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BARINGO COUNTY GOVERNMENT
DEPARTMENT OF HEALTH SERVICES
Monitoring and Evaluation Plan
2019 -2023
BARINGO COUNTY GOVERNMENT
DEPARTMENT OF HEALTH SERVICES
Monitoring and Evaluation Plan
2019 - 2023
© BARINGO COUNTY 2020
MONITORING AND EVALUATION PLAN 2019 - 2023
Citation:Baringo County Government.
Department of Health Services. Monitoring and Evaluation Plan 2018 - 2023.
Any part of this document may be freely reviewed, quoted, reproduced ortranslated in full or in part, provided the source is acknowledged. It may not be
sold or used in conjunction with commercial purposes or for profit
MONITORING AND EVALUATION PLAN 2019 - 2023
3
TABLE OF CONTENTS
TABLE OF CONTENTS 3-4
ABBREVIATIONS AND ACRONYMS 5-6
ACKNOWLEDGEMENTS 7
FOREWORD 8
EXECUTIVE SUMMARY 9-10
1. INTRODUCTION 111.1 County Health Sector 111.2 County Monitoring and Evaluation for Health 121.3 Purpose of the M&E Plan 121.4 Process of Development 13
2. STRATEGIC M&E FRAMEWORK 142.1 Overall Objective 142.2 Strategic Framework for County Health Monitoring and Evaluation 142.3 Logical Framework for County Health M&E 152.4 County Health Sector Strategic Plan Targets 272.5 Key Responsibilities for Baringo Health Sector M&E 29
3. DATA MANAGEMENT - COLLECTION, COLLATION, ANALYSIS AND REPORTING 333.1 Towards a common data architecture 333.2 Data Collection 333.3 Data sources 333.3.1 Routine data sources 333.3.2 Non – Routine Data sources 343.3.3 Other complimentary methods 353.4 Data Flow 363.5 Data Quality 373.6 Data Analysis 383.7 Reporting, Data Dissemination and Data Sharing 383.8 Performance Reporting and Review process 38
4. IMPLEMENTATION OF THE M&E PLAN 404.1 Implementation Arrangements 404.1.1 Coordination of County Health Monitoring and Evaluation 404.1.2 Linkage with stakeholders 414.2 Operational Guidelines and Tools for County Health M&E 424.3 Dissemination of Information and Information Products 424.4 Evaluation Plan 43
MONITORING AND EVALUATION PLAN 2019 - 2023
4
5. M&E SYSTEM STRENGTHENING IMPLEMENTATION MATRIX 455.1 Components of the County Health M&E system 455.2 County Health M&E System Implementation Framework 46
APPENDICESAPPENDIX 1: 50APPENDIX 2: 55APPENDIX 3: 57APPENDIX 4: 67
LIST OF TABLES Table 1: Key Indicators in Health 11Table 2: Logical Framework for Baringo County Health Services M&E 16Table 3: County Health Sector Strategic Plan Targets 27Table 4: Key Responsibilities and functions of the M&E unit 30Table 5 Performance Reviews Schedule 39Table 6: Key functions of M&E TWG for Health Services 42Table 7: Evaluation Plan Guide 43Table 8: Components of the M&E System 45Table 9: M&E System Strengthening Implementation Matrix 47 LIST OF FIGURES Figure 1: M&E Logical Framework 12Figure 2: Baringo County Data Flow and Use map 43Figure 3: Organisation structure for the County Health Services Department M&E Unit 48
5
ABBREVIATIONS/ACRONYMS
ANC Antenatal Care ART Anti-Retroviral TreatmentAWP Annual Work PlanBEmONC Basic Emergency Obstetrics and NewbornCEmONC Comprehensive Emergency Obstetrics and Newborn CareCECM County Executive Committee memberCASCO County AIDS and STIs/STDs Coordinator CCC Comprehensive Care CentreCDC Centre for Disease Control and Prevention CDSC County Disease Surveillance CoordinatorCECM County Executive Committee Member CIDP County Integrated Development PlanCDOH County Department of Health CHEW Community Health Extension Worker CHMT County Health Management Team CHRIO County Health Records Information officerCHSSP County Health Sector Strategic PlanCHW Community Health WorkerCHV Community Health VolunteerCMLAP County Measurements Learning and Accountability COH Chief Officer of Health CRHC County Reproductive Health CoordinatorCTLC County TB Lung and Leprosy Diseases CoordinatorCTLS Community Led Total Sanitation CWC Child Welfare Clinic CU Community UnitsDDIU Data Demand and Information Use DHIS District Health Information SystemDQA Data Quality AssuranceEMMS Essential Medicines and Medical Supplies FANC Focused Ante Natal Care FBO Faith Based OrganizationsFY Financial Year GBV Gender Based Violence GOK Government of KenyaHCW Health Care WorkerHIS Health Information SystemHIV Human Immunodeficiency VirusHPV Human Papilloma Virus HRH Human Resources for Health HRIS Human Resources Information SystemsHTS HIV Testing ServicesICD-10 International Classification of Diseases, 10th revisionICU Intensive care UnitIDSR Integrated Disease Surveillance and ResponseIEBC Independent Electoral and Boundaries Commission
MONITORING AND EVALUATION PLAN 2019 - 2023
6
IEC Information, Education and CommunicationIFMIS Integrated Financial Management Information SystemIMCI Integrated management of childhood illnessIT Information TechnologyKDHS Kenya Demographic Health SurveyKEMSA Kenya Medical Supplies Authority KNPHC Kenya National Population and Household Census KNBS Kenya National Bureau of StatisticsLAN Local Area NetworkLLITN Long Lasting Insecticide Treated NetsLMIS Logistical Management Information System MDA Mass Drug Administration M&E Monitoring and Evaluation MEDS Mission for Essential Drugs SupplyMMR Maternal Mortality Ratio MOH Ministry of HealthMTEF Medium Term Expenditure Framework NCDs Non-Communicable DiseasesNHIF National Hospital Insurance FundPHO Public Health Officer PMTCT Prevention from Mother to Child Transmission QI Quality Improvement RDQA Rapid Data Quality Assurance RMNCAH Reproductive, Maternal Neonatal Child and Adolescent Health SCHMT Sub-County Health Management TeamSCHRIO Sub-County Health Records and Information OfficerSCMOH Sub-County Medical Officer of HealthSCPHO Sub-County Public Health Officer SDGs Sustainable Development GoalsSOP Standard Operating ProcedureSWOT Strengths Weaknesses Opportunities and ThreatsTB Tuberculosis TWG Technical Working GroupUHC Universal Health CoverageUSAID United States Agency for International Development WASH Water Sanitation and HygieneWHO World Health Organization
MONITORING AND EVALUATION PLAN 2019 - 2023
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MONITORING AND EVALUATION PLAN 2019 - 2023
ACKNOWLEDGEMENTS
he County Government would like to thank the leadership of the County Health TServices department for steering the development of this M&E plan. We particularly thank the County Executive Committee Member for Health Services,
Hon. Mary Panga for her immense support.
Special thanks go to the technical team from the Department of Health Services led by Dr Gerishom Abakalwa, the Director for Medical Services with the support of Dr Robert Rono, Director for Public Health and Dr Mary Sang, the County Health M&E Coordinator.
We thank the United States Agency for International Development (USAID) funded Tupime Kaunti, Afya Uzazi, Afya Ugavi, Afya Nyota, and Fred Hollows Foundation for their commitment, technical support and for financing the development of this M&E plan.
Dr Gideon Toromo Chief Officer Medical Services
Dr. Winnie BoreChief OfficerPromotive & Preventive
MONITORING AND EVALUATION PLAN 2019 - 2023
FOREWORD
he County Government of Baringo aspires to have an attractive, competitive and Tresilient county health system. As such it is committed to improving the health status of the citizens through provision of quality, affordable, accessible healthcare
services. It is therefore imperative that the county government's plans and interventions are monitored regularly and evaluated periodically to assess progress, identify shortcomings and most importantly make necessary adjustments for improvement. A sound Monitoring and Evaluation (M&E) framework is crucial for the success of county health service delivery.
This M&E plan has been developed to provide for an elaborate process of tracking progress of implementation of key health sector interventions. It links the outcomes sought with the inputs and processes that the county government and stakeholders are investing in towards improving health services in the county. It will also ensure that the indicators, their definitions, means of data collection and measurement are comparable over time. The plan also seeks to enhance coordination of stakeholders in monitoring and evaluation of the county health sector strategic plan for the period 2019-2023, by outlining structures and responsibilities for the various stakeholders.
The M&E plan has been informed by the situational analysis undertaken during the development of the County Health Sector Strategic plan as well as the assessment of County Health M&E system undertaken during the baseline assessment supported by the USAID's Tupime Kaunti Project. Capacity strengthening of the county health M&E system has been identified as a priority and M&E strengthening interventions are included this plan.
I wish to call upon the county health stakeholders to support the county government in implementing this plan to fruition.
Hon. Mary PangaCounty Executive Committee Member for Health Services Baringo County
8
9
MONITORING AND EVALUATION PLAN 2019 - 2023
EXECUTIVE SUMMARY
he County Health Monitoring and Evaluation (M&E) Plan is a significant step aimed Tat strengthening the M&E capacity among other series of interventions in the Baringo County Health Sector. The County Government of Baringo underscores
the crucial role of a robust M&E system in generating useful information for decision making, measuring performance and fostering learning. The M&E plan will facilitate the application of a harmonized approach in tracking performance across all programs within the health sector in the county. This will ensure that the programs contribute to the overall desired results articulated in the Strategic Plan and the County Integrated Development Plan (CIDP). The County Government envisages that M&E will be integrated into the daily work of the county staff as well as other stakeholders. In this way, M&E systems will enable generation and sharing of data and information, thus promoting greater accountability and continuous learning.
The development of this M&E Plan for the County Health Sector Strategic Plan is to underscore the need to establish a robust monitoring and evaluation platform that provides information to all stakeholders for planning and evidence-based decision making. This is also in line with the requirements of the Constitution of Kenya 2010 in terms of advancing rights to health and information and accountability in service delivery. Legislations including the County Government Act 2012 and Public Financial Management Act 2012, the Health Act, 2017, Inter-Governmental Relations Act 2012 do also affirm the requirements for monitoring and evaluation in entrenching accountability through establishment of appropriate systems for data collection, reporting, information sharing, and feedback. Similarly, health sector policies including the Kenya Health Policy (2014 -2030) and the (HIS) Health Information System Policy stipulates specific requirements and provide guidance on strengthening accountability mechanisms.
This plan is informed by the M&E situational assessment of situation in Baringo County Health Sector. The M&E plan is therefore designed to provide a common platform for the health sector performance monitoring and evaluation by guiding all actors at the county, sub-county, facility and community levels. It envisages that the County will build capacity of existing workforce in data management and information use at all levels for better planning and decision making. This is evident in the Department as it has shown increased commitment to a single unified HIS by developing or adopting key HIS/ M&E policies. Further, it will enhance the health sector coverage of outcomes and investments at all levels by applying impact indicators, outcome indicators, process indicators, and input indicators.
The plan lays out specific measures for data collection, analysis, and reporting. In addition, it
10
MONITORING AND EVALUATION PLAN 2019 - 2023
provides guidance on how the county health sector will carry out regular performance monitoring at the facility level, sub-county level and county level. The M&E plan provides a detailed analysis of the M&E audience information requirements to facilitate effective and responsive data collection and reporting procedures. These are anchored on a countywide health strategic M&E logical framework that illustrates the causal chain of inputs/processes, outputs and outcomes that ultimately lead to the achievement of overall goal in County Health Sector Strategic Plan. The indicators selected are elaborated in terms of definitions, data sources, frequency of collection and responsible persons for collection, in line with the guidance provided in the national health sector indicators and standards operating procedures manual. Further, a schedule of reporting considerations and requirements has been included to facilitate timely and accurate reporting. The M&E plan has an elaborate evaluation plan that provides for various evaluations to be undertaken during the implementation of the CHSSP.
To facilitate effective implementation of this M&E plan, institutional arrangements that support accountability at all levels of the county health system and embed alignment to the national M&E system and countywide M&E system will be enabled. Specifically, appropriate stakeholder coordination structures including a stakeholder coordination steering committee and M&E Technical Working Group need to be strengthened. Further, the need for formation of M&E unit at the health department and strengthening with a budget and human resources to support the effective delivery of M&E activities.
11
1.0 INTRODUCTION 1.1 County Health Sector
Baringo County is situated in the Rift Valley Region and shares borders with eight counties namely: West Pokot to the North West, Turkana to the North, Samburu to the North East, Laikipia to the East, Nakuru to the South, Kericho and Uasin-Gishu counties to the South West, and Elgeyo-Marakwet to the West. The county has a geographical area of 11,015 square kilometres and is administratively divided into seven (7) sub-counties, 30 wards and 116 locations.
The county has three lakes that account for 165 square kilometres of the surface area - Lake Baringo, Lake Bogoria and Lake Kapnarok. Other prominent geographical features in the county include: the Kerio Valley, Loboi Plain, Tugen Hills, several rivers and escarpments. The primary economic activity in the county is livestock keeping. There is also a considerable level of bee keeping, honey harvesting, crops farming, tourism and mining.
In terms of health sector performance, Baringo County has registered progress in health system investments since the establishment of the county department for health services. However, performance of key indicators in comparison to national averages is mixed. Life expectancy for Baringo citizens is equivalent to the national estimates. Infant mortality, under five mortality and maternal mortality rates for the county are slightly higher than the national averages. Similarly, the indicators for deliveries under skilled health workers, latrine coverage and contraceptive prevalence are slightly worse than national averages. The county scores better than national averages in terms of prevalence of communicable conditions - HIV, Malaria and TB. Table 1 summarises the estimates for key indicators for health.
Impact Level IndicatorsNational
EstimatesCounty Estimates
Life Expectancy at birth (years) 59 58
Neonatal Mortality Rate (per 1,000 births) 22 31
Infant Mortality Rate (per 1,000 births) 39 62
Under 5 Mortality Rate (per 1,000 births) 52 60
Maternal Mortality Rate (per 100,000 births) 362 374
County latrine coverage 51% 43%
Open Defecation Rate 14% 70%
Immunization Coverage 68% 69%
% of deliveries by skilled attendants 61% 54%
Contraceptive Prevalence 40% 31%
HIV Prevalence 4.8% 1.3%
Malaria ( as % of all 1st outpatient visits) 27.7% 11.8%
TB Prevalence ( in every 10,000 persons) 39 6
MONITORING AND EVALUATION PLAN 2019 - 2023
Table 1 : Key Indicators in Health
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1.2 County Monitoring and Evaluation for Health
Monitoring and Evaluation together with operational research, measures the overall performance of a programme or project and continuously evaluates achievements in targeted results. Monitoring refers to the routine tracking of key elements selected to determine programme performance through record keeping, regular reporting, supportive supervision, surveillance systems and periodic surveys. It also entails assessing whether the implementation of the planned activities is consistent with the programme design through generating data on inputs, processes and outputs of an on-going programme over time.
On the other hand, evaluation refers to the periodic assessment of the change in targeted results that can be attributed to an intervention. It links outcome or impact directly to an intervention over time. Evaluation entails systematic use of quantitative and qualitative research methods to investigate the programme's effectiveness, efficiency, relevance, sustainability and impact to determine the extent to which investments made yield expected results.
The need to have systems that support accountability to the citizens, is entrenched in the Constitution of Kenya, 2010 and various legislations such as the County Government Act, 2012; the Public Financial Management Act, 2012, Intergovernmental Relations Act, 2012 and sector specific legislation like the Health Act, 2017. As such the establishment of robust monitoring and evaluation system to support the county health sector is a critical ingredient for achievement of the desired level of accountability.
County governments are required to have elaborate plans laying out their agenda for the medium term and sectoral plans that articulate the sectoral agenda. Baringo County Government has put in place a County Integrated Development Plan for the period 2018-2022 and has a draft County Health Strategic Plan (CHSSP) 2018–2022. To ensure close monitoring of the progress of implementation of health sector strategic plan, and thus drive the path to attainment of overall health goal, the county government has put in place this M&E plan. The M&E plan outlines data needs, indicators, sources of data, data collection methods and data flow, analysis, use and reporting, feedback as well as the responsibilities of the various health stakeholders. This is in response to critical gaps identified in the County Health M&E systems that include: ineffective coordination, sub-optimal utilisation of data in decision making, inadequate physical infrastructure; inadequate personnel, inadequate supply of data collection and reporting tools and equipment, knowledge gaps in data management, research and evaluation; insufficient funding and limited use of information technology.
1.3 Purpose of the M&E Plan
This plan will also facilitate the institutionalisation of the M&E principles and practices in support of decision making and adaptive learning, planning and management across all the programs implemented by the County Health Sector. The overall purpose of this M&E plan is to facilitate the tracking of the progress of implementation of the County Health Sector Strategic Plan for the period 2018-2022.
MONITORING AND EVALUATION PLAN 2019 - 2023
13
The plan is expected to serve as a vital tool for timely and systematic data collection, analysis and reporting with the overall goal of improving performance and accountability to stakeholders.
Specifically, the Monitoring and Evaluation plan will support to:
a) Build coherence in the approach to systematically track performance across county health programs and ensuring that they contribute to the overall goal reflected in the County Health Sector Strategic Plan 2018-2022. b) Define the data requirements (collection, sources, tools, collation, analysis) and assign responsibilities for effective tracking of interventions implemented at all levels. c) Document progress and enhance performance through continuous learning, sharing and improvement. d) Provide reporting requirements including reporting formats needed to promote timely reporting both within the county and externally to national government, partners and donors. e) Define data feedback mechanisms and utilisation for decision making internally and among stakeholders.
1.4 Process of Development
This M&E plan was developed through a participatory and consultative process that enabled obtaining and synthesis of inputs from the county health department, county department of economic planning, implementation partners and other stakeholders.
Specifically, the approach applied included the following: a) Desk review of relevant national and county documents. b) Consultative meetings with senior management of the County Department of Health Services, program managers and M&E focal persons, sub-county teams, representatives of implementation partners. The process also relied on the baseline assessment of Measurements, Learning and Accountability systems undertaken in November and December 2018. c) Consultations with the County Health M&E Technical Working Group and partners. d) Technical workshop to review the status of county health M&E and formulate this plan. e) Final draft review and validation meeting.
MONITORING AND EVALUATION PLAN 2019 - 2023
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2. STRATEGIC M&E FRAMEWORK
2.1 Overall Objective
This section outlines the framework for coordinated, systematic and holistic tracking of progress in the county health sector. The framework is informed by the need to comprehensively monitor, and review programs within the county health sector. The framework for analysis is based on the M&E Logical Framework that depicts how inputs lead to outcomes and eventually desirable impact. It is intended to ensure that all indicator areas -inputs, processes, outputs, outcomes– are considered, and pathways of influence clarified in the analysis.
2.2 Strategic Framework for County Health Monitoring and Evaluation
The logical framework anchors the key objectives of the M&E plan in a snapshot. It describes briefly types of data and data sources, and how data will flow from the source to the central repository and to all relevant stakeholders; provides standard indicators, targets, frequency of reporting in a standard format for all county health implementers and stakeholders; provides guidance on the routine and periodic documentation of planned activities and measures expected outputs and outcomes when due; identifies implementation arrangements with clear responsibility centres; identifies and costs key actions that will enable smooth implementation of this plan.
The county health sector will apply this framework to strategically focus on an integrated M&E approach that allows for continuous effective, efficient and economic use of resources; continuous learning through sharing of information for decision making in health.
Inputs and Processes Outputs Outcomes Impact
Indicators
domains
Health Workforce
Health Information
Financing
Leadership&
governance
Healt
h I
nfr
ast
ruct
ure
&
Eq
uip
men
t
Ess
en
tial H
ealt
h P
rod
uct
s
& T
ech
no
logie
s
Intervention
access &
services
readiness
Intervention quality, safety and efficiency
Coverage of
interventions
Prevalence
risk
behaviours
and factors
Improved health outcomes and
equity
Social and financial risk protection
Responsiveness
Data Sources Administrative Sources
iHRIS, IPPD, IFMIS, budget
Implementation reports,
Infrastructure reports, supply
chain reports, policy tracking
reports
Facility Assessments
Service Availability and
Readiness
Population-based surveys
Coverage, health status, equity, risk
protection, r esponsiveness
Clinical Reporting Systems
Service readiness, quality, coverage, health status
Vital registration
Analysis &
Synthesis
Data Quality Assessment Estimates and Projections, In depth studies and surveys, Assessments
for progress and performance of health systems
Data
dissemination &
Information use
Targeted and comprehensive reporting, regular county review processes, national reporting,
county learning forum, stakeholders’ forums for health
Figure 1: M&E Logical Frame work
MONITORING AND EVALUATION PLAN 2019 - 2023
15
2.3 Framework for County Health M&E
The following indicators will be applied in monitoring performance of the county health sector. Detailed table of indicators with definitions, data source, reporting frequency, level of measurement, responsibility, baseline year and values, and targets and specific comments is included in Appendix 1
MONITORING AND EVALUATION PLAN 2019 - 2023
16
MONITORING AND EVALUATION PLAN 2019 - 2023
Tab
le 2
: Lo
gic
al F
ram
ew
ork
fo
r B
ari
ngo
Co
un
ty H
ealt
h S
erv
ices
Str
ate
gic
targ
et
Inp
uts
Pro
cess
es
Ou
tpu
tsO
utc
om
eIm
pact
Ob
ject
ive 1
: To
Red
uce
No
n-C
om
mu
nic
ab
le D
isease
s
Incr
ease
imm
uniz
atio
n
cove
rage
fro
m 6
0%
to
75%
by
2022
·Vac
cine
dose
s ac
quir
ed
·Im
mun
izat
ion
equi
pmen
t
(cold
cha
in)
·Im
mun
izat
ion
info
rmat
ion,
educ
atio
n an
d c
om
mun
icat
ion
(IEC
) m
ater
ials
·Tr
aini
ng a
nd c
apac
ity
build
ing
for
heal
th c
are
provi
der
s
·O
utre
ach
serv
ices
·U
pdat
ing/
trai
ning
of he
alth
care
work
ers
on
imm
uniz
atio
n
polic
ies
and g
uidel
ines
·A
vaili
ng v
acci
nes
·R
edis
trib
utio
n an
d
Mai
nten
ance
of co
ld c
hain
s
·O
peni
ng o
f ne
w im
mun
izat
ion
site
s
·C
ond
ucting
out
reac
hes
on
imm
uniz
atio
n(r
each
eve
ry
child
)
·Se
nsitiz
atio
n of co
mm
unity
units
on im
mun
izat
ion
polic
ies
and
guid
elin
es
·C
ond
uct
def
aulter
s tr
acin
g
·C
ond
ucting
sta
keho
lder
s’
foru
ms
on
imm
uniz
atio
n
·C
ond
ucting
qua
rter
ly d
ata
revi
ew m
eeting
s on
imm
uniz
atio
n
·N
umbe
r of ch
ildre
n fu
lly
imm
uniz
ed
·N
umbe
r of fa
cilit
ies
provi
din
g im
mun
izat
ion
·N
umbe
r of co
mm
unity
units
sens
itiz
ed
·N
umbe
r of H
Fs w
ith
func
tiona
l cold
cha
in
·N
umbe
r of he
alth
work
ers
updat
ed o
n im
mun
izat
ion
guid
elin
es
·N
umbe
r of im
mun
izat
ion
def
aulter
s tr
aced
·Pro
port
ion o
f ch
ildre
n
bel
ow
the
age
of one
year
who a
re fully
imm
uniz
ed
·%
of hea
lth fac
ilities
offe
ring
imm
uniz
atio
n
serv
ices
Red
uct
ion in
morb
idity
and m
ort
ality
due
to
vacc
ine
pre
venta
ble
dis
ease
s
17
MONITORING AND EVALUATION PLAN 2019 - 2023
Str
ate
gic
targ
et
Inp
uts
Pro
cess
es
Ou
tpu
tsO
utc
om
eIm
pact
Incr
ease
the
per
cent
age
of
TB
pat
ient
s co
mple
ting
trea
tmen
t fr
om
81%
to
90%
in 2
022
·Fi
nanc
es
·Pro
visi
on
of T
B p
olic
ies
and
guid
elin
es
·T
B d
rugs
·G
ene
Xpe
rt m
achi
nes
·
·U
pdat
ing/
trai
ning
of he
alth
care
work
ers
on
curr
ent T
B
polic
ies
and g
uidel
ines
·Se
nsitiz
atio
n of co
mm
unity
units
on
TB
polic
ies
and
guid
elin
es
·C
ond
ucting
qua
rter
ly d
ata
revi
ew m
eeting
s
·C
ond
ucting
TB
sta
keho
lder
s’
foru
m
·D
efau
lter
tra
cing
·A
ctiv
e ca
se fi
ndin
g
·N
umbe
r of he
alth
car
e
work
ers
and c
om
mun
ity
heal
th v
olu
ntee
rs t
rain
ed /
updat
ed o
n T
B p
olic
ies
and
guid
elin
es
·N
umbe
r of co
mm
unity
dia
logu
e/ac
tion
day
s
cond
ucte
d
·N
umbe
r of T
B p
atie
nts
com
plet
ing
trea
tmen
t
·N
umbe
r of ne
wly
dia
gnose
d T
B c
ases
·N
umbe
r T
B s
ampl
es
test
ed b
y G
ene
xper
t
·T
B t
reat
men
tsu
cces
s
rate
·T
B c
ure
rate
Red
uction
in m
ort
ality
Incr
ease
the
per
cent
age
of
HIV
+ p
regn
ant
moth
ers
rece
ivin
g pr
even
tive
antire
trovi
ral (
ARV
s)fr
om
72%
to 1
00%
·Fi
nanc
es
·H
AA
RT
ava
ilabi
lity
·Sk
illed
work
forc
e
·In
fras
truc
ture
and e
quip
men
t
·C
ond
uct
awar
enes
s on
PM
TC
T
·C
ond
uct
supe
rvis
ion,
pro
cure
supp
lies
and c
ond
uct
trai
ning
·Tr
acin
g of A
RT
def
aulter
s
·Tr
acki
ng o
f ART
sto
cks
avai
labi
lity
·N
umbe
r of H
IV
out
reac
hes
cond
ucte
d
·N
umbe
r of su
pplie
s
procu
red a
nd d
istr
ibut
ed
·N
umbe
r of H
CW
s
reac
hed w
ith
men
tors
hip
and O
JT d
urin
g su
pport
ive
supe
rvis
ions
and
tra
inin
g
·Pro
port
ion
of he
alth
faci
litie
s w
itho
ut s
tock
out
s
·Pro
port
ion
of A
RT
def
aulter
s tr
aced
·Pro
port
ion
of pr
egna
nt
moth
ers
rec
eivi
ng A
RT
·%
of re
duc
tion
of M
TC
T
Red
uction
in m
ort
ality
Incr
ease
the
per
cent
age
of
HIV
+ c
lient
s on
ARV
s
from
76%
to 1
00%
·Fi
nanc
es
·Su
pplie
s an
d e
quip
men
t
·IE
C m
ater
ials
on
HIV
/AID
S
·H
AA
RT
ava
ilabi
lity
·Sk
illed
work
forc
e
·Tr
acin
g of A
RT
def
aulter
s
·Tr
acki
ng o
f st
ock
out
s
·U
pdat
ing/
trai
ning
of H
IV
test
ing
serv
ices
(H
TS)
provi
der
s on
trea
tmen
t
guid
elin
es
·Se
nsitiz
atio
n of co
mm
unity
units
on
HIV
/AID
S po
licie
s
and g
uidel
ines
·C
ond
ucting
qua
rter
ly
HIV
/AID
S m
eeting
s
·C
ond
ucting
HIV
/AID
S
stak
ehold
er foru
m
·N
umbe
r of H
TS
provi
der
s
trai
ned /
upd
ated
on
HIV
man
agem
ent
guid
elin
es
·N
umbe
r of co
mm
unity
units
sens
itiz
ed o
n
HIV
/AID
S po
licie
s an
d
guid
elin
es
·N
umbe
r of A
RT
def
aulter
s
trac
ed
·N
umbe
r of el
igib
le H
IV
clie
nts
on
ARV
s
·Pro
port
ion
of A
RV
def
aulter
s tr
aced
·Pro
port
ion
of H
IV
clie
nts
elig
ible
in
itia
ted
on
ARV
s
·
Red
uction
in M
ort
ality
18
MONITORING AND EVALUATION PLAN 2019 - 2023
Str
ate
gic
targ
et
Inp
uts
Pro
cess
es
Ou
tpu
tsO
utc
om
eIm
pact
Incr
ease
tes
ting
for
mal
aria
sus
pect
ed c
ases
from
64.
9% t
o 1
00%
·Fi
nanc
es
·A
vaila
bilit
y of dia
gnost
ic k
its
·Se
nsi
tiza
tion
of he
alth
car
e
work
ers
and c
om
mun
ity
hea
lth
volu
ntee
rs o
n m
alar
ia
man
agem
ent
·A
vaila
bilit
y of dia
gnost
ic
reag
ents
and
kits
·N
umbe
r of su
spec
ted
mal
aria
cas
es t
esting
posi
tive
·N
umbe
r of co
nfirm
ed
mal
aria
cas
es t
reat
ed
·M
alar
ia T
est
Posi
tivi
ty
Rat
e
Red
uct
ion in
mort
ality
due
to m
alar
ia
Red
uce
the
burd
en o
f
dia
rrhe
a ill
ness
es in
und
er
5s fro
m 2
1% t
o 1
1% in
2022
·Sk
illed
hum
an r
esour
ces
·IE
C m
ater
ials
·A
vaila
ble
fund
s
·A
vaila
bilit
y of co
mm
oditie
s
(OR
S &
Zin
c)
·C
onduct
out
reac
hes
·C
onduct
tra
inin
g,
·Pro
cure
sup
plie
s,
·C
om
muni
ty s
ensi
tiza
tion
and
dia
logu
es
·C
onduct
sup
port
ive
supe
rvis
ion.
·Pro
visi
on
of H
andw
ashi
ng
faci
litie
s
·N
umbe
r of co
mm
unity
out
reac
hes
cond
ucte
d
·N
umbe
r of su
perv
isio
ns
cond
ucte
d
·N
umbe
r of he
alth
car
e
work
ers
(HC
Ws)
and
CH
Vs
trai
ned
·Pro
port
ion
of under
5
child
ren
dia
rrhea
cas
es
trea
ted
Red
uct
ion in
under
5
mort
ality
Incr
ease
the
pro
port
ion
of
scho
ol a
ge c
hild
ren
(6-1
4
year
s) d
e-w
orm
ed fro
m
19%
to 4
1% in
202
2
·Sk
illed
hum
an r
esour
ces
·IE
C m
ater
ials
·A
vaila
ble
fund
s fo
r sc
hool
heal
th p
rogr
am
·D
rugs
ava
ilabi
lity
·C
onduct
sch
ool h
ealth
outr
each
es
·C
onduct
tra
inin
g,
·Pro
cure
supp
lies,
·C
om
muni
ty s
ensi
tiza
tion
·C
onduct
sup
port
ive
supe
rvis
ion
·N
umbe
r of out
reac
hes
cond
ucte
d
·N
umbe
r of su
perv
isio
ns
cond
ucte
d
·N
umbe
r of he
alth
car
e
work
ers
(HC
Ws)
tra
ined
·N
umbe
r of sc
hools
impl
emen
ting
sch
ool h
ealth
progr
am
·Pro
port
ion
of sc
hool
goin
gch
ildre
n
dew
orm
ed
Red
uct
ion in
morb
idity
and m
ort
ality
from
child
hood il
lnes
s
Ob
ject
ive 2
: To
Halt
, an
d R
eve
rse B
urd
en
of
No
n-C
om
mu
nic
ab
le C
on
dit
ion
s
Red
uce
the
propo
rtio
n of
adul
t po
pula
tion
with
Body
Mas
s In
dex
(B
MI)
above
25
from
ba
selin
e of
141
per
popu
lation
of
1000
00 t
o 1
91
·H
uman
res
our
ces, e
quip
men
t
·D
ocu
men
tation
tools
,
·Lo
gist
ics
·D
evel
op
heal
th p
rom
otion
pac
kage
on
heal
thy
lifes
tyle
,
·C
onduct
mas
s sc
reen
ing,
·R
egul
ate/
ena
ct/e
nforc
e la
ws
that
gove
rn food m
arke
ts,
·Est
ablis
h re
crea
tion
cent
ers
·O
utre
ache
s
·Su
pport
ive
supe
rvis
ion
·D
ata
revi
ew m
eeting
s fo
cusi
ng
on N
CD
s
·N
umbe
r of m
ass
scre
enin
gs c
ond
ucte
d
·N
umbe
r of ad
ult
OPD
clie
nts
with
BM
I of
more
than
25
·%
red
uction
in a
dult
popu
lation
with B
MI
ove
r 25
Red
uct
ion in
mort
ality
asso
ciat
ed w
ith li
fest
yle
dis
ease
s
19
MONITORING AND EVALUATION PLAN 2019 - 2023
Str
ate
gic
targ
et
Inp
uts
Pro
cess
es
Ou
tpu
tsO
utc
om
eIm
pact
Incr
ease
pro
port
ion
of
wom
en o
f re
produc
tive
age
scre
ened
for
cerv
ical
canc
ers
from
bas
elin
e of
979 p
er 1
00,0
00
to 1
,200
·Par
tner
s su
pport
ing
the
cerv
ical
can
cer
scre
enin
g
progr
am
·U
pdat
es o
n ce
rvic
al c
ance
r
scre
enin
g, m
anag
emen
t an
d
refe
rral
polic
ies
and g
uidel
ines
·A
vaila
bilit
y of he
alth
com
moditie
s
·U
pdat
ing/
trai
ning
of he
alth
care
work
ers
on
cerv
ical
canc
er s
cree
ning
, man
agem
ent
and r
efer
ral
·U
pdat
ing
com
mun
ity
heal
th
volu
ntee
rs o
n ce
rvic
al c
ance
r
advo
cacy
and
ref
erra
l
·Pro
cure
men
t an
d d
istr
ibut
ion
of ce
rvic
al c
ance
r dia
gnost
ic
equi
pmen
t an
d c
om
moditie
s
·C
ond
ucting
sta
keho
lder
s’
foru
m
·C
ond
ucting
qua
rter
ly c
ervi
cal
canc
er d
ata
revi
ew m
eeti
ngs
·N
umbe
r of he
alth
car
e
work
ers
(HC
Ws)
trai
ned /
updat
ed o
n ce
rvic
al c
ance
r
scre
enin
g, m
anag
emen
t
and r
efer
ral
·N
umbe
r of co
mm
unity
heal
th v
olu
ntee
rs
sens
itiz
ed o
n ce
rvic
al
canc
er s
cree
ning
and
refe
rral
pro
cedur
es
·N
umbe
r of w
om
en o
f
repr
oduc
tive
age
(W
RA
)
scre
ened
for
cerv
ical
canc
er
·R
educ
ed c
ance
r
prev
alen
ce
·Pe
rcen
tage
of w
om
en o
f
repr
oduc
tive
age
scre
ened
for
cerv
ical
canc
ers
Red
uction
in m
ort
ality
Red
uce
propo
rtio
n of new
out
patien
ts w
ith
men
tal
heal
th c
ond
itio
ns b
y ha
lf
·Sk
illed
hum
an r
esourc
es,
·docu
men
tation
tools
·IE
C m
ater
ials
·M
enta
l hea
lth in
fras
truc
ture
·Es
tabl
ish
men
tal h
ealth
units
in
high
volu
me
sub-c
oun
ty
hosp
ital
s
·N
umbe
r of m
enta
l hea
lth
cent
ers
provi
din
g
out
patien
t se
rvic
es
·N
umbe
r of ne
w
out
patien
ts w
ith
men
tal
heal
th c
ond
itio
ns
·Pro
port
ion
of m
enta
l
heal
th c
ond
itio
ns
man
aged
·Pro
port
ion
of ne
w
out
patien
ts w
ith
men
tal
heal
th c
ond
itio
ns
Red
uction
in m
ort
ality
Red
uce
propo
rtio
n of new
out
patien
t ca
ses
with
high
blood p
ress
ure
by h
alf
·Sk
illed
hum
an r
esourc
es,
·D
ocu
men
tation
tools
,
·Lo
gist
ics
(Blo
od P
ress
ure
kits
avai
labi
lit)
·C
reat
e aw
aren
ess
of th
e ri
sk
of hy
pert
ensi
on
and t
he
impo
rtan
ce o
f re
gula
r
chec
kups;
·C
ond
uct
mas
s sc
reen
ing
·N
umbe
r of out
reac
hes
·N
umbe
r of ne
w
out
patien
ts foun
d w
ith
high
blo
od p
ress
ure
·Pro
port
ion
of n
ew
out
patien
ts w
ith
high
blood p
ress
ure
·Pro
port
ion
of
hype
rten
sion
case
s
man
aged
Red
uced
hig
h bl
ood
pres
sure
cas
es
Red
uce
propo
rtio
n of
patien
ts a
dm
itte
d w
ith
canc
er b
y ha
lf
·Sk
illed
hum
an r
esourc
es,
·D
ocu
men
tation
tools
,
·Eq
uipm
ent
for
canc
er
scre
enin
g
·Pro
cure
the
med
ical
equi
pmen
t fo
r sc
reen
ing
·Su
pply
of dru
gs
·O
utre
ache
s
·N
umbe
r of pa
tien
ts
adm
itte
d w
ith
canc
er
·N
umbe
r of el
igib
le fac
ilities
offe
ring
can
cer
scre
enin
g
·N
umbe
r of fa
cilit
ies
repo
rtin
g s
tock
-out
of
canc
er d
rugs
·Pro
port
ion
of ca
ncer
case
sm
anag
ed
·Pe
rcen
tage
of pa
tien
ts
adm
itte
d w
ith
canc
er
Impr
ove
men
t of w
ellb
eing
and li
fe e
xpec
tanc
y
Red
uction
in m
ort
ality
20
MONITORING AND EVALUATION PLAN 2019 - 2023
Str
ate
gic
targ
et
Inp
uts
Pro
cess
es
Ou
tpu
tsO
utc
om
eIm
pact
Ob
ject
ive 3
: To
Red
uce
th
e B
urd
en
of V
iole
nce
an
d I
nju
ries
Red
uce
the
propo
rtio
n of
out
patien
t ca
ses
attr
ibut
ed
to g
ender
-bas
ed v
iole
nce
by 5
0%
·Par
tner
ship
s
·Sk
illed
work
forc
e
·Se
nsitiz
atio
n on
sexu
al a
nd
gend
er-
base
d v
iole
nce
man
agem
ent
and r
efer
ral
polic
ies
and g
uidel
ines
·U
pdat
ing/
trai
ning
of he
alth
care
work
ers
on
the
sexu
al
and g
ender
-ba
sed v
iole
nce
progr
am
·U
pdat
ing
com
mun
ity
heal
th
volu
ntee
rs o
n SG
BV
advo
cacy
and r
efer
rals
·U
pgra
din
g he
alth
fac
ilities
so
offe
r SG
BV
rela
ted s
ervi
ces
·D
ata
revi
ew a
nd im
prove
men
t
·N
umbe
r of he
alth
car
e
work
ers
sens
itis
edon
SGB
V m
anag
emen
t an
d
refe
rral
s
·N
umbe
r of co
mm
unity
heal
th v
olu
ntee
rs
sens
itis
edon
SGB
V
advo
cacy
and
ref
erra
ls
·N
umbe
r of he
alth
fac
ilities
offe
ring
ser
vice
sre
late
d t
o
GB
V
·N
umbe
r of ne
w o
utpa
tien
t
case
s at
trib
uted
to g
ender
-
base
d v
iole
nce
·R
educe
d G
BV
rel
ated
morb
idity
and m
ort
ality
case
s
·Pro
port
ion o
f new
outp
atie
nt
case
s
attr
ibute
d t
o g
ender
-
bas
ed v
iole
nce
Red
uct
ion in
mort
ality
and m
orb
idity
asso
ciat
ed
with G
BV
Red
uce
the
propo
rtio
n of
out
patien
t ca
ses
attr
ibut
ed
to r
oad
tra
ffic
inju
ries
by
50%
·Sk
illed
hum
an r
esour
ces,
·A
dvo
cacy
and
enf
orc
emen
t of
traf
fic r
ules
, inf
rast
ruct
ure
and m
edic
al s
uppl
ies
·in
ters
ecto
ral
colla
bora
tion/
part
ners
hips
·En
gage
men
t of ro
ad t
raffi
c
part
ners
thr
oug
h he
alth
stak
ehold
er foru
m
·C
ont
inuo
us a
dvo
cacy
thr
oug
h
IEC
/ B
CC
mat
eria
ls
·Tr
aini
ng o
f st
aff on
acci
den
ts
and e
mer
genc
ies
care
·N
umbe
r of st
aff tr
aine
d o
n
emer
genc
ies
care
·N
umbe
r of fa
cilit
ies
offe
ring
acc
iden
t an
d
emer
genc
y se
rvic
es
·N
umbe
r of ne
w o
utpa
tien
t
case
s at
trib
uted
to r
oad
traf
fic a
ccid
ents
·R
educt
ion in
the
num
ber
of dea
ths
and d
isab
ilities
due
to r
oad
tra
ffic
acci
den
ts
·Pro
port
ion o
f outp
atie
nt
case
s at
trib
ute
d t
o r
oad
traf
fic
inju
ries
Red
uce
mort
ality
and
morb
idity
rela
ted t
o R
TA
Red
uce
the
propo
rtio
n of
new
out
patien
t ca
ses
attr
ibut
ed t
o o
ther
inju
ries
fro
m 2
.4%
to 1
.2%
in 2
022
·Sk
illed
hum
an r
esour
ces
·A
dvo
cacy
·En
forc
emen
t of ru
les
·In
ters
ecto
ral c
olla
bora
tion
·C
om
mun
ity
sens
itiz
atio
n
·La
w e
nforc
emen
t
·St
akeh
old
er foru
m
·Pe
er le
arni
ng foru
m
·D
ata
revi
ew m
eeting
·N
umbe
r of co
mm
unity
sens
itiz
atio
n m
eeting
s he
ld
·N
umbe
r of ne
w o
utpa
tien
t
case
s at
trib
uted
to o
ther
inju
ries
·R
educe
d m
orb
idity
and
mort
ality
from
oth
er
inju
ries
·Pro
port
ion o
f new
outp
atie
nt
case
s
attr
ibute
d t
o o
ther
inju
ries
Red
uce
mort
ality
and
morb
idity
rela
ted t
o
oth
er in
juri
es
21
MONITORING AND EVALUATION PLAN 2019 - 2023
Str
ate
gic
targ
et
Inp
uts
Pro
cess
es
Ou
tpu
tsO
utc
om
eIm
pact
Red
uce
dea
ths
due
to
inju
ries
fro
m 5
0% t
o 2
0%
by 2
022
·A
mbu
lance
ser
vice
s
·Em
erge
ncy
Res
cue
Serv
ices
·Sk
illed
work
forc
e
·Eq
uipm
ent
mai
nten
ance
·U
pgra
de
coun
ty r
efer
ral
hosp
ital
to h
ave
ICU
fac
ilities
·Eq
uip
coun
ty a
mbu
lanc
es
·C
ond
uct
trai
ning
on
emer
genc
y ca
re
·N
umbe
r of co
unty
hea
lth
faci
litie
s w
ith
capa
city
to
hand
le e
mer
genc
ies
·N
umbe
r of fu
nctiona
l and
fully
equ
ippe
d a
mbu
lanc
es
·N
umbe
r of pa
tien
ts
with
inju
ry r
elat
ed
cond
itio
ns d
ying
in t
he
coun
ty h
ealth
faci
litie
s
Red
uced
mort
ality
due
to
inju
ries
Red
uce
mort
ality
and
morb
idity
rela
ted t
o
oth
er in
juri
es
Ob
ject
ive 4
: To
Pro
vid
e Q
uality
Ess
en
tial H
ealt
h S
erv
ice
Incr
ease
the
pro
port
ion
of
del
iver
ies
conduc
ted b
y
skill
ed a
tten
dan
ts fro
m
41%
to 6
6% b
y 20
22
·G
uidel
ines
and
sta
ndar
d
ope
rating
proce
dur
es (
SOPs)
·Em
erge
ncy
obs
tetr
ic a
nd
new
-born
car
e (E
mO
NC
)
chec
klis
t
·C
om
preh
ensi
ve e
mer
genc
y
obs
tetr
ic a
nd n
ew-b
orn
car
e
(CEm
ON
C)
chec
klis
t
·IE
C m
ater
ials
·Sk
illed
work
forc
e
·Fi
nanc
ing
·Tr
aini
ng o
f he
alth
work
ers
·A
sses
smen
t of he
alth
fac
ilities
’
EmO
NC
rea
din
ess
·Ex
pans
ion
of fa
cilit
ies
infr
astr
uctu
re a
nd e
quip
men
t
·Su
pport
ive
supe
rvis
ion
·C
om
mun
ity
mobi
lizat
ion
·D
istr
ibut
ion
of IE
C m
ater
ials
·N
umbe
r of he
alth
car
e
work
ers
trai
ned o
n
EmO
NC
·N
umbe
r of fa
cilit
ies
offe
ring
Em
ON
C
·N
umbe
r of fa
cilit
ies
offe
ring
CEm
ON
C
·N
umber
of co
mm
unity
units
that
are
sen
sitize
d
·N
umbe
r of del
iver
ies
cond
ucte
d b
y sk
illed
atte
ndan
ts in
hea
lth
faci
litie
s
·Pro
port
ion
of del
iver
ies
cond
ucte
d b
y sk
illed
atte
ndan
ts
·R
educ
ed m
ater
nal a
nd
peri
nata
l dea
ths
Red
uce
infa
nt a
nd
mat
erna
l mort
alitie
s
rela
ted t
o d
eliv
erie
s
22
MONITORING AND EVALUATION PLAN 2019 - 2023
Str
ate
gic
targ
et
Inp
uts
Pro
cess
es
Ou
tpu
tsO
utc
om
eIm
pact
Incr
ease
d t
he p
ropo
rtio
n
of pr
egna
nt w
om
en
atte
ndin
g at
leas
t fo
ur
ante
nata
l car
e vi
sits
fro
m
33.6
% t
o 5
1.6%
·Sk
illed
hum
an r
esour
ce,
·eq
uipm
ent
·In
fras
truc
ture
·IE
C M
ater
ials
·C
apac
ity
build
ing
of he
alth
work
ers
in focu
sed a
nten
atal
care
(FA
NC
)
·C
om
mun
ity
advo
cacy
and
mobi
lizat
ion
on
FAN
C
·Pro
cure
men
t of he
alth
com
moditie
s
·St
reng
then
ing
refe
rral
sys
tem
·D
istr
ibut
ion
of IE
C m
ater
ials
·N
umbe
r of H
CW
s w
hose
capa
city
in F
AN
C h
as b
een
built
·N
umbe
r of co
mm
unity
units
mobi
lized
and
sens
itiz
ed o
nFA
NC
·N
umbe
r of pr
egna
nt
wom
en a
tten
din
g at
leas
t
four
AN
C v
isits
·In
crea
sed u
pta
ke o
f
AN
C v
isits
·pro
port
ion o
f pre
gnan
t
wom
en a
tten
din
g at
leas
t
four
ante
nat
al c
are
visi
ts
Red
uce
mat
ernal
&ch
ild
mort
ality,
Incr
ease
the
Per
cent
age
of
wom
en o
f re
produc
tive
age
rece
ivin
g fa
mily
plan
ning
from
36.
3% t
o
51.3
% b
y 20
22
·Tr
aini
ng c
urri
culu
m
·Fa
mily
pla
nnin
g co
mm
oditie
s
and e
quip
men
t
·G
uidel
ines
and
SO
Ps
·IE
C m
ater
ials
·Tr
aini
ng o
f he
alth
work
ers
on
curr
ent
FP m
etho
ds
·Su
pport
ive
supe
rvis
ion
·C
om
mun
ity
awar
enes
s
·D
istr
ibut
ion
of IE
C m
ater
ials
·N
umbe
r of he
alth
car
e
work
ers
(HC
Ws)
tra
ined
in c
urre
nt F
P m
etho
ds
·N
umbe
r of co
mm
unity
units
that
are
sen
sitize
d
·N
umbe
r of W
RA
rec
eivi
ng
fam
ily p
lann
ing
com
modity
·In
crea
sed u
pta
ke o
f
fam
ily p
lannin
g se
rvic
es
·pro
port
ion o
f w
om
en o
f
repro
duct
ive
age
rece
ivin
g FP
com
moditie
s
Red
uce
Mat
ernal
mort
ality,
Red
uce
Perc
enta
geof
faci
lity
base
d m
ater
nal
dea
ths
from
0.0
28%
to 0
%
by 2
022
·Par
tner
ship
s fo
r re
produc
tive
heal
th
·Sk
illed
work
forc
e
·D
ocu
men
tation
·M
PD
SR C
om
mitte
es
·C
apac
ity
build
ing
of he
alth
work
ers
·M
ater
nal d
eath
aud
its
at a
ll
leve
ls
·C
om
mun
ity
mobi
lizat
ion
·St
reng
then
ref
erra
l sys
tem
·D
istr
ibut
ion
of IE
C m
ater
ials
·D
ata
revi
ews
·N
umbe
r of H
CW
s w
hose
capa
city
has
bee
n bu
ilt
·N
umbe
r of m
ater
nal
dea
ths
·N
umbe
r of m
ater
nal d
eath
audits
cond
ucte
d
·N
umbe
r of ve
rbal
auto
psie
s co
nduc
ted a
t th
e
com
mun
ity
leve
l
·N
umbe
r of co
mm
unity
units
sens
itiz
ed
·%
of m
ater
nal d
eath
s
revi
ewed
and
upl
oad
ed o
n
DH
IS
·R
educe
d fac
ility
bas
ed
mat
ernal
mort
ality
·M
ater
nal
cas
e fa
talit
y
rate
Red
uce
Mat
ernal
mort
ality
23
MONITORING AND EVALUATION PLAN 2019 - 2023
Str
ate
gic
targ
et
Inp
uts
Pro
cess
es
Ou
tpu
tsO
utc
om
eIm
pact
Red
uce
the
Per
centa
geof
new
-born
s w
ith
low
bir
th
wei
ght
from
5.2
% t
o 4
.9%
by 2
022
·IE
C m
ater
ials
·H
eath
com
moditie
s su
ppl
y
·C
apac
ity
build
ing
of he
alth
care
work
ers
in n
ewbo
rn
hea
lth
·C
om
mun
ity
advo
cacy
and
mobili
zation
on
new
born
hea
lth
·Pro
cure
men
t of he
alth
com
moditie
s
·St
reng
then
ref
erra
l sys
tem
·D
istr
ibut
ion
of IE
C m
ater
ials
·N
umbe
r of H
CW
s tr
aine
d
on
new
-born
hea
lth
·N
umbe
r of co
mm
unity
units
mobi
lized
and
sens
itiz
ed o
n ne
w-b
orn
heal
th
·N
umbe
r of he
alth
fac
ilities
with
stock
out
of es
sent
ial
heat
h co
mm
oditie
s
·R
educ
ed n
ewbo
rns
with
low
bir
th w
eigh
t
·Pe
rcen
tage
of ne
w-b
orn
with
low
bir
th w
eigh
t
Red
uce
infa
nt m
ort
ality
Red
uce
the
Per
centa
geof
faci
lity-
bas
ed fre
sh s
till
birt
hs fro
m 1
.16%
to 0
%
by 2
022
·IE
C m
ater
ials
·H
eath
com
moditie
s su
ppl
y
·C
apac
ity
build
ing
of he
alth
work
ers
in m
anag
emen
t of
labour
and
del
iver
y
·C
om
mun
ity
advo
cacy
and
mobili
zation
on
at le
ast
4
ante
nat
al c
are
(AN
C)
visi
ts
·Pro
cure
men
t of he
alth
com
moditie
s
·St
reng
then
ref
erra
l sys
tem
·D
istr
ibut
ion
of IE
C m
ater
ials
·N
umbe
r of H
CW
s w
hose
capa
city
in m
anag
emen
t of
labo
ur a
nd d
eliv
ery
has
been
bui
lt
·N
umbe
r of co
mm
unity
units
mobi
lized
and
sens
itiz
ed o
n 4
AN
C v
isits
·N
umbe
r of he
alth
fac
ilities
supp
lied w
ith
com
moditie
s
·Pe
rcen
tage
of pe
rina
tal
dea
ths
revi
ewed
and
uplo
aded
into
DH
IS
·Im
prove
d p
erin
atal
dea
ths
revi
ews
and
repo
rtin
g
·R
educ
ed fre
sh s
till
birt
hs
·Pe
rcen
tage
of fa
cilit
y-
base
d fre
sh s
till
birt
hs
Red
uced
per
inat
al d
eath
s
Ob
jecti
ve 5
: To
M
inim
ize E
xp
osu
re t
o H
ealt
h R
isk F
acto
rs
Red
uce
the
Per
cent
age
popul
atio
n w
ho s
moke
from
19%
to 9
% b
y 20
22
·R
egul
atory
fra
mew
ork
·IE
C m
ater
ials
·C
om
mun
ity
sens
itiz
atio
n on
regu
lato
ry fra
mew
ork
·C
onduct
sen
sitiza
tion
thro
ugh
out
reac
hes
·N
umbe
r of co
mm
unity
sens
itiz
atio
ns
·N
umbe
r of ho
useh
old
s
provi
ded
with
heal
th
prom
otion
mes
sage
s
·R
educ
ed p
opu
lation
who
smoke
·Pro
port
ion
of po
pula
tion
who
sm
oke
·R
educ
e ca
ses
/ dea
ths
rela
ted t
o s
moki
ng
24
MONITORING AND EVALUATION PLAN 2019 - 2023
Str
ate
gic
targ
et
Inp
uts
Pro
cess
es
Ou
tpu
tsO
utc
om
eIm
pact
Incr
ease
the
Per
cent
age
infa
nts
under
six
mont
hs
on
excl
usiv
e br
east
feed
ing
from
32%
to 6
7%
IEC
mat
eria
ls·
Trai
ning
hea
lth
care
work
ers
to p
rom
ote
exc
lusi
ve
brea
stfe
edin
g
·C
om
mun
ity
advo
cacy
and
mobi
lizat
ion
on
excl
usiv
e
brea
stfe
edin
g
·D
istr
ibut
ion
of IE
C m
ater
ials
·N
umbe
r of H
CW
s w
ho
have
bee
n tr
aine
d t
o
prom
ote
exc
lusi
ve
brea
stfe
edin
g
·N
umbe
r of co
mm
unity
units
mobi
lized
and
sens
itiz
ed o
n ex
clus
ive
brea
stfe
edin
g
·N
umbe
r of he
alth
fac
ilities
supp
lied w
ith
com
moditie
s
·N
umbe
r of ho
useh
old
s
provi
ded
with
heal
th
prom
otion
mes
sage
s
·In
crea
sed p
roport
ion o
f
infa
nts
under
the
age
of
6 m
onth
s w
ho a
re
excl
usi
vely
bre
astf
ed
·Pe
rcen
tage
infa
nts
under
six m
onth
s on e
xcl
usi
ve
bre
astf
eedin
g
Red
uce
infa
nt
mort
ality
Incr
ease
the
popu
lation
awar
e of ri
sk fac
tors
to
heal
th fro
m 7
5% t
o 9
5%
IEC
mat
eria
ls·
Trai
ning
hea
lth
care
work
ers
on
heal
th p
rom
otion
·C
om
mun
ity
advo
cacy
and
mobi
lizat
ion
·D
istr
ibut
ion
of IE
C m
ater
ials
·N
umbe
r of ho
useh
old
s
provi
ded
with
heal
th
prom
otion
mes
sage
s
·R
educe
d h
ealth r
isk
beh
avio
rs
·Pro
port
ion o
f popula
tion
awar
e of hea
lth r
isks
Ob
ject
ive 6
: To
Str
en
gth
en
Co
llab
ora
tio
n w
ith
Healt
h-R
ela
ted
Sect
ors
Red
uce
the
Perc
enta
ge o
f
child
ren u
nder
five
stu
nte
d
from
30%
to 1
7%
·IE
C m
ater
ials
·Par
tner
ship
s
·C
om
moditie
s
·C
apac
ity
build
ing
of he
alth
work
ers
in n
utri
tiona
l
requir
emen
tsof un
der
-five
s
·C
om
mun
ity
advo
cacy
and
mobili
zation
on
nutr
itio
n in
under
-five
s
·D
istr
ibution
of IE
C m
ater
ials
·N
umbe
r of H
CW
s w
hose
capa
city
in n
utri
tion
for
under
-five
s ha
s be
en b
uilt
·N
umbe
r of co
mm
unity
units
mobi
lized
and
sens
itiz
ed o
n nu
tritio
n fo
r
under
-five
s
·N
umbe
r of he
alth
fac
ilities
supp
lied w
ith
nutr
itio
n
com
moditie
s
·N
umbe
r of ch
ildre
n un
der
five
year
s of ag
e at
tend
ing
child
wel
fare
clin
ics
who
are
under
wei
ght
·N
umbe
r of ch
ildre
n un
der
five
year
s of ag
e at
tend
ing
child
wel
fare
clin
ics
who
are
stun
ted
·R
educ
e m
alnu
tritio
n in
under
-five
s,
·pr
opo
rtio
n of ch
ildre
n
under
the
age
of 5
year
s
who
hav
e st
unte
d
grow
th
Red
uced
und
er fi
ve
mort
ality
25
MONITORING AND EVALUATION PLAN 2019 - 2023
Str
ate
gic
targ
et
Inp
uts
Pro
cess
es
Ou
tpu
tsO
utc
om
eIm
pact
Red
uce
the
Per
cent
age
of
child
ren
under
five
under
wei
ght
from
18%
to
10%
·IE
C m
ater
ials
·Par
tner
ship
s
·C
om
moditie
s
·C
apac
ity
build
ing
of he
alth
work
ers
in n
utri
tiona
l
requir
emen
ts o
f un
der
-five
s
·C
om
muni
ty a
dvo
cacy
and
mobili
zation
on
nutr
itio
n in
und
er-fi
ves
·D
istr
ibut
ion
of IE
C m
ater
ials
·N
umbe
r of H
CW
s w
hose
capa
city
in n
utri
tion
for
under
-five
s ha
s be
en b
uilt
·N
umbe
r o
f co
mm
unity
units
mobi
lized
and
sens
itiz
ed o
n nu
tritio
n fo
r
under
-five
s
·N
umbe
r of ch
ildre
n
iden
tifie
d, r
efer
red a
nd
reha
bilit
ated
for
mal
nutr
itio
n at
com
mun
ity
leve
l
·N
umbe
r of ch
ildre
n un
der
five
year
s of ag
e at
tend
ing
child
wel
fare
clin
ics
who
are
under
wei
ght
·N
umbe
r of ch
ildre
n un
der
five
year
s of ag
e at
tend
ing
child
wel
fare
clin
ics
who
are
stun
ted
·R
educ
ed p
ropo
rtio
n of
child
ren
under
the
age
of
5 ye
ars
who
are
under
wei
ght
·Pro
port
ion
of un
der
5
who
are
und
erw
eigh
t
Red
uce
under
-five
s
mort
ality
Incr
ease
the
Perc
enta
geof
popu
lation
with a
cces
s to
safe
wat
erfr
om
37%
to
52%
·In
ters
ecto
ral
colla
bora
tion/
par
tner
ship
s
·IE
C
·In
fras
truct
ure
·C
om
moditie
s
·Tr
ainin
g of H
CW
s an
d C
HV
s
·C
om
muni
ty s
ensi
tiza
tion
·O
utr
each
es
·N
umbe
r of ho
useh
old
s
reac
hed w
ith
wat
er
trea
tmen
t m
essa
ges
by t
he
trai
ned H
CW
s an
d C
HV
s
·In
crea
sed a
cces
s to
saf
e
wat
er
·pr
opo
rtio
n of
hous
ehold
s w
ith
acce
ss
to s
afe
wat
er
Red
uced
bur
den
of
dia
rrhe
al d
isea
ses
Incr
ease
the
Perc
enta
ge o
f
hous
ehold
s w
ith
latr
ines
from
43%
to 6
6%
·IE
C m
ater
ials
·G
uidel
ines
·in
fras
truc
ture
·C
om
muni
ty a
dvo
cacy
and
mobili
zation
on
latr
ine
use
·C
apac
ity
build
ing
of
com
muni
ty h
ealth
volu
ntee
rs
on
com
mun
ity
led t
ota
l
sani
tation
(CLT
S)
·D
istr
ibut
ion
of IE
C m
ater
ials
·N
umbe
r of co
mm
unity
units
who
se c
apac
ity
in
CT
LS h
as b
een
built
·N
umber
of ope
n
def
ecat
ion
free
(O
DF)
villa
ges
·N
umbe
r of vi
llage
s
trig
gere
d
·N
umbe
r of ho
useh
old
s
with
func
tiona
l toile
ts
·In
crea
sed p
ropo
rtio
n of
hous
ehold
s w
ith
latr
ines
Red
uced
bur
den
of
dia
rrhe
al d
isea
ses
26
MONITORING AND EVALUATION PLAN 2019 - 2023
Str
ate
gic
targ
et
Inp
uts
Pro
cess
es
Ou
tpu
tsO
utc
om
eIm
pact
Incr
ease
pro
port
ion
of
hous
ehold
s w
ith
adeq
uat
e
ventila
tion fro
m 4
0% t
o
75%
by
202
2
·IE
C m
ater
ials
·G
uidel
ines
·in
fras
truc
ture
·C
om
muni
ty a
dvo
cacy
and
mobili
sation
·D
istr
ibut
ion
of IE
C m
ater
ials
·N
umbe
r of ho
useh
old
s
insp
ecte
d
·N
umbe
r of ho
useh
old
s
with
adeq
uate
ven
tila
tion
base
d o
n in
spec
tion
·In
crea
sed h
ous
es w
ith
adeq
uate
ven
tila
tion
·pr
opo
rtio
n of
hous
ehold
s w
ith
adeq
uate
ven
tila
tion
Red
uced
bur
den
fro
m
resp
irat
ory
illn
esse
s
Incr
ease
the
Perc
enta
ge o
f
schools
pro
vidin
g
com
ple
te s
chool h
ealth
pac
kage
by
25%
·IE
C m
ater
ials
·Par
tner
ship
s
·Sc
hool h
ealth
progr
am
·O
utr
each
es
·N
umbe
r of sc
hools
provi
din
g co
mpl
ete
scho
ol
heal
th p
acka
ge
·Pro
port
ion
of sc
hools
provi
din
g co
mpl
ete
scho
ol h
ealth
pack
age
·In
crea
sed c
ove
rage
of
scho
ols
pro
vidin
g
com
plet
e sc
hool h
ealth
pack
age
Red
uced
morb
idity
and
mort
ality
MONITORING AND EVALUATION PLAN 2019 - 2023
27
2.4 County Health Sector Strategic Plan Targets
The County Government, guided by this logical framework, has developed targets for the five year period to track the progress of health outcomes and equity, social and financial risk protection and responsiveness at the impact level; coverage of interventions, prevalence of risk behaviour and factors at outcome level ( mapped to the national health policy objectives) and various intervention access, service readiness, and quality at the output level ; and also inputs and processes guided by the health system investment areas. The baseline, mid-term and end-term targets for the County Health Sector Strategic Plan are presented in the table 4 that follows:
Table 3: County Health Sector Strategic Plan Targets
Policy Objective IndicatorTargets
Baseline2017/18
Mid Term2020/2021
Target2022/2023
IMPACT
Improved health outcomes
Life Expectancy at birth 58 60 61
Total annual number of deaths (per 100,000 population)
Maternal deaths per 100,000 live births 374 350 250
Neonatal deaths per 1,000 live births 31 18 15
Under five deaths per 1,000 births 60 45 30
Infant mortality rate (per 1,000 births) 62 50 31
Distribution of health services
Percentage of range of health services outcome Index No data No data No data
Service Responsiveness
Client Satisfaction Index No data No data No data
HEALTH AND RELATED SERVICE OUTCOME TARGETS
Eliminate Communicable Conditions
Percentage of Fully immunized children 60% 69% 75%
Percentage of target population receiving MDA for trachoma
60% 80% 80%
Percentage of TB patients completing treatment 81% 90% 90%
Percentage of HIV + pregnant mothers receiving preventive ARV’s(HAART)
72% 100% 100%
Percentage of eligible pediatric HIV clients on ARV’s 76% 91% 100%
Percentage of targeted under 1’s provided with LLITN’s
66% 72% 76%
Percentage of targeted pregnant women provided with LLITN’s
50% 68% 80%
Percentage of under 5’s treated for diarrhea 21% 15% 11%
Percentage of School age children dewormed 19% 34% 41%
Halt, and reverse the rising burden of non-communicable conditions
Percentage of adult population with BMI over 25 2.4% 1.8% 1.2%
Percentage Women of Reproductive age screenedfor Cervical cancers
0.15% 15% 30%
Percentage of new outpatients with mental health conditions
0.01% 0.075% 0.005%
Percentage of new outpatient cases with high blood pressure
0.59% 0.35% 0.25%
Percentage of patients admitted with cancer No data TBD TBD
Reduce the burden of violence and injuries
Percentage of new outpatient cases attributed to sexual gender-based violence
0.1%(6)
0 0
Percentage of new outpatient cases attributed to Road traffic Injuries
0.002%(2030)
0 0
Percentage of new outpatient cases attributed to other injuries
2.4% 1.75% 1.2%
Percentage of deaths due to injuries - 0 0%
MONITORING AND EVALUATION PLAN 2019 - 2023
28
Policy Objective IndicatorTargets
Baseline2017/18
Mid Term2020/2021
Target2022/2023
Provide essential health services
Percentage of deliveries conducted by skilled attendant
41% 56% 66%
Percentage of women of Reproductive age receiving family planning
36.3% 45.3% 51.3%
Percentage of facility based maternal deaths0.028%
(8)0 0
Percentage of facility based under five deaths - 0% 0%
Percentage of newborns with low birth weight 5.2% 5.05% 4.95%
Percentage of facility based fresh still births 1.16% 0.91% 0.81%
Percentage of pregnant women attending 4 ANC visits
33.6% 44.4% 51.6%
Minimize exposure to health risk factors
Percentage of population who smoke 19% 13% 9%
Percentage of population consuming alcohol regularly - - -
Percentage of infants under 6 months on exclusive breastfeeding
32% 53% 67%
Percentage of Population aware of risk factors to health
70% 85% 95%
Strengthen collaboration with health-related sectors
Percentage of population with access to safe water 37% 46% 52%
Strengthen collaboration with health-related sectors
Percentage of population with access to safe water 37% 46% 52%
Percentage of under 5’s stunted 30% 22.16% 17.36%
Percentage of under 5 underweight 18.7% 13.86% 10.23%
Percentage of households with latrines 43.6% 58% 66%
Percentage of houses with adequate ventilation - 65.9 75.9
Percentage of classified road network in good condition
- - -
Percentage of Schools with adequate sanitation 30% 45% 55%
HEALTH INVESTMENT OUTPUTS
Improving access to services
Outpatient utilization rate 1.2 2 2
Percentage of population living within 5km of a facility
25% 40% 60%
Percentage of facilities providing BEmONC34%
76/22249% 59%
Percentage of facilities providing CEmONC25%2/8
62.5%5/8
100%8/8
Bed Occupancy Rate 90% 85% 80%
Percentage of facilities providing Immunization58.6%
130/22273.8% 83.8%
Improving quality of care
TB Cure rate 71% 82.4% 90%
Percentage of confirmed malaria cases 64.9% 100% 100%
Percentage of maternal deaths/deaths audits1008/8
100 100
Malaria inpatient case fatality No data 0 0
Average length of stay (ALOS) 5 4 3
HEALTH INPUT AND PROCESS INVESTMENT
Service Delivery Systems
Percentage of functional Community Units 40% 60% 75%
Percentage of outbreaks investigated within 48 hours 100% 100% 100%
Percentage of hospitals offering emergency trauma services
- 100 100
Health Workforce
Number of nurses per 10,000 population 7.1 8 10
Percentage of eligible staff who have undertaken CPD
No data 80 100
Staff attrition rate 1.5% 1% 0.5%
Health Infrastructure Percentage of facilities equipped as per norms 18% 30% 45%
Number of hospital beds per 10,000 population - - -
Health Products Percentage of health facilities reporting stock out of EMMS
No data 0 0
MONITORING AND EVALUATION PLAN 2019 - 2023
29
Policy Objective IndicatorTargets
Baseline2017/18
Mid Term2020/2021
Target2022/2023
Health Financing
Health expenditure as a percentage of total county expenditure
33% 35% 40%
Total public health expenditure as percentage of Total Health Expenditure
48% 50% 52%
Off budget expenditure as percentage of total county health expenditure
18% 16% 15%
Out of pocket spending as percentage of county health expenditure
35.2% 30% 25%
Health Leadership
Percentage of health facilities inspected annually No data 50 100
Percentage of health facilities with functional committees
100 100 100
Percentage county interagency forum meetings held No data 100 100
Percentage of facilities supervised No data 100 100
Percentage of CHSF Steering Committee Meetings held
No data 100 100
Percentage of planning units submitting completed plans
No data 100 100
Health Information
Percentage of sector quarterly reports produced and disseminated
No data 4 4
Percentage of planning units submitting timely, complete and accurate information
No data 100 100
Percentage of facilities submitting timely, complete and accurate information
No data 100% 100
2.5 Key Responsibilities for Baringo Health Sector M&E
To be fully successful, M&E functions need to be carried out by the respective programmes and at all levels of health care delivery, from the national to the community level. Overall, the stewardship of the M&E agenda will be guided by three broad principles: a) Supporting the establishment of a common data architecture. b) Enhancing sharing of data and promoting information use for evidence-based decision making. c) Strengthening performance monitoring and review processes.
The following section outlines the key responsibilities of various units under which M&E functions fall at the national and county level.
MONITORING AND EVALUATION PLAN 2019 - 2023
30
Ste
ward
ship
Go
al
Nati
on
al le
vel
Co
un
ty L
eve
l: C
HM
TS
ub
-Co
un
ty L
eve
l: S
CH
MT
Co
un
ty L
eve
l: P
art
ners
Facilit
y leve
l
Est
ab
lish
men
t o
f a
com
mo
n d
ata
arc
hit
ect
ure
Defi
ne s
tand
ards
for
dat
a
shar
ing
betw
een
aggr
egat
e an
d
patien
t-le
vel d
ata.
Coord
inat
e dev
elopm
ent
of
min
imum
dat
a se
ts a
nd d
ata
requ
irem
ents
of th
e he
alth
sect
or.
Cre
ate
and m
aint
ain
a dat
a
repo
sito
ry o
f he
alth
and
hea
lth
rela
ted in
form
atio
n.
Car
ry o
ut o
vers
ight
fun
ctio
ns
to m
anag
e al
l hea
lth
and
heal
th-r
elat
ed d
ata
from
serv
ice
provi
der
s at
all
leve
ls
to in
form
polic
y fo
rmul
atio
n.
Cond
uct
ove
rsig
ht t
o m
anag
e
all m
oni
tori
ng, e
valu
atio
n an
d
rese
arch
dat
a fr
om
all
progr
amm
es w
ithi
n th
eir
area
of ju
risd
iction.
Cre
ate
and m
aint
ain
a
moni
tori
ng s
yste
m a
nd d
ata
repo
sito
ry.
Colla
bora
te a
nd w
ork
in
part
ners
hip
with
oth
er
stat
istica
l cons
titu
enci
es a
t th
e
coun
ty le
vel t
o b
uild
one
coun
ty-w
ide
M&
E sy
stem
base
d o
n th
e pr
inci
ples
out
lined
in t
his
docu
men
t.
Com
pile
all
repo
rts
from
the
Sub
coun
ties
into
a s
ingl
e
Coun
ty H
ealth
report
.
Cond
uct
ove
rsig
ht t
o m
anag
e
all m
oni
tori
ng, e
valu
atio
n an
d
rese
arch
dat
a fr
om
all
progr
amm
es w
ithi
n th
eir
area
of ju
risd
iction.
Com
pile
all
repo
rts
from
the
Sub
coun
ty h
ealth
faci
litie
s in
to
a si
ngle
sub
-Coun
ty H
ealth
repo
rt.
Supp
ort
the
coun
ties
in
esta
blis
hing
dat
a co
llect
ion
stru
ctur
es.
Work
colla
bora
tive
ly w
ith t
he
MoH
M&
E U
nit
to p
rovi
de
dat
a, a
s ap
propr
iate
, on
popu
lation-b
ased
sta
tist
ics, a
nd
vita
l eve
nts
(bir
ths
and d
eath
s),
and h
ealth
rela
ted r
esea
rch
dat
a fo
r co
mpa
rative
ana
lysi
s
and w
areh
ous
ing.
Mai
nta
in a
nd u
pdat
e th
e H
ealth
Info
rmat
ion S
yste
m, i
ncl
udin
g
reco
rds, fi
ling
syst
em(s
) an
d
regi
stry
for
pri
mar
y dat
a
colle
ctio
n t
ools
(su
ch a
s
regi
ster
s, c
ards, fi
le fold
ers)
,
and s
um
mar
y fo
rms
(such
as
report
ing
form
s, C
Ds,
elec
tronic
bac
kups)
.
Safe
guar
d d
ata
and in
form
atio
n
syst
em fro
m a
ny r
isks
, e.g
., fire
,
floods, a
cces
s by
unau
thori
zed
per
sons.
Com
pile
all
report
s fr
om
the
Tech
nic
al O
ffic
ers
into
a s
ingl
e
hea
lth fac
ility
rep
ort
.
Tab
le 4
: Key R
esp
on
sib
ilit
ies
an
d f
un
ctio
ns
of
the M
&E
un
it
31
Ste
ward
ship
Go
al
Nati
on
al le
vel
Co
un
ty L
eve
l: C
HM
TS
ub
-Co
un
ty L
eve
l: S
CH
MT
Co
un
ty L
eve
l: P
art
ners
Faci
lity
leve
l
Imp
rove
perf
orm
an
ce a
nd
revie
w p
roce
sses
Agg
rega
te, a
naly
se, d
isse
min
ate
and u
se h
ealth
and h
ealth-
rela
ted d
ata
on
the
perf
orm
ance
of th
e he
alth
sect
or
prio
rities
out
lined
in t
he
KH
SSP fro
m a
ll
MoH
dep
artm
ents
, SA
GA
s,
nationa
l hosp
ital
s, C
HM
Ts
and
oth
ers, a
nd p
rovi
de
feed
back
to a
ll.
Com
pile
all
repo
rts
at t
he
nationa
l lev
el o
n pe
rform
ance
trac
king
of th
e st
rate
gic
plan
.
Ana
lyse
the
qua
lity
of al
l
repo
rts
rece
ived
and
ens
ure
follo
w-u
p in
cas
e of
inco
mpl
eten
ess, p
robl
ems
with
valid
ity,
and d
elay
s.
Pro
vide
tech
nica
l sup
port
to a
ll
nationa
l-le
vel o
pera
tiona
l uni
ts,
SAG
As, a
nd n
atio
nal r
efer
ral
hosp
ital
s in
moni
tori
ng a
nd
eval
uation.
Pro
duc
e a
heal
th s
ect
or
perf
orm
ance
rep
ort
tha
t
incl
udes
ser
vice
del
iver
y
met
rics
.
Ana
lyse
the
qua
lity
of al
l
repo
rts
rece
ived
and
ens
ure
appr
opr
iate
follo
w-u
p in
cas
e
of in
com
plet
enes
s or
probl
ems
with
valid
ity,
as w
ell a
s del
ays
from
the
Sub
coun
ty le
vels
.
Pro
vide
tech
nica
l, m
ater
ial a
nd
finan
cial
sup
port
for
M&
E to
all
sub
coun
ties
.
Colla
te, a
naly
se, d
isse
min
ate
and u
se h
ealth
and h
ealth-
rela
ted d
ata
from
all
Sub
coun
ty o
ffice
s an
d g
ive
feed
back
Pro
duc
e a
heal
th s
ecto
r
perf
orm
ance
rep
ort
tha
t
incl
udes
ser
vice
del
iver
y
met
rics
.
Ana
lyse
the
qua
lity
of al
l
repo
rts
rece
ived
and
ens
ure
appr
opr
iate
follo
w-u
p in
cas
e
of in
com
plet
enes
s or
probl
ems
with
valid
ity,
as w
ell a
s del
ays
from
the
fac
ilities
Colla
te, a
naly
se, d
isse
min
ate
and u
se h
ealth
and h
ealth-
rela
ted d
ata
from
all
Sub
coun
ty fac
ilities
and
give
feed
back
Work
withi
n th
e he
alth
sec
tor
M&
E fr
amew
ork
and
gui
del
ines
and
mee
t th
e re
port
ing
requ
irem
ents
as
defi
ned b
y
min
imum
dat
aset
s.
Ensu
re c
om
pila
tion
and
proce
ssin
g of m
inut
es,
inve
ntory
, sup
ervi
sion
and
oth
er a
ctiv
ity
repo
rts.
Ana
lyse
the
qua
lity
of al
l
repo
rts
rece
ived
fro
m v
ario
us
heal
th fac
ility
uni
ts a
nd e
nsur
e
follo
w-u
p in
cas
e of
inco
mpl
eten
ess, p
robl
ems
with
valid
ity,
or
del
ays
MONITORING AND EVALUATION PLAN 2019 - 2023
32
Ste
ward
ship
Go
al
Nati
on
al le
vel
Co
un
ty L
eve
l: C
HM
TS
ub
-Co
un
ty L
eve
l: S
CH
MT
Co
un
ty L
eve
l: P
art
ners
Faci
lity
leve
l
En
han
cin
g s
hari
ng
of
data
an
d
pro
mo
tin
gu
se o
f
info
rmati
on
fo
r
deci
sio
n-m
akin
g
Dev
elop
M&
E-r
elat
ed
guid
elin
es a
nd p
olic
ies.
Pre
pare
and d
isse
min
ate
nationa
l annu
al a
nd q
uart
erly
perf
orm
ance
rev
iew
rep
ort
s.
Ensu
re p
rope
r in
form
atio
n
flow
fro
m v
ario
us le
vels
in
acco
rdan
ce w
ith n
atio
nal a
nd
inte
rnat
iona
l dat
a an
d
repo
rtin
g obl
igat
ions
. (T
his
incl
udes
, spe
cifica
lly,
forw
ardin
g C
ount
ry H
ealth
info
rmat
ion a
s re
quir
ed t
o t
he
Dir
ecto
r fo
r H
ealth
for
forw
ardin
g to
inte
rnat
ional
acto
rs.)
Pro
vide
capac
ity-
bui
ldin
g in
M&
E.
Pre
pare
and s
hare
the
Annu
al
Stat
e of H
ealth
repo
rts
dur
ing
the
Hea
lth C
ong
ress
.
Ensu
re p
rope
r in
form
atio
n
flow
fro
m v
ario
us le
vels
to
info
rm p
olic
y fo
rmul
atio
n,
guid
elin
es, a
nd d
evel
opm
ent
of
proto
cols
, and
to a
ddre
ss
coun
try’
s in
tern
atio
nal
obl
igat
ions
. (T
his
spec
ifica
lly
incl
udes
forw
ardin
g th
e
Coun
ty H
ealth
repo
rt t
o t
he
Nat
iona
l MoH
.)
Pre
pare
dat
a an
alys
es for
dis
cuss
ion
dur
ing
the
CEC
M
and d
irec
tora
te m
eeting
s an
d
foru
m for
dec
isio
n-m
akin
g.
Dev
elop
Coun
ty H
ealth
repo
rt
and s
hare
wit
h th
e C
ECM
Dev
elop
quar
terl
y fe
edba
ck t
o
the
CEC
M a
nd C
oun
ty
Dir
ecto
r fo
r H
ealth
and s
hare
with
them
.
Dis
sem
inat
e qu
arte
rly
repo
rts
to S
ub c
oun
ty h
ealth
team
s
and H
ealth
Com
mitte
e.
Ensu
re p
rope
r in
form
atio
n
flow
fro
m h
ealth
faci
litie
s an
d
com
mun
ity
heal
th u
nits
to
info
rm p
olic
y fo
rmul
atio
n,
guid
elin
es, a
nd d
evel
opm
ent
of
proto
cols
in t
he s
ub c
oun
ties
.
Pre
pare
dat
a an
alys
es for
dis
cuss
ion
dur
ing
the
dir
ecto
rate
mee
ting
s, t
he
Coun
ty M
&E
cong
ress
and
oth
er foru
m for
dec
isio
n
mak
ing
forw
ardin
g th
e Su
b-C
oun
ty
Hea
lth
repo
rt t
o t
he C
oun
ty
Dir
ecto
r fo
r H
ealth.
Pro
vide
supp
ort
to s
tren
gthe
n
the
MoH
M&
E U
nit
in t
heir
area
s of ope
ration
(e.g
.,
thro
ugh
provi
sion
of te
chni
cal
suppo
rt a
nd c
apac
ity
build
ing)
.
Ensu
re t
hat
ever
y he
alth
fac
ility
sum
mar
ises
hea
lth
and h
ealth-
rela
ted d
ata
from
the
com
mun
ity
and h
ealth
faci
lity;
anal
yses
it; d
isse
min
ates
it a
nd
uses
the
info
rmat
ion
for
dec
isio
n-m
akin
g; p
rovi
des
feed
back
; and
tra
nsm
its
sum
mar
ies
to t
he n
ext
leve
l.
Pre
pare
an
anal
ysis
of th
e dat
a
for
dis
cuss
ion
dur
ing
staf
f an
d
boar
d m
eeting
s fo
r dec
isio
n-
mak
ing.
Forw
ard h
ealth
and h
ealth-
rela
ted r
eport
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3. DATA MANAGEMENT - COLLECTION, COLLATION, ANALYSIS AND REPORTING
3.1 Towards a common data architectureIn support of the establishment of a common data architecture, the county government appreciates that the county health sector needs to apply a commonly understandable classification for services, medicines and medical supplies, and cadres for staff. Further, it also needs to apply a standard coding system for all databases. As such, the use of defined standards for exchange of patient and aggregate level data across the health information system is crucial. In the implementation of this plan, the county government will underline the importance of a common data architecture and will seek the necessary support from the national ministry of health and partners to build capacity in this regard.
3.2 Data CollectionTowards enhancing data sharing and information use for decision making, the county government appreciates the need to enhance the capacities for data sharing, statistical management through data sharing and information use to support evidence-based decisions.
Data collection for M&E indicators will utilize both qualitative and quantitative methods and, as much as possible, employ standardized data collection tools and analysis techniques. Most data will be collected routinely, and any survey-based indicators will be collected at baseline, midterm and at the end of implementation of the strategic plan. Data collection is appreciably carried out at all the levels of the county health system. The following activities are undertaken at all levels – collection of data on inputs, processes and outputs; processing or aggregation of data collected from the various service delivery points; and review of data for quality purposes. Data collection tools applied include the DHIS, LMIS, HRIS, Commodity Management Systems and Financial Systems. These tools as well as the reporting forms and responsible county personnel are listed in Appendix 2.
This plan anticipates that the relevant reporting tools will be made available at all levels of the county health system; and shared accordingly with the faith based and private for-profit facilities to ensure there is harmonised and complete reporting. The M&E unit will monitor the availability of the reporting tools in terms of stock levels and ensure that there are always safety stocks. The appropriate budget allocation for ensuring availability of the tools will be enabled and the CMHT and SCHMT will ensure proper utilisation of tools through regular supportive supervision.
3.3 Data sourcesBaringo County Department of Health will rely on both routine and non-routine data sources.
3.3.1 Routine data sourcesRoutine data will be collected daily using MOH registers at the community and facility. At the community, data will be collected by the CHVs at the household level. At the facility, the healthcare worker providing the specific health service will input data into the daily service register. This data will be aggregated by the CHEW (community data) and facility-in-charge (facility-based data) at the end of every month using summary tools and entered into the
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DHIS 2 by the SCHRIO. In addition, disease surveillance data; vital registration of births, deaths and marriages; and information on human resources will be updated regularly.
DHIS - The DHIS serves as the primary health services monitoring system for the health sector. The County government will work with national ministry of health to ensure that the existing system for DHIS is effectively utilised to support reporting on all the agreed indicators (outlined in the Annex 1). The county government will focus on improving timeliness and completeness in DHIS data reporting, strengthening regular data analysis and review at health facility, sub-county and county levels, supporting the mechanism for data collection and reporting from private sector health care facilities, supporting quarterly data review meetings of at sub county level and timely analysis and dissemination of data at all levels.
Integrated Disease Surveillance (IDSR) - The weekly epidemiological surveillance reporting system that reports on diseases of epidemic potential will be utilised to capture necessary data.
Logistic Management Information System (LMIS) -The web-based platform for ordering EMMS will be used to track quarterly orders made and orders filled and order fill rate.
Electronic Medical Records (EMR) - The county government currently has 13 facilities that are already using EMR for recording the daily activities at the facilities. Utilisation of this system will continue and challenges regarding inadequate budget for maintenance of system will be addressed.
Tibu TB Care System- Tracking TB patients in support of DOT and follow ups
Electronic ART dispensing tool -At central ART sites the system is used for dispensing ARTs and provides data on the numbers of persons accessing ARTs.
Human Resources Information System (HRIS) - employees' information regarding gaps in staffing and employment, training / capacity needs, training database and development and attrition rate. Applies staff return forms.
Vital Registration - births registration (B1), deaths registration (D1), marriages and divorces.
Integrated Financial Management Information System (IFMIS) - Financial returns, ledgers, vote books CLTS Database
3.3.2 Non – Routine Data sourcesNon-routine data collection will be undertaken through surveys and census. Targeted surveys for the period include the following:
Health community surveys- Surveys undertaken by the Kenya National Bureau of Statistics (KNBS) with support from partners as well as by the county itself will be targeted to provide information on measures of household-based coverage indicators for
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determining the impact of interventions. Community surveys for the period will include the following: a) Kenya Population and Household Survey – popularly known as the National Census was last undertaken in 2009 and is scheduled to be undertaken in 2019. The county government will utilise the data from this census for its key decisions. b) Kenya Demographic and Health Survey: The last Kenya Demographic and Health Survey (KDHS) was conducted in 2014 and included standardized questions on coverage of key health interventions. The next one is anticipated in 2019/2020. c) Malaria Indicator Survey: The last Malaria Indicator Survey was undertaken in 2015 and will be undertaken again in 2019. d) Kenya HIV/AIDS indicator Survey - The last Kenya HIV/AIDS indicator Survey was undertaken in 2012. The survey on HIV/AIDS indicators was carried out in 2018 but results are due in early 2019. e) Kenya Mortality Trends (first one covered 2012 to 2016). f) Small Scale Studies: Smaller scale household surveys are conducted periodically when there is a specific question requiring an answer. Such surveys have in the past included the following SMART survey – Annual Nutrition Survey - Conducted in July /August and targeting under 5 and Nutrition KAP – Knowledge Attitude and Practices Survey – targets Maternal Infants and Young Child Nutrition.
Health Facility Surveys a) Service Provision Assessment: These assessments are normally nationwide, and designed to collect information on the availability and quality of specific services - such as RMNCAH, infectious disease (malaria, TB and HIV/AIDS) services provided in health facilities. b) Service Readiness Assessments. c) Commodities Availability Assessment.
3.3.3 Other complimentary methodsOther complimentary methods to be applied in data collection include the following: a) Pharmacovigilance -The Pharmacy and Poisons Board (PPB) has designed a generic form to collect reporting of adverse drug reactions (ADR) as part of the pharmacovigilance system. b) Health facility- based surveillance via sentinel sites and disease surveillance system c) Activity monitoring systems/activity reports at both county and sub-county level. Sub-county level - routine implementation reports are compiled to understand progress of sub-county-level implementation of selected interventions. Examples of such reports include routine and activity-specific supervision and project implementation reports. d) County level: At county level, compilation of activity reports by programs and the stakeholders will be coordinated by program managers and shared with M&E unit for further analysis and synthesis of level of achievement of relevant indicators and compilation of performance reports. e) Periodically, several reports (sometimes with specified formats) are required from the county by the national ministry of health, and development partners. f) Other studies - Periodically, specific studies will be undertaken to respond to significant questions in county health service delivery. These studies are intended to improve current interventions and provide opportunities for improvement.
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3.4 Data Flow
The data communication for the county health sector shall follow the existing county health and national health ministerial coordination structures. The HMIS, IDSR, activity reports and services utilization data (including supervision/mentoring, logistics and supplies) are institutionalized mechanisms of data collection from the national level to the health facilities through the counties and sub-county health coordination structures. From the lowest level, reports flow to the higher levels and in return feedback is expected on the outputs of the reported data and any new information that could be available from other sources.
The county department for health services will use various communication channels to ensure public access to data and reports. Quantitative and qualitative data will be made publicly accessible through the relevant county government databases (The databases include but are not limited to DHIS, HRIS, IFMIS, LMIS). The Local Area Network (LAN) installed at the county health services department will facilitate inter-departmental communication. Email accounts will be created for all county and sub-county teams and hospitals and will be used for communication with the department of health services including the M&E unit. The public will also be able to access health information on the county government website, http://www.baringo.go.ke/.
In addition to the Information and Communication Technology facilities at the department of health services, the M&E Unit and the M&E TWG will collaborate with the persons responsible for Health Promotion at the department to translate data and information according to the target audience and utilize various communication channels including radio, television, teleconferencing, newsletters, booklets. Figure 3 shows the data flow hierarchy for the county health data
MONITORING AND EVALUATION PLAN 2019 - 2023
Figure 2: Baringo County Data Flow and Use map
Data Management Hierarchy
FE
ED
BA
CK
FL
OW
UP
WA
RD
DA
TA
FL
OW
Data Collection Compilation Storage Analysis Reporting Use
National
Person(s) responsible
Indicator definition; Tools development
Data aggregation Data warehousing National level National reports; Donor reports
Policy formulation; Resource management
M&E TWG HMIS department; Divisional heads
HMIS department; Divisional heads
HMIS department; Divisional heads; National TWGs
HMIS department; Divisional heads
Policy makers
County
Person(s) responsible
Indicator definition; Customization; Tools development
Data aggregation Data archiving County level County level Policy formulation; Resource allocation
CHMT, TWGs CHRIO and M&E Coordinator
CHRIO and M&E Coordinator
CHRIO and M&E Coordinator
CHRIO and M&E Coordinator
County government
Sub County
Person(s) responsible
Data verification and audit
Data entry and tabulation
Data archiving Sub county and facility level
Sub county level Indicator monitoring
SCHRIO, SCHMT SCHRIO, SCHMT SCHRIO SCHRIO SCHRIO SCHMT
Facility(public and non-public)
Person(s) responsible
Data Capture Collation and transmission
Data archiving Facility + Community Departmental and facility data
Resource Management; Health talks
HRIO, facility managers
HRIO, facility managers
HRIO, facility managers
HRIO, facility managers
HRIO, facility managers
HRIO, facility managers
Community
Person(s) responsible
Data Capture Collation and transmission
Data archiving Community Unit CHEW Community mobilization, planning
CHW, CHV CHEW CHEW CHEW CHEW CHEW
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3.5 Data Quality
The county government will ensure that all levels of the county health system generate and disseminate quality data to support decision making. Data quality assurance processes will include periodic Data Quality Audits (DQA) of recorded data by supervisors from county health services department and (supported by implementation partners); regular training of staff, and provision of routine feedback to staff at all levels on completeness, reliability and validity of data; and data quality assessment and adjustment which will be carried out periodically. The objective of data validation is to ensure that the data used by the county health sector to make decisions is sound and accurate. Specific efforts will be made to undertake data validity including: application of the computed validation/data accuracy index into county, sub-county and facility annual reports; specific support for outliers; routine (quarterly) data reviews on a sample of facilities.
Regular data quality assurance for facility-based data including regular review and verification for accuracy and completeness will be carried out monthly by the health facility in-charges at all levels. All periodic reports will be reviewed and endorsed before submission to the relevant stakeholders.
DQA will be carried out at points of data collection, collation and analysis by the county health services department technical staff and by the HRIOs within the sub-county. The Standardized DQA tools developed by the national ministry of health and its programs will be applied at all levels.
DQA for county health evaluation studies will be carried out using agreed formats by the county health services department M&E unit which will have responsibility of coordinating the county health sector evaluation studies. County health facility (Hospitals Review Boards) will have the responsibility of data validation for health systems research carried out in the respective institutions as guided by the national MOH regulations.
In addition to the above data checks and validation, the county health services department M&E unit will carry out annual Rapid Data Quality Assessment (RDQA) in which a selected number of health facilities will be drawn from the master facility list for this assessment. RDQA will be undertaken together with other facility-based assessments where possible in the spirit of joint assessments. The RDQA will be carried out as a quality assessment of the entire process of data collection, analysis and synthesis for the county health sector.
The county health services department has an institutionalized mechanism for verification and validation of health data from both routine HMIS and activity reports. The department will also carry out verification of reported data for key county health indicators to check if service delivery and intermediate aggregation sites are collecting and reporting data to measure the county health outcome indicators accurately and on time and to cross-check the reported results with other data sources. This DQA will determine if a sample of Service Delivery Sites accurately record the activity related to the selected indicators on source documents. It will then trace that data to see if it has been correctly aggregated and/or otherwise manipulated as it is submitted from the initial Service Delivery Sites through intermediary levels to the county health services department. This data
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verification exercise will take place in two stages:
Ÿ In-depth verifications at the Service Delivery Sites; andŸ Follow-up verifications at the Intermediate Aggregation Levels and at County Health
Services Department's M&E Unit.
The county health department will liaise with all stakeholders through the M&E TWG to standardize and harmonize county health sector DQA tools and instruments.
3.6 Data AnalysisThe county government will undertake analysis and synthesis of data at county, sub-county and facility levels to make the data meaningful for planning and decision making. By applying various tools of analysis including content analysis, statistical analysis and GIS mapping, actual results will be compared against planned and agreed target; variations will be explained, and comparisons undertaken at different levels and across interventions. Analysed and synthesised data will be packaged and shared through various reporting mechanism including monthly, quarterly and Annual Progress Reports, mid- and end-term evaluations, thematic studies and surveys. The department of health services in collaboration with partners will strengthen the capacity of the county health sector to undertake data analysis and synthesis at all levels -CHMT, SCHMTs, health facilities and civil society organizations, to enhance bottom-up planning and decision-making.
3.7 Reporting, Data Dissemination and Data SharingData need to be translated into information that is relevant for decision-making. Data will be packaged and disseminated in formats that are determined by management. The department of health services will ensure that service delivery data is packaged and displayed at the various health facilities using formats such as the DHIS dashboard reports, scorecards and service charter boards. The timing of information dissemination should fit in with the planning cycles and needs of the users. Further, the department will promote sharing of information across all the levels of care. Data and information generated at all levels of the sector and from different sources will be shared, translated and applied for decision-making during routine monitoring, periodic sector performance review, planning, resource mobilization and allocation, accountability, designing disease-specific interventions, policy dialogue, review and development.
3.8 Performance Reporting and Review processThe county health sector monitoring and review process is interlinked across the various planning levels. Service delivery information that is utilised for monitoring and review process will be obtained through a bottom-up approach based on the county platform that uses the decentralised structures ( sub-counties, wards and county entities) as the units for design and analysis; based on continuous monitoring of different levels of indicators; gathering of additional data before, during and after review period for assessment applying a variety of methods and including interim and summative evaluation. Information at each level will be provided by the planning unit below it while management support (governance and partnership information) will be analysed at the level it is provided.
The M&E unit in collaboration with stakeholders will coordinate the gathering of performance data to enable tracking of progress made against the agreed targets and
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objectives. Performance reports will be entrenched as a standing agenda in the meetings of the CHMT, M&E unit and even the M&E TWG. Performance monitoring and review will be carried out at all levels on a regular basis, the frequency being driven by the sector's need for information, as follows:
Ÿ At the community level, performance monitoring and review will be done on a monthly, quarterly and annual basis.
Ÿ At the facility level, it will be done on a daily, weekly, monthly, quarterly, biannual, annual and need-by-need basis.
Ÿ At the sub county level, it will be done on a weekly, monthly, quarterly, biannual, annual and need-by-need basis.
Ÿ At the county level, monitoring and review will be done on a weekly, monthly, quarterly, biannual, annual, midterm, end term and need-by-need basis.
Methodology Output Frequency Prepared byResponsible
personMonthly progress report
Monthly progressreports
MonthlyCHEWs, Facility In charges, SCHMT
SCHRIO
Quarterly bulletinQuarterly bulletin reports
Quarterly County M&E UnitM&E unitCoordinator
Quarterly report Quarterly reports QuarterlyCounty M&E Unit/SCHRIO
M & E unit Coordinator
Quarterly performance review
Quarterly performance review report
QuarterlyCounty M&E Unit/SCHRIO
M&E Unit Coordinator CHRIO
Bi-annual DQA reports
Bi-annual DQA report
Bi-annualCounty M&E Unit/SCHRIO
M&E unitCoordinator
Annual performance report
Annual performance report
Annual County M&E Unit/SCHRIO
M & E unitCoordinator CHRIO
Table 5 Performance Reviews Schedule
The M&E Unit will ensure performance reports generated are distributed to the data generating points, and are also reviewed, amended and, if need be, new priorities for implementation for the subsequent years identified. In addition to the periodic performance report, there will be special surveys, such as patient exit surveys and data quality audits, that shall be coordinated by the M&E Unit.
This M&E plan will also inform the target setting and evaluations undertaken through the County Performance Contracting and Staff Performance Appraisal Process. Quarterly review of the performance contracts signed by the CECM, COH, Directors and Hospital Heads will be based on targets cascaded from the Annual Work Plan and aligned to this M&E Plan. The mid-year and end year review of staff performance will also be informed by this plan.
In terms of review of the strategic plan, this plan will inform the mid-term review to be conducted in the third year of the strategic plan's implementation, as well as at end term review to be carried out at the end of the strategic plan period to ascertain the county's performance in achieving health objectives.
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4. IMPLEMENTATION
Under the County Health Sector Strategic Plan for 2018-2022, streamlining the organisation of collection and utilisation of data for evidence-based decision making at all levels of the county health care system is identified as a priority. The strategy appreciates that addressing the capacity issues across the health strengthening systems is critical to improving the county health M&E system. Various initiatives, including those supported by development and implementation partners, are currently under implementation towards this end.
This plan seeks to ensure that county M&E system for the health sector is linked to the County Integrated Monitoring and Evaluation (CIMES) spearheaded by the Department of Economic Planning; as well as the national government's health monitoring and evaluation system coordinated by the Monitoring and Evaluation unit of the national Ministry of Health and the National Integrated Monitoring and Evaluation Systems (NIMES) under the national Ministry responsible for Planning. In the sections that follow, the proposed coordination structures for monitoring and evaluation; proposed key activities and the attendant cost estimates are outlined.
4.1 Implementation ArrangementsThe coordination arrangements proposed in this plan are geared towards ensuring that the key M&E functions that focus on information generation, validation, analysis, dissemination and use towards delivery of the sector priorities identified in the strategic plan and the CIDP, are effectively and efficiently delivered.
4.1.1 Coordination of County Health Monitoring and EvaluationThe county department of health services together with partners have agreed to work together in the spirit of three-ones (one implementation plan, one coordination mechanism and one M&E framework). The contribution of the partners to county health M&E will be effected by ensuring partners' efforts are in line with and coordinated by the county department of Health and, where appropriate, sharing and developing capacity for county health M&E. Data collected by partners has to be coordinated in order for the county health department to be able to monitor, evaluate and report holistically on progress of health interventions in Baringo County. This will enable the county department of health services to track progress made on national and international commitments too.
To enable the county government effectively co-ordinate M&E activities, the department of health services has identified and sensitised staff and stakeholders on the institutional and individual capacities required to support the M&E functions. At the institutional level, the county government has set up a directorate for health administration and planning that is responsible for amongst other functions, planning, monitoring and evaluation, under which the unit responsible for coordinating M&E functions for the health services department is anchored. The directorate is expected to accord the necessary linkages with the key programs for health services (curative and preventive and rehabilitative) as well as the economic planning department for the county government. The department of health services has also established Research Monitoring and Evaluation as a key subprogram under the Program on Health Administration and Planning in its Program Based Budget for purposes of ensuring that resource allocation for this agenda is elevated.
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The roles and responsibilities for the M&E unit are summarised in Table 4.1
The County Department for Health Services will strengthen the current M&E unit within the department to enable it support coordination of the county health M&E functions. In proposing a suitable structure for the M&E unit, the county government has considered the need to ensure close linkages with the highest decision making organs, need to build a blend of skills necessary for delivery of the functions and build-up of a functional M&E system as well as providing opportunities for career development; and close collaboration with the County planning unit with a bid to feed appropriately into the County Integrated Monitoring and Evaluation System (CIMES).The structure is presented below:
Director for Health Administration and Planning
Strategic Information
and research ICT and Data Systems Data Quality Assurance
Head of M&E Unit
Figure 3: Organisation structure for the County Health Services Department M&E Unit
4.1.2 Linkage with stakeholdersTo accord effective participating of stakeholders and partners in the delivery of health M&E functions, the county health sector will strengthen and utilise the Monitoring and Evaluation TWG. The M&E TWG will be reconstituted and its capacity needs identified, and support sought to fill in gaps from the partners closely working with the county health services department. The M&E TWG shall share its reports with the County Health Stakeholder Forum through its Steering /Coordination Committee. Table 6 outlines the functions of the county M&E TWG for health services.
Roles and Responsibilities of Health Department’s M&E Unit
· Coordinating the setting up the monitoring and evaluation system for health with focus on developing work plan and budget for monitoring and evaluation activities
· Collect, compile relevant M&E information · Establish and maintain a database of health outcome measures · Establish and maintain functional linkages with other relevant partners involved in county health
M&E, including the national Ministry of Health , other County departments and sectors · Analyze and interpret programmatic as well as outcome and impact data · Prepare and regularly update the county healt h profile· Provide feedback; prepare quarterly monitoring reports and annual health reports and reviews· Develop capacity at the sub county level in M&E · Serve as the Secretariat of the M&E Technical Working Group (TWG) that coordinates M&E
within the County Health Sector.· reviewing and providing feedback to programmes on the quality of methodologies established
to collect monitoring data· preparing consolidated progress reports for the County Health Stakeholders Forum
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4.2 Operational Guidelines and Tools for County Health M&EImplementation of this M&E Plan requires the county department of health to put in place various guidelines, standard operating procedures and protocols for data management, data quality assurance, data analysis and synthesis, and data dissemination. During the implementation of the CHSSP 2018-2022, the county government will formulate guidelines (or adopt the national ones where they are in existence) and follow up on implementation. This plan acknowledges the role of national government in setting policies, standards and regulation; and therefore, the existence of various standards. The county government will disseminate the standards and guidelines to the decentralized structures and support their implementation. These guidelines include amongst others: National M&E Framework, Monitoring and Evaluation Institutionalization Guidelines, Health Information System Policy, Indicators Manual and SOP, Data Quality Assurance Protocol and the Kenya Health Enterprise Architecture.
This plan envisages that the county health department will need to develop SOPs for data collection, data collation and reporting; data cleaning and validation, evaluations, survey and research, performance review, data review, and data dissemination. With regards to the tools supporting the implementation of the above SOPs, the county will continue support the application of both manual and electronic tools at the appropriate levels of the healthcare system.
4.3 Dissemination of Information and Information ProductsData need to be translated into information that is relevant for decision-making. Data will be packaged and disseminated in formats that are determined by management at the various levels. Service delivery data shall be packaged and displayed at the various health facilities using the HMIS formats and designed non-HMIS formats. The timing of information dissemination will be scheduled to fit in the planning cycles and needs of the users.
County health information will be disseminated through reports (electronic and print) to stakeholders, presentations and workshops, annual health review meetings, media briefs international health days, publications, websites and other documentation. Information products will be disseminated through:
Ÿ Quarterly and Annual Health Statistical Reports and Bulletins Ÿ Quarterly Performance Review meetings and Reports
Table 4.2: Key functions of M&E TWG
· Supporting coordination/harmonization of M&E activities (data collection, analysis, dissemination) among the MOH and the partners.
· Identifying and prioritizing critical action steps for county, Sub -County and Facility M&E work to assure that action is taken by the relevant group(s) to achieve quality M&E in a timely fashion.
· Promote operational research to support evidence -based, efficient programme implementation and theuse of M&E tools.
· Identifying and recommending strategies for addressing the needs for capacity building in M&E at all levels.
· Developing and maintaining consensus around M&E strategies across county department of health and partners.
· Developing and providing technical guidance on selection and definition of indicators for county health reporting.
· Providing technical guidance on appropriate data collection methods, analytic strategies, and dissemination of recommendations.
· Monitoring changing needs in health M&E arena.
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Ÿ Annual Performance ReviewŸ Dissemination of Survey Findings: Feedback on survey findings will be in form of
workshops and dissemination of reports which will be circulated to relevant stakeholders in hard copy as well as through the county website.
4.4 Evaluation PlanThe evaluation plan describes what will be evaluated, how and when. The evaluation endeavors to look at the overall project/interventions in terms of the operations, governance, deliverables, and hence assist the County Health Management Team and partners to learn and make improvements. The information obtained helps in planning, designing/redesigning and developing health sector interventions that are relevant, effective, efficient, sustainable and impactful.
The County Government will develop a detailed evaluation plan in the form of Outcomes Measurements Framework that will facilitate the evaluation of outcome indicators included in this M&E Plan. The outcomes measurement framework will elaborate amongst others – priority questions based on policy and strategic objectives, outcome indicators, linkage between outcome indicators, immediate outputs and the resources and processes applied, method of analysis, data sources and presentation. For purposes of tracking the outcomes, an outcomes measurements database will be established and made accessible to support community participation in monitoring and evaluation.
Table 7 : Evaluation Plan Guide
What to
Measure
Evaluation Questions Method to answer the
Questions
Frequency Responsible
Person
Relevance • How well was the health programme planned out, and how well was that plan put into practice?
• To what extent are the objectives of the health programme still valid?
• Are the activities and outputs of the health programme consistent with the overall goal and the attainment of its objectives?
• Are the activities and outputs of the programme consistent with the intended impacts and effects?
• Monitoring system that tracks actions and accomplishments related to bringing about the mission of the initiative (activity)
• Survey on satisfaction with goals (Client satisfaction survey)
• Survey on satisfaction with outcomes (Provider satisfaction survey)
• Baseline (2018)• Annual• Midterm (2021)• End term (2023)
County M&E
Coordinator
Effectiveness • To what extent were the objectives achieved / are likely to be achieved?
• What were the major factors influencing the achievement or non-achievement of the objectives?
• Monitoring system that tracks actions and accomplishments related to bringing about the mission of the interventions (activities)
• Baseline (2018)• Annual• Midterm (2021)• End term (2023)
County M&E
Coordinator
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• Interviews with key informants
Efficiency • Were activities cost-efficient?
• Were objectives achieved on time?
• Was the health programme implemented in the most efficient way compared to alternatives?
• Cost-effectiveness analysis
• Baseline (2018)• Annual• Midterm (2021)• End term (2023)
County M&E
Coordinator
Impact • What resulted from the health programme?
• How has behaviourchanged because ofparticipation in the program?
• Are participants satisfied with the experience?
• Were there any negative results from participation in the program?
• Were there any negative results from the program?
• How many people have been affected?
• Do the benefits of the program outweigh the costs?
• Behavioural surveys (primary and secondary data sources)
• Interviews with key informants
• Baseline (2018)• End term (2023)
County M&E
Coordinator
Sustainability • To what extent did the benefits of the programme or project continue after donor funding ceased?
• What were the major factors which influenced the achievement or non-achievement of sustainability of the programme or project?
• Monitoring system that tracks actions and accomplishments related to bringing about the mission of the initiative (activity)
• Behavioural surveys (primary and secondary data sources)
• Interviews with key informants
• Baseline (2018)• Midterm (2021)• End term (2023)
County M&E
Coordinator
• Behavioural surveys (primary and secondary data sources)
What to
Measure
Evaluation Questions Method to answer the
Questions
Frequency Responsible
Person
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5. M&E SYSTEM STRENGTHENING IMPLEMENTATION MATRIX
5.1 Components of the County Health M&E systemIn developing the M&E system strengthening implementation matrix, the County Department of Health Services has considered the 12 main components of an M&E system that are essential for effective and efficient delivery of M&E functions. These components will be strengthened progressively.
Table 8: Components of the M&E System
Component Description
Organisation Structures for M&E functions
The county health services M&E Unit will coordinate health M&E functions in the county. Its roles are defined in section 4.1.
Human Capacity for M&E The county will seek to hire or deploy where necessary, staff with necessary technical know-how and experience to support M&E functions in the department of health services. Further, the staff will be provided with continuous training and other capacity building initiatives to ensure that they keep abreast with current and emerging trends in the field.
Partnerships for planning, coordinating and managing the M&E system
The county government will partner with other organizations on M&E systems; to complement it’s M&E efforts during the M&E process and act as a source of verification of whether M&E functions align with intended objectives. Such partnerships will extend to other government agencies, as well as private sector providers.
M&E framework/Logical Framework
The M&E framework outlined in Chapter 2 is crucial for the department of health services in that it outlines the objectives, inputs, outputs and outcomes of the intended programs and the indicators that will be used to measure them.
M&E work plan and costs The costed M&E implementation work plan outlined in this chapter and which will be aligned to the Annual Work Plan shows how the resources that have been allocated for M&E functions will be used to achieve the goals of the M&E.
Communication, advocacy and Culture for M&E
The county government shall implement policies and strategies to promote communication and advocacy initiatives for M&E functions, without which it will be difficult to entrench an M&E culture within the county department of health services. Information products will be utilised towards this end.
Routine programme monitoring The county department of health services will ensure that data is collected, collated, analyzed and reported and that performance reviews are carried out on a continuous basis to track the implementation of the County Health Sector Strategic Plan
Surveys and surveillance The county will undertake surveys and surveillance frequently and use the information to evaluate progress of the health programs.
MONITORING AND EVALUATION PLAN 2019 - 2023
46
County and Sub-County databases
This plan has developed strategies of submitting relevant, reliable and valid data to national, county and sub-county databases
Supportive supervision and data auditing
The county health services department will ensure regular supportive supervision and data auditing for purposes of strengthening the M&E system. Data auditing is carried out for data reliability and validity while supportive supervision will be carried out to ensure the M&E process are operating efficiently.
Evaluation and research The health services department will undertake baseline mid- and end-term evaluations of health programs at specific times to establish whether health programs have met the desired objectives. The evaluations will also provide further health information and learning experiences to be shared with county health stakeholders.
Data dissemination and use The information dissemination plan in this plan will provide for effective sharing of information gathered during implementation. This will support decisions geared towards reinforce the implemented strategy or to change it. Further, it will also cement accountability to stakeholders and enable community participation in health M&E.
Component Description
5.2 County Health M&E System Implementation FrameworkThe county will implement the following interventions towards strengthening the County Health M&E system. These activities will be factored in the Annual Work Plan for the department of health services under the sub-program of M&E in the planning and administration program, for the purposes of resource allocation.
MONITORING AND EVALUATION PLAN 2019 - 2023
47
Tab
le 9
: M&
E S
yst
em
Str
en
gth
en
ing I
mp
lem
en
tati
on
Mari
tx
Inte
rven
tio
n
Tim
elin
e (
Years
)R
esp
on
sib
ilit
yB
ud
get
So
urc
e o
f fu
nd
ing
Exp
ecte
d o
utc
om
e
12
34
5K
ES
Pre
sen
t th
e M
&E
pla
n t
o C
ou
nty
Healt
h
M&
E T
WG
an
d C
HS
FX
CD
HB
arin
go C
ounty
/U
SAID
C
onse
nsu
s ga
ined
about
the
pla
n
Pri
nt
an
d D
isse
min
ate
th
e M
&E
pla
nX
CD
H1,
000,
000
Bar
ingo
County
/U
SAID
M
&E p
lan d
isse
min
ated
Recr
uit
/ D
ep
loy s
taff
to
th
e M
&E
Un
it a
s p
er
pro
po
sed
str
uct
ure
X
XC
OH
Bar
ingo
County
Im
pro
ved M
&E p
lannin
g an
d
imple
men
tation
Co
nd
uct
Qu
art
erl
y M
&E
TW
G M
eeti
ngs
XX
XX
XC
OH
4,00
0,00
0B
arin
go C
ounty
, USA
ID, C
DC
, W
orl
d B
ank
Impro
ved M
&E p
lannin
g an
d
imple
men
tation
Pro
cure
me
nt
of
10 C
om
pu
ters
&
acc
ess
ori
es
for
M&
E U
nit
an
d M
&E
fo
cal
pers
on
s X
XC
DH
1,50
0,00
0B
arin
go C
ounty
C
om
pute
rs &
acc
esso
ries
pro
cure
d
Est
ab
lish
LA
N a
t co
un
ty, s
ub
-co
un
ty a
nd
h
ealt
h f
aci
liti
es(
ho
spit
als
an
d h
igh
vo
lum
e
healt
h c
en
tres)
X
XX
XX
ICT
Hea
d10
,000
,000
Bar
ingo
County
, USA
ID, C
DC
, W
orl
d B
ank
Impro
ved a
cces
s to
dat
a an
d
tim
ely
report
ing
Pri
nt
data
co
llect
ion
an
d r
ep
ort
ing t
oo
lsX
XX
XX
CH
RIO
15,0
00,0
00B
arin
go C
ounty
, USA
ID, C
DC
, W
orl
d B
ank
Impro
ved d
ata
colle
ctio
n &
m
anag
emen
t
Tra
inin
g t
he C
HM
T, S
CH
MT
, M&
E a
nd
H
IS f
oca
l p
ers
on
s o
n M
&E
& R
ep
ort
ing
XX
CH
RIO
2,50
0,00
0B
arin
go C
ounty
, USA
ID, C
DC
, W
orl
d B
ank
Impro
ved d
ata
colle
ctio
n,
man
agem
ent
(incl
udin
g m
issi
ng
dat
a), q
ual
ity
impro
vem
ent
and
dis
sem
inat
ion
Tra
inin
g s
ix M
&E
Sta
ff o
f th
e C
ou
nty
H
IS/M
&E
un
it in
data
an
aly
sis
an
d
rep
ort
ing
XX
CD
H70
0,00
0B
arin
go C
ounty
, USA
ID, C
DC
, W
orl
d B
ank
Impro
ved d
ata
colle
ctio
n &
m
anag
emen
t
Pro
du
ctio
n/C
om
pilati
on
an
d d
isse
min
ati
on
o
f Q
uart
erl
y &
An
nu
al re
po
rts
XX
XX
XC
DH
12,5
00,0
00
Bar
ingo
County
, USA
ID, C
DC
, W
orl
d B
ank
Quar
terl
y an
d a
nnu
al M
&E r
eport
s dis
sem
inat
ed
Qu
art
erl
y d
ata
revie
w m
eeti
ngs
wit
h
stakeh
old
ers
XX
XX
XC
DH
11,2
00,0
00B
arin
go C
ounty
, USA
ID, C
DC
, W
orl
d B
ank
Impro
ved c
oord
inat
ion
Dis
sem
inate
HIS
an
d M
&E
Po
lic
ies
an
d
Sta
nd
ard
s(S
OP
san
d g
uid
elin
es)
at
all
leve
ls
XX
M&
E C
oord
inat
or/
CH
RIO
3,00
0,00
0B
arin
go C
ounty
, USA
ID, C
DC
, W
orl
d B
ank
Polic
ies, S
OPs
and G
uid
elin
es
dis
sem
inat
ed a
nd u
nder
stood
Un
dert
ake q
uart
erl
y s
up
po
rtiv
e
sup
erv
isio
n
XX
XX
XC
DH
6,00
0,00
0B
arin
go C
ounty
, USA
ID, C
DC
, W
orl
d B
ank
Impro
ved M
&E p
lannin
g an
d
imple
men
tation
MONITORING AND EVALUATION PLAN 2019 - 2023
48
Mo
nth
ly s
up
erv
isio
n t
o f
aci
liti
es
by S
CH
MT
XX
XX
Xsu
b-C
oun
ty H
ealth
Coord
inat
ors
/M
oH
s6,
000,
000
Bar
ingo
County
, USA
ID, C
DC
, W
orl
d B
ank
Impro
ved M
&E p
lannin
g an
d
imple
men
tation
Ho
ld Q
uart
erl
y S
takeh
old
er
Meeti
ngs/
Fo
rum
XX
XX
XC
OH
25,0
00,0
00B
arin
go C
ounty
, USA
ID, C
DC
, W
orl
d B
ank
Deve
lop
ing d
ata
co
llect
ion
to
ols
fo
r n
on
-H
MIS
data
XX
M&
E C
oord
inat
or/
CH
RIO
3,50
0,00
0B
arin
go C
ounty
, USA
ID, C
DC
, W
orl
d B
ank
Non H
MIS
dat
a co
llect
ion t
ools
utiliz
ed
Co
nd
uct
ing m
id-t
erm
evalu
ati
on
of
the
Co
un
ty H
ealt
h S
ect
or
Str
ate
gic
Pla
n
XC
ECM
2,50
0,00
0B
arin
go C
ounty
, USA
ID, C
DC
, W
orl
d B
ank
Impro
ved im
ple
men
tation o
f M
&E
pla
n
Co
nd
uct
ing e
nd
-term
evalu
ati
on
of
the
Co
un
ty H
ealt
h S
ect
or
Str
ate
gic
Pla
n
XC
ECM
2,00
0,00
0B
arin
go C
ounty
, USA
ID, C
DC
, W
orl
d B
ank
Impro
ved im
ple
men
tation o
f M
&E
pla
n
Deve
lop
a D
ata
Qu
ality
Au
dit
s (D
QA
) S
ched
ulin
g a
nd
tra
ckin
g t
oo
l fo
r D
QIs
XM
&E
Coord
inat
or/
CH
RIO
300,
000
Bar
ingo
County
, USA
ID, C
DC
, W
orl
d B
ank,
Glo
bal
Fund
Impro
ved D
ata
qual
ity
Co
nd
uct
ing d
ata
qu
ality
au
dit
s (D
QA
) an
d
veri
fica
tio
ns
XX
XX
XM
&E
Coord
inat
or/
CH
RIO
25,0
00,0
00B
arin
go C
ounty
, USA
ID, C
DC
, W
orl
d B
ank,
Glo
bal
Fund
Impro
ved D
ata
qual
ity
Develo
p a
nd
im
ple
men
t a C
ou
nty
Healt
h
Ou
tco
mes
Measu
rem
en
t F
ram
ew
ork
X
M&
E C
oord
inat
or/
CH
RIO
1,00
0,00
0B
arin
go C
ounty
, USA
ID, C
DC
, W
orl
d B
ank,
Glo
bal
Fund
up t
o d
ate
County
Hea
lth
indic
ators
sta
tus
Co
nd
uct
evid
en
ce-b
ase
dsu
rveys
an
d
rese
arc
h
XX
XX
XM
&E
Coord
inat
or/
CH
RIO
5,00
0,00
0B
arin
go C
ounty
, USA
ID, C
DC
, W
orl
d B
ank,
Glo
bal
Fund
up t
o d
ate
County
Hea
lth
indic
ators
sta
tus
Tra
in c
ou
nty
healt
h s
taff
at
all leve
ls o
n
data
man
agem
en
t (
ICD
10, A
naly
tica
l d
ata
pack
ages,
iH
RIS
, DH
IS)
XX
XC
OH
3,10
0,00
0B
arin
go C
ounty
, USA
ID, C
DC
, W
orl
d B
ank,
Glo
bal
Fund
Impro
ved d
ata
colle
ctio
n &
m
anag
emen
t
Deve
lop
a C
ou
nty
Healt
h E
nte
rpri
se
Arc
hit
ect
ure
wit
h lin
kages
to e
xis
tin
g
sub
syst
em
s X
Hea
d H
ealth
ICT
6,00
0,00
0B
arin
go C
ounty
, USA
ID, C
DC
, W
orl
d B
ank,
Glo
bal
Fund
Impro
ved d
ata
colle
ctio
n &
m
anag
emen
t
Co
mp
ilati
on
of
Co
un
ty H
ealt
h B
ulleti
n o
n
a Q
uart
erl
y b
asi
s X
XX
XX
M&
E C
oord
inat
or
4,80
0,00
0B
arin
go C
ounty
, USA
ID, C
DC
, W
orl
d B
ank,
Glo
bal
Fund
Impro
ved in
form
atio
n
dis
sem
inat
ion a
nd u
se o
fin
form
atio
n for
dec
isio
ns
Pro
du
ce A
nn
ual C
ou
nty
healt
h p
rofi
le a
nd
fa
ct s
heet
XX
XX
XM
&E
Coord
inat
or
2,00
0,00
0B
arin
go C
ounty
, USA
ID, C
DC
, W
orl
d B
ank,
Glo
bal
Fund
Impro
ved in
form
atio
n
dis
sem
inat
ion a
nd u
se o
f in
form
atio
n for
dec
isio
ns
Mo
nth
ly u
pd
ate
of
Healt
h P
ort
al in
th
e
Co
un
ty W
eb
site
X
XX
XX
M&
E C
oord
inat
or
120,
000
Bar
ingo
County
Gove
rnm
ent
Impro
ved in
form
atio
n
dis
sem
inat
ion a
nd u
se o
f in
form
atio
n for
dec
isio
ns,
Impro
ved P
ublic
Par
tici
pat
ion
Inte
rven
tio
n
Tim
elin
e (
Years
)R
esp
on
sib
ilit
yB
ud
get
So
urc
e o
f fu
nd
ing
Exp
ecte
d o
utc
om
e
12
34
5K
ES
MONITORING AND EVALUATION PLAN 2019 - 2023
49
Pro
du
ce q
uart
erl
y p
rofi
les
for
pro
gra
ms
perf
orm
an
ce (
HIV
, Mala
ria, T
B,
RM
NC
AH
)X
XX
XX
M&
E C
oord
inat
or
4,80
0,00
0
Bar
ingo
Coun
ty, U
SAID
, CD
C,
Worl
d B
ank,
Glo
bal F
und
Impr
ove
d in
form
atio
n dis
sem
inat
ion
and u
se o
f in
form
atio
n fo
r dec
isio
ns
Su
pp
ort
qu
art
erl
y c
om
mu
nic
ati
on
d
ialo
gu
e m
eeti
ngs
at
Co
mm
un
ity leve
l X
XX
XX
Dir
ecto
r Pub
lic
Hea
lth
50,0
00,0
00B
arin
go C
oun
ty, U
SAID
, CD
C,
Worl
d B
ank,
Glo
bal F
und
Impr
ove
d C
om
mun
ity
heal
th
syst
em
207,
520,
000
Inte
rven
tio
n
Tim
elin
e (
Years
)R
esp
on
sib
ilit
yB
ud
get
So
urc
e o
f fu
nd
ing
Exp
ect
ed
ou
tco
me
12
34
5K
ES
MONITORING AND EVALUATION PLAN 2019 - 2023
AP
PE
ND
IX 1
: P
ER
FO
RM
AN
CE
MA
TR
IX (
IN
DIC
AT
OR
DE
FIN
ITIO
NS
, TA
RG
ET
S, D
AT
A S
OU
RC
ES
AN
D R
ES
PO
NS
IBIL
ITY
)
50
No
Ind
icato
rIn
dic
ato
r D
efi
nit
ion
Pro
gra
m
Are
aN
um
era
tor
Den
om
inato
rIn
dic
ato
r T
yp
eD
ata
co
llect
ion
To
ols
Fre
qu
en
cy o
f co
llect
ion
/ re
po
rtin
g
Data
Co
llect
ion
L
eve
l (C
om
mu
nit
y,
HF,
Oth
er)
Data
S
ou
rce
Resp
on
sib
le
en
tity
Base
lin
e
Year
Base
line
Valu
e
Targ
et
Yr
1Y
r 2
Yr
3Y
r 4
Yr
5
1M
ater
nal
mort
ality
ratio (
Mat
erna
l dea
ths
per
100,
000
liv
e bir
ths)
The
mat
ernal
mort
ality
ratio (
MM
R)
is t
he
annu
al n
umber
of fe
mal
e dea
ths
from
any
cau
se r
elat
ed t
o o
r ag
grav
ated
by
pre
gnan
cy o
r its
man
agem
ent
(excl
udin
g ac
ciden
tal
or
inci
den
tal c
ause
s) d
urin
g pr
egna
ncy
and c
hild
bir
th o
r w
ithin
42
day
s of te
rmin
atio
n of pre
gnan
cy,
irre
spec
tive
of th
e dura
tion
and s
ite
of th
e pre
gnan
cy, p
er 1
00,0
00
live
birt
hs, f
or
a sp
ecifi
ed y
ear.
Rep
roduc
tive
H
ealth
Num
ber
of m
ater
nal
dea
ths
per
100 0
00 li
ve
birt
hs
duri
ng
a sp
ecifi
ed
tim
e pe
riod, u
sual
ly o
ne
year
.
Num
ber
of liv
e bi
rths
Impa
ctV
ital
reg
istr
atio
n;
KD
HS;
cen
sus;
heal
th s
ervi
ce
reco
rds
Five
yea
rsH
FD
HIS
CD
H, M
edic
al
supe
rint
enden
ts,
RH
coord
inat
or,
2018
374
00
00
0
2%
fully
imm
uni
sed
child
ren
Child
ren u
nder
1 y
ear
rece
ivin
g m
easl
es-1
vac
cine
Imm
uniz
atio
nN
: Num
ber
of ch
ildre
n
under
the
age
of 1
rece
ivin
g m
easles
1 va
ccin
e
D: E
stim
ated
num
ber
of ch
ildre
n yo
unge
r th
an o
ne y
ear
Out
com
eD
HIS-
MO
H 7
10;
MO
H 5
10; M
OH
70
2; S
urve
ys;
KN
BS
Mont
hly/
Q
uart
erly
/A
nnua
lly
HF
DH
ISC
DH
, EPI
logi
stic
ian
2018
6873
7883
8893
3%
of T
B p
atie
nts
co
mpl
etin
g tr
eatm
ent
Pat
ients
who h
ave
eith
er c
om
plet
ed
trea
tmen
t or
got
cure
d
TB
Num
ber
of pat
ients
who
have
com
ple
ted tre
atm
ent
+ c
ure
d
Tota
l num
ber
of T
B
patien
ts n
otifie
dO
utco
me
Faci
lity
TB
R
egis
ter;
TIB
UM
ont
hly,
Qua
rter
ly,
annu
al
HF
Faci
lity
regi
ster
(T
B4)
Sub
coun
ty T
B
Coord
inat
or
2017
8185
8890
9092
4%
HIV
+ p
regn
ant,
Bre
astf
eedin
gw
om
en r
ecei
ving
pr
even
tive
ARV
s
Pre
gnan
t &B
reas
t-fee
din
gwom
en
who
are
confi
rmed
posi
tive
and
are
re
ceiv
ing
ARV
s
HIV
Num
ber
of pre
gnan
t w
om
en e
nrolle
d o
n c
are
and a
re r
ecei
ving
ARV
s
Tota
l num
ber
of
preg
nant
&
Bre
astf
eedin
gw
om
en c
onfi
rmed
H
IV p
osi
tive
Out
com
eA
NC
, Mat
erni
ty,
PN
C R
egiste
rM
ont
hly,
Qua
rter
ly,
annu
ally
HF
AN
C,
mat
erni
ty,
PN
C
Reg
iste
r;
ART
Reg
iste
r
Sub
coun
ty
AID
S/ST
I C
oord
inat
or
2017
7210
010
010
010
010
0
5%
of el
igib
le H
IV
clie
nts
on
ARV
sC
lients
tes
ted p
osi
tive
for
HIV
and
initia
ted o
n A
RV
sH
IVN
umber
of cl
ients
tes
ted
po
sitive
for
HIV
and
star
ted o
n A
RV
s
Tota
l num
ber
of
clie
nts
test
ed p
osi
tive
fo
r H
IV
Out
com
eH
TS
Reg
iste
rm
ont
hly,
Qua
rter
ly, an
nual
ly
HF
ART
R
egis
ter;
HT
S R
egis
ter
Sub
coun
ty
AID
S/ST
I C
oord
inat
or
2017
7395
9595
9595
6%
of ch
ildre
n
under
one
pr
ovi
ded w
ith
LLIT
Ns
Child
ren u
nder
one
year
pro
vided
w
ith L
LIT
Ns
at t
he
faci
lity
Mal
aria
Num
ber
of ch
ildre
n under
1
year
who
rec
eive
d
LLIT
Ns
at t
he fac
ility
Estim
ated
chi
ldre
n un
der
1 a
t th
e fa
cilit
yO
utpu
tC
WC
Reg
iste
r;
Imm
uniz
atio
n R
egis
ter
Mont
hly,
Qua
rter
ly, an
nual
ly
HF
MO
H 7
10;
MO
H 7
11Su
bco
unty
M
alar
ia
Coord
inat
or
2017
6668
7072
7476
7%
of ta
rget
ed
preg
nan
t w
om
en
provi
ded
with
LLIT
Ns
Pre
gnan
t w
om
en w
ho r
ecei
ved
LLIT
Ns
at t
he fac
ility
Mal
aria
Num
ber
of pre
gnan
t w
om
en w
ho r
ecei
ved
LLIT
Ns
at t
he fac
ility
Estim
ated
num
ber
of
preg
nant
wom
en a
t th
e fa
cilit
y
Out
put
AN
C R
egis
ter
Mont
hly
HF
MO
H 7
11Su
bco
unty
M
alar
ia
Coord
inat
or
2017
5056
6268
7480
8%
of ch
ildre
n
under
five
tre
ated
fo
r dia
rrhoea
Child
ren <
5yea
r tr
eate
d for
dia
rrhoea
Chi
ld H
ealth
N: N
um
bero
f un
der-5
s tr
eate
d for
dia
rrho
eaD
: Tota
l num
ber
of
child
ren
under
five
pr
esen
ting
at
the
faci
lity
Out
put
MO
H 2
04 A
; D
HIS-M
OH
705
AM
ont
hly
HF,
Com
mun
ity
DH
ISFa
cilit
y in
cha
rge
2667
09
(5%
)25
3373
2407
0422
8669
2172
3620
6374
9%
of ad
ult
popu
lation
with
BM
I ove
r 25
Pro
port
ion
of ad
ults
with
>25
BM
I Sc
reen
edN
utr
itio
nPro
port
ion
of ad
ults
with
>25
BM
I sc
reen
edTo
tal a
dul
t po
pula
tion
scre
ened
Out
com
eM
OH
711
Mont
hly,
Qua
rter
ly,
Ann
ually
HF
Pri
mar
yFa
cilit
yI/C
2018
141
(per
10
0000
)15
116
117
118
119
1
10
% w
om
en o
f re
product
ive
age
scre
ened
for
Cer
vica
l can
cers
Pro
port
ion
of w
om
en in
re
pro
duc
tive
age
scr
eene
dR
MN
CA
HN
umber
of w
om
en
scre
ened
Tota
l num
ber
of
wom
en in
re
pro
duc
tive
age
Out
com
eM
OH
705
AB
Mont
hly,
Qua
rter
ly,
Ann
ually
Pri
mar
yFa
cilit
yI/C
2018
979
(per
10
0000
)10
0010
5011
0011
5012
00
11
% o
f ne
w
outp
atie
nts
with
men
tal h
ealth
conditio
ns
Pro
port
ion
of out
patien
ts a
tten
ded
w
ith m
enta
l illn
ess
Med
ical
se
rvic
esN
umber
of out
patien
ts
atte
nded
with m
enta
l ill
nes
s
Tota
l num
ber
of out
pa
tien
ts a
ttend
edO
utco
me
MO
H 7
05 A
BM
ont
hly,
Qua
rter
ly,
Ann
ually
Pri
mar
yFa
cilit
yI/C
2018
1163
1200
1300
1400
1500
1600
12
% o
f ne
w
outp
atie
nts
case
s w
ith
hig
h blo
od
pres
sure
Pro
port
ion
of out
patien
ts a
tten
ded
w
ith h
igh b
lood p
ress
ure
Med
ical
se
rvic
esN
umber
of o
utpat
ient
ca
ses
with h
igh B
PTo
tal N
umbe
r of out
pa
tien
ts a
tten
ded
to
Out
com
eM
OH
705
AB
Mont
hly,
Qua
rter
ly, A
nnua
lly
Pri
mar
yFa
cilit
yI/C
2018
2961
4000
4500
5000
5500
6000
13
% o
f pa
tien
ts
adm
itte
d w
ith
canc
er
Pro
port
ion
of pat
ients
adm
itte
d
with c
ancer
Med
ical
se
rvic
esN
umber
of pat
ients
ad
mitte
d w
ith
cance
rTo
tal n
umbe
r of
adm
issi
ons
Out
com
eM
OH
705
AB
Mont
hly,
Qua
rter
ly, A
nnua
lly
Pri
mar
yFa
cilit
yI/C
2018
No d
ata
14
% n
ew o
utp
atie
nt
case
s at
trib
ute
d t
o
gend
er-b
ased
viole
nce
Pro
port
ion
of outpat
ient
case
s at
trib
ute
d t
o ge
nder
-bas
edvi
ole
nce
Med
ical
se
rvic
esN
umber
of new
out
pat
ient
cas
es a
ttri
bute
d
to g
ender
bas
ed v
iole
nce
Tota
l Num
ber
of out
pa
tien
ts a
tten
ded
to
Out
com
eM
OH
705
AB
Mont
hly,
Qua
rter
ly, A
nnua
lly
Pri
mar
yFa
cilit
yI/C
2018
0.03
00
00
0
15
% n
ew o
utp
atie
nt
case
s at
trib
ute
d t
o
road
tra
ffic
Inju
ries
Pro
port
ion
of outp
atie
nt
case
s at
trib
ute
d t
o r
oad
tra
ffic
inju
ries
Med
ical
se
rvic
esN
umber
of new
out
pat
ient
cas
es a
ttri
bute
d
to r
oad
tra
ffic
acci
den
ts
Tota
l Num
ber
of out
pa
tien
ts a
ttend
ed t
oO
utco
me
MO
H 7
05 A
Bm
ont
hly,
Qua
rter
ly, A
nnua
lly
Pri
mar
yfa
cilit
yI/C
2018
2033
MONITORING AND EVALUATION PLAN 2019 - 2023
51
No
Ind
icato
rIn
dic
ato
r D
efi
nit
ion
Pro
gra
m
Are
aN
um
era
tor
Den
om
inato
rIn
dic
ato
r T
yp
e
Data
co
llect
ion
To
ols
F
req
uen
cy o
f co
llect
ion
/ re
po
rtin
g
Data
Co
llect
ion
L
eve
l (C
om
mu
nit
y,
HF,
Oth
er)
Data
S
ou
rce
Resp
on
sib
le
en
tity
Base
lin
e
Year
Base
lin
e
Valu
e
Targ
et
Yr
1Y
r 2
Yr
3Y
r 4
Yr
5
16%
new
out
patien
t ca
ses
attr
ibut
ed t
o
oth
er in
juri
es
Pro
port
ion
of out
patien
t ca
ses
attr
ibut
ed t
o o
ther
inju
ries
Med
ical
se
rvic
esN
umbe
r of ne
w
out
patien
t ca
ses
attr
ibut
ed
to o
ther
inju
ries
Tota
l Num
ber
of out
pa
tien
ts a
tten
ded
to
Out
com
eM
OH
705
AB
mont
hly,
Qua
rter
ly,
Ann
ually
Pri
mar
yfa
cilit
y I/C
2018
24776
17%
of dea
ths
due
to
inju
ries
Pro
port
ion
of dea
ths
due
to
inju
ries
Med
ical
se
rvic
esN
umbe
r of dea
ths
due
to
inju
ries
Tota
l num
ber
of
dea
ths
Out
com
eM
OH
705
AB
Mont
hly,
Qua
rter
ly,
Ann
ually
Pri
mar
yFa
cilit
y I/C
2018
-
18%
of ne
w
out
patien
t ca
ses
attr
ibut
ed t
o h
igh
blood s
ugar
Pro
port
ion
of out
patien
t ca
ses
attr
ibut
ed t
o h
igh
blood s
ugar
Med
ical
se
rvic
esN
umbe
r of out
patien
ts
with
high
blo
od s
ugar
Tota
l num
ber
of ne
w
out
patien
t ca
ses
Out
com
eM
OH
705
AB
Mont
hly,
Qua
rter
ly,
Ann
ually
Pri
mar
yFa
cilit
y I/C
2018
3610
19%
of ne
w
out
patien
t ca
ses
attr
ibut
ed to
vis
ual
def
ects
Pro
port
ion
of out
patien
t ca
ses
attr
ibut
ed t
o v
isua
l def
ects
Med
ical
se
rvic
esN
umbe
r of out
patien
t ca
ses
with
visu
al d
efec
tsTo
tal n
umbe
r of ne
w
out
patien
t ca
ses
Out
com
eM
OH
705
AB
Mont
hly,
Qua
rter
ly,
Ann
ually
Pri
mar
yFa
cilit
y I/C
2018
156
03
20%
del
iver
ies
cond
ucte
d b
y sk
illed
att
endan
t
Del
iver
ies
cond
ucte
d b
y a
skill
ed
birt
h at
tend
ant
Rep
roduc
tive
H
ealth
N: N
umbe
r of del
iver
ies
cond
ucte
d b
y sk
illed
pe
rsonn
el
D: T
ota
l est
imat
ed
popul
atio
n of
del
iver
ies
of ex
pect
ed
Out
put
MO
H 3
33; D
HIS
–
MO
H 7
11,
MO
H 7
17,
Mont
hly
HF
DH
ISFa
cilit
y in
char
ge13869 (
5%
)13869
14562
15290
16054
16857
21%
of w
om
en o
f re
produc
tive
age
re
ceiv
ing
fam
ily
plan
ning
Num
ber
of w
om
en a
ged 1
5-4
9 re
ceiv
ing
fam
ily p
lann
ing
met
hods.
Rep
roduc
tive
H
ealth
N: N
umbe
r of w
om
en
rece
ivin
g fa
mily
pla
nnin
g se
rvic
es
D: T
ota
l num
ber
of
wom
en o
f re
produc
tive
age
Out
put
MO
H 5
12; D
HIS
–
MO
H 7
11,
MO
H 7
17
Mont
hly
HF
DH
ISFa
cilit
y in
char
ge43575 (
2%
)44446
45335
46242
47166
48110
22%
of fa
cilit
y ba
sed
mat
erna
l dea
ths
Dea
th o
f wom
an r
esul
ting
fro
m
preg
nanc
y re
late
d c
ond
itio
ns in
a
heal
th fac
ility
Rep
roduc
tive
H
ealth
N: N
umbe
r of m
ater
nal
dea
ths
occ
urri
ng a
t th
e fa
cilit
y
D: T
ota
l num
ber
of
expe
cted
del
iver
ies
Out
com
eM
OH
333
; DH
IS
–M
OH
711
;M
ont
hly
HF
DH
ISFa
cilit
y in
char
ge8
00
00
0
23%
of fa
cilit
y ba
sed
under
five
dea
ths
<5
dea
ths
occ
urri
ng a
t th
e he
alth
fa
cilit
ies
Chi
ld H
ealth
N: N
umbe
r of un
der-fi
ve
dea
ths
occ
urri
ng a
t th
e fa
cilit
y
D: T
ota
l num
ber
of
child
ren
under
the
age
of 5
Out
com
eM
OH
511
, MO
H
301,
MO
H 2
04A
; D
HIS
–In
patien
t M
orb
idity
and
Mort
ality
Rep
ort
; K
NB
S pr
oje
ctio
n
Mont
hly
HF
DH
ISFa
cilit
y in
char
ge99
00
00
0
24%
of ne
wbo
rns
with
low
bir
th
wei
ght
New
born
s w
ith
low
bir
th w
eigh
t le
ss t
han
2.5k
g.N
utri
tion
N: N
umbe
r of ne
wbo
rns
with
less
tha
n 2.
5kg
body
wei
ght
D: A
ctua
l num
ber
of
live
birt
hs w
hose
bir
th
wei
ghts
wer
e m
easu
red
Out
com
eM
OH
333
; DH
IS
–M
OH
105
Mont
hly
HF
DH
ISFa
cilit
y in
char
ge770 (
15%
)693
623
530
450
383
25%
of fa
cilit
y ba
sed
fres
h st
illbi
rths
Bab
ies
born
dea
din t
he fac
ilities
Rep
roduc
tive
H
ealth
N: N
umbe
r of fa
cilit
y ba
sed fre
sh s
till
birt
hsD
: Tota
l num
ber
of
del
iver
ies
cond
ucte
dO
utco
me
MO
H 3
33; D
HIS
–
MO
H 7
17M
ont
hly
HF
DH
ISFa
cilit
y in
char
ge111
105
100
95
90
85
26%
of pr
egna
nt
wom
en a
tten
din
g fo
ur ant
enat
al c
are
visi
ts
Pre
gnan
t w
om
en a
cces
sing
ant
e na
tal c
are
in fac
ilities
Rep
roduc
tive
H
ealth
N: N
umbe
r of w
om
en
mak
ing
4th
AN
C v
isit
D: T
ota
l num
ber
of
preg
nant
wom
enO
utco
me
MO
H 4
06; M
OH
10
5; D
HIS
–M
OH
711
; KN
BS
proje
ctio
n
Mont
hly
HF
DH
ISFa
cilit
y in
char
ge9437 (
5%
)9909
10404
10924
11470
12043
27%
infa
nts
under
six
m
ont
hs o
n ex
clus
ive
brea
stfe
edin
g
Chi
ldre
n le
ss t
han
6 m
ont
hs o
ld
bein
g ex
clus
ivel
y br
east
fed
Nut
rition
N: N
umbe
r of in
fant
s w
ho
are
excl
usiv
ely
brea
stfe
d
up t
o t
he a
ge o
f 6
mont
hs
D: N
umbe
r of in
fant
s ag
ed le
ss t
han
6 m
ont
hs a
tten
din
g a
child
wel
fare
clin
ic in
a
mont
h
Out
com
eM
OH
704
; MO
H
713;
MO
H 5
11;
MO
H 2
16
Mont
hly
HF
DH
ISFa
cilit
y in
char
ge2018
4145
4352
4569
4798
5037
5289
28%
popu
lation
with
acce
ss t
o s
afe
wat
er
Safe
wat
er is
trea
ted/p
iped
wat
erW
ASH
Tota
l hom
es w
ith
acce
ss
to t
reat
ed/p
iped
wat
erTo
tal c
oun
ty
popul
atio
nO
utco
me
MO
H 5
15M
ont
hly
Com
mun
ity
DH
ISC
HV
s2018
356073
356163
356273
356373
356473
356573
29%
chi
ldre
n un
der
fiv
e st
unte
dC
hild
ren
under
5 y
ears
att
endin
g C
WC
who
fal
l bel
ow
min
us 2
SD
fr
om
the
med
ian
heig
ht for
age
of
WH
O c
hild
gro
wth
sta
ndar
ds
Nut
rition
Chi
ldre
n un
der
five
w
ith
stun
ted g
row
thD
: Tota
l num
ber
of
child
ren
under
5 y
ears
m
easu
red
Out
com
eM
OH
713
Mont
hly
HF
DH
ISFa
cilit
y in
char
ge2019
6884
5851
5675
5505
4954
4806
30%
chi
ldre
n un
der
fiv
e un
der
wei
ght
Num
ber
of ch
ildre
n un
der
5 y
ears
at
tend
ing
CW
C w
ho fal
l bel
ow
m
inus
2 S
D fro
m t
he m
edia
n w
eigh
tNut
rition
child
ren
under
five
who
ar
e un
der
wei
ght
Tota
l num
ber
of
<5c
hild
ren
atte
ndin
g C
WC
child
ren
Out
com
eM
OH
711
Mont
hly
HF
DH
ISFa
cilit
y in
char
ge2019
25474
20379
15284
10189
5094
0
31%
of ho
useh
old
s w
ith
latr
ines
Hous
ehold
s th
at u
se a
n im
prove
d
sani
tation
faci
lity
WA
SHN
umbe
r of ho
useh
old
s th
at us
e an
impr
ove
d
sani
tation
faci
lity,
urba
n/ru
ral
Estim
ated
hous
ehold
s in
urb
an a
nd r
ural
ar
eas
Out
com
eM
OH
515
Ann
ually
Com
mun
ity
DH
ISC
HV
s, S
CPH
Os,
CPH
O2018
119064
(5%
)125017
131267
137831
144722
151958
MONITORING AND EVALUATION PLAN 2019 - 2023
52
No
Ind
icato
rIn
dic
ato
r D
efi
nit
ion
Pro
gra
m
Are
aN
um
era
tor
Den
om
inato
rIn
dic
ato
r T
yp
e
Data
co
llect
ion
To
ols
F
req
uen
cy o
f co
llect
ion
/ re
po
rtin
g
Data
Co
llect
ion
L
eve
l (C
om
mu
nit
y,
HF,
Oth
er)
Data
S
ou
rce
Resp
on
sib
le
en
tity
Base
lin
e
Year
Base
lin
e
Valu
e
Targ
et
Yr
1Y
r 2
Yr
3Y
r 4
Yr
5
33Pe
r ca
pita
outp
atie
nt
utili
sation
rate
(M
/F)
The
rat
e at
whic
h sp
ecifi
c outp
atie
nt
patien
t is
bei
ng u
tiliz
edA
llTo
tal n
umbe
r of pat
ient
s at
tend
ing
out
patien
t se
en
at o
utp
atie
nt d
epar
tmen
t
Expe
cted
num
ber
of
out
patien
t cl
ient
s O
utpu
tD
aily
Act
ivity
Rep
ort
/MO
H
204A
B,M
OH
705
Qua
rter
ly, S
emi
Ann
ual &
A
nnua
l
Coun
ty &
Sub
C
oun
tyD
HIS
2C
HR
IO/S
CH
RIO
s20
182.
22.
32.
42.
52.
62.
7
34Pro
port
ion
of
child
ren
6-59
mont
hs
supp
lem
ente
d w
ith
vita
min
A
Chi
ldre
n re
ceiv
ing V
it. A
Nut
rition
N:n
umbe
r of ch
ildre
n su
pple
men
ted w
ith vi
tam
in
A
Tota
l Pop
< 6-
59
Mont
hsO
utpu
tM
OH
710
Mont
hly
HF
DH
ISFa
cilit
y in
cha
rge
2018
7336
680
702
8143
681
509
8151
781
518
35%
of ch
ildre
n <
15
yrs
det
ecte
d
with
AFP
No o
f ch
ildre
n<
15 y
rsV
PD
Su
rvei
llanc
eTo
tal N
o. o
f ca
ses
det
ecte
dTo
tal P
op
< 1
5yrs
O
utco
me
MO
H 5
02m
ont
hly
HF
DH
ISSC
DSC
2018
36Pro
port
ion
of
heal
th fac
ilities
im
plem
enting
IM
AM
Inte
grat
ed m
anag
emen
t of ac
ute
m
alnu
tritio
nN
utri
tion
N: N
umbe
r of fa
cilit
ies
offe
ring
IM
AM
To
tal n
umbe
r of
faci
litie
s in
the
coun
tyO
utpu
tM
OH
713
Ann
ually
Sub
coun
tyD
HIS
SCN
2018
100
102
104
106
108
110
37%
of fa
cilit
ies
provi
din
g B
EOm
NC
Faci
litie
s pr
ovi
din
g ba
sic
esse
ntia
l obs
tetr
ic c
are
serv
ices
re
pro
duc
tive
he
alth
N: T
ota
l num
ber
of le
vel
2-6 fac
ilities
pro
vidin
g B
Em
ON
C
D: T
ota
l num
ber
of
leve
l 2-6
fac
ilities
in
the
area
Out
put
Rap
id h
ealth
faci
lity
surv
eys;
Upd
ated
Mas
ter
Faci
lity
List
Ann
ually
Sub
coun
tyH
ead, p
lann
ing
and p
olic
y20
1918
018
218
418
618
819
0
38%
of fa
cilit
ies
provi
din
g C
EO
CFa
cilit
ies
provi
din
g co
mpr
ehen
sive
es
sential
obs
tetr
ic c
are
serv
ices
re
pro
duc
tive
he
alth
N: N
umbe
r of le
vel 4-6
heal
th fac
ilities
pro
vidin
g C
EmO
NC
D: T
ota
l num
ber
of
leve
l 4-6
hea
lth
faci
litie
s in
the
ca
tchm
ent
area
su
rvey
ed
Out
put
Rap
id h
ealth
faci
lity
surv
eys;
Upd
ated
Mas
ter
Faci
lity
List
(M
FL)
Ann
ually
Sub
coun
tyH
ead, p
lann
ing
and p
olic
y20
182
34
56
7
40%
of fa
cilit
ies
provi
din
g im
muni
sation
Faci
litie
s pr
ovi
din
g im
mun
izat
ion
serv
ices
Imm
uniz
atio
nN
: Num
ber
of h
ealth
faci
litie
s pro
vidin
g im
mun
izat
ion
serv
ices
D: T
ota
l he
alth
fa
cilit
ies
leve
l in
the
coun
ty
Out
put
Rap
id h
ealth
faci
lity
surv
eys;
Upd
ated
Mas
ter
Faci
lity
List
Ann
ually
coun
tyH
ead, p
lann
ing
and p
olic
y20
1818
019
020
021
022
024
0
41T
B c
ure
rate
Sputu
m s
mea
r-posi
tive
pat
ient
sac
cess
ing
6th-
mont
h sm
ear-n
egat
ive
mic
rosc
opy
res
ult
TB
Num
ber
of sp
utum
sm
ear
-po
sitive
pat
ient
s ha
ving
ne
gative
6th-
mont
h r
esul
t
Tota
l num
ber
of
bact
erio
logi
cally
co
nfirm
ed T
B c
ases
Out
com
eFa
cilit
y T
B
Reg
iste
rm
ont
hly,
Qua
rter
ly,
annu
ally
HF
TB
4; T
IBU
Sub
coun
ty T
B
Coord
inat
or
2017
7174
.878
.682
.486
.290
42Pe
rcen
tage
co
nfirm
ed m
alar
ia
case
s
Pat
ients
tes
ted p
osi
tive
for
mal
aria
us
ing
RD
T o
r m
icro
scopy
Mal
aria
Num
ber
of pa
tien
ts w
ho
have
tes
ted p
osi
tive
for
mal
aria
Tota
l num
ber
of ca
ses
susp
ecte
d form
alar
iaO
utpu
tM
orb
idity
Reg
iste
rM
ont
hly,
Qua
rter
ly,
annu
ally
HF
OPD
Reg
iste
r (M
OH
70
5A/B
)
Sub
coun
ty
Mal
aria
C
oord
inat
or
2017
64.9
100
100
100
100
100
43Pro
port
ion
of
mat
erna
l dea
ths
revi
ewed
mat
erna
ldea
th R
evie
w is
an
in-dep
th s
yste
mat
ic a
naly
sis
of
mat
erna
l dea
ths
to d
elin
eate
the
ir
under
lyin
g he
alth
soci
al a
nd o
ther
co
ntri
but
ory
fac
tors
; the
less
ons
lear
ned fro
m s
uch
a re
view
are
use
d
in m
akin
g re
com
men
dat
ions
to
prev
ent
sim
ilar
futu
re d
eath
s.
Rep
roduc
tive
H
ealth
Num
ber
of m
ater
nal
dea
ths
revi
ewed
Tota
l num
ber
of
mat
erna
l dea
ths
repo
rted
Out
put
Mat
erna
l rev
iew
fo
rmD
aily
, Mont
hly,
Qua
rter
ly,
annu
ally
HF
MO
H 7
11,
MO
H 3
33,
RH
coord
inat
or
2018
100
100
100
100
100
100
44M
alar
ia c
ase
fata
lity
Mal
aria
confi
rmed
cas
es w
ho d
ied
whi
le u
nder
goin
g tr
eatm
ent
Mal
aria
Num
ber
of m
alar
ia
confi
rmed
who
die
d w
hile
un
der
goin
g tr
eatm
ent
Tota
l num
ber
of
mal
aria
confi
rmed
O
utco
me
out
patien
t &
Inpa
tien
t
Reg
iste
r
Mont
hly,
Qua
rter
ly,
annu
ally
HF
OPD
Reg
iste
r (M
OH
70
5A/B
)
Sub
coun
ty
Mal
aria
C
oord
inat
or
2017
45A
vera
ge le
ngth
of
stay
Leng
th o
f St
ay –T
he d
urat
ion a
pa
tien
t sp
ends
in a
hea
lth fac
ility
fr
om
adm
issi
on t
o d
isch
arge
Med
ical
se
rvic
esG
rand
sum
of In-p
atie
nt
day
sTo
tal N
o. o
f D
isch
arge
sO
utpu
tIn
patien
t reg
iste
rD
aily
, Mont
hly,
Qua
rter
ly,
annu
ally
HF
Inpa
tien
t re
gist
erFa
cilit
y in
cha
rge
2018
76
54
32
46Pe
rcen
tage
of
func
tiona
l co
mm
unity
units
Func
tiona
l com
mun
ity
uni
ts
Com
mun
ity
Hea
lth
Serv
ices
N: N
umbe
r of C
om
muni
ty
Uni
ts r
eport
ing
to D
HIS
D
: Tota
l num
ber
of
Com
mun
ity
Uni
ts
esta
blis
hed
Out
put
MO
H 5
15M
ont
hly
Com
mun
ity
DH
ISC
HV
s,
Com
mun
ity
heal
th foca
l pe
rsons
2018
2328
3338
4346
MONITORING AND EVALUATION PLAN 2019 - 2023
53
No
Ind
icato
rIn
dic
ato
r D
efi
nit
ion
Pro
gra
m
Are
aN
um
era
tor
Den
om
inato
rIn
dic
ato
r T
yp
e
Data
co
llect
ion
To
ols
Fre
qu
en
cy o
f co
llect
ion
/ re
po
rtin
g
Data
Co
llect
ion
L
eve
l (C
om
mu
nit
y,
HF,
Oth
er)
Data
S
ou
rce
Resp
on
sib
le
en
tity
Base
lin
e
Year
Base
lin
e
Valu
e
Targ
et
Yr
1Y
r 2
Yr
3Y
r 4
Yr
5
47H
IV p
reva
lenc
ePro
port
ion
of ne
w H
IV in
fect
ions
an
d a
lrea
dy
exis
ting
cas
es in
the
po
pula
tion
HIV
Estim
ated
new
infe
ctio
ns
+ c
urre
nt in
fect
ions
Tota
l popu
lation
Out
com
eH
IV S
urve
illan
ce;
Pro
gram
rep
ort
sA
nnua
lH
F, Su
rvey
sH
TS
Reg
iste
r (M
OH
362);
ART
Reg
iste
r (M
OH
361A
, M
OH
361B
); D
AR
(M
OH
366)
Pro
gram
C
oord
inat
or
(County
&Su
b
county
); Se
rvic
e pro
vider
s
2017
1.3
1.2
1.1
11
1
48Pe
rcen
tage
HIV
ne
w in
fections
New
HIV
inci
den
ces
HIV
New
cas
es o
f H
IV
repo
rted
Tota
l popu
lation
Out
com
eH
IV S
urve
illan
ce;
Pro
gram
rep
ort
sA
nnua
lH
F, Su
rvey
sH
TS
Reg
iste
r (M
OH
362);
ART
Reg
iste
r (M
OH
361A
, M
OH
361B
); D
AR
(M
OH
366)
Pro
gram
C
oord
inat
or
(County
&Su
b
county
); Se
rvice
pro
vider
s
2017
0.3
0.2
50.2
0.1
50.1
0.1
49Pe
rcen
tage
of
preg
nant
wom
en
pres
enting
with
mal
aria
Pre
gnan
t w
om
en p
rese
ntin
g w
ith
mal
aria
at
the
faci
lity
Mal
aria
Num
ber
of co
nfirm
ed
mal
aria
cas
es a
mong
pr
egna
nt w
om
en
Tota
l num
ber
of
preg
nant
wom
enO
utco
me
Morb
idity
Reg
iste
rM
ont
hly
HF
OPD
Reg
iste
r (M
OH
705A
/B)
Sub c
ounty
M
alar
ia
Coord
inat
or
2018
7.5
07.0
06.0
05.5
04.0
03.0
0
50T
B c
ases
notifie
d
(per
100
,000
po
pula
tion)
New
ly d
iagn
ose
d T
B c
ases
notifie
dT
BN
umbe
r of T
B p
atie
nts
repo
rted
Tota
l popu
lation
Out
com
eT
B4
Qua
rter
lyH
FT
IBU
Sub c
ounty
TB
C
oord
inat
or
2017
106
126
146
166
186
206
51Pro
port
ion
of
faci
litie
s w
ith
func
tiona
l qua
lity
impr
ove
men
t te
ams
A fun
ctio
nal Q
I te
am s
houl
d h
old
m
ont
hly
mee
ting
s to
dis
cuss
qua
lity
of se
rvic
es o
ffere
d, a
reas
of
impr
ove
men
t ,d
evel
op,
impl
emen
t an
d m
oni
tor
a jo
int
action
plan
with
resp
ective
hea
lth
faci
litie
s
QI/Q
AN
umbe
r of fa
cilit
ies
with
a Q
I te
amTo
tal n
umbe
r of
faci
litie
s w
ith
more
th
an o
ne s
taff
Out
com
eEm
onc
A
sses
smen
t to
ol
Bia
nnua
lH
FFa
cilit
y in
char
ges
2018
30
50
60
70
80
90
52N
umbe
r of
com
mun
ity
units
with
func
tiona
l W
ITs
A fun
ctio
nal C
om
mun
ity
WIT
sh
oul
d h
old
mont
hly
mee
ting
s to
dis
cuss
qua
lity
of se
rvic
es o
ffere
d b
y C
HV
s at
com
mun
ity,
iden
tify
are
as
of im
prove
men
t, dev
elop,
im
plem
ent
and m
oni
tor
a jo
int
action
plan
with
resp
ective
CU
s
QI/Q
AN
umbe
r of co
mm
unity
units
with
a fu
nctiona
l W
IT
Tota
l num
ber
of
com
mun
ity
units
Out
com
eQ
I fil
eB
iann
ual
Com
mun
ity
DH
ISC
HEW
2018
20
30
40
50
60
70
53M
ont
hly
repo
rtin
g ra
tes
for
esse
ntia
l m
edic
ines
and
pr
ogr
am
com
moditie
s
All
faci
litie
s sh
oul
d s
ubm
it a
mont
hly
repo
rt o
f es
sent
ial m
edic
ines
and
pr
ogr
am c
om
moditie
s
Supp
ly c
hain
Num
ber
of fa
cilit
ies
subm
itting
mont
hly
repo
rtTo
tal n
umbe
r of
faci
litie
s ex
pect
ed t
o
subm
it r
eport
s
Out
put
EMM
S te
mpl
ate
,FC
DR
R for
FP
,Mal
aria
and
HIV
Mont
hly
HF
DH
IS,E
MM
S tr
acke
rphar
mac
ists
and
faci
lity
in-ch
arge
s2018
50
60
70
80
100
100
54Pe
rcen
tage
of
faci
litie
s st
ock
ed
acco
rdin
g to
pla
n
All
faci
litie
s sh
ould
be
stock
ed a
ccord
ing
to p
lan
Supp
ly c
hain
Num
ber
of fa
cilit
ies
report
ing
to b
esto
cked
for
all
com
moditie
s
Tota
l num
ber
of fa
cilit
ies
expec
ted t
o b
e st
ock
ed
with
esse
ntia
l tra
cer
med
icin
es a
nd p
rogr
am
com
moditie
s
Out
put
FCD
RR
rep
ort
s,
EMM
S te
mpl
ate
Mont
hly
HF
DH
IS,E
MM
S tr
acke
r20
1850
6070
8010
010
0
55Pe
rcen
tage
of
faci
litie
s that
sub
mit
accu
rate
com
modity
repo
rt
All
faci
litie
s sh
ould
sub
mit a
n a
ccur
ate
com
modity
repo
rtSu
pply
cha
inN
um
ber
of fa
cilit
ies
whose
be
ginni
ng
bal
ance
tal
lies
with
endin
g ba
lance
Tota
l num
ber
of fa
cilit
ies
repo
rts
Out
put
FCD
RR
re
port
s,EM
MS
tem
plat
e
Mont
hlyH
FD
HIS
,EM
MS
trac
ker
2018
5070
8090
100
100
63Pe
rcen
tage
of H
Fs
pro
vided
with
qua
rter
ly S
upp
ort
su
perv
isio
n
A H
ealth
faci
lity
shoul
d r
ecei
ve s
upport
su
per
visi
on fro
m t
he
Sub
Coun
ty t
eam
at
leas
t once
in a
quar
ter
All
Num
ber
of he
alth
fac
ilities
vi
sited
for
pur
pose
s of
supp
ort
sup
ervi
sion
Tota
l num
ber
of he
alth
fa
cilit
ies
Out
put
Supe
rvis
ion
chec
klis
tQ
uart
erly
Sub
Coun
tyA
ctiv
ity
repo
rtSC
HM
T70
8090
100
100
100
64Pe
r ca
pita
out
pat
ient
utilis
atio
n ra
te (
M/F
)T
he
rate
at
whic
h s
peci
fic o
utpa
tien
t pat
ient
is b
eing
utiliz
edA
llTo
tal n
um
ber
of pa
tien
ts
atte
ndin
g outp
atie
nt
seen
at
outp
atie
nt
dep
artm
ent
Expec
ted n
umbe
r of
outp
atie
nt c
lient
s O
utpu
tD
aily
Act
ivity
Rep
ort
/MO
H
204A
B, M
OH
705
Qua
rter
ly,S
emi
Ann
ual &
Ann
ual
Coun
ty &
Sub
C
oun
tyD
HIS
2C
HR
IO/SC
HR
IOs
2018
2.2
2.3
2.4
2.5
2.3
2.7
MONITORING AND EVALUATION PLAN 2019 - 2023
54
No
Ind
icato
rIn
dic
ato
r D
efi
nit
ion
Pro
gra
m
Are
aN
um
era
tor
Den
om
inato
rIn
dic
ato
r T
yp
e
Data
co
llect
ion
To
ols
Fre
qu
en
cy o
f co
llect
ion
/ re
po
rtin
g
Data
Co
llect
ion
L
eve
l (C
om
mu
nit
y,
HF,
Oth
er)
Data
S
ou
rce
Resp
on
sib
le
en
tity
Base
lin
e
Year
Base
lin
e
Valu
e
Targ
et
Yr
1Y
r 2
Yr
3Y
r 4
Yr
5
65
Perc
enta
ge o
f po
pula
tion
livin
g w
ithi
n 5k
m o
f a
faci
lity
Elig
ible
popu
lation
are
hous
ehold
s liv
ing
with
5km
of a
faci
lity
All
Num
ber
of H
ouse
hold
s liv
ing
withi
n 5
KM
of a
faci
lity
Tota
l cat
chm
ent
popu
lation
of a
facilit
yO
utco
me
GIS
map
ping
dev
ices
Ann
ual
Coun
ty &
Sub
C
oun
tyYe
arly
GIS
M
appi
ng r
eport
CD
MS
2018
66
Perc
enta
ge o
f qu
arte
rs for
whic
h an
alys
ed h
ealth
info
rmat
ion is
shar
ed
with
the
sect
or
Hea
lth
info
rmat
ion
can b
e sh
ared
on
for
a su
ch a
s C
MEs,
Rev
iew
meet
ings
,supp
ort
supe
rvis
ions
,sta
kehold
ers
foru
ms
etc
All
Num
ber
of hea
lth
info
rmat
ion
shar
ing
for
a he
ldEx
pec
ted n
umbe
r of
heal
th in
form
atio
n sh
arin
g fo
r a
Out
put
Act
ivity
repo
rtQ
uart
erly
Coun
ty &
Sub
C
oun
tyA
ctiv
ity
repo
rt/D
HIS
2C
M&
E O
ffice
r20
1850
100
100
100
100
100
72
Num
ber
of m
edic
al
heal
th w
ork
ers
per
10,0
00 p
opul
atio
n
Med
ical
Hea
lth
work
ers
here
ref
ers
to
nurs
es,c
linic
al o
ffice
rs,m
edic
al d
oct
ors
w
ork
ing
in G
OK
Hea
lth
faci
litie
s
HR
HN
umbe
r of hea
lth
work
ers
Tota
l popu
lation
out
com
eiH
RIS
Rep
ort
Qua
rter
lyC
oun
ty &
Sub
C
oun
tyiH
RS
iHR
IS foca
l per
sons
2018
1020
3040
5060
73
Perc
enta
ge s
taff w
ho
have
und
ergo
ne
CPD
Elig
ible
hea
lth
work
ers
from
all
the
cadre
s w
ho h
ave
com
plet
ed C
DP
trai
ning
HR
HN
umbe
r of st
aff tr
aine
dN
um
ber
of el
igib
le h
ealth
work
ers
out
put
iHR
IS R
eport
Qua
rter
lyC
oun
ty &
Sub
C
oun
tyA
ctiv
ity
repo
rtiH
RIS
foca
l per
sons
2018
57
(734
/128
5)60
7080
9090
74
Perc
enta
ge o
f hea
lth
work
ers
who
hav
e un
der
gone
lead
ersh
ip
and m
anag
emen
t co
urse
s
Elig
ible
hea
lth
work
ers
from
all
the
cadre
s w
ho h
ave
com
plet
ed le
ader
ship
m
anag
emen
t tr
aini
ng
HR
HN
umbe
r of st
aff und
ergo
ne
Lead
ersh
ip a
nd m
anag
emen
t tr
aini
ngs
Tota
l num
ber
of el
igib
le
staf
fout
put
iHR
IS R
eport
Qua
rter
lyC
oun
ty &
Sub
C
oun
tyA
ctiv
ity
repo
rtiH
RIS
foca
l per
sons
2018
3 (4
5/12
85)
44
55
5
75
Staf
f at
tritio
n r
ate
Num
ber
of st
aff ex
itin
g th
e he
alth
w
ork
forc
eH
RH
Num
ber
of st
aff ex
itin
g th
e hea
lth
work
forc
eTo
tal n
umbe
r of st
aff
out
com
eiH
RIS
Rep
ort
Qua
rter
lyC
oun
ty &
Sub
C
oun
tyiH
RS
iHR
IS foca
l per
sons
2018
2 (3
0/12
85)
21
11
1
76
Perc
enta
ge o
f he
alth
w
ork
ers
com
ple
ting
an
nual
ap
prai
sal
form
s
Elig
ible
hea
lth
work
ers
from
all
the
cadre
s pa
rtic
ipat
ing
in a
nnu
al s
taff
appr
aisa
l
HR
HN
umbe
r of hea
lth
work
ers
com
ple
ting
annua
l appra
isal
fo
rm
Tota
l num
ber
of el
igib
le
heal
th w
ork
ers
out
put
iHR
IS R
eport
Qua
rter
lyC
oun
ty &
Sub
C
oun
tyA
ppra
isal
re
port
iHR
IS foca
l per
sons
2018
58
(750
/128
5)70
8090
9595
77
Perc
enta
ge o
f hea
lth
work
ers
with
up
to
dat
e dat
a in
IH
RIS
, st
aff re
turn
s an
d
IPPD
Hea
lth
work
ers
with u
p t
o d
ate
dat
a in
IH
RIS
, sta
ff r
etur
nsan
d IPPD
HR
HN
umbe
r of hea
lth
work
ers
with
up t
o d
ate
dat
a on
iHR
IS
IPPD
and s
taff
retu
rns
Tota
l Num
ber
of H
ealth
work
ers
out
com
eiH
RIS
Rep
ort
Qua
rter
lyC
oun
ty &
Sub
C
oun
tyiH
RS
iHR
IS foca
l per
sons
2018
70
(900
/128
5)10
010
010
010
010
0
MONITORING AND EVALUATION PLAN 2019 - 2023
APPENDIX 2 : REPORTING TOOLS AND RESPONSIBLE PERSONS
55
# Available ReportingForms
ResponsiblePerson
Overallresponsibilityat Sub-county
Hospitals Primary HealthFacility/
CommunityUnit.
OverallResponsibility
at HealthFacility
HF ReportingChannel (Where
Applicable)
1 CHEW Summary(MOH 515)
Community Unit Focal person
SCHRIO/ SCMOH
CHEW CHEW Med Sup/In-Charge
Hardcopy/DHIS
2 MoH 711Integrated
ReproductiveCoordinator/ District Public Health Nurse
(DPHN)
SCHRIO/ SCMOH
Sectional In-charge/
HRIO
FacilityIn-Charge
Med Sup/In-Charge
Hardcopy/DHIS
3 MoH 731-1HIV CT
County AID and STI Coordinator
SCHRIO/ SCMOH
Sectional In-charge/
HRIO
FacilityIn-Charge
Med Sup/In-Charge
Hardcopy/DHIS
MoH 731-2PMTCT
County AID and STI Coordinator
SCHRIO/ SCMOH
Sectionalin-charge/
HRIO
FacilityIn-Charge
Med Sup/In-Charge
Hardcopy/DHIS
MoH 731-3C&T
County AID and STI Coordinator
SCHRIO/ SCMOH
SectionalIn-charge/
HRIO
FacilityIn-Charge
Med Sup/In-Charge
Hardcopy/DHIS
MoH 731-4VMC
County AID and STI Coordinator
SCHRIO/ SCMOH
Sectional In-charge/
HRIO
FacilityIn-Charge
Med Sup/In-Charge
Hardcopy/DHIS
MoH 731-5PEP
County AID and STI Coordinator
SCHRIO/ SCMOH
SectionalIn-charge/
HRIO
FacilityIn-Charge
Med Sup/In-Charge
Hardcopy/DHIS
MoH 731-6Blood Safety
County AID and STI Coordinator
SCHRIO/ SCMOH
SectionalIn-charge/
HRIO
FacilityIn-Charge
Med Sup/In-Charge
Hardcopy/DHIS
4 HCBC County AID and STI Coordinator
SCHRIO/ SCMOH
SectionalIn-charge/
HRIO
FacilityIn-Charge
Med Sup/In-Charge
Hardcopy/DHIS
5 IDSR Weekly District DiseaseSurveillance
Coordinator(DDSC)
SCHRIO/ SCMOH
Facilitysurveillancefocal person
FacilityIn-Charge
Med Sup/In-Charge
Hardcopy/DHIS
6 HospitalAdministrativeStatistics (HAA).
County HRIO SCHRIO/ SCMOH
HRIO Med Sup/In-Charge
Hardcopy/DHIS
7 MoH 705 AOPD <5 years
County HRIO SCHRIO/ SCMOH
HRIO FacilityIn-Charge
Med Sup/In-Charge
Hardcopy/DHIS
8 MoH 705 B OPD>5 years
County HRIO SCHRIO/ SCMOH
HRIO FacilityIn-Charge
Med Sup/In-Charge
Hardcopy/DHIS
9 MoH 717ServiceWorkload
County HRIO SCHRIO/ SCMOH
HRIO FacilityIn-Charge
Med Sup/In-Charge
Hardcopy/DHIS
10 MoH 718Inpatient M and M
County HRIO SCHRIO/ SCMOH
HRIO FacilityIn-Charge
Med Sup/In-Charge
Hardcopy/DHIS
11 MoH 710Immunization
CHMT Member responsible for Immunization
SCHRIO/ SCMOH
HRIO FacilityIn-Charge
Med Sup/In-Charge Hardcopy/DHIS
12 MoH 706 LaboratoryReport
County Laboratory Coordinator
SCHRIO/ SCMOH
LabIn-Charge
Lab In-Charge.
Med Sup/In-Charge
Hardcopy/DHIS
13 Support Supervision
Chair CHMT SCHRIO/ SCMOH
SectionalIn-Charge/
HRIO
Hardcopy/DHIS
14 IMAM County Nutrition Coordinator
SCHRIO/ SCMOH
Nutritionist FacilityIn-Charge
Med Sup/In-Charge
Hardcopy/DHIS
15 MoH 713 NutritionMonthly Reporting.
County Nutritionist SCHRIO/ SCMOH
Nutritionist FacilityIn-Charge
Med Sup/In-Charge
Hardcopy/DHIS
16 MoH 708EnvironmentalHealth
County Public Health Officer.
SCHRIO/ SCMOH
PHT Public HealthOfficer/Public
HealthTechnician
Med Sup/In-Charge
Hardcopy/DHIS
MONITORING AND EVALUATION PLAN 2019 - 2023
56
17 Quarterly reporton Tuberculosisand MultipleDrug ResistantTB case-finding
County TB and Leprosy
Coordinator.
SCHRIO/ SCMOH
CO Tuberculosisand Lung
FacilityIn-Charge
Med Sup/In-Charge
Hardcopy/DHIS
18 Cohort Reportfor TB
County TB and Leprosy
Coordinator.
SCHRIO/ SCMOH
CO Tuberculosisand Lung
FacilityIn-Charge
Med Sup/In-Charge
Hardcopy/DHIS
19 HSSF MonthlyExpenditure
County Health DepartmentAccountant
SCHRIO/ SCMOH
Facilityaccountant
FacilityIn-Charge
Med Sup/In-Charge
Hardcopy/DHIS
20 HSSF summary County Health Department Accountant
SCHRIO/ SCMOH
Facilityaccountant
FacilityIn-Charge
Med Sup/In-Charge
Hardcopy/DHIS
21 Malaria CommoditiesForm
County Malaria Coordinator.
SCHRIO/ SCMOH
Pharmacist FacilityIn-Charge
Med Sup/In-Charge
Hardcopy/DHIS
22 Non-Pharmaceutical
County Pharmacist. SCHRIO/ SCMOH
Nursing Officer Incharge
FacilityIn-Charge
Med Sup/In-Charge
Hardcopy/DHIS
23 Division ofOccupationaltherapy
County Occupational
Therapist
SCHRIO/ SCMOH
OccupationalTherapist
FacilityIn-Charge
Med Sup/In-Charge
Hardcopy/DHIS
24 LogisticManagementInformation
Reproductive Health
Coordinator/Sub countyPHN
SCHRIO/ SCMOH
Pharmacist FacilityIn-Charge
Med Sup/In-Charge
Hardcopy/DHIS
25 FPContraceptives
County Reproductive
Health.
SCHRIO/ SCMOH
MCH In-Charge FacilityIn-Charge
Med Sup/In-Charge
Hardcopy/DHIS
26 Maternal DeathReview Form
County HRIO SCHRIO/ SCMOH
MaternityIn-Charge –
Maternal Death review team.
FacilityIn-Charge
Med Sup/In-Charge
Hardcopy/DHIS
27 OphthalmologyServices
CountyOphthalmologist
SCHRIO/ SCMOH
Ophthalmologist. FacilityIn-Charge
Med Sup/In-Charge
Hardcopy/DHIS
28 OrthopedicPlaster
County Plastertechnologist
SCHRIO/ SCMOH
PlasterTechnologies.
FacilityIn-Charge
Med Sup/In-Charge
Hardcopy/DHIS
# Available ReportingForms
ResponsiblePerson
Overallresponsibilityat Sub-county
Hospitals Primary HealthFacility/
CommunityUnit.
OverallResponsibility
at HealthFacility
HF ReportingChannel (Where
Applicable)
MONITORING AND EVALUATION PLAN 2019 - 2023
BARINGO COUNTY GOVERNMENT DEPARTMENT OF HEALTH SERVICES
Document: Procedure for Data CollectionDocument Number: 1
Point of Use: Health Facility and Community Unit
Frequency: Daily
Objective: To ensure the use of standardized data collection tools, complete and timely data collection.
Context: Standard data collection tools (registers) are used to ensure consistency of the data collected in health facilities and community units. The SOP will be used by health workers and Health Management Team (HMT) of County, Sub -County, and Facility.
CHECKLIST FOR DATA COLLECTION
• Use standard MOH-coded data collection tools e.g. MOH 204A, MOH 405, etc.
• All data collection tools must be vetted and authorized by the MOH.
• Parallel partners’ or donors’ data collection tools should not be used.
• Refer to the guidelines provided in the data collection tools (cover page of registers).
• Fill in the data collection tools/ registers as the patients are being seen – do not fill
the tools later or after service delivery.
• When starting a new day, start a new page in the register or write the total for the
day then put a divider line in red color.
• When starting a new month, start on a new page.
• Fill all rows and columns completely and appropriately.
57
APPENDIX 3
MONITORING AND EVALUATION PLAN 2019 - 2023
BARINGO COUNTY GOVERNMENT DEPARTMENT OF HEALTH SERVICES
Document: Procedure for Data Collation and Validation
Document Number: 2
Point of Use: Health Facility and Community Unit
Frequency: Daily, Weekly, and Monthly
Objective: To ensure accurate, complete and timely collation and validation of data.
Context: Data collation and validation should be done at facility and community levels where data is collected on manual/ paper registers by the health workers responsible for data collation. For electronic data, generate the report summaries. The health workers should verify the collected data and summarize for their own reporting before entering into the DHIS2. All summary tools/ reports MUST have the supervisor’s name, facili ty name, and stamp. Failure to which they should not be accepted as official records.
CHECKLIST FOR DATA COLLATION AND VALIDATION BY DATA COLLECTOR
• Make a page summary based on the guide provided at the bottom of the page
• Use the page summaries to populate the monthly summary tool
• When aggregating the data variables, use the summary totals at the bottom of each
page of the register
• Add the in- and outreach services data to the daily tallies
• Add CHEWs summaries to the relevant facility reporting tools e.g. MOH 204A, MOH
405, etc.
• Recount the variables and verify the data and totals
• Document data changes made during collation
• Use the confirmed totals to fill the relevant summary tools
CHECKLIST FOR DATA VALIDATION BY SUPERVISOR
• The summarized form/ report MUST be counter checked by a second party and
signed by the supervisor (facility-in-charge)
• During counterchecking, check the totals in the summary sheet (add all totals for each
variable to ensure the calculation is correct)
• A minimum sample (5 days in a month) of the daily registers should be counterchecked
and accuracy of data and totals confirmed
• If inconsistencies are found in this sample, increase the sample days and refer to the
data collector to make corrections
• Notify the data collector of inconsistencies and corrections made and documented
• Vetted data summary reports should be duly signed, dated and stamped by the facility-
in-charge (nursing officer-in-charge or clinical officer-in-charge or medical
superintendent)
58
MONITORING AND EVALUATION PLAN 2019 - 2023
BARINGO COUNTY GOVERNMENT DEPARTMENT OF HEALTH SERVICES
Document: Procedure for Reporting in DHIS2
Document Number: 3
Point of Use: County, Sub -County and Health Facility
Frequency: Weekly, Monthly and Quarterly
Objective: To ensure accurate, complete and timely reporting of data in DHIS2.
Context: Data entry is done by the facility and/ or Sub-County Health Records and Information Officer (SCHRIO) for all facility data collected on electronic/ manual/ paper registers. All data should be entered into the DHIS2 sy stem and in the relevant data sets (tables) The Sub -County Medical Officer of Health (SCMOH) is expected to review the previous month’s report by the 16th day of each month and forward them to the next level. Any issues raised should be discussed and the errors identified corrected by the relevant person within the specified timeline. Consider the formation of health data review team that looks at the data prior to entry into DHIS2
CHECKLIST FOR REPORTING IN DHIS2
· Use a standard checklist to confirm the facilities whose reports have been submitted
and entered into DHIS2
· The checklist used to confirm facilities data entry should have the date that the report
was received at the sub-county office
· Health data team review team to discuss the data prior to submission
· Enter ALL data into the relevant data set in DHIS2
· Run validation to identify any errors that could have been missed during the manual/
paper registers data collation and validation stage
· For all the errors detected, recheck the summary tool or refer to the relevant facility
for correction and resubmission
· Document all corrections made
· Run the completeness report to ensure completeness by confirming that all facilities
have submitted the relevant reports
· Communicate to facilities that have not submitted reports
· The SCHRIO to provide feedback to facilities based on issues raised and data entry
errors identified
· The SCMOH should review the reports by the 16th day of each month
59
MONITORING AND EVALUATION PLAN 2019 - 2023
BARINGO COUNTY GOVERNMENT DEPARTMENT OF HEALTH SERVICES
Document: Procedure for Data Analysis
Document Number: 4
Point of Use: County, Sub -County, Health Facility and Community Unit
Frequency: Weekly, Monthly, Quarterly, and Yearly
Objective: To ensure accurate, valid, reliable and consistent analysis of data
Context: Data analysis should be done at all levels to enable data use by all at all stages. The analysis should be done on verified ‘clean’ data that has been approved and shared to all. This includes basic summaries and at M&E level, bivariate / relational analysis. The correct interpretation, presentation and use of the analysis outputs should be emphasized. The M&E/ HIS units will be tasked with providing health information products to various stakeholders – community, Health Management Board, HMTs (County, Sub-County, andFacility), policy makers, planners, and health managers – at specified periods.
CHECKLIST FOR DATA ANALYSIS
· Final approved data should be made available for data analysis
· Analyze data for priority indicators i.e. aligned to Annual Work Plans, programmatic
strategic plans, County Health Sector Strategic and Investment Plan, County
Integrated Development Plan, UHC and SDG
· Standard indicators should be used and the information verified and availed using
information products e.g. dashboard, chal kboards, bulletins, county profiles amongst
others
· Health information products should be developed, verified and circulated to relevant
stakeholders including HMTs (County, Sub-County, and Facility) for discussions on
data quality and performance improvement during data use meetings/ forums
· Document statistical methods used to ensure that the process can be replicated in
future
60
MONITORING AND EVALUATION PLAN 2019 - 2023
BARINGO COUNTY GOVERNMENT DEPARTMENT OF HEALTH SERVICES
Document: Procedure for Sharing and UseDocument Number: 5Point of Use: County, Sub-County, Health Facility
and Community UnitFrequency: Monthly, Quarterly and YearlyObjective: To ensure accurate, consistent and reliable data is provided for use
Context: This involves a review of the information products at different levels. The structure of this process is meetings hence this SOP provides/ outlines the functions of the teams involved and their importance in data quality assurance and performance improvement.
CHECKLIST FOR DATA SHARING AND USE
· All levels shoul d hold regular data use meetings/ forums (minimum once per
month) to review the data, reports or information products.
· Data quality will form part of the agenda in these data review meetings and will
provide an opportunity for documentation of data quality concerns by users.
· Actions from the data review meetings will be shared and used as a reference for
data quality and performance improvement
· Data quality concerns requiring verification and correction either at community or
facility level will be documented and shared
· HMTs (County, Sub-County and Facility) should participate in data review meetings
and provide feedback to all relevant parties at lower levels
· Advocate for continuous sensitization on data quality through staff training with an
emphasis on process documentation
61
MONITORING AND EVALUATION PLAN 2019 - 2023
APPENDIX 4: LIST OF CONTRIBUTORS
62
# Name Designation
1 Hon. Mary Panga CEC -Health Services
2 Dr. Gideon Toromo Chief Officer- Med. Services
3 Dr. Winnie Bore Chief Officer Prev. Health
4 Dr. Abakalwa Gerishon CDH -Admin / Planning
5 Dr. Robert Rono CDH- Public Health
6 Dr. Mary Sang M&E Officer
7 Mr. Gideon Yano CHRIO
8 Mr. Zacharia Kimwetich Special Programmes
9 Ms. Jane Sarich SCHC - Tiaty
10 Mr. Patrick Terer County H.A. O
11 Mr. Kiprono Kosgei County Economist
12 Ms. Rhoda Tumo AG. HRIO
13 Mr. Richard Tuitoek SCHC -Mogotio
14 Dr. Mue Winnie Med. Sup. Marigat
15 Dr. Philip Kamau Med. Sup Kabartonjo
16 Mr. Ezekiel Kimetto SCHC- E/Ravine
17 Mr. Isack K. Cheserek C Wash/CLTSC
18 Christine Kiecha Palladium CMLAP II -Ad. Gov
19 Dr. Samuel Nyingi Palladium CMLAP II -Gov. Specialist
20 Ms. Maureene Ochieng Palladium CMLAP II -CPLS
21 Mr. Erick Odipo Afya Uzazi -SMERL
22 Mr. Benard Nyauchi Afya Uzazi- LRM
23 Mr. Saul Atwa Afya Uzazi - MERL
24 Ms. Mary Kamau Afya Uzazi - HRH
25 Mr. Philip Koitalel Afya Nyota - AD HSS
26 Ms. Sarah Olalo Fred Hollows -P.O
27 Mr. Nick Oyugi Palladium CMLAP -M&E Specialist
BARINGO COUNTY GOVERNMENT
DEPARTMENT OF HEALTH SERVICES
P.O. Box 53-30400, Kabarnet.
Telephone: (0) 53 - 22077
E-mail: [email protected]
