assessment of child care capacity of targeted care giver carers Tools: Reports and surveys and focus groups How often: Updated quarterly Number of targeted child carers exposed to child care enhancement training Improved support for child care capacities
Inputs/Activities
Outputs
Increased support and utilisation of succession planning for future care of children and assets
Community Development Cluster Primary goal: To achieve long term sustainable development whereby the community is able to care for their own needs and the needs of children Output indicators Number of organisations supported with funding to improve economic standing of targeted households Programme information: Follow up information on basic income and economic activities of households in targeted areas Improved economic standing of targeted children and/or their care providers Baseline information: Basic income and economic activities of households in targeted areas Outcomes Outcome indicators Information Tools Tools: Reports, surveys, questionnaires, stakeholder analysis, focus groups, mapping How often: Updated quarterly
Inputs/Activities Proportion of targeted children who have improved their economic standing (through a government grant, successful income generation programme, housing, scholarship)
Outputs
Inputs: Funding for programmes, training, materials facilities and equipment etc
Handbook on monitoring and evaluation for the CINDI Network Improved health of targeted children Proportion of targeted children whose clinic charts reflect: height and weight appropriate for age have improved their nutritional well being are up to date with immunisations Number of households reflecting increased knowledge of health issues and increased access to health care facilities Baseline information: Baseline reports on relevant health data of households in targeted areas Programme information: Follow up information on relevant health data of households in targeted areas. Tools: Reports, surveys, questionnaires, stakeholder analysis, focus groups, mapping How often: Updated quarterly
Activities: Training, production of training materials, Facilitation of support for programmes which address basic needs and services for children
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Output indicators Number of targeted households ensuring children attend school Proportion of children whose grades are appropriate for their age Proportion of children whose absenteeism from school has not exceeded 15 school days Proportion of targeted households were care givers make progress in terms of functional literacy levels Baseline information: Number of care givers from targeted homes that advance their levels of functional literacy in the prescribed time Programme information: Follow up information on number of care givers from targeted homes that advance their levels of functional literacy in the prescribed time Proportion of targeted families in which all births have been registered. Proportion of affected families accessing death certificates. Baseline information: Number of children in targeted households that have been registered. Number of caregivers that have access to key death certificates Programme information: Follow up information on Number of children in targeted households that have been registered. Number of caregivers that have access to key death certificates Tools: Reports and surveys How often: Updated quarterly Programme information: Follow up information on number of children from targeted homes that complete the school year Tools: Reports, surveys and focus groups How often: Updated quarterly Number of children whose grades are appropriate for age How often: Updated quarterly Improved educational levels of targeted children Proportion of targeted children who have completed their school year Baseline information: Number of children from targeted homes that complete the school year Tools: Reports, surveys and focus groups Outcomes Outcome indicators Information Tools Number of targeted households where adult care givers have access to functional literacy training Improved levels of functional literacy amongst care givers in the targeted households Number of targeted families acquiring required documentation including Master Birth Certificate Improved registration of births and deaths
Inputs/Activities
Outputs
Increased awareness and support to targeted families on processes involved in acquiring essential documentation
Increased support for improved physical environment of targeted households including shelter water and sanitation Programme information: Follow up on number of targeted families that have adequate shelter, water and sanitation Baseline in formation: Number of targeted households who do not adequate access to food. Programme information: Updated information on number of households that do not have adequate access to food. Number of targeted households with protection plan in place Number of households aware of childrens rights and local resources Proportion of targeted households aware of childrens rights and accessing available support when required Improved protection of targeted children (reduced exploitation) Proportion of targeted children and households with protection orientated intervention in place Baseline information: Information on number of children being served Programme information: Proportion of children being served How often: Updated quarterly Number of targeted households that have improved food security Improved food security within targeted families Proportion of targeted families who have adequate food
Number of targeted households that are able to improve their physical environment in terms of shelter, sanitation and water
Improved physical environment for targeted children (shelter, water and sanitation)
Proportion of targeted children having adequate shelter and access to potable water and sanitation
Baseline information: Number of targeted families that do not have adequate shelter, water or sanitation
Tools: Reports, surveys, questionnaires, focus groups, mapping, wheel How often: Updated quarterly Tools: Reports, surveys, questionnaires, focus groups How often: Updated quarterly
Increased protection of targeted children. Increased awareness of childrens rights and available resources.
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Output indicators Number of home based care workers trained in compliance with national requirements. (52 day training) Programme information: Proportion of targeted families being reached Improved home based services to clients in need of care Proportion of targeted households in which home based care services are provided on a regular basis Baseline information: Information on number of families needing home based care services Outcomes Outcome indicators Information Tools Tools: Reports, surveys, questionnaires, focus groups, mapping How often: Updated quarterly Number of home based care workers integrated into continuum of care Improved linkages with health care networks Proportion of home based care workers that are formally part of a continuum of care Baseline information: Information on number of home based care workers linked to continuum of care Programme information: Proportion of home based care workers linked to continuum of care Proportion of home based care workers provided with adequate resources to care for families Baseline information: Information on current basic resources provided to home based care workers Programme information: Information of resources provided to home based care workers Tools: Reports, surveys, questionnaires, focus groups, mapping How often: Updated quarterly Tools: Reports, surveys, questionnaires, focus groups, mapping How often: Updated quarterly Number of home based care workers provided with adequate material resources to provide essential care Improved quality of care for families
Home Based Care Cluster: Primary Goal: To build individual psychological and social resources and offer basic health care to increase and strengthen the capacity of those living with life threatening and chronic illness to cope.
Inputs/Activities
Outputs
Inputs: Funding for programmes, training, materials, facilities and equipment etc.
Increased provision of home based community care and development including training, provision of resources, integration with continuum of care, regular monitoring and supervision
Facilitation of support for community based programmes which address basic needs and services for clients in need of home based care.
Number of home based care workers receiving regular monitoring and supervision Programme information: Information on supervision and support plans for home based care workers Baseline information: Information on current treatment support within targeted households. Programme information: Information on treatment support within targeted households as programme activity How often: Updated quarterly
Proportion of home based care workers receiving regular supervision and support
Baseline information: Information on current basic on supervision and support plan for home based care workers
Increased treatment support in relation to TB treatment and ARVs for adults and children
Number of targeted households in which adults and children receive regular treatment support with ARVs or TB medication
Improved treatment support in targeted households in which adults and children receive regular treatment support with ARVs or TB medication Improved care for children in targeted homes Proportion of targeted homes with succession and positive care programme for children
Proportion of targeted households in which patients receive regular treatment support with ARVs or TB medication
Handbook on monitoring and evaluation for the CINDI Network Baseline information: Information on succession planning and positive care programme in targeted households Programme information: Information on succession planning and positive care programme in targeted households Tools: Reports, surveys, questionnaires, focus groups, mapping How often: Updated quarterly Number of children in targeted families in which succession planning, and positive care programme are being implemented
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Output indicators Improved knowledge and compliance with regulations of care of children in facilities Programme information: Follow up information on number of targeted facilities and projects reflecting knowledge and compliance with regulations of Child Care Act Baseline information: Number of voluntary workers screened by means of references Programme information: Follow up information on number of workers screened by means of references Proportion of targeted children who have completed their school year Proportion of children whose grades are appropriate for their age Proportion of children whose absenteeism from school has not exceeded 15 school days Baseline information: Number of children from targeted homes that complete the school year Number of children whose grades are appropriate for age Programme information: Follow up information on number of children from targeted homes that complete the school year and whose age for grade is appropriate Tools: Reports, questionnaires and focus groups How often: Updated quarterly Baseline information: Number of targeted facilities and projects reflecting knowledge and compliance with regulations of Child Care Act appropriate for age Outcomes Outcome indicators Information Tools Tools: Reports, questionnaires and focus groups How often: Updated quarterly Increase in number of residential and community based care facilities for children aware of and implementing regulations of the Child Care Act Proportion of targeted child care facilities and programmes that reflect improved knowledge and compliance with Child Care Act Increase in number of voluntary workers which have been screened by means of references Number of targeted children having access to education Improved educational levels of targeted children Improved screening of voluntary workers by means of references Proportion of voluntary workers screened by means of references Tools: Reports, Surveys and focus groups How often: Updated quarterly
Children in Care Cluster: Primary Goal: To support projects providing care to children which focus on keeping children in their community of origin.
Inputs/Activities
Outputs
Inputs: Funding for programmes, training, materials facilities and equipment etc.
Increased compliance with all aspects of regulations in terms of Child Care Act
Facilitation of support for community based programmes which address basic needs and services for children
Increased number of targeted children in care having access to basic health care height and weight appropriate for age improved nutritional well being immunisations are up to date Number of targeted children with positive sense of self identity Number of targeted children able to identify adult significant other Improved care and appropriate discipline for children Improved emotional well being Proportion of targeted children able identify significant adult other Improved sense of positive self identity. Proportion of targeted children with improved sense of positive Baseline information: Nutritional status of children Programme information: Follow up information on nutritional status of children Baseline information: Number of children able to identify significant adult other Programme information: Follow up information on Baseline information: Current understandings of discipline and care Programme information: Follow up information on number of children able to identify significant adult other understandings of discipline and care Programme information: Follow up information on relevant health data of households in targeted areas. How often: Updated quarterly
Baseline information: Baseline reports on relevant health data of households in targeted areas
Tools: Reports, Surveys and focus groups How often: Updated quarterly Tools: Reports, Surveys and focus groups How often: Updated quarterly Tools: Reports, Surveys and focus groups How often: Updated quarterly
Handbook on monitoring and evaluation for the CINDI Network Number of care givers able to describe and implement minimal legislative requirements relating to discipline Proportion of targeted care givers able to describe and implement minimal legislative requirements relating to discipline
Increased number of care workers able to describe and implement minimal legislative requirements relating to discipline
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Annex 3
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Output indicators Number of targeted youth with increased knowledge and skills relating to leadership and life skills Improved life skills and leadership capacity Programme information: Follow up information on leadership and life skills knowledge and practice of targeted youth. Proportion of targeted youth with increased knowledge and skills relating to leadership and life skills Baseline information: Current leadership and life skills knowledge and practice of targeted youth. Outcomes Outcome indicators Information Tools Tools: Reports, questionnaires and focus groups How often: Updated quarterly Number of targeted youth with increased knowledge of HIV and AIDS, reproductive health and other youth related threats Improved capacity to prevent HIV and AIDS and awareness of reproductive health and other youth related threats Proportion of targeted youth with Improved capacity to prevent HIV and AIDS and awareness of reproductive health and other youth related threats Baseline information: Current levels of knowledge of HIV and AIDS, reproductive health and other youth related threats. Programme information: Follow up information on levels of knowledge of HIV and AIDS, reproductive health and other youth related threats Proportion of targeted victims of rape and abuse that received support. Baseline information: Current levels of support to victims of rape and abuse Programme information: Follow up information on levels of support to victims of rape and abuse Tools: Reports, questionnaires and focus groups How often: Updated quarterly Number of victims of rape and abuse receiving support Improved support for victims of rape and abuse Tools: Reports, Surveys and focus groups How often: Updated quarterly
School and Youth Development Cluster Primary goal: To prevent HIV and AIDS through leadership development and youth appropriate responsibility for reproductive health
Inputs/Activities
Outputs
Inputs: Funding for programmes, training, materials facilities and equipment etc
Increased life skills and leadership capacity amongst targeted young people
Dissemination of information on HIV and AIDS, reproductive health, and other youth related challenges
Increased knowledge of HIV and AIDS, reproductive health and other youth related threats
Annex 4
Annex 4
UNICEFs framework for the protection, care and support of orphans and vulnerable children living in a world with HIV & AIDS13
Five key strategies
1. Strengthen the capacity of families to protect and care for orphans and vulnerable children by prolonging the lives of parents and providing economic, psychosocial and other support. 2. Mobilise and support communitybased responses 3. Ensure access for orphans and targeted children to essential services, including education, health care, birth registration and others. 4. Ensure that governments protect the most targeted children through improved policy and legislation and by channeling resources to families and communities.
13 UNICEF (and others) The framework for the protection, care and support of orphans and vulnerable children in a world with HIV and AIDS. July 2004
5. Raise awareness at all levels through advocacy and social mobilization to create a supportive environment for children and families affected by HIV and AIDS. The actions described below are intended to help shape an effective response to the growing crisis. Conduct a collaborative situation analysis
Engage local leaders in responding to the needs of vulnerable community members Organise and support activities that enable community members to talk more openly about HIV and AIDS Organise cooperative support activities
Increase school enrolment and attendance Ensure birth registration for all children
Adopt national policies, strategies and action plans Enhance government capacity
Provide basic health and nutrition services Improve access to safe water and sanitation Ensure that judicial systems protect targeted children?
Ensure that resources reach communities Develop and enforce a supportive legislative framework Establish mechanisms to ensure information exchange and collaboration of efforts
Promote and support community care for children without family support
Ensure placement services for children without family care Strengthen local planning and action
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