OJPM  Vol.2 No.3 , August 2012
Using UNAIDS’s organizing framework to assess Nigeria’s national HIV monitoring and evaluation system
ABSTRACT
The Nigeria National Response Management Information System (NNRIMS), developed in 2004 as a framework for monitoring and evaluating the country’s response to HIV, does not function at an optimum level due to several challenges, including a confusing proliferation of vertical reporting systems, competition among sectors, and the nascent nature of the monitoring and evaluation (M&E) sub-systems within many institutions. An assessment of the existing M&E system was conducted to verify whether the system has the capacities to provide essential data for monitoring the epidemic and identifying critical programming gaps. Nigeria’s National Agency for the Control of AIDS (NACA) used an organizing framework for a national HIV M&E system developed by UNAIDS, to assess the strengths and weaknesses of the NNRIMS to generate data for evidence-based decisionmaking. The participatory approach used during an assessment workshop ensured that the process was country-led and -owned to build consensus and local capacity, and that it encouraged adoption of a single national-level multisectoral HIV M&E system. The assessment found an operable M&E system at the national level but a much weaker system at the state and local levels and across seven other sectors. There are multiple data collection and reporting tools at the facility level that lead to vertical reporting systems, which increases the burden of reporting at lower levels, especially by service providers. Human resources are being developed, but problems remain with the quantity and quality of staff. Data use, though evident at the national level, is still very weak among five of the seven sectors assessed. The assessment results have been used to develop a national costed M&E workplan to which all stakeholders contributed in a coordinated response to strengthen the system.

Cite this paper
Ogungbemi, K. , Oyediran, K. , Mullen, S. , LaFond, A. , Azeez, A. , Boone, D. , Mharadze, T. , Kanagat, N. and Atobatele, A. (2012) Using UNAIDS’s organizing framework to assess Nigeria’s national HIV monitoring and evaluation system. Open Journal of Preventive Medicine, 2, 372-378. doi: 10.4236/ojpm.2012.23054.
References
[1]   UNAIDS (2004) “Three Ones” key principles: Coordination of national responses to HIV/AIDS—Guiding principles for national authorities and their partners. Conference paper #1 from Washington consultation, Washington DC. http://data.unaids.org/una-docs/three-ones_keyprinciples_en.pdf

[2]   UNAIDS Monitoring and Evaluation Reference Group (2008) Organizing framework for a functional national HIV M&E system. UNAIDS, Geneva.

[3]   UNAIDS Monitoring and Evaluation Reference Group. (2010) Guidance on capacity building for HIV monitoring and evaluation. UNAIDS, Gene-va.

[4]   UNAIDS Monitoring and Evaluation Reference Group (2010) 12 components monitoring & evaluation system assessment guidelines to support preparation, im-plementation and follow-up activities. UNAIDS, Gene-va.

[5]   Mackay, K. (1999) Evaluation capacity development: A diagnostic guide and action framework. ECD Working Paper Series 6. World Bank Operations Evaluation Department, Washington DC.

[6]   Nigeria Federal Ministry of Health (2008) Health management information system, monitoring and evaluation in Nigeria health sector. Abuja.

[7]   Nigeria National Agency for the Control of AIDS (2010) Concept paper on harmonization of indicators, data collection and reporting tools for HIV/AIDS activities in Nigeria. Abuja.

[8]   Mharadze, T.N., Ogungbemi, K., Boone, D. and Oyediran, K. (2010) Report on the status of the Nigerian national HIV monitoring and evaluation system: Assessment using 12 components system strengthening tool. MEAS- URE Evaluation, Chapel Hill.

[9]   Nigeria National Agency for the Control of AIDS (2007) Nigerian national response information management system operational plan: HIV/AIDS guidelines for national M&E plan. Ab-uja.

[10]   UNAIDS (2010) 12 components M&E system strengthening Tool. UNAIDS, Geneva

 
 
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