PAIX

PEACE

PATRIEFATHERLAND

TRAVAILWORK

République du CamerounPaix - Travail - Patrie

Ministère de la Santé Publique

Republic of CameroonPeace - Work - Fatherland

Ministry of Public Health

2016-2020

I.M.E.P.MOH

AUGUST 2016

INTEGRATED MONITORING AND

EVALUATION PLAN

Integrated Monitoring and Evaluation Plan (IMEP)

2016-2020

MOHMinistry of Public Health

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TABLE OF CONTENTSLIST OF TABLES .................................................................................................................... VI

LIST OF FIGURES .................................................................................................................. VI

LIST OF ABBREVIATIONS AND ACRONYMS .................................................................. VIII

PREFACE .............................................................................................................................. X

ACKNOWLEDGEMENTS ...................................................................................................... XII

CHAPTER 1: INTRODUCTION, BACKGROUND, RATIONALE AND OBJECTIVES OF THE IMEP .... 2

1.1. Introduction ................................................................................................................... 2

1.2. Background and rationale .............................................................................................. 2

1.2.1 Background ........................................................................................................... 2

1.2.2. Rationale of the Monitoring and Evaluation Plan of the 2016-2020 NHDP ........ 3

1.3. Objectives of the monitoring and evaluation plan of the 2016-2020 nhdp .................. 4

1.3.1. Global objective of the 2016 -2020 NHDP ........................................................ 4

1.3.2. General Objective of IMEP 1 ............................................................................. 4

1.3.3. Specific objectives ............................................................................................. 4

CHAPTER 2: CURRENT SITUATION OF THE NHDP MONITORING/EVALUATION IN THE HEALTHSYSTEM ............................................................................................................................... 6

2.1 Introduction ................................................................................................................... 6

2.2 Institutional and organizational framework of the NHIS ............................................... 7

2.3 Indicatros and data collection system ........................................................................... 7

CHAPTER 3: IMPLEMENTATION FRAMEWORK OF THE NHDP MONITORING ANDEVALUATION PLAN ............................................................................................................ 10

3.1. Central level ....................................................................................................................... 10

3.2 Devolved level .................................................................................................................... 12

3.2.1 Intermediate level: The Regional Coordination and Monitoring/Evaluation Committee for the implementation of the HSS (CORECSES): ...................................... 12

3.2.2 Operational level: the Operational Committee for Coordination and Monitoring/ Evaluation of the Implementation of the HSS (COCSES) ......................... 13

CHAPTER 4: MONITORING/EVALUATION FRAMEWORK: TOOLS ........................................ 14

4.1. Operational matrix of indicators ....................................................................................... 14

4.2. Performance framework ................................................................................................... 52

4.3. Monitoring of direct achievement indicators .................................................................... 59

CHAPTER 5: ORGANISATIONAL FRAMEWORK OF MONITORING/EVALUATION .................. 73

5.1 Operational organisation OF M&E ..................................................................................... 73

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5.2. Roles and responsibilities of key stakeholders (see Chapter 3) ........................................ 75

5.3 Data management tools ..................................................................................................... 76

5.4. type, site, frequency of collection and method of calculating indicators ......................... 77

5.5 Procedures for data processing and analysis ..................................................................... 77

5.6. Data transmission procedures ........................................................................................... 77

5.6.1. Background ........................................................................................................ 77

5.6.2. Data transmission frequency ............................................................................. 77

5.6.3 Data quality control ............................................................................................ 78

5.7 Supervision of M&E data management ............................................................................. 78

5.7.1. Joint Supervisions .............................................................................................. 78

5.7.2. Facilitating supervision ...................................................................................... 78

5.7.3. Distant supervisions ........................................................................................... 78

5.8. Data sharing and dissemination ........................................................................................ 79

CHAPTER 6 : MONITORING-EVALUATION MECHANISM ..................................................... 80

6.1. Monitoring of the NHDP .................................................................................................... 80

6.1.1. At the central level ............................................................................................. 80

6.1.2. Monitoring NHDP at the regional level ............................................................. 80

6.1.3. At the operational level ..................................................................................... 81

6.2. Process for evaluating the NHDP implementation ............................................................ 81

6.2.1 Evaluation team .................................................................................................. 82

6.2.2 NHDP assessment methods ................................................................................ 82

6.2.3. Evaluation schedule ........................................................................................... 85

CHAPTER 7: BUDGET OF THE INTEGRATED MONITORING/EVALUATION PLAN ................... 86

7.1. Implementation cost of the 2016-2020 IMEP ................................................................... 86

7.1.1. Breakdown of costs per year ............................................................................. 86

7.1.2. Breakdown of costs per level of the health pyramid ......................................... 87

7.2. Detailed budget per intervention ...................................................................................... 88

APPENDICES ...................................................................................................................... 89

LIST OF CONTRIBUTORS ...................................................................................................101

REFERENCES .....................................................................................................................105

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LIST OF TABLES Table 1: Operational matrix of M/E indicators of the 2016-2020 NHDP ............................................. 15 Table 2 : Performance Framework of the NHDP ................................................................................... 53 Table 3: Monitoring indicators IMEP 1 .................................................................................................. 60 Table 4: Overall summary of the NHDP implementation steering, coordination and monitoring bodies ............................................................................................................................................................... 74 Table 5: Evaluation schedule ................................................................................................................. 85 Table 6: Detailed budget per intervention per year ............................................................................. 88

LIST OF FIGURES Figure 1: NHDP assessment methods ................................................................................................... 82 Figure 2 : Breakdown of IMEP costs from 2016-2020 ........................................................................... 86 Figure 3: Breakdown of IMEP costs per level of the health pyramid .................................................... 87

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LIST OF ABBREVIATIONS AND ACRONYMS

AIDS Acquired Immuno Deficiency Syndrome MINATD Ministry of Territorial Administration and Decentralisation

ARV Antiretroviral MINCOM Ministry of Communication AWP Annual Work Plan MINDEF Ministry of Defence

CAPR Regional Pharmaceutical Procurement Centre

MINEDUB Ministry of Basic Education

CBO Community-Based Organization MINEFOP Ministry of Employment and Vocational Training

CEmONC Complete Emergency Obstetric and Neonatal Care

MINEPAT Ministry of Economy, Planning and Regional Development

CHP Complementary Health Package MINEPDED Ministry of Environment, Nature Protection And Sustainable Development

CHRACERH Hospital Centre for Research, Human Reproduction and Endoscopic Surgery

MINEPIA Ministry of Husbandry, Fisheries and Animal Industries

CICRB Chantal Biya International Research Centre MINESUP Ministry of Higher Education

CLTS Community-Led Total Sanitation MINFI Ministry of Finance

COCSES Operational Committee for Coordination and Monitoring/ Evaluation of the Implementation of the HSS

MINFORPRA Ministry of Public Service and Administrative Reform

CORECSES Regional Comittee for the Coordination and monitoring evaluation of the HSS implementation

MINJEC Ministry of Youth Affairs and Civic Education

CSM Community-based self-monitoring MINJUSTICE Ministry of Justice

CSO Civil society organisation MINPROFF Ministry of Women’s Empowerment and the Family

DGSN General Delegation for National Security MINRESI Ministry of Scientific Research and Innovation

DHS Demographic Health Survey MINTP Ministry of Public Works

DLMEP Department of Disease, Epidemics and Pandemics Control

MINTSS Ministry of Labour and Social Security

DMC District Management Committee MOH Ministry of Public Health

DTC Diagnostic and Treatment Centre MTEF Mid term Evaluation Framework ECAM Cameroon Household Survey NACC National AIDS Control Committee

EmONC NCD Non Communicable Disease

EPD Epidemic Prone Diseases NGO Non-Governmental Organization

EPI Expanded Programme on Immunization NHAs National Health Accounts

EXFIN External Financing NHIS National Health Information System

FCFA Franc of the Financial Community of Africa NIMSP-NCD National Integrated and Multi-sector Strategic Plan for the control of Non Communicable Diseases

FP Family Planning NIS National Institute of Statistics GAVI Global Alliance for Vaccines and

Immunization NMCP National Malaria Control Programme

GDP Gross Domestic Product NPHO National Public Health Observatory GESP Growth and Employment Strategy Paper NTD Neglected Tropical Disease

HC Health Committe PAC Post Abortion Care

HDC Health District Committee PETS Public Expenditure Tracking Survey HDDP Health District Development Plan PHC Primary Health Care

HRDP Human Resource Development Plan PLWHIV People living with HIV

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HRH Human Resources for Health PMTCT/PC Prevention of Mother-to-Child Transmission of HIV/ Pediatric care

HSS Health Sector Strategy RCHDP Regional Consolidated Health Development Plan

HSSIP Health Sector Support Investment Project RDPH Regional Delegation for Public Health

IHC Integrated Health Centre RLA Regional and Local Authorities

IMCI Integrated Management of Childhood illnesses

RMNCAH Reproductive, Maternal, Neonatal, Child and Adolescent Health

ISDR Integrated Surveillance of Disease and Response

SC Steering Committee

LANACOME National Laboratory for the Quality Control of Drugs and Valuation

SDG Sustainable Development Goal

LLIN Long lasting insecticide treated net SOPs Standard Operating Procedures

MC Management Committee STI Sexually Transmitted Infection MDG Millenium Development Goal SWAP Sector-Wide Approach

MHC Medicalised Health Centre TFPs Technical and Financial Partners

MHP Minimum health Package TS-SC/HSS Technical Secretariat of the Steering Committee of the Health Sector Strategy

MICS Multiple Indicators Cluster Survey UNDP United Nations Development Programme

MINAC Ministry of Arts and Culture UNFPA United Nations Fund for Population Advancement

MINADER Ministry of Agriculture and Rural Development

WHO World Health Organisation

MINAS Ministry of Social Affairs MINATD Ministry of Territorial Administration and Decentralisation

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Technical drafting committee General Coordination:

- Mr André MAMA FOUDAMinister of Public Health

- Mr Alim HAYATOUSecretary of State for Public Health

General Supervision : - Prof. Sinata KOULLA-SHIROSecretary General of the Ministry of Public Health

Technical Supervision: - Prof. Samuel KINGUETechnical Adviser N°3, Vice-Chairman of TWG

Technical Coordination: - Dr Jacqueline MATSEZOU Permanent Secretary of the Steering Committee for follow up of the Health Sector Strategy Ministry of Public Health Cameroon

Member of the Secretariat: - M. Guy NDOUGSA ETOUNDI Officer at Steering Committee for follow up of the Health Sector Strategy Ministry of Public Health Cameroon

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PREFACE The 2016-2020 National Health Development Plan will serve as a guide for the

implementation of health actions during the next five years. In order to ensure the effective

monitoring of planned interventions at all levels of the health pyramid, a 2016-2020

Monitoring and Evaluation Plan (IMEP) has been developed. This plan details monitoring and

evaluation activities of the health system and will enable real-time assessment of

performances in the short, medium and long-term of healthcare facilities.

This plan consists of, among others, dash boards that are sample indicators which shall

enable heads of health facilities to follow up the progress of their results and gaps in relation

to the performance values projected in the 2016- 2020 NHDP. It will ultimately measure the

contribution of the health system in improving the health of the population.

However, certain obstacles may impede the implementation of 2016-2020 IMEP, notably:

the low availability of workforce in charge of the integrated monitoring of activities of the

2016-2020 NHDP, especially at the operational level; the prompt execution of the baseline

surveys as suggested in the NHDP; the weak capacity of the system to collect and complete

indicators of partner ministries and the private sub-sector which carry out health actions.

The Government is committed, with the support of all key actors of the health system, to

exploit all the opportunities to get rid of these obstacles. As such, branches of the steering

and monitoring committee of the implementation of the health sector strategy, made up of

the main actors of the health system, shall be instantly established at all levels of the health

pyramid. Their main mission shall involve designing and proposing simple strategies for

potential low performances recorded in the coordination structures.

I therefore urge all actors to master and make use of this document, which brings innovating

elements to the practice of monitoring and evaluation in our country.

Minister of Public Health

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ACKNOWLEDGEMENTS

The Minister of Public Health expresses his gratitude to all actors of the health sector who

participated in the development of this document.

Minister of Public Health

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CHAPTER 1: INTRODUCTION, BACKGROUND, RATIONALE AND OBJECTIVES OF THE IMEP

11..11..IINNTTRROODDUUCCTTIIOONN

Cameroon has just developed its 2016-2027 Health Strategy Sector. A participatory approach

was adopted for the development of this reference document and its first National Health

Development Plan (2016-2020 NHDP) in order to meet the multi-sector requirements

without which the expected impact of interventions on the health of the population cannot

be achieved.

The 2016-2020 NHDP described the different programmatic areas to be monitored during its

validity period and also specified the key indicators (tracers) of expected performance in

each programme. This plan specifies the main guidelines and operational procedures for

monitoring performances in the sector and proposes possible solutions to bottlenecks that

would limit performances of the health sector.

The integrated monitoring and evaluation plan focuses on the following major points:

- Background and rationale; - Purpose and objectives ; - Key indicators ; - Implementation framework; - Monitoring and evaluation frameworks; - Financing of the NHDP.

11..22..BBAACCKKGGRROOUUNNDD AANNDD RRAATTIIOONNAALLEE

11..22..11 BBaacckkggrroouunndd

According to results of the final evaluation of the implementation of the 2001-2015 HSS, the

Integrated Monitoring and Evaluation Plan (IMEP) developed for this purpose was not

validated, consequently it was not implemented. However, it should be emphasized that the

2011-2015 NHDP had a monitoring and evaluation framework that guided the development

of monitoring and evaluation plans of the different priority programmes. Despite the

existence of the framework, progress was poorly documented, with the exception of

interventions of priority programmes. Baseline values and those of targets of the monitoring

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indicators were not sufficiently documented, which, in addition to their high number, made

monitoring difficult.

Moreover, the multiplicity of monitoring and evaluation sub-systems (existence of

monitoring and evaluation systems and tools for each programme) did not facilitate the

overall and coherent monitoring of all the interventions implemented in the health sector.

11..22..22.. RRaattiioonnaallee ooff tthhee MMoonniittoorriinngg aanndd EEvvaalluuaattiioonn PPllaann ooff tthhee 22001166--22002200 NNHHDDPP

The difficulties encountered in the monitoring and evaluation of the performances projected

in the 2011-2015 NHDP convinced all the stakeholders to prioritize the development of an

IMEP in 2016. Indeed, following a situation analysis of the 2011-2015 NHDP monitoring and

evaluation (M&E) system, several shortcomings were noted: (i) the existence of a great

number of monitoring sub-systems; (ii) the lack of monitoring multi-sector coordination; and

(iii) the existence of a great number of data collection tools that sometimes provide the

same variables. This had a very negative impact on the performance of the National Health

Information System (NHIS).

The main consequence of the organizational, structural and institutional shortcomings in the

area of M&E is the low availability of relevant information for decision-making based on

reliable evidence.

It was therefore necessary to select and regroup the most relevant indicators validated by

key actors of the sector in a summary document. These indicators will enable to ensure the

monitoring and evaluation of the performances achieved and provide appropriate corrective

measures in a timely manner to remove any bottlenecks in view of an optimal achievement

of the objectives of the 2016-2027 HSS. The first IMEP of the 2016-2027 HSS is therefore a

summarizing tool, which establishes a synergy of the willingness of actors to monitor the

performances of the implementation of the 2016-2020 NHDP.

In line with the prioritization of the interventions planned in the 2016-2027 HSS, IMEP 1 will

lay emphasis on indicators relating to the strengthening of pillars of the health system,

governance and strategic steering as well as on tracer indicators of interventions for the

fight against morbidity and mortality related maternal and child health.

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11..33..OOBBJJEECCTTIIVVEESS OOFF TTHHEE MMOONNIITTOORRIINNGG AANNDD EEVVAALLUUAATTIIOONN PPLLAANN OOFF TTHHEE 22001166--22002200 NNHHDDPP

1.3.1. Global objective of the 2016 -2020 NHDP

"Make priority quality essential and specialized health care and services accessible to at

least 50% of the population by 2020".

This objective is expected to ensure that the populations, especially the most vulnerable,

have geographical, financial and cultural access to priority quality essential and specialized

health care and services.

1.3.2. General Objective of IMEP 1

Improving Monitoring and Evaluation of the Implementation of the 2016-2020 NHDP

1.3.3. Specific objectives

The specific objectives of IMEP 1 are:

- specifying the institutional and organizational framework for monitoring and evaluation of the 2016- 2020 NHDP;

- providing follow–up’s simplified tools at all levels of the health pyramid ; - enabling the assessment of the progress made at all levels; - developing the indicator matrix, the performance framework, the dash board for the

monitoring of the implementation of the NHDP at all levels of the health pyramid; - defining monitoring and evaluation indicators and mechanisms of the NHDP; - making a summary description of mid term and final monitoring and evaluation

modalities of the NHDP.

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CHAPTER 2: CURRENT SITUATION OF THE NHDP MONITORING/EVALUATION IN THE HEALTH SYSTEM

22..11 IINNTTRROODDUUCCTTIIOONN

Monitoring/evaluation is a core mission entrusted to the PPBS chain in partner ministries. In

addition to having staff assigned for this task, each ministry carrying out health activities has

an internal mechanism to collect and centralize information coming from the operational

level and to inform decision-making. In the MOH, the Health Information Unit (HIU) in

collaboration with the National Public Health Observatory (NPHO) carries out the

centralization of this information. Most of the interventions planned in the 2016-2020 NHDP

will be implemented by the MOH, and the level of functionality of the NHIS (ineffective

during the implementation of the 2011-2015 NHDP) will be decisive for the successful

implementation of the NHDP. In other words, the effectiveness of NHDP monitoring

depends on the functionality of the NHIS on the one hand and the other hand the availability

of information on the implementation level of interventions carried out by partner ministries

and other key actors (health facilities of the private sub-sector). Given that some actions

and interventions of the NHDP are cross-cutting, the achievement of the results projected in

the NHDP will require a coherent implementation of health actions by the various ministries

and administrations involved in health issues.

Monitoring/evaluation was one of the weaknesses identified during the implementation of

the 2011-2015 health development plan. The poor performance recorded during the

implementation of the plan was due, amongst others, to the lack of harmonized monitoring

and evaluation tools for all levels of the health pyramid. To this was added: (i) poor

coordination of the management of health information collected; (ii) existence of several

independent health information sub-systems; and (iii) absence of an umbrella multi-sector

coordination and monitoring body of the NHDP at the devolved level.

Given the above-mentioned bottlenecks that hampered the effective monitoring of

stakeholder performances in the implementation of the 2011-2015 NHDP, it is important

during this cycle to anticipate and resolve them.

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22..22 IINNSSTTIITTUUTTIIOONNAALL AANNDD OORRGGAANNIIZZAATTIIOONNAALL FFRRAAMMEEWWOORRKK OOFF TTHHEE NNHHIISS

The organization and functioning of the NHIS is based on several legal instruments. These

include Decree No. 2010/2952/PM of 1 November 2010 to lay down the creation,

organization and functioning of the National Public Health Observatory; Decree No. 2013/93

of 3 April 2013 on the organization of the Ministry of Public Health, which, among other,

attached the Health Information Unit to the Secretariat General and raised epidemiological

surveillance to a sub-department of the DLMEP. The regional level benefitted from the

creation of a health information and planning service. At the operational level, tasks relating

to health information management are assigned to the health district without any real

technical service in charge of the task. Moreover, the emergence of priority health

programmes led to the establishment of parallel information sub-systems at the central and

regional levels with practically autonomous structures (CTG, RTG, etc.).

From the above, it is observed that the monitoring system for the implementation of the

2016-2020 NHDP is relatively well organized institutionally at the central and intermediate

level, but at the operational level (health district), there is no formal health information

management service, which to some extent impedes the monitoring of the District Health

Development Plan.

A NHIS strategic strengthening plan for the period 2009-2015 was developed in 2008, but its

implementation was not effective. During the same period, nurses and nursing assistants

represented 80% of the staff involved in the management of health information at the

operational level and only 5% of these staff had received continuous training on the NHIS

(ERSEN 2014).

This insufficiency is coupled with the low promotion of NHIS activities by its actors at all the

levels of the health pyramid. Indeed, the management of health information is most often

reserved for so-called "recalcitrant" personnel (ERSEN op.cit.). Given such a profile,

adequate monitoring of NHDP interventions will be a challenge that needs to be met.

22..33 IINNDDIICCAATTRROOSS AANNDD DDAATTAA CCOOLLLLEECCTTIIOONN SSYYSSTTEEMM

With a multiplicity of health information sub-systems and data collection tools, the

coordination of health information management is problematic. The NHIS survey in the Far

North region revealed that there exist about twenty data collection tools to be filled out

8

monthly by health facilities. Filling out these many tools at the operational level is a tedious

task for HF heads; which partly explains the low availability and quality of the data collected.

In the private sub-sector, most profit-making health facilities provide very little information

on their activities and therefore do not provide statistical data. In addition, many illegal

health facilities avoid the control of the system, hence the low completeness of factual and

basic health information for decision-making.

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CHAPTER 3: IMPLEMENTATION FRAMEWORK OF THE NHDP MONITORING AND EVALUATION PLAN

Within the framework of the implementation and monitoring/evaluation of the 2016-2027

HSS, some existing regulatory instruments will be modified and others will be drafted in

order to ensure the effectiveness of the sector approach, transparency and the participation

of all actors in the monitoring/evaluation of the performances carried out. The members,

functioning and missions of the steering and monitoring committee for the implementation

of the HSS will be specified in a Prime Ministerial Decree. The same applies to the missions

of the various branches of this committee.

33..11.. CCEENNTTRRAALL LLEEVVEELL

The Steering and Monitoring Committee for the Implementation of the HSS: this

committee shall be responsible for the institutional monitoring/evaluation of the

implementation of the NHDP. As such, it shall be responsible among others for the synergy

of activities contributing to health development under the leadership of the MOH. At the

central level, the steering and monitoring committee for the implementation of the new HSS

will be set up with its two branches, which will assist it in its missions. It will have a technical

monitoring committee in accordance with the recommendations of the strategic planning

guide in Cameroon and a Technical Secretariat:

Technical Monitoring Committee : will be chaired by the Secretary General of MOH. The

following will participate in the meetings of this technical committee: (i) the 10 regional

delegates for public health; (ii) the head of planning of the PPBS chain of the MOH and

partner ministries, (iii) health focal points of partner ministries, representatives of TFPs; (iv)

the Coordinator of the Technical Secretariat of the Steering Committee; (v) heads of priority

health programmes of the MOH; (vi) the head of the follow-up unit.

This committee can, if necessary, invite ad hoc experts such as: (i) Inspectors and Technical

Advisers; (ii) Directors and Heads of Divisions; (iii) Programme heads; (iv) the Head of the

Health Information Unit; (v) Technical Secretaries of thematic sub-committees; (vi) the

coordinator of the NPHO; (Vii) heads of thematic groups of the steering and monitoring

committee for the implementation of the HSS. (Vi) the head of the HIU, etc.

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The Technical Monitoring Committee shall meet at least three times a year and its main task

shall consist in the validation of technical files to be submitted to the steering

committee. For greater efficiency and in view of the difficulties encountered by Regional

Delegates for Public Health in monitoring the NHDP, a problem-solving contingency plan will

be elaborated at each meeting of the technical committee and support shall be given to the

delegates to resolve the bottlenecks that hinder the achievement of NHDP objectives at the

regional level.

The Technical Secretariat of the steering committee: it is in charge of implementing

decisions taken by the Steering committee. For better steering of the sector and effective

monitoring of the 2016-2027 HSS indicators, the consolidation of data collected will be

carried out at each level of the health pyramid by the various established coordination

bodies. The summary of information at the central level will include data from: (i) the 10

regional coordination and monitoring committees for the implementation of the NHDP; (ii)

the PPBS chain of the MOH and (iii) partner ministries of the health sector. Technical

meetings of the TS/SC-HSS will enable in consolidating all the data and information resulting

from the implementation of multi-sector interventions carried out at all levels of the health

pyramid by the MOH and partner administrations.

This data will enable in filling out the national dashboard for the monitoring of the

implementation of the 2016-2020 NHDP. Feedback to regions will be systematic and a copy

of the follow-up report will be forwarded to the Monitoring Committee and RDPH.

The dashboard will include two types of indicators: indicators specific to MOH and those to

be filled out by partner ministries. (See Table 3).

Within the framework of NHDP M/E, the TS/SC-HSS will also: (i) organize thematic or sector

reviews; (ii) strengthen the sector approach and introduce a compact; (iii) design and deploy

HDDP and RCHDP development tools; (iv) technical support for multi-year multisector work

plans for HDs, RDPH and structures of the central-level; (v) monitor performances projected

in the 2016-2020 NHDP; (vi) conduct rapid surveys in order to have baseline data to monitor

the NHDP; (vii) assess the achievement level of results per strategic axis; (viii) mid-term and

final evaluation of the implementation of the NHDP; (ix) develop a new HSS; and (x) strategic

and logistical support for the functioning of thematic groups and multi-sector sub-

committees in the sector. For greater coherence and efficiency, the Technical Secretariat of

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the Steering Committee will be extended to other existing thematic multi-sector secretariats

if need be.

33..22 DDEEVVOOLLVVEEDD LLEEVVEELL

At the devolved level, the Steering and Monitoring Committee for the implementation of the

HSS will have two branches: (i) the Regional Coordination and Monitoring/Evaluation

Committee for the Implementation of the HSS and (ii) and the Operational Coordination and

Monitoring/Evaluation Committee for the Implementation of the HSS. The members,

functioning and missions of all coordination and monitoring bodies for the implementation

of the NHDP at all levels of the health pyramid shall be specified by a Prime Ministerial

decree.

33..22..11 IInntteerrmmeeddiiaattee lleevveell:: TThhee RReeggiioonnaall CCoooorrddiinnaattiioonn aanndd MMoonniittoorriinngg//EEvvaalluuaattiioonn CCoommmmiitttteeee ffoorr tthhee iimmpplleemmeennttaattiioonn ooff tthhee HHSSSS ((CCOORREECCSSEESS))::

At the intermediate level, the Regional Coordination and Monitoring/Evaluation Committee

for the implementation of the HSS will be the coordinating and monitoring body for the

implementation of the 2016-2020 NHDP.

In this capacity, it will be responsible for: (i) developing the integrated Monitoring and

Evaluation Plan of the RCHDP; (ii) monitoring indicators of the regional multi-sector

dashboard; (iii) ensuring the relevance of the interventions proposed by partner ministries

and their contribution to the achievement of the objectives set out in the RCHDP; (iv)

providing technical support to Health Districts in the development of their HDDP AWPs and

M&E plans; (v) compiling and consolidating monitoring data of the devolved level for the

development of the RDPH progress report; (vi) providing feedback from the regional level to

the health districts; (vii) participating in thematic and/or sector reviews; (viii) organizing

formative and integrated supervisory missions, decentralized monitoring, and routine

coordination meetings at the regional level.

For greater coherence and efficiency, the Technical Secretariat of CORECSES shall be

extended to the other existing thematic multi-sector secretariats in the region. CORECSES

will also ensure that the activities proposed in the different multi-annual and annual work

plans of the HDs are coherent and focus on the achievement of the objectives of the RCHDP.

The governor shall preside over the meetings of CORECSES and the Regional Delegate for

Public Health assisted by the Head of the Control Brigade of the RDPH shall be in charge of

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the technical secretariat of the meetings. (The profile of other members of CORECSES is

specified in Table 1).

33..22..22 OOppeerraattiioonnaall lleevveell:: tthhee OOppeerraattiioonnaall CCoommmmiitttteeee ffoorr CCoooorrddiinnaattiioonn aanndd MMoonniittoorriinngg// EEvvaalluuaattiioonn ooff tthhee IImmpplleemmeennttaattiioonn ooff tthhee HHSSSS ((CCOOCCSSEESS))

COCSES shall be chaired by the Senior Divisional Officer/ Divisional Officer. The Head of the

Health District shall be in charge of the technical secretariat. COCSES shall, among other

things, be responsible for: (i) consolidating the AWPs of the health areas, (ii) developing the

Monitoring/Evaluation Plan for the HDDP and ensuring that it conforms with this IMEP (iii)

Providing technical support to DHC; (iv) developing the monitoring and evaluation

dashboard of the HDDP ensuring the quality control of the data collected, analyzing it and

periodically transmitting the monitoring report of indicators expected at the regional level.

Indeed, COCSES meetings chaired by the Senior Divisional Officer/Divisional Officer shall be

opportunities to present not only the performances of the HD but above all an opportunity

to assess the quality of the data, to ensure the coherence of interventions programmed in

the various ministries of the sector and which contribute to the achievement of the

objectives projected in the NHDP. These meetings will also help to correct the observed

malfunctioning that could compromise the achievement of the expected results of the

HD. Finally, the Senior Divisional Officer/Divisional Officer shall be the appropriate

intermediary to ensure and reinforce the synergy of the interventions carried out at the

operational level and the multi-sector resolution of the identified health problems.

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CHAPTER 4: MONITORING/EVALUATION FRAMEWORK: TOOLS

The main tools recommended for the monitoring/evaluation of the implementation of the

2016-2020 NHDP include: the operational matrix of indicators, the performance framework

and the dashboard.

44..11.. OOPPEERRAATTIIOONNAALL MMAATTRRIIXX OOFF IINNDDIICCAATTOORRSS

The operational Monitoring/Evaluation matrix is a table that summarizes performance

indicators of the 2016-2020 NHDP. It makes it possible to harmonize the calculation method

and the comprehension of the content of each indicator by all the actors of the health

system. All actors (at all levels) involved in M&E will therefore have a referential that they

can use. Seven criteria are used to describe each indicator in this matrix, notably: (i) name of

the indicator; (ii) its usefulness; (iii) its method of calculation; (iv) method of data

collection; (V) persons in charge of collection; (vi) source of data collection; (vii) timing /

frequency of data collection.

Impact indicators shall be used to assess the long-term impact of health actions on the

population. The effect indicators, on the other hand, will make it possible to assess, in the

medium term, the progress made in the use of health services and the behavior changes

observed. The effect and impact indicators are therefore the basis of the performance

framework for the monitoring and evaluation of the NHDP. Finally, indicators of direct

achievement will ensure the execution and implementation level of the planned

interventions.

15

Tabl

e 1:

Ope

ratio

nal m

atrix

of M

/E in

dica

tors

of t

he 2

016-

2020

NH

DP

Nam

eW

hat d

oes t

his i

ndic

ator

mea

sure

?Ho

w it

is ca

lcul

ated

?Co

llecti

on

sour

ces

Colle

ction

le

vel1

Colle

ction

M

etho

dFr

eque

ncy

STRA

TEGI

C AX

IS 1

: HEA

LTH

PRO

MO

TIO

NTr

acer

Indi

cato

r

%

of h

ouse

hold

mem

bers

usin

g in

divi

dual

impr

oved

toile

tsEv

alua

tes t

he u

se o

f im

prov

ed to

ilets

in

hous

ehol

ds a

s a d

iseas

e pr

even

tion

stra

tegy

rela

ted

to th

e da

nger

s of o

pen

defe

catio

n

Num

erat

or: N

umbe

r of p

eopl

e liv

ing

in

hous

ehol

ds, u

sing

the

indi

vidu

al im

prov

ed

toile

t De

nom

inat

or: T

otal

pop

ulati

on o

f Ca

mer

oon

DHS

Cent

ral

Surv

eys

Ever

y 5

year

s

Prev

alen

ce o

f obe

sity

in u

rban

ar

eas

(Per

cent

age

of u

rban

pop

ulati

on

who

se b

ody

mas

s ind

ex is

gre

ater

th

an o

r equ

al to

30k

g/m

2 )

Asse

sses

the

exte

nt o

f obe

sity

in u

rban

ar

eas

Num

erat

or:N

umbe

r of p

erso

ns o

bese

(i.

e. w

ith a

BM

I gre

ater

than

or e

qual

to

30 k

g / m

2 ) in

urb

an a

reas

.

Deno

min

ator

: tot

al n

umbe

r of p

eopl

e at

ris

k in

urb

an a

reas

DHS

Cent

ral

Surv

eys

Ever

y 5

year

s

Perc

enta

ge o

f tar

gete

d co

mpa

nies

th

at a

pply

hea

lth a

nd o

ccup

ation

al

safe

ty p

rincip

les

Dete

rmin

es t

he le

vel o

f the

im

plem

entatio

n of

occ

upati

onal

safe

ty

mea

sure

s for

the

prev

entio

n of

oc

cupa

tiona

l dise

ases

and

acc

iden

ts in

w

orkp

lace

s

Num

erat

or:N

umbe

r of e

valu

ated

form

al

sect

or c

ompa

nies

that

app

ly h

ealth

and

sa

fety

prin

ciple

s at w

ork.

De

nom

inat

or: T

otal

num

ber o

f tar

gete

d co

mpa

nies

DHS

Cent

ral

Surv

eys

Ever

y 5

year

s

Chro

nic

mal

nutr

ition

in ch

ildre

n be

low

5 y

ears

of a

geDe

term

ines

the

ext

ent o

f chr

onic

malnu

trition

in c

hild

ren

belo

w 5

yea

rs

of a

ge

Num

erat

or: N

umbe

r of c

hild

ren

aged

0 to

59

mon

ths w

hose

wei

ght f

or a

ge in

dex

is be

low

-2 Z

scor

es1.

De

nom

inat

or :

Tota

l num

ber o

f chi

ldre

n ag

ed 0

to 5

9 m

onth

s exa

min

ed

DHS

Cent

ral

Surv

eys

Ever

y 5

year

s

1 Tw

o cr

iteria

wer

e ta

ken

into

acc

ount

whe

n as

signi

ng a

n in

dica

tor t

o gi

ven

leve

l of t

he h

ealth

pyr

amid

, the

se in

clud

e: th

e ea

se fo

r thi

s lev

el o

f the

hea

lth p

yram

id to

fill

out

this

indi

cato

r w

ith r

egar

ds t

o its

miss

ions

; and

(ii)

its

abili

ty t

o ca

rry

out correctiv

e actio

ns t

o im

prov

e th

is in

dica

tor

if its

val

ue is

bel

ow w

hat

is ex

pect

ed, o

r in

denti

fy

stra

tegi

es to

mai

ntai

n th

is va

lue

to it

s bes

t lev

el, i

f it i

s sati

sfac

tory

.

16

Nam

eW

hat d

oes t

his i

ndic

ator

mea

sure

?Ho

w it

is ca

lcul

ated

?Co

llecti

on

sour

ces

Colle

ction

le

vel1

Colle

ction

M

etho

dFr

eque

ncy

Stra

tegi

c su

b ax

is 1

.1: Instituti

onal

and

com

mun

ity c

apac

ities

and

co-ordina

tion

in th

e fie

ld of h

ealth

promoti

onTr

acer

indi

cato

rs

Prop

ortio

n of

HDs

with

functio

nal

DHC(

a)De

term

ines

the fu

nctio

nalit

y of

dialog

ue st

ruct

ures

at t

he o

peratio

nal

leve

l

Num

erat

or:N

umbe

r of H

Ds w

ith a

n AW

P de

velope

d w

ith th

e pa

rtici

patio

n of

DHC

m

embe

rs a

nd h

avin

g orga

nize

d at

leas

t on

e coordina

tion mee

ting

docu

men

ted

and

valid

ated

by

them

the

previous

se

mes

ter.

Deno

min

ator

: To

tal n

umbe

r of a

sses

sed

HDs

DOST

S an

nual

repo

rt,

repo

rt of

RDPH

, NH

IS,

Region

alSu

rvey

sProp

ortio

n of

HD

s with

functio

nal

DHC

Trac

er in

dica

tors

Pe

rcen

tage

of

th

e M

OH

budg

et

allocated

to

heal

th

prom

otion

interven

tions

Eval

uate

s the

commitm

ent a

nd le

vel o

f in

vest

men

t of M

OH on

hea

lth

prom

otion

inte

rven

tions

Num

erat

or:b

udge

t allo

cate

d for h

ealth

prom

otion

inte

rven

tions

. De

nom

inat

or : To

tal S

tate

bud

get

DRFP

repo

rtCe

ntra

lAs

sess

men

t repo

rts

Annu

al

Prop

ortio

n of

Hea

lth D

istric

ts h

avin

g at

le

ast

3 CS

O affi

liate

d to

th

e region

al

CSO

platf

orm

an

d ha

ve

contrib

uted

in

the

implem

entatio

n of

the

Annu

al W

ork

Plan

(AW

P)

Dete

rmin

es th

e fu

nctio

nalit

y of

CSO

s of

HDs a

nd th

at of t

he re

gion

al platfo

rm of

CSO

s in

the

implem

entatio

n of

hea

lth

interven

tions; a

lso a

sses

ses t

he

parti

cipa

tion of

CSO

s in

the

implem

entatio

n of

hea

lth acti

vitie

s

Num

erat

or:N

umbe

r of C

SOs a

ffilia

ted to

th

e region

al platfo

rm of C

SOs i

nvol

ved

in

the

impl

emen

tatio

n of

hea

lth acti

vitie

s pl

anne

d in

the

AWP of

the

HD fo

r the

ev

alua

tion pe

riod.

Deno

min

ator

: To

tal n

umbe

r of C

SOs

DPS

repo

rt,

RDPH

, DC

OOP,

HD

Region

alSu

rvey,

stud

yAn

nual

Perc

enta

ge of H

Ds h

avin

g at

leas

t 3

polyvalent

CH

Ws

trai

ned

for

the

prov

ision

of com

mun

ity M

HP

Mea

sure

s the

ava

ilabi

lity

in h

ealth

di

stric

ts of q

ualifi

ed v

ersatil

e CH

Ws for

th

e dispen

satio

n of

Com

mun

ity M

HP

Num

erat

or: N

umbe

r of C

HWs t

rain

ed

and

recr

uite

d for t

he d

eliv

ery of

MHP

activ

ities

at t

he com

mun

ity le

vel

Deno

min

ator

: To

tal n

umbe

r of C

HWs

DPS

repo

rt

DOSTS,

HR

Region

alSu

rvey,

stud

yAn

nual

Avai

labi

lity

of

upda

ted

regu

lato

ry

inst

rum

ent

gove

rnin

g co

mm

unity

pa

rticipa

tion

in h

eath

interven

tions

Dete

rmin

es t

he le

vel o

f a le

gal

fram

ework for c

ommun

ity partic

ipati

onDP

S repo

rt

DAJC,

DOST

S

Cent

ral

docu

men

t re

view

Ever

y tw

o ye

ars

17

Nam

eW

hat d

oes t

his i

ndic

ator

mea

sure

?Ho

w it

is ca

lcul

ated

?Co

llecti

on

sour

ces

Colle

ction

le

vel1

Colle

ction

M

etho

dFr

eque

ncy

Goal

ac

hiev

emen

t ra

te

of

the

multia

nnua

l hea

lth p

rom

otion

pla

n De

term

ines

the

rate

of a

chie

vem

ent o

f th

e pl

anne

d ob

jecti

ves i

n th

e Na

tiona

l St

rate

gic

and Multi-

sect

or P

lan

for

heal

th promoti

on

Num

erat

or: N

umbe

r of a

chie

ved

goal

s of

the

multi-

annu

al p

lan

for h

ealth

prom

otion

De

nom

inat

or :

Tota

l num

ber o

f goa

ls of

th

e pl

an

DPS

repo

rt,

RDPH

, TS-

SC/H

SS

Cent

ral

Surv

ey,

stud

yAn

nual

Prop

ortio

n of

hea

lth d

istric

ts w

here

at

lea

st 5

0% o

f se

cond

ary

scho

ols

impl

emen

t he

alth

prom

otion

activ

ities

Dete

rmin

es t

he c

apac

ity o

f sch

ools

to

deve

lop

and

impl

emen

t hea

lth

prom

otion

acti

vitie

s

Num

erat

or: N

umbe

r of s

econ

dary

sc

hool

s with

an im

plem

entatio

n re

port

on

activ

ities

in a

ccor

danc

e w

ith th

eir h

ealth

prom

otion

AW

P

Deno

min

ator

: To

tal n

umbe

r of t

arge

ted

scho

ols

DPS

repo

rt

MIN

EDUB

, M

INES

EC,

MIN

SESU

P, M

INTS

S

Ope

ratio

nal

Stud

yEv

ery

two

year

s

Prop

ortio

n of

Hea

lth D

istric

ts

havi

ng im

plem

ente

d at

leas

t 50%

of

the activ

ities

stat

ed in

thei

r An

nual

Wor

k Pl

an (A

WP)

Dete

rmin

es t

he le

vel o

f im

plem

entatio

n of

com

mun

ity in

terven

tions

that

are

in

scrib

ed in

the

annu

al w

ork

plan

s of t

he

HDs

Num

erat

or: N

umbe

r of H

Ds th

at h

ave

impl

emen

ted

at le

ast 5

0% o

f the

acti

vitie

s of

the

plan

ned

inte

grat

ed co

mm

unity

di

rect

ed in

terven

tion

pack

age

Deno

min

ator

: To

tal n

umbe

r of e

valu

ated

HD

s

DPS

repo

rtRe

gion

alSu

rvey

st

udy

Annu

al

Sub

stra

tegi

c -a

xis 1

.2: L

ivin

g En

viro

nmen

t Tr

acer

indi

cato

rs

Perc

enta

ge

of

hous

ehol

ds

usin

g so

lid fu

el a

s fir

st s

ourc

e of

dom

estic

en

ergy

use

d fo

r coo

king

Dete

rmin

es t

he le

velo

f hou

seho

ld

expo

sure

to th

e to

xic

subs

tanc

es

cont

aine

d in

the

smok

e fr

om so

lid

combu

stibl

es

Num

erat

or:N

umbe

r of h

ouse

hold

s usin

g so

lid c

ombu

stibles

as m

ain

sour

ce o

f do

mestic

ene

rgy

for c

ooki

ng.

Deno

min

ator

: To

tal n

umbe

r of t

arge

ted

hous

ehol

ds

MIC

S, D

HSCe

ntra

lSt

udie

sEv

ery

3 to

5

year

s

Perc

enta

ge

of

hous

ehol

ds

with

ac

cess

to p

otab

le w

ater

De

term

ines

the

propo

rtion

of t

he

popu

latio

n w

ith a

cces

s to

pota

ble

wat

er

Num

erat

or:N

umbe

r of h

ouse

hold

s tha

t ha

ve a

cces

s to

a po

tabl

e w

ater

sour

ce.

Deno

min

ator

: To

tal n

umbe

r of r

egist

ered

ho

useh

olds

DPS,

DHS

, M

ICS,

EC

AM

Cent

ral

Surv

ey

stud

yEv

ery

3 to

5

year

s

18

Nam

eW

hat d

oes t

his i

ndic

ator

mea

sure

?Ho

w it

is ca

lcul

ated

?Co

llecti

on

sour

ces

Colle

ction

le

vel1

Colle

ction

M

etho

dFr

eque

ncy

Trac

er in

dica

tors

Pe

rcen

tage

of

HD

s im

plem

entin

g CL

TS(a

) De

term

ines

th

e le

vel o

f com

mun

ity

mob

ilizatio

n fo

r ba

sic e

nviro

nmen

tal

hygi

ene

and

the sanitatio

n

Num

erat

or: T

otal

num

ber o

f HDs

im

plem

entin

g CL

TS

Deno

min

ator

: To

tal n

umbe

r of t

arge

ted

HDs

DPS,

DHS

, M

ICS,

EC

AM

Regi

onal

(N

orth

ern

Regi

ons )

Surv

ey,

stud

yAn

nual

Prop

ortio

n of

Hea

lth D

istric

ts t

hat

have

a

publ

ic

heal

th

engi

neer

ing

tech

nici

an

Dete

rmin

es th

e av

aila

bilit

y of

per

sonn

el

trai

ned

in h

ygie

ne a

nd sa

nitatio

n in

the

HD

Num

erat

or: N

umbe

r of H

Ds w

ith a

t lea

st

one staff

trai

ned

in sa

nita

ry e

ngin

eerin

g De

nom

inat

or :

Tota

l num

ber o

f ass

esse

d Di

stric

t

DPS

repo

rt,

HRD

Regi

onal

Docu

men

t re

view

Ever

y ye

ar

Achi

evem

ent

rate

of

activ

ities

pr

ovid

ed f

or i

n th

e he

alth

pla

n of

ta

rget

ed c

ompa

nies

ove

r the

last

12

mon

ths

Dete

rmin

es th

e le

vel o

f im

plem

entatio

n of

hea

lth p

romoti

on a

ctivitie

s and

sa

fety

in th

e w

orki

ng e

nviro

nmen

t

Num

erat

or: N

umbe

r of a

ctivitie

s im

plem

ente

d in

the

heal

th p

lan

of

com

pani

es d

urin

g a

perio

d

Deno

min

ator

: To

tal n

umbe

r of p

lann

ed

activ

ities

in ta

rget

com

pani

es d

urin

g th

e sa

me

perio

d

MIN

TSS,

DP

S,

DCO

OP

Cent

ral

Surv

ey,

stud

yAn

nual

ly

Stra

tegi

c su

b ax

is 1.

3: S

tren

gthe

ning

hea

lthy

beha

viou

rs o

f ind

ivid

uals

and

com

mun

ities

Trac

er in

dica

tors

Prev

alen

ce o

f pr

egna

ncie

s am

ong

adol

esce

nt g

irls

Dete

rmin

es t

he effe

ctive

ness

of

mea

sure

s im

plem

ente

d to

pre

vent

the

occu

rren

ce o

f ear

ly p

regn

ancy

Num

erat

or: N

umbe

r of p

regn

ant g

irls

aged

15

to 1

9 ye

ars

Deno

min

ator

: To

tal n

umbe

r of g

irls a

ged

15 to

19

year

s

MIC

S5Re

gion

alSu

rvey

, st

udy

Ever

y 2

to 3

ye

ars

Prev

alen

ce o

f sm

okin

g in

per

sons

ag

ed 1

5 an

d ab

ove

Dete

rmin

es t

he e

xten

t of t

obac

co

expo

sure

in su

bjec

ts a

ged

15 y

ears

and

ab

ove

Num

erat

or: N

umbe

r of p

eopl

e ag

ed 1

5 an

d ab

ove

cons

umin

g to

bacc

o De

nom

inat

or :

Tota

l num

ber o

f peo

ple

aged

15

and

abov

e

Wor

ld

Heal

th

Stati

stics,

WHO

, DP

S, G

ATS

Cent

ral

WHO

re

port

, St

udie

s

Ever

y 3

to 5

ye

ars

19

Nam

eW

hat d

oes t

his i

ndic

ator

mea

sure

?Ho

w it

is ca

lcul

ated

?Co

llecti

on

sour

ces

Colle

ction

le

vel1

Colle

ction

M

etho

dFr

eque

ncy

Trac

er in

dica

tors

Pe

rcen

tage

of

HD

s ha

ving

an

in

tegr

ated

Com

mun

icati

on p

lan

for

heal

th

prom

otion

an

d di

seas

e preven

tion

Dete

rmin

es t

he a

bilit

y of

HDs

to

orga

nize

com

mun

icati

on a

ctivitie

s for

he

alth

promoti

on a

nd d

iseas

e preven

tion

Num

erat

or: N

umbe

r of H

Ds w

ith a

n in

tegr

ated

commun

icati

on p

lan

for h

ealth

prom

otion

and

dise

ase

prev

entio

n

Deno

min

ator

: Tot

al n

umbe

r of a

sses

sed

HDs

DPS

Regi

onal

Rese

arch

/ su

rvey

Annu

ally

Annu

al n

umbe

r of c

ontr

a ba

nd

food

pro

duct

s sei

zed

Asse

sses

the

effectiv

eness

of fo

od

safe

ty c

ontr

olNu

mbe

ring

DPS,

AN

OR

Ope

ratio

nal

Ope

ratin

g do

cum

ents

Annu

al

Prop

ortio

n of

HD

s ha

ving

co

mm

unity

team

s tra

ined

in fi

rst a

id

Dete

rmin

es t

he a

vaila

bilit

y of

firs

t aid

te

ams (

avai

labi

lity

of se

rvic

e de

liver

y an

d pr

e-ho

spita

l car

e) u

sefu

l dur

ing

the

man

agem

ent o

f ro

ad a

ccid

ent c

ases

Num

erat

or: n

umbe

r of H

Ds th

at h

ave

com

mun

ity te

ams t

rain

ed in

firs

t aid

du

ring

a gi

ven

perio

d De

nom

inat

or :

Tota

l num

ber o

f dist

ricts

as

sess

ed d

urin

g th

e sa

me

perio

d

DOST

S,

DLM

EP,

NPHO

, M

INTR

ANSP

ORT

, Fi

re

fighters

Regi

onal

Stud

ies

Ever

y tw

o ye

ars

Num

ber o

f victim

s (in

jure

d or

dea

d)

of in

ter u

rban

road

acc

iden

ts

Dete

rmin

es

the eff

ectiv

enes

s of

road

sa

fety

mea

sure

s in

plac

eCo

untin

g o

f roa

d ac

cide

nt ca

ses

MIN

TRAN

S PO

RT

Repo

rts

CONA

ROU

TE R

epor

t

Cent

ral

Exploitatio

nof

do

cum

ents

Annu

al

Prop

ortio

n of

loc

al c

ounc

ils/h

ealth

di

stric

ts

with

co

nven

tiona

l de

velo

ped

sites

fo

r sp

orts

an

d ph

ysica

l acti

vitie

s

dete

rmin

es th

e av

aila

bilit

y of

de

velo

ped

area

s for

spor

ts a

nd p

hysic

al

activ

ities

in R

LAs

Num

erat

or: N

umbe

r of R

LAs w

ith a

t lea

st

one

deve

lope

d a

nd co

nven

tiona

l spa

ce

for t

he p

racti

ce o

f spo

rts

and

phys

ical

activ

ities

De

nom

inat

ors:

Tot

al n

umbe

r of t

arge

ted

RLAs

CU,

MIN

SEP

Regi

onal

Stud

y An

nual

Perc

enta

ge o

f app

rove

d ce

ntre

s fo

r sp

orts

and

phy

sical

acti

vitie

s ha

ving

a

trai

ned

spor

ts in

stru

ctor

Dete

rmin

es th

e av

aila

bilit

y of

qua

lified

hu

man

reso

urce

s to

supe

rvise

the

practic

e of

spor

ts a

nd p

hysic

al

activ

ities

in a

ccre

dite

d ce

ntre

s

Num

erat

or: N

umbe

r of a

ppro

ved

cent

res

with

a q

ualifi

ed in

stru

ctor

Deno

min

ator

: To

tal n

umbe

r of

accr

edite

d ce

ntre

s for

the

practic

e of

sp

orts

and

phy

sical

exe

rcise

s ass

esse

d

DPS

repo

rts,

MIN

SEP

Regi

onal

Surv

ey,

Stud

yAn

nual

ly

20

Nam

eW

hat d

oes t

his i

ndic

ator

mea

sure

?Ho

w it

is ca

lcul

ated

?Co

llecti

on

sour

ces

Colle

ction

le

vel1

Colle

ction

M

etho

dFr

eque

ncy

% o

f ch

ildre

n ag

ed 6

to

23 m

onth

s ha

ving

rec

eive

d fo

od f

rom

at

leas

t fo

ur fo

od g

roup

s in

the

prev

ious

day

Mea

sure

s th

e le

vel o

f ado

ption

of

practic

es re

latin

g to

bal

ance

d di

et

amon

g pa

rent

s of c

hild

ren

aged

6 to

23

mon

ths

Num

erat

or: N

umbe

r of c

hild

ren

aged

6

to 2

3 m

onth

s who

con

sum

ed fo

ods f

rom

at

leas

t fou

r foo

d gr

oups

dur

ing

the

day

prec

edin

g th

e su

rvey

Deno

min

ator

: To

tal n

umbe

r of c

hild

ren

aged

6 to

23

mon

ths a

sses

sed

DPS

Repo

rts

Ope

ratio

nal

Surv

ey,

stud

yEv

ery

2 ye

ars

Prev

alen

ce

of

dent

al

deca

y in

pr

imar

y sc

hool

pup

ils

Dete

rmin

es t

he e

xten

t of o

ral d

iseas

es

in sc

hool

sN

umer

ator

: Num

ber o

f chi

ldre

n in

sc

hool

s with

at l

east

one

dec

ayed

toot

h De

nom

inat

or :

Tota

l num

ber o

f chi

ldre

n ex

amin

ed fo

r the

per

iod

in q

uesti

on

MIN

EDUB

/ MO

H Re

port

s

Ope

ratio

nal

Surv

ey,

stud

yEv

ery

5 ye

ars

Stra

tegi

c su

b ax

is 1.

4: Essen

tial f

amily

pra

ctice

s, fa

mily

pla

nnin

g, promoti

on o

f ado

lesc

ent h

ealth

and

pos

t abo

rtion

care

Trac

er in

dica

tors

M

oder

n co

ntracepti

ve

prev

alen

ce

rate

in w

omen

of c

hild

bear

ing

age

Enab

les i

n estim

ating

the

prop

ortio

n of

w

omen

of c

hild

bear

ing

age

(15

to 4

9 ye

ars)

or m

arrie

d co

uple

s who

se F

P ne

eds a

re sa

tisfie

d by

mod

ern

met

hods

Num

erat

or: N

umbe

r of s

exua

lly acti

ve

wom

en o

f chi

ldbe

arin

g ag

e (1

5-49

yea

rs)

usin

g or

who

se p

artn

er is

usin

g a

mod

ern

cont

race

ptive

met

hod

X 10

0 De

nom

inat

or: T

otal

num

ber o

f wom

en o

f ch

ildbe

arin

g ag

e (1

5-49

yea

rs)

DSF

repo

rt

PLM

I, M

ICS

Regi

onal

Surv

ey,

st

udy

Ever

y 3

to 5

ye

ars

Prop

otion

of u

nmet

need

s in

FPDe

term

ines

the

syst

em's

abili

ty to

mak

e av

aila

ble

contracepti

ves f

or m

arrie

d w

omen

or t

hose

in a

relatio

nshi

p w

ho

no lo

nger

wan

t chi

ldre

n an

d th

ose

who

w

ant t

o w

ait f

or o

ne o

r sev

eral

yea

rs

befo

re h

avin

g an

othe

r chi

ld

Num

erat

or: N

umbe

r of w

omen

age

d 15

to

49

year

s mar

ried

or in

a re

latio

nshi

p,

who

wan

t to

spac

e ou

t birt

hs o

r lim

it th

e nu

mbe

r of c

hild

ren,

but

who

are

not

cu

rren

tly u

sing

any

cont

race

ptive

met

hod

Deno

min

ator

: To

tal n

umbe

r of m

arrie

d w

omen

or i

n a

relatio

nshi

p ag

ed 1

5-49

ye

ars w

ho a

re fe

rtile

and

wan

t to

spac

e ou

t birt

hs o

r lim

it th

e nu

mbe

r of c

hild

ren

MIC

SRe

gion

alSu

rve

y,

stud

y

Ever

y 2

year

s

21

Nam

eW

hat d

oes t

his i

ndic

ator

mea

sure

?Ho

w it

is ca

lcul

ated

?Co

llecti

on

sour

ces

Colle

ction

le

vel1

Colle

ction

M

etho

dFr

eque

ncy

Trac

er in

dica

tors

Prop

ortio

n of

DHs

hav

ing

a te

chni

cal

pers

onne

l tra

ined

in E

FP(a

) De

term

ines

the

ava

ilabi

lity

of h

uman

re

sour

ces q

ualifi

ed fo

r the

promoti

on

of E

FP

Num

erat

or: N

umbe

r of H

Ds w

ith a

t lea

st

one

prov

ider

trai

ned

in E

FP

Deno

min

ator

: Tot

al n

umbe

r of a

sses

sed

HDs

DSF

Regi

onal

Surv

ey st

udy

Annu

al

Perc

enta

ge

of

hous

ehol

ds

implem

entin

g at

lea

st 7

out

of

15

essenti

al fa

mily

pra

ctices(a

)

Dete

rmin

es th

e le

vel o

f ado

ption

of

heal

thy

beha

vior

s and

pra

ctice

s in

the

com

mun

ity

Num

erat

or:N

umbe

r of h

ouse

hold

s ap

plyi

ng a

t lea

st 7

of t

he 1

5 es

senti

al

fam

ily p

racti

ces.

Deno

min

ator

: To

tal n

umbe

r of

hous

ehol

ds a

sses

sed

DPS

repo

rts

MIN

PRO

F

Ope

ratio

nal

Surv

ey,

st

udy

Annu

al

STRA

TEGI

C AX

IS 2

: DIS

EASE

PRE

VEN

TIO

NTr

acer

indi

cato

rs

Prev

alen

ce o

f Hyp

erte

nsio

n(H

PT)

in a

dults

age

d 15

yea

rs a

nd a

bove

in

urb

an a

reas

Dete

rmin

es t

he e

xten

t of h

yper

tens

ion

in u

rban

are

asi.e

. the

pro

portion

of p

eopl

e ag

ed 1

5 ye

ars a

nd a

bove

with

a sy

stol

ic b

lood

pr

essu

re o

f ≥1

40m

mHg

or d

iast

olic

bl

ood

pres

sure

of ≥

90 m

Hg

Num

erat

or: N

umbe

r of p

atien

ts a

bove

15

year

s with

hyp

erte

nsio

n De

nom

inat

or :

Tota

l num

ber o

f pati

ents

at

risk

and

age

d 15

and

abo

ve

MO

H (D

LMEP

)Ce

ntra

lSu

rvey

, st

udy

At le

ast e

very

5

year

s

Stra

tegi

c su

b ax

is 2.

1: P

reve

ntion

of C

omm

unic

able

Dise

ases

Trac

er in

dica

tor

Inci

denc

e of

HIV

De

term

ines

the

ext

ent o

f new

cas

es o

f HI

V infecti

ons

Num

erat

or: N

umbe

r of n

ew H

IV c

ases

du

ring

the

perio

d ev

alua

ted

Deno

min

ator

: To

tal p

opulati

on a

t risk

du

ring

the

sam

e pe

riod

RDSP

-HIV

, DH

SRe

gion

alSu

rvey

, st

udy

Ever

y 3

to 5

ye

ars

Prev

alen

ce o

f HIV

Dete

rmin

es th

e ex

tent

of H

IV in

the

gene

ral p

opul

ation

Num

erat

or: N

umbe

r of H

IV+

pers

ons

Deno

min

ator

: To

tal p

opulati

on

DHS

Regi

onal

Surv

ey,

stud

yEv

ery

5 ye

ars

22

Nam

eW

hat d

oes t

his i

ndic

ator

mea

sure

?Ho

w it

is ca

lcul

ated

?Co

llecti

on

sour

ces

Colle

ction

le

vel1

Colle

ction

M

etho

dFr

eque

ncy

Prev

alen

ce o

f vira

l Hep

atitis

BDe

term

ines

the

exte

nt o

f vira

l hep

atitis

B

in th

e ge

nera

l pop

ulati

onN

umer

ator

:Num

ber o

f Hep

atitis

B

infe

cted

perso

ns. (

that

is, n

umbe

r of

person

s scree

ned HB

s Ag po

sitive

) De

nom

inat

or :

Tota

l pop

ulati

on

DHS

Regi

onal

Sero

logi

cal

survey,

stud

y

Every

5 years

Cove

rage

of p

reventi

ve

chem

othe

rapy

for o

ncho

cerc

iasis

(C

DTI)

cove

rage

)

Determ

ines

the

cap

acity

of t

he sy

stem

to

pre

vent

the

occu

renc

e of

on

choc

erciasis

and

its c

omplicati

ons

Num

erat

or: N

umbe

r of p

eopl

e w

ho

rece

ived

pre

venti

ve tr

eatm

ent

Deno

min

ator

: To

tal p

opulati

on a

t risk

DLM

EP

repo

rt,

Prog

rams

Ope

ratio

nal

NOCP

Te

chni

cal

Repo

rt

Annu

al

Inci

denc

e of

smea

r-po

sitive

pu

lmon

ary

tube

rculosis

(PTB

+)

Determ

ines

the

num

ber o

f new

cases

of

smea

r positi

ve T

B an

d relapses

du

ring

a gi

ven

perio

d

Num

erat

or: N

umbe

r of n

ew T

B cases a

nd

rela

pses

dur

ing

a gi

ven

perio

d De

nom

inat

or :

Tota

l pop

ulati

on a

t risk

du

ring

the sa

me

perio

d

PNLT

B re

ports,

DLM

EP

Regi

onal

Surv

ey,

Revi

ew,

Mon

itorin

g

Annu

al

Trac

er In

dica

tors

Pe

rcen

tage

of H

Ds h

avin

g ca

rrie

d ou

t and

doc

umen

ted

at le

ast 7

5%

of IE

C/C4

D activ

ities

incl

uded

in

thei

r Int

egra

ted Co

mmun

icati

on

Plan

Dete

rmin

e th

e ca

paci

ty o

f the

system

to

prom

ote

heal

th a

nd se

nsiti

ze th

e po

pulatio

n on

the diffe

rent

means

of

disease

prev

entio

n (Ass

essm

ent o

f the

le

vel o

f im

plem

entatio

n of

the

awaren

ess-

raising

acti

vitie

s inc

lude

d in

th

e In

tegr

ated

Com

mun

icati

on P

lan

of

the

HD).

Num

erat

or: N

ombe

r hav

ing

carr

ied

out

and

docu

men

ted

at leas

t 75%

of I

EC/C

4D

activ

ities

incl

uded

in th

eir I

nteg

rate

d Co

mmun

icati

on P

lan

Dé

nom

inat

eur:

Tota

l num

ber o

f the

assess

ed distric

ts

Reap

ports

of H

ealth

Distric

ts,

Régi

onal

étud

eSe

mestr

ielle

Perc

enta

ge o

f inmates

aged

15-

49

years h

avin

g sc

reen

ed fo

r HI

V in

the

last

12

mon

ths

and

who

col

lect

ed

thei

r results

Determ

ines

the

effe

ctive

ness

of t

he

PICT

stra

tegy

(HIV

Pro

vide

r Initia

ted

coun

selin

g an

d testing

) in

priso

ns

Num

erat

or:N

umbe

r of p

ersons

age

d 15

-49

years

livi

ng in

prison

s who

wer

e screen

ed a

nd w

ho c

olle

cted

thei

r resul

ts.

Deno

min

ator

: Tot

al n

umbe

r of p

ersons

ag

ed 1

5-49

yea

rs li

ving

in p

rison

s who

did

th

e test

DPS,

NAC

CRe

gion

alSt

udy

Annu

al

23

Nam

eW

hat d

oes t

his i

ndic

ator

mea

sure

?Ho

w it

is ca

lcul

ated

?Co

llecti

on

sour

ces

Colle

ction

le

vel1

Colle

ction

M

etho

dFr

eque

ncy

Perc

enta

ge o

f pe

ople

age

d 15

-49

year

s hav

ing

scre

ened

for

HIV

in th

e la

st 1

2 m

onth

s an

d co

llect

ed t

heir

resu

lts

Dete

rmin

es th

e eff

ectiv

enes

s of t

he

PICT

stra

tegy

(HIV

Pro

vide

r Initia

ted

coun

selin

g an

d testing

)

Num

erat

or: N

umbe

r of p

erso

ns a

ged

15-

49 y

ears

w

ho w

ere

scre

ened

for H

IV a

nd

with

drew

thei

r res

ult

Deno

min

ator

: Tot

al n

umbe

r of p

erso

ns

aged

15-

49 y

ears

hav

ing

com

plet

ed a

test

DPS,

NAC

COpe

ratio

nal

Stud

y An

nual

Prop

ortio

n of

hou

seho

lds w

ith a

n LL

IN fo

r 2 p

erso

nsDe

term

ines

the

ava

ilabi

lity

of L

LINs

in

hous

ehol

dsN

umer

ator

: Num

ber o

f hou

seho

lds w

ith

an L

LIN

for t

wo

pers

ons f

or th

e ev

alua

ted

perio

d De

nom

inat

or :

Num

ber o

f sur

veye

d ho

useh

olds

NMCP

re

port

, LL

IN

distrib

utio

n lo

gboo

k

Cent

ral

Stud

y Ev

ery

3 ye

ars

Prop

ortio

n of

chi

ldre

n be

low

5

year

s of a

ge o

f the

Nor

th a

nd th

e Fa

r Nor

th R

egio

ns w

ho re

ceiv

ed

prev

entiv

e tr

eatm

ent f

or se

ason

al

mal

aria

Dete

rmin

es th

e ca

paci

ty o

f the

syst

em

to e

nsur

e th

e preven

tion

of se

ason

al

mal

aria

in c

hild

ren

belo

w 5

of a

ge in

ar

eas p

rone

to se

ason

al m

alar

ia

Num

erat

or:N

umbe

r of c

hild

ren

belo

w 5

ye

ars o

f age

exp

osed

to se

ason

al m

alar

ia

who

rece

ived

pre

venti

ve tr

eatm

ent

durin

g a

give

n pe

riod.

Deno