Monitoring HIV/AIDS Programs: A Facilitator's Training Guide ...

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Example Monitoring Questions Handout/Facilitator Reference p) Are clients empowered to inform their health care providers about their HIV status? q) If their HIV-positive status is known, can clients access the referral sites for medical or dental care? r) Is there a method to follow-up client referrals? s) What follow-up or case management services are provided at the VCT sites or elsewhere in the community? t) If the testing is anonymous, do the referral sites accept the codes? Behavior Change Communication/Service Promotion a) How is the service being promoted or publicized? Are clients aware of the service? Are the clients being referred from other sources (e.g., medical providers, NGOs, faith communities, peer educators, etc.)? b) What communication channels or methods are being used? Do the messages: convey the availability of high quality VCT services, facilitate self risk assessment, encourage the targeted population to use VCT services by explaining the benefits, reduce stigma and discrimination, explain prevention measures, develop riskreduction skills, and encourage sustained behavior change after a person has visited a VCT site? c) What materials have or are being developed? Who is the targeted audience? Is the targeted audience based on epidemiological or site data? What is the process for designing the materials? How many materials have been distributed? d) Does the service disseminate information on behaviors that improve health? e) How is this information disseminated (e.g., print, radio, television, Internet, outreach workers, pamphlets, posters, street plays, and discussion groups)? f) Is information targeted to specific populations? g) Is the media’s use of the information tracked? h) Has there been collaboration with the local media to develop news or features? i) Does the VCT service sponsor community meetings or group educational sessions? j) What linkages does the VCT center have with the community? 12:00-1:00 60 min LUNCH E. Monitoring Methods and Tools 1:00-2:00 60 min E. Monitoring Methods and Tools Facilitator Presentation, Small Group Discussion Materials • Activity Sheet: Identification of Methods and Tools 1:00-1:30 (30 min) Refer to the main areas of monitoring for VCT programs identified in the previous session. The Facilitator should make references to the areas and questions requiring quantitative and qualitative methodologies during the presentation. Monitoring may be quantitative or qualitative. 1. Quantitative Monitoring Quantitative monitoring (measuring how much, how many, a quantity) tends to document numbers associated with the program, such as how many posters were distributed, how many were posted, how many counseling sessions were held, how many times was a radio spot on the air, how many truck drivers were trained as outreach workers, and so on. Quantitative monitoring focuses on which and how often program elements are being carried out. Quantitative monitoring tends to involve record-keeping and numerical counts. The activities in the project/program timeline of activities should be closely Module 7: 11 Monitoring and Evaluating Voluntary Counseling and Testing Services
examined to see what kinds of monitoring activities might be used to assess progress. The method for monitoring and its associated activities should be integrated into the project timeline. Facilitator Note: Refer to the flipchart, the list of monitoring and evaluation questions generated by the group, and the handout on monitoring and evaluation questions. Indicate quantitative monitoring questions and indicators. 2. Qualitative Monitoring Qualitative monitoring (quality) asks questions about how well the program elements are being carried out, such as how are peoples’ attitudes are changing toward abstinence, stigma, fidelity, care and support, or condoms; how are program activities influencing real or incipient behavior change; how does information permeates the risk community; and so on. To obtain this type of information, which can also work as part of the feedback system, such qualitative methods as in-depth interviews and focus group discussions are often used. Qualitative methods include: • Review of service records and regular reporting systems • Key informant interviews • Exit interviews with VCT clients • Regular activity reports (monthly or quarterly) • Monitoring meetings with supervisors • Site visits: observation, log reviews (counselor and laboratory), exit interviews • Mystery clients • Direct observation of interaction between clients and providers • Quantitative population-based survey for assessing coverage of VCT services • Focus groups, in-depth interviews Tools include: • Client Consent Form: Shows number of clients seeking VCT; filled out by individual clients • New VCT Client Form: Contains detailed socio-demographic factors and VCT data; filled out by individual clients • Monthly Reporting Form: For monthly aggregates; filled out by supervisor of counselors • Counselor Reflection Form Facilitator Note: Refer to the flipchart and the Handout: Example Monitoring Questions. Indicate quantitative and qualitative monitoring questions and indicators. Materials • Activity Sheet: Identification of Methods and Tools 1:30-2:00 (30 min) Activity Distribute Activity Sheet: Identification of Methods and Tools to the whole group and ask participants to review the monitoring questions listed in the categories identified and to suggest methods and tools for answering each question. Ask each participant who makes a suggestion to give a reason for selecting that method and/or tool. Invite comments and suggestions from the group and make clarifications as the activity progresses. Module 7: 12 Monitoring and Evaluating Voluntary Counseling and Testing Services
Page 1 and 2: MODULE 7: Monitoring and Evaluating
Page 3 and 4: © 2004 Family Health International
Page 6 and 7: MODULE 7: Monitoring and Evaluating
Page 8 and 9: A. Welcome and Introductions 8:30-9
Page 10 and 11: Policy Advocate for VCT services to
Page 12 and 13: D. What to Monitor 11:00-12:00 60 m
Page 14 and 15: • Is the accuracy of testing (tes
Page 18 and 19: Identification of Methods and Tools
Page 20 and 21: # support groups # people participa
Page 22 and 23: I. Wrap-Up 4:45-5:00 15 min I. Wrap
Page 24 and 25: Handout Group Exercise for Definiti
Page 26 and 27: Handout Example Monitoring Question
Page 28 and 29: Activity Sheet Identification of Me
Page 30 and 31: Handout VCT Program Quarterly Repor
Page 32 and 33: Handout 15. Capacity-building/train
Page 34 and 35: Handout Mock VCT Data and Graphs (p

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