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Nigeria Case Study. HIVAIDS Specific Slides. Analyzing and Interpreting Data. Are ANC clinics reaching their coverage targets for testing and counseling?. Are facilities reaching coverage targets?. Additional Questions. Which facility is performing better/worse than expected? - PowerPoint PPT Presentation
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Nigeria Case Study
HIVAIDS Specific Slides
ANALYZING AND INTERPRETING DATA
Summary Data from General ANC, VCT, and Partner Registers
Variables Number
1. New ANC clients
2. Group pre-test counseled
3. Individual pre-test counseled
4. Accepted HIV test
5A. HIV test result – Positive
5B. HIV test result – Negative
5C. HIV test result – Indeterminate
6 A. Post-test counseled – Positive
6 B. Post-test counseled – Negative
8A. ARV therapy received – Current NVP
Are ANC clinics reaching their coverage targets for testing and counseling?
Summary Data from General ANC, VCT, and Partner Registers
Variables Number
1. New ANC clients
2. Group pre-test counseled
3. Individual pre-test counseled
4. Accepted HIV test
5A. HIV test result – Positive
5B. HIV test result – Negative
5C. HIV test result – Indeterminate
6 A. Post-test counseled – Positive
6 B. Post-test counseled – Negative
8A. ARV therapy received – Current NVP
Summary Data from General ANC, VCT, and Partner Registers
Variables Number
1. New ANC clients
6 A. Post-test counseled – Positive
6 B. Post-test counseled – Negative
Variables Facility 1
Facility 2
Facility 3
Facility 4
1. New ANC Clients 744 2708 105 1077
6A. Post-test counseling – positive
54 105 10 43
6B. Post-test counseling – negative
440 2045 93 800
Total post-test counseled
494 1940 83 843
0%
20%
40%
60%
80%
100%
1 2 3 4
Health Facilities
% A
NC
co
un
se
led
& t
es
ted
Are facilities reaching coverage targets?
Additional Questions
Which facility is performing better/worse than expected?
What is the trend over time for these facilities?
What is the ratio for this group of facilities?
How would you assess each facility’s performance based on the data?
What other data or information should you consider in providing recommendations or guidance to the facilities?
DATA USE
Policy to Program Operations
Declining school enrollment among children orphaned or made vulnerable by HIV/AIDS
Declining school enrollment among children orphaned or made vulnerable by HIV/AIDS
Policy to Program Operations
Declining school enrollment…Declining school enrollment…
Revised national policy on educational support for MVC
Revised national policy on educational support for MVC
Policy to Program Operations
Declining school enrollment…Declining school enrollment…
Revised national MVC policyRevised national MVC policy
National budget line item for educational support for MVC
National budget line item for educational support for MVC
Policy to Program Operations
Declining school enrollment…Declining school enrollment…
Revised national MVC policyRevised national MVC policy
National MVC budgetNational MVC budget
• Select priority districts Budget allocations for each
district
• Select priority districts Budget allocations for each
district
Policy to Program Operations
Declining school enrollment…Declining school enrollment…
Revised national MVC policyRevised national MVC policy
National MVC budgetNational MVC budget
• Select priority districts• Select priority districts
Select local organizations and design activities
Select local organizations and design activities
Policy to Program Operations
Declining school enrollment…Declining school enrollment…
Revised national MVC policyRevised national MVC policy
National MVC budgetNational MVC budget
• Select priority districts• Select priority districts
Select local organizationsSelect local organizations
• Train community workers• Identify households• Implement activities
• Train community workers• Identify households• Implement activities
Policy to Program Operations
Declining school enrollment…Declining school enrollment…
Revised national MVC policyRevised national MVC policy
National MVC budgetNational MVC budget
• Select priority districts• Select priority districts
Select local organizationsSelect local organizations
• Implement activities• Implement activities
• Monitor progress• Identify problems
• Monitor progress• Identify problems
Policy to Program Operations
Declining school enrollment…Declining school enrollment…
Revised national OVC policyRevised national OVC policy
National OVC budgetNational OVC budget
• Select priority districts• Select priority districts
Select local organizationsSelect local organizations
• Implement activities• Implement activities
• Monitor progress• Monitor progress
Modify budgets, activitiesModify budgets, activities
Decisions and Information Flow
Declining school enrollment…Declining school enrollment…
Revised national OVC policyRevised national OVC policy
National OVC budgetNational OVC budget
• Select priority districts• Select priority districts
Select local organizationsSelect local organizations
• Implement activities• Implement activities
• Monitor progress• Monitor progress
Modify budgets, activitiesModify budgets, activities
PROVIDING FEEDBACK
Quarterly Performance Indicators
# Indicator Numerator Denominator Percentage
ART
1 % of eligible clients placed on ART
# of new clients on ART Sum of # of new clients on ART and clients on ART waiting list 100%
39 39
2 % of current ART clients # of active clients on ART # of cumulative clients on ART 92%
1620 1765
3 % of ART clients in 6-month cohort undergoing repeat CD4 testing
# of clients for whom repeat CD4 testing was done at 6 months
Total # of active ART clients in 6-month cohort 94%
147 156
Pediatric ART
1 % of children currently on ART
# of active children on ART # of cumulative children on ART 78%
45 58
ART Care Follow-up
1 % of non-active ART patients who have stopped ART
# of patients who stopped ART # of non-active ART patients0%
0 145
2 % of non-active ART patients who transferred out
# of patients who transferred out # of non-active ART patients6%
8 145
3 % of non-active ART patients who died
# of patients who died # of non-active ART patients73%
106 145
4 % of non-active ART patients who have been lost to follow-up
# of patients who have been lost to follow-up.
# of non active ART patients.16%
23 145
22
MEASURE Evaluation is a MEASURE project funded by the
U.S. Agency for International Development and implemented by
the Carolina Population Center at the University of North Carolina
at Chapel Hill in partnership with Futures Group International,
ICF Macro, John Snow, Inc., Management Sciences for Health,
and Tulane University. Views expressed in this presentation do not
necessarily reflect the views of USAID or the U.S. Government.
MEASURE Evaluation is the USAID Global Health Bureau's
primary vehicle for supporting improvements in monitoring and
evaluation in population, health and nutrition worldwide.