ICTM 111 (LEC)

Madla, Ray Anne Rose M. October 18, 2022

HMIS MONITORING AND EVALUATION
BSMLS 1 Y1-2

The framework builds upon principles derived from

DEFINITION
Monitoring is the systematic collection, analysis and
use of information from programs for three basic
purposes:
(1) Learning from the experiences acquired
(learning function);
(2) Accounting internally and externally for the
resources used; and the
results obtained (monitoring function) and
(3) taking decisions (steering function).
the Paris declaration on aid harmonization and
effectiveness and the IHP+, putting country health
strategies, and the related M&E processes such as
annual health sector reviews, at the center.
The core is the strengthening of a common country
platform for M&E of HSS, which should result in
better alignment of country and global M&E
systems and can be used both for monitoring:
1. health systems funding platform
2. tracking the performance of specific programs.

Meanwhile, Evaluation is assessing an ongoing or The framework addresses indicator selection,

completed program or policy as systematically and related data sources, analysis and synthesis
as objectively as possible. The object is to be able to practices (including quality assessment),
make statements about their relevance, performance review, communication and use
effectiveness, efficiency, impact and sustainability (World Health Organization, 2009)

M&E PURPOSE The World Health Organization’s M&E of Health

The primary aim is to have a strong M&E and review
system in place for the national health strategic
plan that comprises all major disease programs and
health systems.
Systems Strengthening Framework presents the
indicator domains and considerations for data
collection, synthesis and use along the pathway for
achieving health impact at scale.

A robust monitoring and evaluation (M&E) system is

required to assess the effect of integrated service
delivery. Appropriate indicators, data collection
systems and data analysis to support decision-
making help guide successful implementation of
integrated services and measures the effect on both
service delivery and use of services
(FP/Immunization Integration Working Group, n.d.).

M&E FRAMEWORK
Monitoring and evaluation (M&E) is a core
component of current efforts to scale up for better
health. Global partners and countries have
developed a general framework for M&E of health
system strengthening (HSS).
 ICTM 111 (LEC)
Madla, Ray Anne Rose M.
HMIS MONITORING AND EVALUATION
BSMLS 1 Y1-2
Relationship between M&E with HMIS
Indicators
An indicator can be defined as a
1. variable whose value changes.
2. measures the value of the change in meaningful
units that can be compared to past and future units.
3. It focuses on a single aspect of a program or
project – i.e., an input, output or the overarching
objective.
There are different HMIS indicators which can be
used for monitoring of key aspects of the health
system performance.
These are from among the five broad categories
1. Reproductive health,
2. Immunization,
3. Disease prevention and control,
4. Resources utilization and
5. Data Quality
October 18, 2022
THE STOP
TB Program With the vision to have a TB free world,
the goal of the STOP TB Program (STP) is to
dramatically reduce the global burden of TB by
2015, in line with the Millennium Development
Goals and the Stop TB Partnership targets of the
World Health Organization (2006).
One of the main objectives of the program is to
achieve universal access to high-quality care (i.e.
universal access to high quality diagnosis and
patient centered treatment) for all people with TB
(including those co-infected with HIV and those
with drug-resistant TB).
TB case detection and successful completion of the
treatment/cure of the TB remains at the core of the
Stop TB Strategy. Hence one of the targets linked to
the MDGs and endorsed by the Stop TB Partnership
is by 2050 to reduce prevalence and deaths due to
TB by 50% compared with a baseline of 1990.The
following flowchart puts the HMIS indicators (in
green shaded boxes) in the context of the STOP TB
Program
 ICTM 111 (LEC)
Madla, Ray Anne Rose M. October 18, 2022
HMIS MONITORING AND EVALUATION
BSMLS 1 Y1-2

HMIS Indicators to Monitor STOP TB Program

TB patients on DOTS
1.Number of new smear pulmonary TB cases
enrolled in the cohort
2. TB Case Detection
3. Number of New smear positive pulmonary TB
cases detected
4. Number of new smear negative pulmonary TB
cases detected
5. Number of new extra pulmonary TB cases
detected
6. HIV – TB – Co-infection
7. Proportion of newly diagnosed TB cases tested to
HIV
8. HIV+ new TB patients enrolled in DOTS
9. TB Treatment outcome
10. Treatment completed PTB+
11. Cured PTB+, Defaulted PTB+, Deaths PTB+