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.