Institutionalizing Strong M&E Procedures
MEASURE Evaluation Tanzania activities aim to institutionalize monitoring systems that support collection of quality health data from the local level to the national level. Data quality assessments (DQA) are a vital tool in activities to strengthen monitoring and evaluation (M&E) of health programs.
The Government of Tanzania, impressed by previous DQA activities conducted by MEASURE Evaluation Tanzania, asked for support to improve its own DQA processes across the country. To make DQA a national standard, we are collaborating with the Ministry of Health and Social Welfare (MoHSW) in the development and implementation of national guidelines. The project also supports the National AIDS Control Program (NACP) by reviewing, on a rotating basis, the quality of HIV-related data collected by USAID implementing partners to foster improvements and institutionalization within their organizations. In addition to ensuring data quality through DQA, MEASURE Evaluation Tanzania trains counterparts through supportive supervision and improved monitoring of referrals between health and social services. We are also strengthening the capacity of local institutions to conduct DQA.
MEASURE Evaluation Tanzania is a member of the Health Sector Technical Working Group (TWG) and Monitoring and Evaluation Strengthening Initiative (MESI), developed by the MoHSW as a mechanism for coordinating contributions to M&E activities from all stakeholders. The MESI has a five-year strategic plan (2015–2020) and we support strengthening the health management information system (HMIS) in line with that plan. The goal is to establish a culture of routine self-monitoring and use of DHIS 2 system data within districts and health facilities. The project aims to leave a legacy of well-trained staff at all levels who know their roles and responsibilities, as well as a strong infrastructure of tools and systems to support them.
At the subnational level, including local government, facility, and community service provider levels, MEASURE Evaluation Tanzania is supporting the government’s existing DHIS 2 implementation plan in six focus regions in the Mainland. The aim is to enhance the skills of district staff and service providers through ongoing technical support to ensure data collected and entered into the system are of high quality and are used for program planning and decision making.
MEASURE Evaluation Tanzania supports institutionalization of M&E systems through:
- Assessing and strengthening the ability to analyze data in six focus regions of regional/district and community health committees;
- Expanding community-based M&E strategies;
- Strengthening data sharing and use among key stakeholders at the national, district and regional levels;
- Assessing referral systems and developing referral monitoring indicators and guidelines.