Abstract #171  -  Lessons Learned from a Sustainable Results-based M&E system: Experience from Zanzibar
Authors:   Presenting Author:   Mr GHARIB GHARIB - ZANZIBAR AIDS COMMISSION
Additional Authors:
Aim: The Zanzibar national HIV M&E system was launched by the Government of Zanzibar in June 2006 to enable ZAC and its partners to evaluate the effectiveness of the national response to HIV, using relevant and accurate HIV data for use in planning effective interventions.’ Zanzibar uses the three-one principle and 12 components of M&E system to monitor, report, control quality, and improve impact of HIV interventions.
Method / Issue: ZHAPMoS forms are data collection tools used to collect its non health data, while ZACP & HMIS use health data collection tools to capture health data. ZAC trained M&E focal persons in over 300 organizations (MDA’S, CSO’s and Private) on how to obtain and use M&E data for decision making and improving impact of HIV interventions.
Results / Comments: Under the support of Word Bank (TMAP), ZAC M&E unit has managed to implement its planned M&E work plan and the following achievements have been reached. Eleven out of twelve components of a functional M&E system in Zanzibar are now fully operational, M&E focal persons and staff have been placed among most of the organizations undertaking HIV activities in Zanzibar; Capacity in M&E was strengthened through training, mentorship and shared learning forums; M&E Task Team for HIV&AIDS in Zanzibar met severally and shared technical input and feedback on M&E for the AIDS response; Many planned activities within the national M&E framework and costed road map were implemented; Routine monitoring and reporting took place through ZHAPMoS, health sector monitoring system and other programme monitoring system; Various research, surveys and surveillance took place including THMIS, MARPs surveys, condom surveys, life skills assessment and others; The national HIV database is functional, storing and generating data for the M&E system; Data auditing and supportive supervision sessions have been conducted by ZAC, Districts and MOH; Reports have been developed and disseminated using data from the M&E system and these reports were referenced during national planning activities like gap analysis for the national AIDS response. However the main challenge for the M&E system has been late reporting by implementers which also in turn caused delayed reporting on the part of ZAC. Secondly there is also a need for all stakeholders to come together and strategically plan, develop and implement a well coordinated joint research strategy and learning agenda for Zanzibar. HIV implementers and umbrella organizations who are coordinating HIV activities have continued to provide reports of their interventions through the ZHAPMoS system.
Discussion: In the year 2007/08 a total of 82% of implementers reported to ZAC on ZHAPMoS. Data received from stakeholders was used to generate information products like Quarter Service Coverage Reports, Quarter brochures, fliers, magazines and Annual report for the national AIDS response in Zanzibar. The data contained in those reports have been disseminated and used for planning and decision making during the national AIDS response.
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