Strengthening the National Monitoring and Evaluation System in the Philippines: November 2011

AIDS Registry

To keep track of the epidemiology of HIV and AIDS, the DOH maintained a passive surveillance system, the AIDS Registry. The registry continuously logs Western blot-confirmed HIV cases reported by hospitals, laboratories, blood banks, and clinics. Unfortunately, the number of subjects tested by year cannot be ascertained and, therefore, rates cannot be calculated. Likewise, data input into the registry is limited, because mandatory HIV testing is prohibited by Philippine laws, and voluntary counseling-and-testing services for HIV is limited. Thus, the registry may not be fully sensitive to capturing potential HIV cases.

2009 Monthly Report [click here]

2010 Monthly Report [click here]
2011 Monthly Report [click here]

Integrated HIV Behavioral and Serologic Surveillance (IHBSS)

In 2004, the NEC of the Department of Health and Family Health International undertook an evaluation of the current HIV surveillance system and made recommendations for adopting new methodologies and questionnaires to improve the capacity of the system to detect emerging localized epidemics and measure behaviors that put populations at risk for HIV transmission. The recommendations were accepted and the revised Integrated HIV Behavioral and Serologic Surveillance (IHBSS) system was implemented in 2005.

The overall purpose of the Philippines integrated HIV and behavioral surveillance system is to provide data to improve the country response to the epidemic with the following specific objectives:

• Quantifying the magnitude of HIV infection
• Understanding how HIV is spreading - or might potentially spread
• Assisting in HIV/AIDS program planning
• Advocating for prevention and care services
• Aiding in program evaluation

Download: 2005 IHBSS Report | 2007 IHBSS Report | 2009 IHBSS Report

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National Epidemiology Center

The National Epidemiology Center (NEC), managing AIDS Registry and IHBSS, is tasked to develop and evaluate surveillance systems and other health information systems: collect, analyze and disseminate reliable and timely information on the health status; investigate disease outbreak and other threats to public health, network of public health laboratories in support of epidemiological and surveillance activities.

The Three Ones as of 2011

Unknown

ONE Coordinating Body

ONE Strategic Plan

2011-2016 Results Matrix and UA Targets
2011-2016 AIDS Medium Term Plan (AMTP5) - National Strategic Plan
2005-2010 AIDS Medium Term Plan (AMTP4) - National Strategic Plan
2009-2010 Operational Plan (AMTP4)
2010 UA Targets

ONE Monitoring and Evaluation (M&E) System
Creating an enabling environment for monitoring and evaluation

National M&E Framework
National M&E Indicators
National M&E Working Group (MEWG)
National M&E Capacity Development Curriculum (2010 Draft)

Generating accurate, timely, and relevant HIV data

Monitoring HIV Programs (Health, Education, Workplace)
National M&E Database

Intensifying HIV research and evaluation

National HIV Research and Evaluation Agenda

Increasing HIV response data demand and information use

The 12 Components

Create an enabling environment for the M&E system (Components 1 – 6)
1. Organizational structure with HIV M&E functions
2. Human capacity for HIV M&E
3. Partnership to plan, coordinate and manage the HIV M&E system
4. National, multi-sectoral HIV M&E Plan
5. Annual, costed HIV M&E work plan
6. Advocacy, communication and culture for HIV M&E

Generate accurate, timely, and relevant HIV data
(Components 7 – 10)
7. Surveys and surveillance
8. Routine HIV programme monitoring
9. National and sub-national HIV databases
10. Supportive supervision and data auditing

Improve HIV Evaluation and Research
(Component 11)
11. HIV evaluation and research

Using Information to Improve Results
(Component 12)
12. Data dissemination and use

The Philippine M&E System

The Philippines has gone through a rigorous process of strengthening the monitoring and evaluation system in the last two years. The CRIS was pilot tested towards fulfilling the UNGASS goals.

Among the M&E components installed or enhanced in the last three years are: 1) surveillance, 2) evaluation and research, 3) data dissemination and use, 4) M&E partnerships [linkage with UN, Global Fund, and technical advisory groups], and the installation of a National M&E officer at the PNAC Secretariat.

Surveillance in Philippines is of two kinds, passive and active. The epidemiological information system seems to be working quite well. The information is collected by the National Epidemiology Center and shared across the DOH and PNAC and UNAIDS.

The program data however, is not being collected systematically. Most implementers also do not have a system of sharing information.

Although M and E is housed within the PNAC Secretariat’s office, the flow of reports has been challenging. The reporting is hampered by the absence of a clear mandate or department orders, and is largely left to the vagaries of interest and persons.

All the agencies of the PNAC that are mandated to contribute to the national plan do not have clear work plans and allocated funds.

The challenges faced by the M&E system are the following: 1) Limited functionality of M&E structure (there is no M&E unit supporting the PNAC officer; ad-hoc or project-based M&E working group); 2) no routine programme monitoring (because either programme plans are unclear or unavailable), 3) no HIV database or databank, 4) no capacity building plan for M&E .

AMTP4 Assessment, March 2009

Collaboration

Contents

HIV M&E Products

National HIV Surveillance System of the Philippines

The Three Ones as of 2011

Google this BLOG

Three Ones

The 12 Components

M&E Products

M&E Resources

Other M&E References

The Philippine M&E System