Strategic Information and Evalution
The Elizabeth Glaser Pediatric AIDS Foundation (EGPAF) is a recognized global leader in the fight to prevent pediatric HIV infection, eliminate pediatric AIDS, and create a generation free of HIV through program implementation, research, public policy, and advocacy. Since 2000, EGPAF, through support from the U.S. Government, multilateral, and private donors, has played a key role in the scale-up of comprehensive HIV care and treatment services in the regions of the world most affected by HIV and AIDS.
As a leading partner of the President’s Emergency Plan for AIDS Relief (PEPFAR) supporting national prevention of mother-to-child transmission of HIV (PMTCT) and HIV care and treatment programs, EGPAF provides technical assistance for strengthening national data systems through astandards-based approach with a focus on the following
- Monitoring and evaluation (M&E) systems
- Health information systems
- Quality improvement (QI)
- Data quality assurance and improvement
- Evidence-based program management
- Program evaluations
EGPAF’s support for strategic information and evaluation (SI&E) includes a strong focus on capacity building and increased ownership of SI&E activities for ministries of health (MOHs) and local organizations. Through training and mentorship, EGPAF provides crucial technical assistance for assessing and strengthening local SI&E capacity.
EGPAF supports hands-on, lifesaving services at more than 6,800 sites around the world. As of December 31, 2013, EGPAF had:
- Reached 20 million women with access to services to prevent transmission of HIV to their babies;
- Enrolled 2.2 million people, including 175,000 children, into care and support programs;
- Initiated 1.2 million people, including more than 104,000 children under the age of 15 years, on ART;
- Tested 17 million pregnant women for HIV
Areas of Expertise
Strengthening National Monitoring and Evaluation Systems
EGPAF provides direct support and capacity building to MOHs to develop, roll out, and strengthen M&E systems at national, district, and site levels with a focus on processes and systems for generating, analyzing, reporting, and archiving data. EGPAF supports the development and use of patient-monitoring tools, such as paper-based registers, files, and electronic patient tracking systems. Capacity building efforts include supporting MOHs to develop and implement SI capacity building plans to address challenges with staff recruitment and retention, as well as efforts to improve work flow and redefine roles to increase the efficiency and effectiveness of the system. EGPAF also seconds staff to MOHs in order to fill key human resource gaps, and has developed and facilitated in-service trainings for health care workers and data clerks on topics such as data quality assurance and data management.
Electronic Health Records
In Zambia, EGPAF is working in partnership with the Ministry of Health to roll out the national electronic patient records system, SmartCare, by providing strategic and programmatic input, financial management, information technology, staff, training, and procurement of computer equipment and hardware.
National Health Information Systems
EGPAF supports local governments to develop, implement, and strengthen national health information systems, with a focus on monitoring the HIV/AIDS epidemic and analyzing, interpreting, and using surveillance data for epidemic modeling and program improvement. EGPAF also supports MOHs to use electronic data systems; develop national- and subnational-level HIV/AIDS data repositories; facilitate data reviews; revise databases to accommodate new guidelines; and integrate databases (including antenatal care, PMTCT, HIV, and maternal, newborn, and child health data) to streamline data collectionand use.
EGPAF supports MOHs to integrate QI activities into national M&E systems. Efforts focus on the routine collection of programmatic data for assessing and improving quality of care. EGPAF also assists in the development and implementation of strategies for assessing and improving the quality of health care services through district- and facility-level comprehensive quality management plans, which use the PDSA (plan, do, study, and act) cycle. Specific support includes training, mentoring, provision of tools, and development of standard operating procedures (SOPs).
Supporting Quality Improvement
EGPAF has supported ministries of health to develop joint M&E and QI tools in Côte d’Ivoire, the Democratic Republic of the Congo, Uganda, and Tanzania.
Data Quality Assurance and Improvement
To improve the usefulness and accuracy of data at national and subnational levels, EGPAF supports the design and implementation of data quality assurance strategies. Assistance includes developing and/or adapting guidance, tools, templates, and SOPs; planning and supporting data quality assessments and audits; conducting and facilitating supportive supervision for data management staff at various levels of the health care system; and supporting improved data quality standards.
Evidence-Based Program Management
EGPAF promotes evidence-based program management and improvement. By building the capacity of MOH staff, EGPAF strengthens the use of routinely-collected programmatic and management data for planning and decision making, and facilitates course corrections. Across many EGPAF-supported countries, EGPAF works with MOHs to hold quarterly data reviews for health facility managers to review data and share experiences and lessons learned.
Using Technology to Improve Health Outcomes
In Tanzania, EGPAF uses SMS printers at 113 health facilities to accelerate the return of lab results. The printers have helped improve turnaround of results for early infant diagnosis of HIV to less than two weeks. EGPAF also uses SMS messages to send appointment reminders and health education messages.
In Mozambique, EGPAF is conducting a health care survey via mobile phone. Collected data are used for both program improvement and the performance-based financing system.
EGPAF also participates in the planning and implementation of program evaluations, including support for the development of protocols, data collection and analysis, and dissemination of evaluation results. In addition, EGPAF, in collaboration with its donors and MOHs, conducts routine midterm and final evaluations for many of its programs across EGPAF-supported projects. Midterm evaluations facilitate course corrections to improve program performance and ultimately program impact.