Jabulani Mavudze - MSH, South Africa

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Management Sciences for Health

MSH Building Local Capacity Project

Stronger health systems. Greater health impact.

Strengthening M&E capacity of civil society organizations to improve the reach and quality of OVC care and support services: Experiences

from Lesotho

Jabulani Mavudze, Megh Jagriti, Roselyn Kareithi, and Mathabo Pule

March 2013

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Background Information

• Building Local Capacity for the Delivery of HIV Services in Southern Africa Project (BLC)

• MSH project funded by USAID is working in six countries

• In Lesotho, BLC gives small USAID funded grants to 12 CSOs to: • improve the coordination and

delivery of the OVC 6 + 1 services • reach 25,5% OVC ( 46,585 OVC)

and 15,972 caregivers by 2015

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Problem Statement

• Based on literature review and capacity assessment, OVC programming challenges: National CSOs and CBOs

are the predominant OVC service providers

The CSOs have weak M&E systems and capacity

CSOs have limited funds low OVC reach and poor

quality of services weak coordination of OVC

interventions at national, district and community levels

Total population 2,000,000

Children

1,072,974 (53%)

OVC

182,000 (17%)

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Methodologies and Strategies (Being) Used (1)

Capacity Assessment• Administer capacity assessment tool• Documents and literature review

M&E Tools Development• Data collection tools (Registration and Service Provision Forms)• Reporting tools (Monthly and Quarterly templates and reporting

guidelines)

Training of CSO Staff• 30 individuals from 12 CSOs received formal training on

importance of M&E, M&E tools, project indicators, data quality standards, data management, and reporting

• Training was done together with Ministry of Social Development

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Methodologies and Strategies (Being) Used (2)

Accompaniment• Supporting CSOs to train secondary

caregivers• Monitoring secondary caregivers as

they provide services

Coaching• Monthly and quarterly data

verification and support visits• Spot checks

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Evidence of Success and Achievements (1)

• Improved data quality - only 0,2% records in Dec 2012 were discarded compared to 12% in March 2012

• Overall, 53,194 OVC and caregivers reached against a target of 51,700

• By December 2012, 23,5% (42,739) of OVC in Lesotho reached against a target of 25,5% by September 2013

Dec

-11

Jan-1

2

Feb

-12

Mar

-12

Apr-

12

May

-12

Jun-1

2

Jul-

12

Aug-1

2

Sep

-12

Oct

-12

Nov-

12

Dec

-12

0

10000

20000

30000

40000

50000

60000

186

6826

16647

38578

53194

Cumulative OVC and Caregivers Reached

OV

C a

nd C

areg

iver

s R

each

ed

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Evidence of Success and Achievements (2)

• CSOs applying acquired M&E skills and knowledge

• Improved quality of services

• Improved data flow• Reduced duplication

of services

Some quotes from CSOs‘’Well I believe it has brought about the importance of M&E within the organisation. Initial projects did not put much emphasis on it hence why there wasn't an M&E person . The emerging need and constant emphasis of M&E also contributed to quality service provision.”

“Through the BLC project, my organization now has improved capacity to carry out quality monitoring and evaluation activities, not only within the BLC project, but now also within other in-house projects.”

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Challenges and Solutions

• National CSOs and CBOs have few full-time staff; the majority are volunteers As a solution, BLC together with partner CSOs developed

simple data collection tools in local language BLC provided long-term coaching support to CSO staff

responsible for M&E activities

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Lessons Learned

• Prioritize institutional capacity building before service provision

• With adequate M&E capacity CSOs can reach more OVC with quality services

• Coaching and accompaniment are effective capacity building approaches

• Equal partnership with CSOs promotes ownership and mutual trust

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Conclusions

Strengthening of monitoring and evaluation systems significantly contributes to increased quality of services and number of beneficiaries reached

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Questions & Comments

Jabulani Mavudze - MSH, South Africa

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