2016 - 2020 HIV M&E-Plan

Sierra Leone
National HIV/AIDS Monitoring and

Evaluation Plan
2016 - 2020
SIERRA LEONE HIV/AIDS PARTNERSHIP FORUM
21ST – 22ND MAY 2015
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SIERRA LEONE
NATIONAL HIV AND AIDS MONITORING

AND EVALUATION PLAN 2016-2020
November 2015
FOREWORD
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The 2016-2020 Sierra Leone Monitoring and Evaluation (M&E) Plan for HIV and AIDS response is the
third in the series since the establishment of the National HIV/AID Secretariat in 2002. The plan is
designed to track and assess the three thematic areas of the 2016-2020 National Strategic Plan for
HIV and AIDS response (Targeted Combination prevention, Treatment for all PLHIVs,
Response Coordination and Management).
It is also designed to respond to reporting needs of the Government of Sierra Leone.

Development Partners including the Global Fund, UN Agencies, German Development Fund,
International and national implementing partners, private sector, academia and researchers.
As one of the principles of "Three Ones", the 2016-2020 M&E Plan for HFV and AIDS is developed
with the main objective of strengthening systems and capacities for data collection and collation,
and tools to improve the monitoring and evaluation of the AIDS response. It also includes flow of
information at all levels - Community, facility, district and national. In addition, the M&E plan
outlines how information will be generated, packaged, disseminated and used by different partners
at national, regional and international levels for programme design and implementation.
The development of the M&E Plan went through key processes: preparation and planning;
assessment of M&E structures and leadership, human resource availability and capacity needs, data
sources, collection, flow and reporting; information use; M&E planning and integration;
formulation of the Plan and a stakeholder validation and consensus building workshop.
Furthermore, a rigorous, transparent, participatory and evidence-based process was used in

determining the baseline values, targets, implementation period, and activities and their associated
costs.
Finally, the implementation and tracking of annual results requires technical, financial and
human resources and the collective will and total commitment of all partners. I wish to implore all
national and international partners in the AIDS response to align their M&E plans to this national
strategic document. As we move towards ending HIV as a public health and development threat in
Sierra Leone by 2020, it is my profound hope and trust that we will all stay on course and remain
committed in the next five years of implementation.
The development of the M&E plan was led, managed and coordinated by NAS with technical
support from UNAIDS and other national and international agencies.
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The Secretariat will roll-out this M&E plan to all partners and stake holders involved in the HIV
and AIDS work Countrywide. It is worth mentioning that the draft M&E plan was subjected to
external and internal reviews and validation. Also, assessment of the M&E systems and practices
gathered from all categories of partners and stakeholders involved in the AIDS response informed
the development of this plan.
Alhaji Dr. Momodu Sesay
Director General
National HIV and AIDS Secretariat
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ACKNOWLEDGEMENT
Writing this document would not have been a possible reality, had it not been the relentless support
of all partners.
We are thankful to the Leadership and entire staff of UNAIDS-Sierra Leone for providing the
financial and technical support to compile this document.
We also offer our profound regards and gratitude to the leadership of the NAS and NACP M&E
Teams for their technical skills provided.
The development of the M&E plan was led, managed and coordinated by NAS with technical
support from UNAIDS and other national and international agencies. Our sincere thanks and
appreciation therefore goes to the M&E team as well as staff of UNAIDS for their commitment
throughout the process.
Special thanks to the international consultant Dr. Nathan NShakira for his hard work and
commitment demonstrated in developing this M&E plan
Finally, the NAS expresses its appreciation to all other individuals and institutions for their
commitment in the ongoing HIV and AIDS campaign, aimed at improving the health of Sierra
Leoneans.
We hope that together we can achieve the Sustainable Development Goals (SDGs).
Victor S.Kamara
Senior Monitoring and Evaluation Officer
National HIV and AIDS Secretariat
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Acronyms Explanation
AIDS Acquired Immunodeficiency Syndrome
CAC Chiefdom AIDS Council
CBOs Community Based Organizations
CCM Country Coordinating Mechanism
DAC District AIDS Council
FSW Female Sex Worker
GFATM Global Fund Against HIV/AIDS, Tuberculosis, Malaria
HIV Human immunodeficiency Virus
IPT Isoniazid Preventive Therapy
M&E Monitoring and Evaluation
MAP Multi-Sectoral AIDS Program
MESST Monitoring and Evaluation System Strengthening Tool
MSM Men who have sex with men
NAC National AIDS Council
NAS National AIDS Secretariat
NGO Non-Governmental Organization
OVC Orphans and Vulnerable Children
PLHIV People Living with the HIV Virus
EMTCT Elimination of Mother to Child Transmission
PWID People who inject drugs
STI Sexually Transmitted Infections
TB Tuberculosis
UNAIDS United Nations Joint Program for AIDS
VCCT Voluntary Confidential Counseling and Testing
SARA Service Availability and Readiness Assessment
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Table of Contents
1.0 Background ............................................................................................................................................. 9
1.1 Country Context .................................................................................................................................. 9
1.2 HIV and AIDS Epidemiological Profile ............................................................................................... 11
1.3 National HIV Response...................................................................................................................... 14
1.4 Overview of the NSP 2016-2020 ....................................................................................................... 15
1.5 M&E Situation Assessment ............................................................................................................... 16
2.0 Introduction .......................................................................................................................................... 18
2.1 Goal of M&E Plan .............................................................................................................................. 18
2.2 Objectives of M&E Plan .................................................................................................................... 18
2.3 M&E Plan Development Process ...................................................................................................... 20
2.4 Components of M&E Plan ................................................................................................................. 21
3.0 The M&E Plan........................................................................................................................................ 21
3.1 M&E System structure ...................................................................................................................... 21
3.1.1 Human capacity for HIV M&E .................................................................................................... 22
3.1.2 Partnerships for HIV M&E .......................................................................................................... 22
3.2 Data Management ............................................................................................................................ 23
3.2.1 Indicators Framework ................................................................................................................ 23
3.2.2 Data sources and data processing ............................................................................................. 45
3.3 Data Storage and data bases ............................................................................................................ 46
3.4 Data flow and transmission .............................................................................................................. 47
3.5 Data quality assurance ...................................................................................................................... 49
4.0 Evaluation Research and Learning ........................................................................................................ 49
4.1 Surveys and Surveillance................................................................................................................... 50
5.0 M&E Data Utilization and Information Dissemination ......................................................................... 50
6.0 Implementation of the M&E Plan ......................................................................................................... 51
6.1 Roles and Responsibilities ................................................................................................................. 51
6.2 Advocacy and Communication for HIV M&E .................................................................................... 53
6.3 Technical Assistance needs ............................................................................................................... 53
7.0 Performance Framework ...................................................................................................................... 53
Annex 1: Indicative costing of the M&E Plan .............................................................................................. 56
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LIST OF TABLES
Table 1: HIV Prevalence by district – DHS 2013 .......................................................................................... 11

Table 2: Priority Action Points from the 2013 MESST Exercise .................................................................. 17
Table 3: Key Outputs for the M&E Plan ...................................................................................................... 19
Table 4: Key Stakeholders in the HIV M&E Partnerships ............................................................................ 22
Table 5: M&E Framework – illustrative indicators...................................................................................... 24
Table 6: Indicative data sources for the 2016-2020 M&E Plan .................................................................. 45
Table 7: Other Key stakeholders and their roles in HIV response M&E ..................................................... 52
Table 9: M&E Performance Framework summary ..................................................................................... 54
LIST OF FIGURES
Figure 1: Sierra Leone HIV Epidemic at a glance......................................................................................... 11

Figure 2: HIV prevalence and incidence in Sierra Leone ............................................................................. 12
Figure 3: Knowledge on AIDS and accepting attitudes of PLHIV in Sierra Leone ....................................... 13
Figure 4: summary of key results from NSP 2011-2015 implementation .................................................. 14
Figure 5: NSP 2016-2020 results summary ................................................................................................. 16
Figure 6: Key components in the M&E system for the national HIV response........................................... 16
Figure 7: Framework of Accountability Relationships ................................................................................ 20
Figure 8: HIV Data flow chart ...................................................................................................................... 48
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1.0 Background
1.1 Country Context
Sierra Leone is located on the west coast of Africa and is divided into four regions, namely: Eastern,
Northern, Southern Provinces and the Western Area. The Local Government Act of 2004
decentralized government operations to 19 Local Councils (13 District Councils and 6 Urban/ City
Councils); further subdivided into 149 Chiefdoms in the provinces, and 12 Wards in Western Area.
Local councils are responsible for basic social services that are the primary mechanism for delivery of
HIV services and mainstreaming of HIV into local development. The government sectors that
provide a basis for the national HIV response include: health, education, youth, social welfare,
agriculture and labour. Other important sectors are defense, prisons and police.
Health sector:The country health care system is based on the primary health care concept. The
public health delivery system comprises three levels: (a) Peripheral health units (community health
centres, community health posts, and maternal and child health posts) for first line primary health
care, (b) District hospitals for secondary care; (c) regional/national hospitals for tertiary care. In July
2015, there were a total of 1280 functional health facilities across the country; 51 Hospitals, 45
Clinics, 233 Community Health Centres (CHC), 319 Community Health Posts (CHP) and 632 Maternal
and Child Health Posts (MCHP). In addition, the country had up to 13,000 Community Health
Workers (CHW) deployed at community level to provide a range of health promotion and health care
services. Monitoring and evaluation of services in the health sector is primarily based in health
facilities, and currently operates on the District Health Information System (DHIS) platform.
Complementary information systems in the sector include: a) the Logistics Management Information
System (LMIS); b) the Integrated Human Resources Information System (IHRIS); and c) the Integrated
Financial Management Information System (IFMIS).
The education sector: strategic plan 2007-2015 recognizes HIV as one of the concerns which cut
across all levels and sub-sectors of education; alongside health and sanitation, gender,
disability/special needs, and disadvantaged children and communities. The sector has demonstrated
commitment to mainstreaming HIV, e.g., by the 2006 HIV/AIDS policy for education, establishment
of an HIV/AIDS Focal Point at the Ministry, infusion of HIV/AIDS education into the school and the
teacher training curricula, and training of peer educators and counsellors for HIV/AIDS. The
Education Management Information System (EMIS) is the main basis for M&E in the education
sector; operating at school, district and national levels.
Youth sector:Sierra Leone is a ‘youthful’ country, with75 percent of its population below the age of
35. However, 60 percent of young people are structurally unemployed (they are unable to provide
sufficiently for themselves and their families); and only 37% of the school-age youth population is in
education.1 Youth mobilization, empowerment and participation in governance and national
development are key priorities in the country over recent years. The National Youth Policy of 2003,
the 2009 National Youth Commission Act, and the Ministry of Youth Affairs established in 2013
provide the necessary policy framework and institutional backing to these efforts. One example of
such commitments that is relevant for the HIV response is the planned establishment of a National
Youth Service for Sierra Leone. The 2012 initial framework for the service includes specific
orientation towards HIV skills building among youth, for personal protection and to enable them act
as a service and mobilization resource in the national response to HIV. The National Youth Program
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Ministry of Youth Affairs (2014) A blueprint for youth development: Sierra Leone’s National Youth
Programme 2014-2018.
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2014-2918 includes life skills and HIV awareness as expected results from youth-friendly public
services.
Agriculture sector: accounts for about half of the national GDP, and employs about 75% of the
economically active population (most of them women). The National Sustainable Agriculture
Development Plan (NSADP) 2010-2030 mentions a focus on mainstreaming HIV and AIDS among the
cross-cutting issues in agriculture; alongside gender, youth employment, and self-sufficiency.2 The
plan acknowledges that a number of projects and programmes in the agricultural sector have health
components, principally for raising the awareness of farmers and their families on preventing
oneself from contacting certain diseases such asHIV/AIDS, malaria, tuberculosis and other common
diseases prevalent within the farming communities.
The social welfare sector: is coordinated in Sierra Leone by the Ministry for Social Welfare, Gender
and Children’s Affairs. It is responsible for a range of social protection programmes and policies
address gender-based and child-specific vulnerabilities; and a broad range of other social welfare
issues such as disability and its impacts; human trafficking; religious freedoms, the elderly, and
disaster preparedness and response. Sierra Leone has many laws and policies that provide for the
social and economic rights and needs of the different focus categories in the social welfare sector.
Examples include: the Anti Human Trafficking Act of 2005; the Child Rights Act of 2007;and the three
‘GenderJustice Laws’ also enacted in 2007: the Registration of Customary Marriage and DivorceAct;
the Domestic Violence Act; and the Devolution of Estates Act. Others include the National Disability
Act of 2011, and the Child Welfare Policy of 2013. The National Gender Strategic Plan 2010-2013
and the MSWGCA strategy for 2014-2018 both include specific commitments to address sexual and
reproductive health and rights issues that include gender-based sexual violence and post-exposure
HIV prophylaxis; teenage pregnancy; and access to PMTCT services. This reflects strong commitment
and opportunity for further strengthening HIV mainstreaming. However, planning for disaster
preparedness and mitigation, and mainstreaming of HIV-related concerns therein are largely limited.
Employment, labour and social security: Sierra Leone has experienced substantial economic growth
in recent years; much of this growth is concentrated in the informal agricultural, fishing, mining,
andservices sectors that make up the bulk of the economy. Formal economic activity is confined
primarily tolarge scale mining, infrastructure, retail services, tourism, and government
employment.However, unemployment remains a key challenge; especially because of the low levels
of formal education and skills. The proportion of women and men that have some form of
education is 49% and 59% respectively. Only 29% of women 15 years and above (and 43% of the
men in the same age group) have completed primary school or higher. There is general inadequacy
in up-to-datelabour market data especially in the agriculture and agro-processing, sectors - fisheries,
mining sector,informal economy and infrastructure development.
Local councils and central government have weak system for labour management. The core
structures of the Ministry of Employment, Labour and Social Security; includingemployment services,
occupational health and safety, industrial relations and labour market information are weak in terms
ofhuman resources, possession of relevant skills, equipment and other logistics. The Sierra Leone
Employers’ Federation and the Sierra Leone Labour Congress havea good social dialogue
relationship; but are also weak in terms of institutional capacities, membership mobilization, and
participation of women. Occupational Safety and Health (OSH) is a major concern, and child labour
(especially in domestic work, mining and informal trade) is high. Although the impact of HIV in the
workplace is recognized, there is limited progress in workplace HIV prevention and mitigation action.
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Ministry of Agriculture, Forestry and Food Security (2009) National Sustainable Agriculture Development
Plan 2010-2030.
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1.2 HIV and AIDS Epidemiological Profile
The HIV epidemic in Sierra Leone • Number of people living with HIV - 54,000 [47,000 - 61,000]
was initially considered as mixed, • Adults aged 15 to 49 prevalence rate - 1.5% [1.2% - 1.6%]
generalized and heterogeneous; • Adults aged 15 and up living with HIV - 50,000 [44,000 - 56,000]
however recent studies indicate • Women aged 15 and up living with HIV - 29,000 [26,000 - 33,000]
that it is a concentrated epidemic. • Children aged 0 to 14 living with HIV - 4,300 [3,800 - 5,000]
HIV affects different population • Deaths due to AIDS - 2,700 [2,100 - 3,600]
sub-groups and all sectors of the • Orphans due to AIDS aged 0 to 17 - 19,000 [13,000 - 41,000]
population through multiple and
diverse transmission dynamics. Figure 1: Sierra Leone HIV Epidemic at a glance
The HIV prevalence in Sierra
Leone increased from 0.9% in 2002 to 1.5% in 2005 and has remained at the same level since (2013,
SLDHS). This stabilization means the country is rated as one of the least affected compared to others
in the sub-region and globally. Prevalence was 2.3% in urban areas compared to 1.0% in rural areas.
The 2010 HIV modes of transmission study revealed that commercial sex workers, their clients and
partners of clients contribute 39.7% of the new infections. Also people in discordant monogamous
relationships contribute 15.6% of new infections of which clients of sex workers account the most
(25.6%), sex workers 13.7% and partners of new infections accounting the remaining of 0.37%.
Fisher folks contribute 10.8%, traders 7.6%, transporters 3.5% and mine workers 3.2%. MSM and
People Who Inject Drugs (PWID) have also been identified to be at higher risk of HIV infection; 2.4%
and 1.4% of the new infections respectively.
Table 1: HIV Prevalence by district – DHS 2013
District Women Men Total

Kailahun 0.9 1.0 0.9
Kenema 1.1 0.9 1.0
Kono 3.6 1.2 2.5
Bombali 1.6 0.6 1.2
Kambia 0.9 0.9 0.9
Koinadugu 1.2 0.7 1.0
Port Loko 1.7 1.2 1.5
Tonkolili 1.0 0.3 0.7
Bo 1.8 1.0 1.4
Bonthe 1.3 0.5 0.9
Moyamba 1.3 0.6 1.0
Pujehun 1.5 0.1 0.8
Western Rural 3.3 3.6 3.4
Western Urban 2.1 3.0 2.5
National 1.7 1.3 1.5
HIV incidence has been on a downward trend with incidence estimated to be 40 in every 100,000
population in 2015. An estimated 54,427 Sierra Leoneans are living with HIV3 in 2015; out of which
26,566 are women and 4,390 are children.
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2015 Spectrum Estimates
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Figure 2: HIV prevalence and incidence in Sierra Leone
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DHS 2013 data also reveals that there are varying degrees of knowledge on AIDS and levels of
acceptance towards PLHIVs throughout the country, as shown in Figure 4. Districts with the highest
levels of comprehensive knowledge on HIV are found in Western Area Urban and Kono. Districts
with the highest accepting attitudes of PLHIVs are Bombali and Kailahun.
Figure 3: Knowledge on AIDS and accepting attitudes of PLHIV in Sierra Leone
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1.3 National HIV Response
Sierra Leone has had a structured multi-sectoral response to HIV and AIDSsince 2002, when the
National AIDS Committee (NAC) and its operating base, the National AIDS Secretariat (NAS), were
established. In 2011, the coordination framework for the national HIV response was consolidated
into a statutory National HIV and AIDS Commission based in the President’s Office and still serviced
by NAS. The multi-sectoral HIV response has been guided by five-year National Strategic Plans (NSP)
since 2006. The NSP 2011-2015 has an overall vision of:Zero New Infection, Zero Discrimination and
zero AIDS related deaths. The thematic areas of the NSP are (i) coordination, institutional
arrangements, resource mobilisation and management; (ii) policy, advocacy, human rights and legal
environment; (iii) prevention of new infections (iv) treatment of HIV and other related conditions (v)
care and support for infected and affected by HIV and AIDS and (vi) research, monitoring and
evaluation. Key results from implementation of the NSP are presented in Figure 4 below.
Figure 4: summary of key results from NSP 2011-2015 implementation
The main challenges and gaps affecting the National AIDS response are:
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• Insufficient behavioural impact of prevention interventions for adolescents and young people.
High rate of early marriage, low condom use and multiple sexual partners with early sexual
debut
• Large coverage gap for testing, services to prevent mother-to-child transmission and
antiretroviral therapy for adults and children. Health and community systems, including
procurement and supply management remain weak.
• Over-reliance on international funding (GFATM) at 95% because actionable political
commitment, multiple competing priorities, weak governance, low allocative efficiency and
limited absorption of funds undermine the sustainability of the response.
• Persistent stigma and discrimination, gender inequalities and violence against women.
• Weak sex- and age-disaggregated epidemiological and programmatic national and subnational
data especially on key populations, young people and adolescents.
• Emergencies and disasters: including the 2012 cholera epidemic; the 2014/2015 ebola epidemic,
and the 2015 floods
The Ebola Virus Disease (EVD) outbreak in 2014 grew into an extensive epidemic that resulted in
8,704 laboratory confirmed cases, and 3,955 deaths. Although the two viruses are very different
from each other, parallels are often drawn between the development of the EVD and HIV responses.
It is estimated that there are 400 PLHIV among the registered EVD survivors (EVDS).A Health Sector
Recovery Plan 2015-2020 has been adopted and is currently under implementation.
1.4 Overview of the NSP 2016-2020

The vision for the NSP 2016-2020 is: A Sierra Leone where HIV is no longer a public health threat. Its
goal is to attain the three zeros: Zero new infections; Zero AIDS-related Deaths; and Zero AIDS-
related discrimination. The NSP is aligned to the global Sustainable Development Goals for 2030;
and the national development strategy; the Agenda for Prosperity 2013-2018, as presented in Figure
3 below.
Zero Zero Zero

New HIV infections Discrimination AIDS-related deaths
AIDS Ceases to be a public health problem in Sierra Leone
Key AIDS Related SDGS for Sierra Leone
SDG 3 SDG 10 SDG 16

SDG 5 SDG 17
Good health Reduced Justice, Peaceful and
Gender Equality Partnerships
and well being inequalities inclusive societies
Key impact Results by 2020
80% reduction of Elimination of mother 80% reduction of AIDS Elimination of HIV

new HIV infections to child transmission related deaths related discrimination
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Figure 5: NSP 2016-2020 results summary
1.5M&E Situation Assessment

The monitoring and evaluation of the national HIV response is a core responsibility of NAS. This
M&E function is accomplished through three main mechanisms:
1. An M&E Unit with core staff at the NAS head Office, also represented by an M&E Officers in the
three Regional offices
2. An M&E Technical Working Group – constituted by individuals with specific M&E expertise and
representing the range of stakeholder organizations in the HIV response; to provide Technical
guidance and oversight to the M&E operations; established at national and regional levels
3. The M&E and routine reporting systems and mechanisms of the different implementers of the
national HIV response – most of them in the health sector, in other government sectors, and
across a range of non-government and private sector settings.
The M&E function is based on the UNAIDS organizing and assessment framework for national M&E
systems for HIV. The framework has 12 intersecting and inter-dependent elements, subdivided and
arranged into three linked resource and activity rings (details in Figure 6):
Figure 6: Key components in the M&E system for the national HIV response
The outer ring (green) links six components related to people, partnership, and planning that
support data production and use. These constitute the enabling environment for HIV M&E to
function. The middle ring (blue) links five components related to data management processes. They
constitute the functional elements in the M&E operations of the different stakeholder agencies in
the HIV response.
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The inner ring (red) involves analyzing data to create information, which is then disseminated to
inform and empower decision-making at all levels. It is an integral element in the M&E function at all
levels of the HIV response – implementation/service delivery points; institutional and sub-national
management level; and national coordination level.
The UNAIDS Monitoring and Evaluation Systems Strengthening Tool (MESST) that is based on this
framework has been applied to review and strengthen the Sierra Leone M&E system for HIV in 2009,
2011 and 2013. Modest progress has been achieved over the NSP period 2011-2015; more with
respect to the outer and middle rings, and very limited with regard to the inner ring. The priority
action points from the 2013 MESST exercise, which underpin this M& plan, are presented in Table 2
below.
Table 2: Priority Action Points from the 2013 MESST Exercise
Organizational Structure: Human Capacity for M&E:

• Recruit 1 Epidemiologist and 2 I.T. Specialists for • Conduct capacity building needs assessment
NAS and NACP • Develop a Human Capacity Building Plan for NAS
• Provide technical M&E Support to improve the and NACP
capacity of other Partners • Develop an M&E training Curriculum for all
• Give mandate for MOHS/ NACP staff to conduct Partners
research and evaluation • Integrate HIV/AIDS M&E training modules in the
• Create permanent employment status for all curriculum for tertiary institutions
M&E staff with attractive remuneration and • Develop staff capacity on M&E, Data
other benefits Management and Information Technology
through short courses at national and sub-
regional level
• Develop database on trainers and people who
have received training
M&E Partnership: M&E Plan:
• Incorporate members of NAS M&E TWG in MOHS • Develop specific HIV/AIDS M&E Plan for Local
M&E TWG Councils
• Establish a committee for production and • Synchronize other entities’ M&E Work Plans in
dissemination of quarterly M&E Bulletin; line with National M&E Plan
• Strengthen feedback mechanism between NAS
and other stakeholders
Costed M&E Workplan M&E Advocacy and Culture
• Review the current national M&E Work Plan by • Develop M&E Policy and Advocacy Strategy for
all entities NAS
• Allocate adequate budget for M&E activities at all • Provide strong advocacy and support for NACP
levels M&E
• Recruit Advocacy personnel for M&E
Surveys and Surveillance HIV Evaluation Research and Learning
• Develop National Guidelines for Routine • Conduct Workplace and Second Generation
Monitoring and Supportive Supervision Surveys
• Develop National Guideline for Reporting HIV
Data at all levels
• Develop Guidelines for Key Populations (FSW,
MSM and PWID)
• Develop guidelines for Data Quality by CSOs
• Develop strategy for routine monitoring of non-
Global Fund resources
M&E Database Supervision and Data Auditing
• Expedite the integration of NACP data collection • Develop Protocol for HIV Data Auditing
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tools into the DHIS • Conduct joint annual Data Quality Audit
• Strengthen the human resource capacity for
maintaining and updating the database
• Harmonize data sources and reports for all UN
agencies
Routine Programme Monitoring Data Dissemination and Use
• Develop mechanism for data use and • Develop a costed Information Dissemination Plan
dissemination of HIV research and evaluation • Disseminate relevant information products to
results/reports at all levels providers
• Develop an inventory of HIV Research Institutions • Establish Repositories for all HIV/AIDS research
• Develop and update HIV Research Inventory and publications at the NAS Information Centres
• Mobilize resources for planned research and • Conduct regular update of NAS website.
evaluation • Conduct stakeholders' information needs
• Develop and implement a proper and assessment
coordinated research and evaluation • Provide internet service for data providers
dissemination plan • Develop guidelines for data use at facility level
• Develop User Group Communication for all
entities
• Advocate for data use in research and academic
institutions
2.0 Introduction
2.1 Goal of M&E Plan

The goal of this M&E Plan is to contribute to realization of the NSP 2016-2020 objectives and targets,
through providing an efficient mechanism to track and demonstrate the achievement. The NSP
goals and targets that underpin this commitment are:
1. To reduce HIV incidence among adults and adolescents by 50% from 0.04% in 2015 to 0.02 % by
2020. This includes reducing HIV incidence among infants born to HIV positive mothers from
13% in 2015 to less than 5% by 2020
2. To reduce HIV-related mortality by 80% for both adults and children by 2020.
3. To increase domestic financing of the HIV response to 30% by 2020
2.2 Objectives of M&E Plan

The M&E plan is designed and will be implemented to attain the following objectives:
1. Strengthened leadership and Coordination of HIV/AIDS Monitoring and Evaluation (M&E)
2. Enhanced Strategic, Human resource and Logistical capacity for Monitoring and Evaluation
(M&E) of the National Response
3. Improved routine HIV/AIDS data collection, management and quality
4. Strengthened systems to undertake HIV/AIDS and related biological and behavioural
Surveillance, Surveys and Research
5. Enhanced HIV/AIDS Information & Knowledge Management
6. Strengthened HIV/AIDS Financial monitoring, budget and expenditure analysis
The main outputs to be realized under each of the objectives are presented in Table 3 below.
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Table 3: Key Outputs for the M&E Plan
Objective Outputs
Strengthened leadership and 1. Strengthened HIV/AIDS M&E Coordination units/function at
Coordination of HIV/AIDS Monitoring National, sectoral and local council levels
and Evaluation (M&E) 2. Strengthened technical leadership and coordination function of
HIV/AIDS M&E Technical Working Groups or other relevant M&E
TWGs at National, Sectoral and local councillevels
3. M&E Planning protocols and strategic reference resources
4. National, Sectoral and local councillevel HIV/AIDS Coordination
structures with office and field logistical M&E resources
Enhanced Strategic, Human resource 1. Management performance contracts in public service, civil society
and Logistical capacity for and private sector revised to reflect M&E management and data
Monitoring and Evaluation (M&E) of utilization and dissemination with respect to HIV response
the National Response management
2. Guidelines and practices for staff deployment and appraisal reflect
adequate attention to M&E and appropriate evidence-base for
programme activities and service delivery processes
3. Adequate M&E Human resources deployed by public, civil society
and private sector stakeholders in the HIV response at national,
district and other relevant levels to ensure effective and
sustainable M&E support across all levels of the HIV response
4. Adequate and sustained M&E skills capacity development (based
on assessed need in line with function) for management and
program staff; and for leaders at different levels to ensure
appropriate collection, reporting and utilization of M&E data
Improved routine HIV/AIDS data 1. Standard user-friendly routine HIV/AIDS data collection and
collection, management and quality reporting tools reviewed and in use; integrated in existing
management systems and processes
2. Strengthened M&E support supervision, data quality assurance
and quality audit processes
3. Strengthened the data capture, analysis, storage and reporting
systems of the HIV/AIDS implementing agencies
Strengthened systems to undertake 1. HIV/AIDS surveillance and survey protocols reviewed/ developed,
HIV/AIDS and related biological and adopted and in use
behavioural Surveillance, Surveys 2. The national HIV/AIDS research agenda updated, disseminated
and Research and in use
3. Strengthened Surveillance, surveys and research on HIV/AIDS
4. HIV/AIDS special studies, epidemiological analyses and projections
undertaken to enhance knowledge of the epidemic
Enhanced HIV/AIDS Information & 1. An HIV/AIDS Knowledge management policy developed, adopted
Knowledge Management and in use
2. Enhanced integration and co-operability of HIV/AIDS related data
bases and sharing of information
Strengthened HIV/AIDS Financial 1. National HIV/AIDS Spending Assessment conducted biennually
monitoring, budget and expenditure 2. Regular budget and expenditure analysis to promote resource
analysis allocation, utilization efficiency and equity in the national
response
3. Unit cost studies, analyses and schedules completed
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2.3 M&E Plan Development Process
This M&E plan has been developed as a companion document to the Sierra Leone HIV response NSP
for 2016-2020. The process to develop the M&E plan was closely aligned to development of the
NSP, to ensure alignment and harmony across both documents. The process was led by the
Technical Working Group (TWG) for M&E in the national HIV response, and was coordinated by the
M&E Unit at NAS. It included four main stages: initial review of key documents; stakeholder
consultations on their M&E experiences; a 3-day plan drafting retreat; review and validation of the
draft plan by the TWG for M&E and a wider forum of stakeholders in the HIV response. Technical
support was provided to the process by the UNAIDS Strategic Information Advisor for Sierra Leone,
and the Consultant who supported the NSP development process.
The plan is based on the following key M&E considerations:
M&E is learning: M&E is meant to initiate a learning process in the course of HIV service delivery
and implementation of other HIV support activities. Throughcollecting and analyzing the
experiences that have been made during HIV service delivery and implementation of other
programme activities, M&E contributes to a learning andgrowing process at
individual;organizational/institutional; and at community levels. The logic in this is that: if
programmepeople improve their work (personallevel), the organizations will progress (institutional
level), which then will spread tothe community at large (community level); with ultimatebenefit to
the targetedbeneficiaries.
M&E is for accountability:proving to others that our work is effective. This accountability must be
both towards those who provide resources for HIV programmes; and the people and communities
served. It should include successes (what has worked well); and also the failures and lessons learnt
from them. This plan is based on the principle of social accountability; which is about holding all
stakeholders accountable for service delivery from two dimensions (as illustrated in Figure 7):
• The right and opportunity for citizens

to hold the state accountable for
information and enforcement; through
influencing policymakers, and
policymakers influencing providers
(long-route accountability); and
• The exercise of client power by citizens
through direct interaction with service
providers; the ‘short route’
accountability based on client-provider
relationship.
Figure 7: Framework of Accountability Relationships
M&E generates know-how and knowledge: Data collected in implementing HIV programmes can
result in new knowledge and better understanding about service delivery. For example, on ways to
increase efficiency in health care, strengthening partnership between communities and health
20
facilities to improve access and quality of services; recognizing and meeting the needs of health care
workers related to HV risk, burnout, etc. This knowledge can be used for lobbying and to share good
practices with otheractors in the field; and to influence spread and application of these lessons
elsewhere. It is crucial to remember that information is power: the more one knows about a
programme approach, the easier it will be to make a strong case for it.
M&E is dialogue: M&E should be understood as a dialogue between all stakeholders in the process
of service delivery and programme activities. Therefore, all stakeholders need to agree on an
appropriate M&E framework that meets the different information needs, and is suited to the
capacity and context realities in each setting. This should always take into consideration the
mechanisms and tools already in use to collect, process, use and share information. It is easier,
more efficient and more likely to be sustainable to build any new information needs into what
already exists, than to start up new systems altogether.
Participation is central: people at risk of HIV infection, and PLHIV are the primary beneficiaries of
HIV programmes and services. Equally, they should also be at the centre of the M&E activities of the
programmes. For many HIV response interventions there is a strong emphasis on engaging local
stakeholders and particulargovernment institutions and civil society actors, in order to help build
local ownership of and assist the long termsustainability of services. Using a strong participatory
approach to M&E, with the activeengagement of government officials and civil society stakeholders,
helps to build, strengthen and embed local M&Ecapability and oversight processes.
2.4 Components of M&E Plan

This M&E plan is structured in 5 main components that follow after this section. They are:
1. The M&E Plan – including the structure of the M&E system, data management and
storage, data flow and transmission; and data quality assurance
2. Research studies and evaluation learning
3. Information products, dissemination and utilization
4. Implementation of M&E Plan – including roles and responsibilities, key partnerships,
M&E communication and advocacy, and technical assistance needs
5. Performance framework for the M&E process
An indicative implementation plan and budget is included as Annex 1. This will be refined each year
based on implementation progress and any needs for adjustment.
3.0 The M&E Plan
3.1 M&E System structure

The M&E unit at NAS is responsible for providing support in the areas of monitoring, evaluation and
coordination of HIV and AIDS M&E activities of the secretariat and its programs. It is comprised of a
Senior M&E Officer, 2 M&E Officers and 2 Program Officers. It provides monitoring and evaluation
support to all the components and Units within TGF projects. The unit has three main objectives:
1. To improve the collection, management and utilization of strategic HIV/AIDS information for
response planning, performance assessment and epidemic trends and patterns analysis
2. To enhance informed HIV/AIDS policy development, best practices identification and transfer,
making of strategic choices; coordination and capacity building and
3. To improve HIV/AIDS resource mobilization, allocation, efficient and effective utilization.
21
An M&E Technical Working Group (M&E TWG) that provides continuous technical support and
guidance to NAS has been established. This working group consists of individuals who have M&E
experiences and skills. The membership is based on professional expertise from partners and
stakeholders. The TWG meets quarterly and provides technical support to the Unit.
The Coordination arrangements for the implementation of the National HIV/AIDS response require
each of the 14 District Councils and 5 City Councils in Sierra Leone to have a District HIV/AIDS
Committee. These committees support the District Planning and Management Department to
monitor HIV/AIDS activities in the district. They will be supported to ensure vibrant decentralized
response and monitoring. These structures also support evaluation activities normally executed by
the national agencies but implemented at the population level in respective decentralized localities.
Similarly, Chiefdoms are mandated to constitute an HIV/AIDS Committee or task force; or to

designate an already existing committee to take up HIV/AIDS as one of its core functions. This plan
provides for support to the Chiefdom AIDS Committees(CAC) in coordination and monitoring of the
HIV/AIDS Interventions in the chiefdom. This CAC role will be closely linked to the community level
service and data generation and management mechanisms, such as Primary Health Care facilities,
social welfare staff, etc.
3.1.1 Human capacity for HIV M&E

Capacity building for stakeholders including NAS is vital for the successful implementation of M&E
activities and systems. The priority capacity building needs for both the M&E Coordination units and
stakeholders based on the M&E systems and practices assessment are reflected in the MESST report
extracts in Annex 2. Thecapacity building plan based on these findings will be retained and
implemented to address the capacity needs at the different levels of the HIV response coordination.
The capacity building approach will integrate M&E skills with other thematic content on HIV
prevention and treatment, and on programme management and advocacy. It will be a continuous
and on-going undertaking; to minimize the impact of the high turnover of M&E staff.
3.1.2 Partnerships for HIV M&E

Under this plan, the first level of M&E partnership will be between NAS and the HIV and TB control
programmes of MOHS. These programmes have overall responsibility for data generation,
processing and reporting on the respective indicators for disease prevention and management. The
key partner for decentralized management and utilization of health information will be the District
Health Management Team (DHMT). Statistics Sierra Leone (SSL) is the mandated government
agency for collection, compilation, analysis, validation and dissemination of all official and other
statistical information in the country. It will continue to be a key partner in HIV-related surveys, and
in providing technical support to other operational studies. The other key stakeholders in the HIV
M&E partnerships are presented in Table 4 below.
Table 4: Key Stakeholders in the HIV M&E Partnerships
National HIV/AIDS Commission Development Partners: Bi-lateral Associations and networks of

Statistics Sierra Leone and Multilateral partners PLHIVs and other KAP
Government Ministries CSO/ NGO Networks and individual Research and Training institutions
Departments and Agencies (MDAs) International Civil Society Private sectors practitioners and
District Councils, Districts HIV/AIDS Organizations their associations
Committees Community Based Organizations Service Delivery Points,
City Councils, City AIDS (CBOs) Service users/ Beneficiaries
Committees, Faith Based Organizations (FBOs),
Chiefdom AIDS Committees,
22
3.2 Data Management
3.2.1 Indicators Framework

The M&E indicators framework for this plan as presented in Table 5 is based on the NSP high level
impact and outcome results; and the detailed output indicators that will be monitored at program
level. The output indicators will be further refined alongside the Operational Plan for the NSP for
2016-2018; and the respective annual programme implementation plans.
The alignment of the NSP results and indicators to the SGDs will be further refined in 2016, when the
global SDG monitoring framework is released.
23
Table 5: M&E Framework – illustrative indicators
Baselin Responsi
What the Target Year
e Data Frequen Disaggrega ble
RBM statement Indicator indicator Numerator Denominator
source cy tion Institutio
measures 2015 2016 2017 2018 2019 2020
n
Prevention
Reduction in HIV incidence by 50%
Impact Reduction in HIV Percent It measures N/A N/A 0.04% 0.035% 0.03% 0.025% 0.02% 0.02 EPP Annual- Sex, age, NAS
1.1 incidence by reduction in HIV progress % spec- ly geographic
50% from 0.04% incidence towards trum al location
in 2015 to 0.02% reducing model-
in 2020 HIV ing
infection
Impact Young people Percentage of This Number of Number of 1.1% 1.0% 0.9% 0.8% 0.6% 0.45 ANC Sex, age, NAS
1.2 aged 15–24 who young people indicator is antenatal antenatal % Survey Annual- geographic
are living with aged 15–24 who calculated clinic clinic ly al location
HIV reduced are living with using data attendees attendees
from 1.1 in 2015 HIV from (aged 15–24) (aged 15–24) DHS
to 0.45 in 2020 pregnant tested whose tested for Every
women HIV test their HIV five
attending results infection years
antenatal
clinics in
HIV
sentinel
surveillanc
e sites in
the capital
city, other
urban
areas and
rural areas
Impact Female sex Percentage of This Number of Number of 6.7% 6% 5% 4% IBBSS Two to Age, NAS
1.3 workers who are Female sex indicator is sex workers sex workers three geographic
living with HIV workers who calculated who test tested for HIV Special years al location
reduced from are living with using data positive for survey
6.7% in 2015 to HIV from HIV HIV
4 in 2020 tests
conducted
among
respondent
s in the
primary
sentinel
site or sites
24
Baselin Responsi
measures 2015 2016 2017 2018 2019 2020
n
Impact Men who have Percentage of This Number of Number of 14% 13% 11% 9% IBBSS Two to Sex, age, NAS
1.4 sex with men men who have indicator is MSM who MSM tested three geographic
who are living sex with men calculated test positive for HIV Special years al location
with HIV risk who are using data for HIV survey
reduced from living with HIV from HIV
14% in 2015 to tests
9% in 2020 conducted
among
respondent
s in the
primary
sentinel
site or sites
Impact People who Percentage of This Number of Number of 9% 8% 7% 6% IBBSS Two to Sex, age, NAS
1.5 inject drugs who people who indicator is people who people who three geographic
are living with inject drugs who calculated inject drugs inject drugs Special years al location
HIV reduced are living with using data who test tested for HIV survey
from 8.5% in HIV from HIV positive for
2015 to 6% in tests HIV
2020 conducted
among
respondent
s in the
primary
sentinel
site or sites
Outcom people aged Percentage of It measures Number of Number of Wome Wome Wom DHS Age, sex, NAS
e 2.1 15–49 who had people aged progress respondents respondents n 6.0% n 4.0% en geographic
more than one 15–49 who had towards (aged 15–49) (15–49) who Men Men 3.0% Every location
sexual partner more than one preventing who reported 25.3% 19.3% Men five
from 6% among sexual partner exposure reported having had 15% years
women and to HIV having had more than
25.3% among through more than one sexual
men in 2015 to unprotecte one sexual partner in the
3% among d among partner in last 12
women and 15% people the last
among men in with
2020 multiple
sexual
partners
25
Baselin Responsi
measures 2015 2016 2017 2018 2019 2020
n
Output IEC/BCC Number of It measures Number of N/A N/A TBD TBD TBD TBD TBD Progra Annuall Age, sex, NAS
2.1.1 materials IEC/BCC progress in IEC/BCC m Data y geographic
distributed materials improving materials location
distributed coverage of distributed
an
essential
HIV
prevention
service
Output General Number of It measures Number of N/A Progra Annuall Age, sex, NAS
2.1.2 population general progress in general 80,000 80,000 85,000 90,000 95,000 100,0 m Data y geographic
reached with population improving population 00 location
BCC messages reached with coverage of reached with
from 80.000 in BCC messages an BCC
2015 to 230,000 essential messages
in 2020 HIV
prevention
service
Output Peer educators, Number of peer It measures Number of N/A 360 1440 1440 1440 1440 1440 Progra Annuall Age, sex, NAS
2.1.3 outreach educators, progress in peer m Data y geographic
workers and outreach improving educators, location
animators workers and coverage of outreach
trained from animators an workers and
360 in 2015 to trained in BCC essential animators
7200 in 2020 implementation HIV trained in
prevention BCC
service implementat
ion
Outcom Young women Percentage of It measures Number of Number of all Wome Wome Wom DHS Age, sex, NAS
e 3.1 and men aged young women progress in respondents respondents n- n- en- geographic
15-24 who have and men aged increasing (aged 15–24 aged 15–24 19.5% 16.5% 14.5 Every location
had sexual 15-24 who have the age at years) who years Men Men % five
intercourse had sexual which report the 10.% 8.5% Men years
before the age intercourse young age at which 7.5%
15 reduced from before the age women they first
19.5% among of 15 and men
women and 10% (disaggregated aged 15–24
among men in by age and sex) first have
2015 to 14.5% sex
among women
and 7.5% among
men in 2020
26
Baselin Responsi
measures 2015 2016 2017 2018 2019 2020
n
Output in school youth Number of in Knowledge Number of in N/A Progra Annuall Age, sex, NAS
3.1.2 reached with school youth of HIV school youth 62,813 108,01 153,21 198,41 243,613 288,8 m Data y geographic
BCC messages reached with prevention reached with 3 3 3 13 location
increased from BCC messages IEC/BCC
62,813 in 2015 messages
to 288,813 in
2020
Outcom women and % of women Measure Number of Number of all Wome Wome Wom DHS Age, sex, NAS
e 4.1 men aged 15- 49 and men aged individuals people aged respondents n-14% n-60% en- geographic
who receive an 15 to 49 who who 15-49 who aged 15-49 Men- Men- 90% Every location
HIV test and receive an HIV received have been 6% 56% Men- five
know the result test and know HIV T&C tested for 90% years
increased from the result from any HIV during
14%in women service the last12
and 6% among delivery months and
men in 2015 to point know their
90% in 2020 results
Outcom Sex workers Percentage of Measure Percentage Number of all 61% 67% 73% 78% 84% 90% BSS Two to Age, sex, NAS
e 4.2 who have sex workers sex of sex respondents three geographic
received an HIV who have workers, workers who IBBSS years location
test in the past received an HIV who have
12 months and test in the past received received an
know their 12 months and HIV test HIV test in
results know their and know the past 12
increased from results their result months and
61% in 2015 to know their
90 in 2020 results
Outcom Men who have Percentage of Measure Percentage Number of all 41% 51% 61% 70% 80% 90% BSS Two to Age, sex, NAS
e 4.3 sex with men men who have men who men who respondents three geographic
that have sex with men have sex have sex IBBSS years location
received an HIV that have with men, with men
test in the past received an HIV who who have
12 months and test in the past received received an
know their 12 months and HIV test HIV test in
results know their and know the past 12
increased from results their result months and
41% in 2015 to know their
90% in 2020 results
27
Baselin Responsi
measures 2015 2016 2017 2018 2019 2020
n
Outcom People who Percentage of Measure Number of Number of all 13% 28% 44% 60% 75% 90% BSS Two to Age, sex, NAS
e 4.4 inject drugs that people who men who people, who respondents three geographic
have received inject drugs, inject inject drugs , IBBSS years location
an HIV test in who have drugs, who who have
the past 12 received an HIV received received an
months and test in the past HIV test HIV test in
know their 12 months and and know the past 12
results know their their result months and
increased from results know their
13% in 2015 to results
90% in 2020
Output women and Number of Measure Number of N/A Wome Progra Annuall Age, sex, NAS
4..1.1 men aged 15 to women and individuals individuals n- 839,74 1,030,7 1,546,0 2,061,39 2,576 m Data y geographic
49 who receive men aged 15 to who who received 261474 5 62 80 8 ,716 location
counseling and 49 who receive received T&C services Men -
testing for HIV counseling and HIV T&C for HIV and 71779
and receive testing for HIV from any received
their test result and receive service their test
increased from their test result delivery results
839,745 in 2015 point during the
to 2,576,716 in past 12
2020 months
Output Eligible people Number of Measure Number of Number of 0% Progra Annuall Age, sex, NACP
4.1.3 provided with eligible people individuals individual eligible 10,000 10,000 10,000 10,000 10,00 m Data y geographic
pre-exposure provided with at risk who provided people in 0 location
prophylaxis pre-exposure are with PrEP need of
(PrEP) increased prophylaxis provided (PrEP)
from 0 in 2015 (PrEP) with Prep
to 10,000 in
2020
Output Eligible people Number of Measure Number of Number of N/A TBD TBD TBD TBD TBD Progra Annuall Age, sex, NACP
4.1.4 provided with eligible people individuals individual eligible m Data y geographic
post-exposure provided with at risk who provided people in location
prophylaxis post-exposure are with PEP need of (PEP)
(PEP) increased prophylaxis provided
(PEP) with PEP
28
Baselin Responsi
measures 2015 2016 2017 2018 2019 2020
n
Outcom Adults aged 15– Percentage of It measures Number of Number of Wome Wome Wom DHS Age, sex, NAS
e 5.1 49 who had adults aged 15– progress in respondents respondents n 4.7% n 56% en geographic
more than one 49 who had preventing (aged 15–49) (15–49) who Men Men and Every location
sexual partner in more than one exposure who reported 12.6% 59% men five
the past 12 sexual partner to HIV reported having had 80% years
months who in the past 12 among having had more than
report the use months who adults aged more than one sexual
of a condom report the use 15–49 one sexual partner in the
during their last of a condom partner in last 12
intercourse during their last the last 12 months
increased from intercourse months who
4.7% among also reported
women and that a
12.6% among condom was
men in 2015 to used the last
80% among men time they
and women in had sex
2020
Output Male condoms Number of male It measures Number of N/A Progra Annuall Age, sex, NAS/NAC
5.1.1 distributed condoms progress in male 2,466,9 4,000,0 4,500,0 5,000,0 5,500,00 6,000 m Data y geographic P
increased from distributed preventing condoms 36 00 00 00 0 ,000 location
2466936 in 2015 exposure distributed
to 6000,000 in to HIV
2020 among
adults aged
15–49
Output Female Number of It measures Number of N/A Progra Annuall Age, sex, NAS/NAC
5.1.2 condoms female progress in female 7,000 8,000 8,500 9,000 9,500 10,00 m Data y geographic P
distributed condoms preventing condoms 0 location
increased from distributed exposure distributed
7,000 in 2015to to HIV
10,000in 2020 among
adults aged
15–49
29
Baselin Responsi
measures 2015 2016 2017 2018 2019 2020
n
Outcom female sex Percentage of It measures Number of Number of 88.2% 93% 100% Two to Age, NAS
e 6.1 workers female sex progress in Sex workers Sex workers three geographic
reporting the workers preventing who who reported IBBSS years location
use of a condom reporting the exposure reported having
with their most use of a condom to HIV that a commercial
recent client with their most among sex condom was sex in the last
increased from recent client workers used with 12 months
88.2% in 2015 to through their last
100% in 2020 unprotecte client
d sex with
clients
Outcom Female sex Number of It measures Number sex Total number Progra Two to NAS
e 6.2 workers reached Female sex progress in who of sex 1,672 17,000 24,000 31,000 38,000 45,00 m Data three
with HIV workers implementi benefited workers 0 years
prevention reached with ng basic from the surveyed
programmes HIV prevention elements defined
increased from programmes of HIV package
1,672 in 2015 to prevention
45,000 in 2020 programm
es for SW
Outcom men reporting Percentage of It measures Number of Number of 48% 65% 90% Two to Age, NAS
e 6.3 the use of a men reporting progress in MSM who MSM who three geographic
condom the last the use of a preventing reported reported IBBSS years location
time they had condom the last exposure that a having had
anal sex with a time they had to HIV condom was anal sex with
male partner anal sex with a among used the last a male
increase from male partner men who time they partner10 in
48% in 2015 to have had anal sex the last six
90% in 2020 unprotecte months
d anal sex
with a male
partner
Outcom MSM reached Number of It measures Number Total number Progra Two to Age, NAS
e 6.4 with HIV MSM reached progress in MSM who of MSM 1,200 5,000 6,000 8,000 9,000 10,00 m Data three geographic
prevention with HIV implementi benefited surveyed 0 years location
programmes prevention ng basic from the
increased from programmes elements defined
1,200 in 2015 to of HIV package
10,000 in 2020 prevention
programm
es for MSM
30
Baselin Responsi
measures 2015 2016 2017 2018 2019 2020
n
Outcom people who Percentage of It measures Number of Number of 32% 55% 90% Two to Age, sex, NAS
e 6.5 inject drugs who people who progress in PWID who PWID who three geographic
report the use inject drugs who preventing reported reported IBBSS years location
of a condom at report the use exposure that a having sex in
last sexual of a condom at to HIV condom was the last 12
intercourse last sexual among used with months
increased from intercourse PWID their last
32% in 2015 to through client
90% in 2020 unprotecte
d sex with
clients
Outcom PWID reached Number of It measures Number Total number N/A Progra Two to Age, NAS
e 6.6 with HIV PWID reached progress in PWID who of PWID 1,500 1,500 1,500 1,500 1,500 m re three geographic
prevention with HIV implementi benefited surveyed data years location
programmes prevention ng basic from the
increased from programmes elements defined
0 in 2015 to of HIV package
1,500 in 2020 prevention
programm
es for
PWID
Outcom People who Percentage of Measuring Number of Number of 40.7% 61% 90% Two to Age, NAS
e 6.7 inject drugs who people who increase in respondents respondents (79/19 IBBSS three geographic
reported using inject drugs who percentage who report who report 4) years location
sterile injecting reported using of People using sterile injecting
equipment the sterile injecting who inject injecting drugs in the
last time they equipment the drugs equipment last month.
injected last time they the last time
increase from injected they injected
51% in 2015 to drugs.
90% in 2020
31
Baselin Responsi
measures 2015 2016 2017 2018 2019 2020
n
Outcom people aged 15– Percentage of It measures Number of Number of all 15- 35% 50% 70% DHS Age, sex, NAS
e 6.8 24 who both people aged progress respondents respondents 24yrs geographic
correctly 15–24 who towards aged 15–24 aged 15–24 Wome Every location
identify ways of both correctly universal years who n five
preventing the identify ways of knowledge gave the 28.8% years
sexual preventing the of the correct Men
transmission of sexual essential answer to all 30.0% Two to
HIV and who transmission of facts about five three
reject major HIV and who HIV questions years
misconceptions reject major transmissio
about HIV misconceptions n
transmission about HIV
increased from transmission
28%among
women and 30%
among men in
2015 to 50%
among women
and men 2020
Outcom women and Percentage of STI Number of Number of Wome 9% 5% 2% DHS Two to Age, sex, NAS
e 6.9 men aged 15 to women and prevalence respondents respondents n- three geographic
49 who men aged 15 to among the reporting age 15-49 10.5% years location
reported having 49 who general having an STI who ever had Men-
an STI in the reported having population and/or sexual 10.6%
past 12 months an STI in the aged 15-49 symptoms of intercourse
reduced from past 12 months an STI in the
9% in 2015 to
2% in 2020
Outcom women and Percentage of This Number of All Wome 23% 56% 90% DHS Age, NAS
e 6.10 men aged 15-49 women and indicator women and respondents n -6.6 geographic
years expressing men aged 15-49 measures men aged aged 15-49 Men - Every location
accepting years expressing accepting 15-49 who who have 6.2 five
attitudes toward accepting attitudes report heard of HIV. years
people living attitudes toward accepting
with HIV toward people people attitudes Two to
increased from living with HIV living with towards three
6% in 2015 to HIV among people living years
90% in 2020 women with HIV.
and men
aged 15-49
32
Baselin Responsi
measures 2015 2016 2017 2018 2019 2020
n
Outcom Women and Percentage of Use of Number Number Wome 100% 100% DHS Every Age, NAS
e 6.11 men age 15-49 women and sterile women and respondents n-97% five geographic
reporting that men age 15-49 needle and men age 15- 15-49 Men- years location
syringe and reporting that syringe 49 reporting reporting that 97.6
needle were syringe and among the that syringe syringe and
taken from new needle were general and needle needle were
un open taken from new population were taken taken from
package un open from new un new un open
increased from package open package
97% in 2015 to package
100% in 2020
Outcom Donated blood % of donated Donated Number of Total number 100% 100% 100% 100% 100% 100% Progra Annual- Age, NAS
e 6.12 units screened blood units blood donated of blood units m ly geographic
for HIV in a screened for screened in blood units donated data/ location
quality assured HIV in a quality quality screened for DHIS
manner assured manner assured HIV in blood
maintained manner centers or
blood
screening
laboratories
that
Outcom HIV+ pregnant Percentage of It measures Number of Estimated 85% 100% 100% 100% 100% 100% Progra Annual- Age, NAS
e 6.13 women who HIV+ pregnant progress in HIV-positive number of m data ly geographic
received women who preventing pregnant HIV-positive location
antiretroviral received mother-to- women who pregnant
therapy to antiretroviral child received women
reduce the risk therapy to transmissio antiretroviral within the
of mother-to reduce the risk n of HIV drugs during past 12
child of mother-to during the past 12 months
transmission child pregnancy months to
increased from transmission and reduce the
85% in 2015 to delivery risk of
100% in 2020 through mother-to-
the child
provision transmission
of during
antiretrovir pregnancy
al drugs and delivery
33
Baselin Responsi
measures 2015 2016 2017 2018 2019 2020
n
Output pregnant % of pregnant This Number of Estimated 67.3% 70% 75% 85% 90% 100% Progra Annual- Age, NAS
6.13.1 women who women who indicator pregnant number of m Data ly geographic
received HIV received HIV assesses women of pregnant location
counseling and counseling and efforts to known HIV women in the
testing for testing for identify the status. past 12
PMTCT and PMTCT and HIV months
received their received their serological
test results test results status of
increased from pregnant
% in 2015 to women in
100% in 2020 the
previous 12
months.
Output All HIV-positive Number of HIV- It measures Number of Not Progra Annual- Age, NAS
6.13.2 pregnant positive progress in HIV-positive Applicable 2,585 3,160 3,239 3,192 3,129 3,058 m Data ly geographic
women received pregnant preventing pregnant location
antiretrovirals women who, mother-to- women who
to reduce risk of received child received
mother-to-child- antiretrovirals transmissio antiretroviral
transmission to reduce risk of n of HIV drugs during
mother-to- during the past 12
child- pregnancy months to
transmission and reduce the
delivery risk of
through mother-to-
the child
provision transmission
of during
antiretrovir pregnancy
al drugs and delivery
Output antenatal care Percentage of Percentage Number of Number of TBD TBD TBD TBD TBD TBD DHIS Annual- Age, NAS
6.13.3 attendees antenatal care of antenatal antenatal ly geographic
positive for attendees antenatal care care location
syphilis who positive for care attendees attendees
received syphilis who attendees with a with a
treatment received during a positive positive
increased treatment specified syphilis syphilis
period with serology who serology
a positive received at
least one
dose of
benzathine
penicillin 2.4
34
Baselin Responsi
measures 2015 2016 2017 2018 2019 2020
n
mU IM
Output virological test Percentage of Measures 2 Number of Estimated 13% 30% 45% 60% 75% 90% Progra Annual- Age, NAS
6.13.4 for HIV within 2 infants born to months of infants born number of m Data ly geographic
months of birth HIV-positive life to to HIV- infants born location
increased from women determine positive to HIV-
13.2% to 90% receiving a their HIV women positive
virological test status and receiving a women in
for HIV within 2 eligibility virological the last 12
months of birth for ART, test for HIV months
disaggregat within 2
ed by test months of
results birth
Output Pregnant Percentage of Measures Number of Number of 2.7% 5% 8% 10% 15% 20% Progra Annual- Age, NAS
6.13.5 women pregnant partner pregnant pregnant m Data ly geographic
attending ANC women involvemen women women location
care whose attending ANC t attending attending
male partners care whose ANC care ANC care in
were tested for male partner whose male the last 12
HIV in the last was tested for partner was months
12 months HIV in the last tested for
increased from 12 months HIV in the
3% to 20% last 12
months
35
Baselin Responsi
measures 2015 2016 2017 2018 2019 2020
n
Output Orphaned and Percentage of Measure Number of Estimated 37% 40% 42% 46% 50% 60% Progra Annual- Age, NAS
6.13.5 vulnerable orphaned and nutritional orphaned number of m Data ly geographic
children (OVC) vulnerable support and OVCs location
aged 0–17 years children aged provided to vulnerable
whose 0–17 years OVC children
households whose aged 0–17
received free households years
basic external received free provided
support basic external with
increased support nutritional
support
TREATMENT
REDUCTION OF AIDS RELATED MORTALITY FROM 7% TO 1%
IMPACT Reduction of Percentage of Measures Number of Number of 2,374 1975 1576 1178 780 382(1% Spectr Annual- Sex, Age, NAS,
2.1 aids related AIDS related AIDS estimated estimated (7%) ) um ly district NACP
mortality from deaths amongst related deaths PLHIVs
7% to 1% PLHIVs deaths amongst
amongst PLHIVs
PLHIVs
enrolled on
ART care
Outcome PLHIV on ART Percentage of Measures Number of All TBD 90% 90% 90% 90% 90% Progra Annual- Sex, Age, NAS,
7.1 attain viral load PLHIV on ART viral load PLHIVs PLHIVS(adults m data ly district NACP
suppression that attain viral suppressio (adults & & Children)
from current load n amongst children) currently
level to 90% in suppression PLHIVs with an enrolled in
2020 enrolled on undetectable the program
ART as per viral load at
national 12 months
guidelines (<1000
copies/ml)
Output All health Number of Measures Facilities All facilities 136 475 701 701 701 701 Progra Annual- Sex, Age, NAS,
7.1.1 facilities(ART & health the managed by providing HIV m data ly district NACP
PMTCT sites facilities(ART & number of trained staff care services
)managed by PMTCT) facilities
trained staff managed by managed
increased 136 trained staff by trained
to 701 and
qualified
staff
36
Baselin Responsi
measures 2015 2016 2017 2018 2019 2020
n
Output PLHIV on ART Number of Measures Number of N/A 0.00 Progra Annual- Sex, Age, NAS,
7.1.2 who are PLHIV on ART viral load PLHIV on 19,675 24,406 33,492 42,578 51,664 m data ly district NACP
virologically who are testing ART who are
tested increased virologically amongst virologically
from current tested PLHIVs tested
level to51,664 enrolled on
(90%) in 2020 ART as per
national
guidelines
Outcome PLHIV started Percentage of Measures Number of All PLHIVS 70.5% 81% 85% 87% 88% 90% NACP Annual- Sex, Age, NAS,
8.2 on ART retained PLHIV retained PLHIV PLHIVs on currently Progra ly district NACP
for life on treatment retention ART at 12, 24 enrolled in m
increased from 12, 24 and 60 on ART 12, and 60 the program data,
70.5% in 2015 months after 24 and 60 months 12, 24 and 60 Surviva
to 90% by 2020 initiation months months l
after Analysi
initiation s study
Output Eligible adults Percentage of Measures Number of All eligible 35% 36% 45% 60% 75% 90% NACP Annuall Sex, Age, NAS,
8.2.1 and children eligible adults PLHIV eligible estimated Progra y district NACP
currently and children currently adults and number of m
receiving ART currently on children adults and data,
increased from receiving ART treatment currently children with spectru
35% in 2015 to receiving advanced HIV m
90% in 2020 ART infection
Output Health facilities Percentage of Measures Number of Total number N/A TBD TBD TBD TBD TBD Special Annuall By facility NAS,
8.2.2 dispensing ARVs health facilities whether health of health Survey y type and NACP
that dispensing ARVs health facilities facilities district
experienced a that facilities dispensing dispensing
stock out of at experienced a dispensing ARVs that ARVs.
least one stock out of at ARV drugs experienced
required ARV in least one have run a stock-out
the last 12 required ARV in out of of at least
months reduced the last 12 Stock one required
months ARV drug in
the last 12
months.
All PLHIVs and affected persons have improved quality of life by 2020
Outcome PLHIVs and Percentage of Measures Number of Number of N/A 10% 15% 20% 25% 30% Progra Once Sex, NAS,
9.1 caregivers PLHIVs/caregive socio- PLHIVs PLHIVs/caregi m every 3 district NETHIPs,
engaged in rs engaged in economic engaged in vers data, -5 UNAIDS
sustainable sustainable status of sustainable years
resilient livelihood PLHIVs to livelihood
livelihood access
37
Baselin Responsi
measures 2015 2016 2017 2018 2019 2020
n
increased to treatment
30% by 2020
Outcome PLHIVs have Percentage of Measures Number of Number of 35% 36% 44% 65% 85% 100% Progra Once Sex, Age, NAS,
9.2 accessing PLHIVs PLHIVs PLHIVs PLHIVs m every 3 district NETHIPs,
quality and accessible to access to enrolled in data, -5 UNAIDS
reproductive quality health quality HIV care years
health services services health
increased to services
100% by 2020
Outcome All PLHIVs and Percentage of Measures Number of Number of N/A 100% 100% 100% 100% 100% Once Sex, Age, Partners
9.3 affected PLHIVs and the PLHIVs who PLHIVs every 3 district
persons rights affected proportion reported -5
Protected by persons whose of PLHIVs human rights years
2020 rights are and violation
protected affected
persons
whose
rights are
Protected
Outcome PLHIV with TB Percentage of Measures Number of Number of 46% 55% 65% 75% 85% 90% Annual- Sex, Age, NACP/TB
9.5 retained in TB PLHIV with TB the HIV/TB co- HIV/TB co- ly district
care until cured retained in TB effectivene infected infected
increased from care until cured ss of clients cured clients
46% in 2015 to TB/HIV co- of TB enrolled in TB
90% by 2020 infection care
manageme
nt within
the
program
Outcome PLHIV with TB Percentage of Measures Number of Number of 46% 100% 100% 100% 100% 100% Progra Annuall Sex, Age, NACP/TB
9.4 cured increased PLHIVs with TB the PLHIVs cured PLHIVs with m Data y district
to 100% by cured effectivene of TB TB enrolled in
2020 ss of TB program
TB/HIV co-
infection
manageme
nt
38
Baselin Responsi
measures 2015 2016 2017 2018 2019 2020
n
Output Estimated HIV- Percentage of It measures Number of Estimated N/A TBD TBD TBD TBD TBD Progra Annual- District NAS
9.5.1 positive incident estimated HIV- progress in adults with number of m Data ly Sex, Age,
TB cases that positive incident detecting advanced incident TB district
received TB cases that and treating HIV infection cases in
treatment for received TB in who received people living
both TB and HIV treatment for people antiretroviral with HIV
increased both TB and HIV living with combination
HIV
therapy and
who were
started on TB
treatment
within the
reporting
year
Output Health care Number of This Number of N/A 136 701 701 701 701 701 Progra Annuall By facility NAS
9.5.2 facilities health care indicator health care m Data y type,
providing ART facilities measures if facilities district
services for providing ART health providing
people living services for facilities ART services
with HIV with people living receiving a for people
demonstrable with HIV with large living with
infection demonstrable number of HIV with
control infection people demonstrabl
practices that control living with e TB
include TB practices that HIV have infection
control include TB implement control
increased from control ed practices
136 in2015 to measures consistent
701 in 2020 to prevent with
the risk of international
person to guidelines
person
transmissio
n of TB
39
Baselin Responsi
measures 2015 2016 2017 2018 2019 2020
n
Output Adults and Percentage of Measures Number of Number of 12% 31% 38% 60% 80% 100% Progra Annual- District NAS
9.5.3 children newly adults and newly adults and adults and m Data ly Sex, Age,
enrolled in HIV children newly enrolled children children district
care starting enrolled in HIV PLHIVs in newly- newly-
isoniazid care starting HIV care enrolled (i.e. enrolled (i.e.
preventive isoniazid started on started) in started) in
therapy (IPT) preventive treatment HIV care HIV care
increased from therapy (IPT) for latent (pre- ART during the
12% in 2015 to TB and ART) reporting
100% in 2020 infection who also period.
start (i.e.
given at least
one dose)
IPT-
treatment
Output Adults and Percentage of Number of Number of Total number 63% 100% 100% 100% 100% 100% Progra Annual- District NAS
9.5.4 children adults and adults and adults and of adults and m Data ly Sex, Age,
enrolled in HIV children children children in children in
care who had enrolled in HIV enrolled in HIV care, HIV care in
TB status care who had HIV care who had the reporting
assessed and TB status who had TB their TB period.
recorded during assessed and status status
their last visit recorded during assessed assessed and
increased their last visit and recorded
recorded during their
during their last visit. HIV
last visit. care includes
pre-ART and
ART.
Goal/Impact: A robust and functional Coordinating HIV Systems fully implemented and Integrated at all levels by 2020
Outcome Existing laws Percentage of Enabling Number of Number of N/A TBD TBD TBD TBD TBD Progra Annual- Districts, Partners
10.1 and policies are PLHIV network environme PLHIVs and PLHIVs and m Data ly urban/rura
strengthened who report nt for vulnerable vulnerable l, age and
for social their rights are PLHIVs and groups groups sex
protection of protected and other protected
the PLHIV and empowered vulnerable and
other groups empowered
vulnerable
groups
40
Baselin Responsi
measures 2015 2016 2017 2018 2019 2020
n
Outcome Gender Gender Measures Gender N/A N/A TBD TBD TBD TBD TBD Progra Annual- Districts Partners
10.2 mainstreamed coordinating the coordinating m Data ly
into HIV/AIDS mechanisms effectivene mechanisms
program related to ss of related to
HIV/AIDS Gender HIV/AIDS
established and coordinatin established
functional g and
mechanism functional
s
Output Gender violence Number of Measures Number of N/A N/A TBD TBD TBD TBD TBD Progra Annual- Districts, Partners
10.2.1 reduced people reached human people m Data ly and sex
explicitly on rights reached
issues that abuse and explicitly on
address gender violation issues that
based violence among address
and coercion women gender
related to and girls based
HIV/AID violence and
coercion
related to
HIV/AID
Output PLHIV have Number of Measure Number of N/A N/A TBD TBD TBD TBD TBD Progra Annual- Districts, Partners
10.2 their views policy makers capacity of policy m Data ly and sex
expressed, and program policy makers and
rights protected planners trained makers in program
and on gender gender planners
economically mainstreaming mainstrea trained on
empowered ming gender
mainstreami
ng
INTEGRATED AND SUSTAINABLE HIV RESPONSE (Strategic Information)
Outcome Improved Percentage of Measures Number of Number of N/A 100% 100% 100% 100% 100% Progra Annual- District, NAS
11.1 utilization of institutions utilization institutions institutions m Data ly Rural/Urba
strategic implementing of strategic implementin implementing n
information for HIV/AIDS informatio g HIV/AIDS HIV/AIDS
the activities in n activities in activities
effectiveness of accordance to accordance
the National HIV the NSP to the NSP
Response
Output Partner Number of Measures Institutions NA TBD TBD TBD TBD TBD TBD Progra Annual- District, NAS
11.1.1 institutions institutions NSP effectively m Data ly Rural/Urba
effectively capacitated to utilization utilizing NSP n
capacitated to effectively for HIV
41
Baselin Responsi
measures 2015 2016 2017 2018 2019 2020
n
utilize the NSP utilize the NSP service
delivery
Output Strategic Existence of HIV Measures NA NA 0 1 1 1 1 1 Progra Annual- NA NAS

11.1.2 HIV/AIDS strategic the m Data ly
information is information existence
produced and dissemination of a
disseminated plan developed disseminati
on plan
Outcome M&E, research HIV/AIDS Measures NA NA 4 6 5 5 5 5 Progra Annual- NA NAS
11.2 and knowledge related the m Data ly
management researches and availability
systems at the studies of key
national and conducted research
sub-national and other
levels are studies for
strengthened
effective
National
HIV
Response
Output Timely and Percentage of Measures Number of Number of 78% 85% 90% 93% 97% 100% Progra Annual- District NAS
11.2.1 complete implementing timeliness institutions reporting m Data ly
routine reports partners and submitting institutions
submitted to submitting completen timely and
National and complete and ess of complete
sub-national timely routine reports. reports
levels report to NAS
Relevant Coordinating bodies are actively operational at all levels
Output NAC and NAS Existence of Functionali Number of Not 1 1 1 1 1 1 NAS Annual- NA NAS
12.1.1 are functional functional ty of NAC functional Applicable Report ly
National and NAS National
coordinating coordinating
bodies(NAC & bodies(NAC
NAS) & NAS)
Output M&E TWGs are Existence of Functionali Number of Not 4 4 4 4 4 4 Progra Annual- Region NAS
12.1.2 functional functional M&E ty of Functional Applicable m Data ly
Technical National National and
Working Group and regional
at National and regional M&E TWGs
three Regional M&E TWGs
Levels
42
Baselin Responsi
measures 2015 2016 2017 2018 2019 2020
n
Output Sectoral Existence of FunctionaliNumber of Not 1 1 1 1 1 1 Progra Annual- NA NAS
12.1.3 technical functional ty of Functional Applicable m Data ly
working groups sectoral National National
are functional Technical sectoral sectoral
Working Groups Technical Technical
at National Working Working
Level Group Group
Output DACs conduct Number of FunctionaliNumber of N/A 14 14 14 14 14 14 Progra Annual- Districts, NAS
12.1.4 quarterly District AIDS ty of District AIDS m Data ly
meetings Committees Districts Committees
that meets at AIDS that meets at
least three Committees least three
times to address times to
HIV issues. address HIV
issues.
Output HIV/AIDS Existence of Preparedne Implementat N/A 1 1 1 1 1 1 NAS Annual- Cost NAS
12.1.6 emergency HIV/AIDS ss of HIV ion rate of Report ly category
response plan emergency response to HIV/AIDS
developed and response plan emergency emergency
ready for situation response
implementation plan
The national response funding is increased from 30% to 70% by 2020.
Output Local councils % of the district District Budget Total budget N/A 50% 65% 75% 90% 100% NAS Annual- Districts, NAS
13.1.1 HIV/AIDS with at least 5% level allocation to allocation to Report ly
activities funded budget budget HIV the district
allocation for allocation
HIIV to HIV
response
Output Local Councils Number of local Availability Number of N/A N/A 100% 100% 100% 100% 100% NAS Annual- Districts, NAS
13.1.2 HIV/AIDS work councils with of District local councils Report ly
plans in place HIV/AIDS work HIV/AIDS with
plan work[plan HIV/AIDS
work plan
Output Government % of funding for Governme Amount of Total amount 5% 6% 7% 13% 16% 20% Progra Annual- Cost NAS
13.1.3 financing for the national nt funding for funding m Data ly category
HIV response response budgetary the national available for
increased provided by allocation response HIV response
government to HIV provided by
increase from government
current level to
30% by 2020
43
Baselin Responsi
measures 2015 2016 2017 2018 2019 2020
n
Output External donor % of funding for External Amount of Total amount 95% 92% 88% 80% 75% 70% NAS Annual- Cost NAS
13.1.4 financing for National budgetary funding for funding Report ly category
HIV response response allocation the national available for
increased provided by to HIV response HIV response
external donor provided by
external
donor
Output Domestic % of funding for Private Amount of Total amount N/A 2% 5% 7% 9% 10% NAS Annual- Cost NAS
13.1.5 resources for the national sector funding for funding Report ly category
HIV response generated budgetary the national available for
generated from through allocation response HIV response
private sector domestic to HIV provided by
increased resource Private
mobilization sector
strategy
Community and Health Systems providing effective and accessible HIV services by 2020.
Output Community Existence of Functionali Number of N/A 40 TBD TBD TBD TBD TBD NAS Annual- District, Partners
14.1.1 participation in functional ty of functional Report ly network
HIV response support support support
increased groups/network groups and groups/netw
( PLHIV, networks orks
religious, Youth,
women, media,
etc.
Output Community Number of Community Number of N/A 14,900 14,900 14,900 14,900 14,900 14,900 Progra Annual- Districts, Partners
14.1.2 leaders religious and participa- religious and m Data ly urban/rura
participated in traditional tion traditional l, age and
HIV /gender leaders that leaders that sex
equality participate in participate in
interventions HIV and gender HIV and
equality gender
interventions equality
issues
Output Community % of CHWs Integration Number of Total number Progra Annual- Districts, Partners
14.1.3 Health Workers trained to of HIV into CHWs of CHWs 1,382 1,382 1,382 1,382 1,382 1,382 m Data ly urban/rura
trained to integrate HIV community trained to l, age and
integrate HIV into existing health integrate HIV sex
into existing community system into existing
community health system community
health system health
system
44
3.2.2 Data sources and data processing
Various types of data are required to support the measurement of the M&E indicators discussed in
Section 5 above. These include routine and non-routine data, periodically generated from primary and
secondary data collection and collation processes. The key sources of such data over the NSP period
2016-2020 are presented in Table 6 below.
Table 6: Indicative data sources for the 2016-2020 M&E Plan
Data Source Lead Institutions Frequency

Routine Programme Monitoring Data
1. Health sector programme activity monitoring data NACP, MOHS Quarterly
2. Non health public sector programme activity monitoring NAS, other MDAs, projects, Quarterly
data DACs
3. Routine programme Monitoring Data from other non- NAS & SCE secretariats, projects, Quarterly
health and non-public sector agencies & (Self Coordinating DACs
Entities (SCE)
4. Field Monitoring and Support Supervision NAS & SCE secretariats, projects, Quarterly
DACs
Surveys and Surveillance
5. Biological surveillance MOHS (NACP) Annual
6. Behavioural surveillance MOHS (NACP) Biennial
7. Quality of Health services delivery and related HIV
Services Assessments MOHS (NACP) Biennial
8. Programme specific evaluations, assessment and surveys Refer to Information products Annual &
and sustainability analysis assessments table Biennial
Ministry of Labour
9. HIV/AIDS in Workplace Survey Establishment Secretary’s Office Biennial
10. Integrated Household Surveys Statistics Sierra Leone Biennial
Other Essential Studies
11. Assets Inventory, procurement and supply management
and Administrative records analysis All stakeholders Annual
12. Stakeholders and Service Mapping NAS Annually
13. Resource Tracking and HIV/AIDS Accounts, Budget and
Expenditure analysis NAS, MOFPED Biennial
NAS & Statistics Sierra Leone,
MOHS, Development Partners,
14. HIV /AIDS operational research and special studies Research & training institutions Periodically
15. Social Economic Impact Studies (SEIS) NAS, Every 3 yrs
16. National HIV/AIDS Estimates and Projections NAS, MOHS, SSL Annually
The health sector is the main platform for delivery of most HIV prevention and treatment services as
prioritized in the NSP. Therefore, the Health Management Information System (HMIS) will continue to
be the primary data source on the health-related HIV services. This plan will prioritize support to
production of data collection and data processing tools, and in building capacity and mentoring support
at the different levels for full integration of HIV data into DHIS2. Specific attention will be paid to
strengthening HIV data collection and reporting in the private sector health care points. Most of these
sites are not yet integrated into the national HMIS; and they often have very weak M&E systems.
The other element of key focus in routine health monitoring will be support to timely data processing at
all health and HIV service points, for on-site use and reporting purposes in line with DHIS2 provisions.
45
This will include basic analysis and collation of data at health facilities and from community-based
services for HIV prevention, care and support, treatment follow up, etc. The integrated analysis will
generate information for site-level service review and improvement; local level accountability to
beneficiaries and the general community; and for grassroots advocacy and mobilization of sustained
community participation.
Data processing at district level will focus on collation, quality assurance, analysis and utilization of
programme data in decentralized health and HIV management, and in mentoring and support
supervision of health facilities and other service mechanisms. It will also include data reporting in line
with the DHIS2 standards and requirements.
Routine programme reporting at all levels of the health system will address three inter-related
elements:
1. Vertical reporting and feedback
2. Horizontal sharing and utilization of data and information for integrated and multi-sectoral
development planning
3. Public accountability and reporting to beneficiaries – through dialogue and other appropriate
mechanisms.
Data collection and reporting in other sectors: The existing NAS reporting tools for all non-health sector
HIV services will be updated in line with the NSP 2016-2020 priorities, and used across the different
service and programme delivery settings to report routine data on the non-health output level
indicators. The Government Ministries, Departments and Agencies (MDAs) at the national level offering
non health HIV services will complete the Service Coverage Reporting (SCR) forms on a quarterly basis.
For the district level non health sector departments, the form will be completed in triplicate to be able
to share the reports with the other national level offices, the District HIV/ AIDS Focal Person/s (DHAP)
and retain a file copy. The DHAP will collate data from the individual forms onto one District level
summary form, and send it to NAS. NAS will collate the District level summary forms and produce a
Quarterly Service Coverage Report. NAS will also be expected to disseminate the Quarterly Service
Coverage Report to stakeholders at all levels at national and district levels on quarterly and annual basis.
3.3 Data Storage and data bases

The relevant national and district data bases will be strengthened and adapted to have inter-operability
to enhance the sharing of information on HIV. The NAS database will be adapted to cover the full scope
of the NSP 2016-2020. It will serve as the main national repository for HIV information for both
programme coverage data; population based survey, surveillance and assembles; as well as financial
monitoring data. A database management protocol will be developed for the database to ensure that
data are updated regularly, consistently and on time. This protocol will define the different aspects of
database operation, including:
• Data update process – when it should be updated, what it will be updated with, who will update it;
• Access control – who will have access, levels of access rights
• Data processing and protection – who will be able to make changes to the data, how data will be
protected, levels of expertise and leadership for data analysis, generation of reports
The database will provide for geographical and demographic disaggregation, and relevant thematic
categorization of data. This will enable the spatial analysis of data relating to the supply of HIV/AIDS
services, the demand for services, and the provision of financial and resources to fund services and thus
46
better planning. NAS will encourage and work towards the creation of geo referenced HIV/AIDS data.
Once such data exists, relevant geo referenced data will be used to create maps and data atlases for
inclusion in M&E information products for enhanced strategic information management. The NAS
database will be web-based, to enable real-time access by all stakeholders within and outside the
country. It will have necessary linkage to DHIS, EMIS and other relevant databases.
3.4 Data flow and transmission

The flow of datawill be between three main levels: service delivery/community; district and national.
Coordination of information flow at each level will be managed by the respective HIV response
coordination body – CAC, DAC and NAC. This coordination will be complementary to the routine
management responsibility for data reporting and transmission within local government systems at
different levels; and at national level. Actual transmission of data, and the quality thereof, will remain
the direct responsibility of the respective staff as deployed by government or by other actors in the HIV
services at different levels.
This plan will support bi-directional data flow. Each point of data generation and/or consolidation will
transmit data to the next level of responsibility on all programme and service delivery activities at that
point or within its geographical area of responsibility. The receiving point will be responsible to transmit
feedback data on: a) the received data (e.g., quality, completeness, timeliness, etc.); b) how the point
compares to others of similar category; and c) consolidated data that reflects how the different
reporting centres are contributing to progress and performance.
Figure 7 below illustrates the data/information flow and reporting arrangements between different
programme levels and sectors for the M&E plan.
47
Figure 8: HIV Data flow chart
GOSL
HIV/AIDS National
ParliamentaryCommitte HIV/AIDSPartnership
NAC
Heads of Agency M&E & other
CCM
NAS TWGs
SSL
AIDS Devt. Other Nat & Int

MDAs MOHS NGO&
partnersCoord SCEs projects
private
Legend
NAS Regional Offices Regional Partnership
District Council
Forum Info Flow/Feedback
SSL Dist. Office
Dev’t planning &mgtDept&
M&E office &Cmmttee Links with Head Offices
Coord. Units
DAC
SSL Statistics Sierra Leone

MDAs Dist. MOHS Dist. (Dist. Pro/Proj)
Offices Office
(DHMT) VDC Village Dev. Committee
48CAC
MDA CDW PHUs CBO, Comm projects inWard/VDC

The National HIV/AIDS Secretariat will monitor the national response and the epidemic in a bottom top
approach through the decentralized structures. Coordination, data collection, analysis, reporting and
dissemination will be carried out via the activities of the CAC, DAC, the councils, the TWG, MOHS,
HIV/AIDS Focal Persons in the MDAs, Development Partners and the Partnership Forum. HIV/AIDS
information will be shared horizontally and vertically by the institutions and coordinating entities as
depicted in the flow chart above. Feedbacks are also made to the information sources and coordinating
bodies
At the central level, NAS collates the information provided by the Districts. It provides feedback to the
respective districts through the CACs on their reports as well as their standing from a national
perspective with other districts. At this level, Statistic Sierra Leone (SSL), M&E Technical Working Group
(M&E TWG) and the Partnership Forum are provided opportunities to review the reports and help the
National HIV/AIDS Secretariat to make informed decisions and to advise the National AIDS Council (NAC)
periodically.
3.5 Data quality assurance

This plan includes commitment to support review and update of the HIV guidelines for support
supervision to include enhanced focus on M&E strengthening and data quality audit. Greater attention
will be paid to data quality verification as an integral element in validation of reports and provision of
feedback in the HIV response. This process will be extended to DHMTs, civil society agencies and
networks, coordinating entities for different stakeholders in the HIV response partnerships, and other
HIV response coordination and management entities.
The current quality controls for when data from paper-based forms are entered into a computer (e.g.,
double entry, post-data entry verification) will be strengthened.Every year there will be an internal and
external data audit according the protocol and guidelines. The results of such audit will be shared
accordingly.
4.0 Evaluation Research and Learning
The existing HIV research agenda will be updated in line with the NSP priorities; and will be used to
inform operational research and evaluation studies on specific elements of the HIV response. Key areas
of focus will include: treatment monitoring and adherence improvement in different contexts;
programming models for comprehensive and sustained services to KAP; and workplace HIV
programming in settings of high vulnerability (e.g., fisheries, transport services, mobile trade, etc.). The
other categories of prioritized special studies include:
• Procurement and Logistics Supply Management Information systems audit and improvement
• Stakeholders and Service Mapping
• Resource Tracking, HIV/AIDS Accounts, budget & Expenditure analysis
• Social Economic Impact Studies (SEIS)
49
4.1 Surveys and Surveillance
Biological and behaviouralHIV surveillance surveys that are prioritized in this plan include:
• HIV and STI sentinel surveillance at ANC clinics
• Behavioural Surveillance Survey at population level
• Demographic and Health Survey
• Behavioural and Sero-prevalence survey among Key Affected Populations
• Health service provision and quality assessment survey
Implementation of most of the surveys will be a multi-stakeholder undertaking. The main role and
contribution to these surveys that is supported through this plan will focus on ensuring appropriate and
adequate data collection on HIV-specific indicators; and appropriate analysis, utilization and wide
dissemination of the results relevant to HIV. It will include secondary analysis of the survey data; and
targeted reporting with focus on HIV implication.
5.0 M&E Data Utilization and Information Dissemination
NAS will lead stakeholders in disseminating and promoting the use of information generated by this
Plan. The sustainability of the application and the buy-in into this plan will to a large extent depend on
the ease for stakeholders to utilize the information products produced by this Plan. The ultimate use of
data will serve to direct the HIV response at all levels: national, Sectoral, district and the chiefdom levels.
The following mechanisms will be prioritized for data and information dissemination; and promoting the
utilization.
1. The National Partnership Forum: will bring together stakeholders’ at national and District levels to
share the information products. This forum will provide opportunity for all categories of
stakeholders to share the HIV/AIDS Status reports and other information resources. It will also be
the channel for sharing information on the national response in the preceding implementation
period with key focus on the scope of service coverage, the best practices and management of
challenging and emerging issues.
2. Quarterly and annual coordination, review and planning meetings: at national and district levels will
be used to discuss progress of HIV response implementation, and to share other available HIV/AIDS
information; to identify the lessons learnt, and to plan response improvements.
3. Periodic status reports: including the Global AIDS Response Reporting Process (GARPR), Annual Joint
HIV Response Review Reports, etc.
4. Electronic and print media: including online and e-mail based sharing; discussion issues and news
items on radio, TV and in the print media, etc.
5. Resource centres and libraries; at national and district level, and in various institutions such as
schools, etc.
50
6.0 Implementation of the M&E Plan
6.1 Roles and Responsibilities

The role of the NAS M&E unit includes the following:
• Coordination, supervision and provision of technical assistance andguidance to monitoring and
evaluationof the entire national HIV response and trackingprogress made in the programme
activities at all levels;
• Coordination and provision of a national coherent plan for monitoringprogress and evaluating
outcomes of the comprehensive HIV response. NAS is responsible for defining strategic
objectives andtargets; guiding and supervising systematic data collection, processingand
analysis of data at various levels. It provides the platform forpartnership, networking and
collaboration between the national level andsub-national stakeholders in M&E.
• Creation of a multi-sectoral functional HIV M&E system, with a database,that links with other
information systems, research organizations and othermicro/M&E units in other government
ministries, civil societyorganizations and the private sector. NAS has developed asimplified, but
complete reporting format for use by all thestakeholders/partners;
• Supervision and data auditing: The responsibility of supervision as acomponent of coordination
remains the key role of the NAS M&E unit. The NAS M&E Unit will coordinate the
standardization of M&Emethodologies and tools across multiple actors at various
programmelevels, to enable data collation and meaningful comparison.
• Generation of national information products, as agreed and demanded byboth the national and
international stakeholders, and disseminating theseproducts in a user friendly and in a timely
manner. NAS will ensure and facilitate the annual nationaldissemination and review activities;
• Coordinate and support all capacity building in M&E at bothnational and district levels. This is to
ensure that the M&E systems, at thedistrict level in particular, are functioning and have
necessary resources. NAS will organize periodic supervision visits and reviews of districtbased
M&E systems and organize for capacity building activitiesaccordingly.
The Regional NAS offices will play a critical supportive role to the district and urban local government
councils, to enable effective and sustainable routine HIV program monitoring and reporting. Such
support will include:
• Capacity building and mentoring;
• Linking districts in the same region and across regions to facilitate exchange learning;
• Advocacy for integrated management of the HIV response M&E by local councils, chiefdoms and
the respective HIV response coordination mechanisms; and
• Enhancing data and information flow between districts and the national level.
The Roles and Responsibilities of District M&E Focal Persons

Given the decentralisation of the HIVresponse in Sierra Leone, data collectionand collation on HIV
activities and services is the responsibility of districts. The DACcoordinate the monitoring of
outputindicators from the different programmme activities; including utilization of the data within the
district, and timely transmission to the national level. The M&E-specific roles of DACsinclude:
• Maintaining an updated register of all actors in HIV in the district, and the specific contribution
each of them makes to the HIV response;
51
• Coordination of M&E at the district level and ensuring M&E support supervision at all levels in
the district;
• Follow up and facilitating as necessary accurate completion and timely submission of all relevant
reporting data at the different levels;
• Demonstrate and promote utilization of data and information products forprogramming
activities; and
• Disseminate information and sensitize partners at the District and community levels on the
epidemic.
The roles of other key stakeholders in M&E of the HIV response are presented in Table 7 below.
Table 7: Other Key stakeholders and their roles in HIV response M&E
Stakeholder Category Key roles

Government ministries • Mainstream the HIV/AIDS interventions in their core business
and other public • Mobilize resources and coordinate HIV/AIDS activities within their institutions
institutions/ • Advocacy and sensitization on HIV/AIDS at workplace
organizations at national • Facilitate training on the HIV response M&E for relevant staff
level • Participate in the M&E Technical Working Group (TWG) as assigned
• Report on specific indicators for the institution to NAS using standardized reporting
format and in a timely manner
• Participate in periodic HIV response reviews.
Civil Society, Umbrella • Participate in the M&E Technical Working Group (TWG) as assigned
Organizations and The • Ensure that their members are familiar with the national HIV response NSP and M&E Plan
private sector • Ensure strengthening for their M&E units using the national HIV response
M&EFramework/plan as provided by NAS
• Submit Annual plans and budgets for HIV services and activities to NAS and to the
respective DAGs in their districts of operation
• Submit required data to DACs using a standardized format and based on an agreed
timelines
• Sensitization and advocacy for M&E strengthening and use of M&E data in programming
and advocacy
• Participate in the national and sub-national HIV response dialogue and reviews.
Research Organizations • Participate in the update and implementation of the HIV Research Agenda
and Universities • Conduct high quality and ethical research, in a timely manner;
• Disseminate research findings to all key stakeholders (e.g., NAS, relevant government
sectors, districts, non-government programme implementers).
• Use research findings to inform policy and programmes
• Plan, facilitate and contribute to information sharing and dissemination forums and
publications
• Participate in the M&E Technical Working Group (TWG) as assigned
• Participate in the national and sub-national HIV response dialogue and reviews.
Development Partners • Be part of the HIV/AIDS M&E Technical Working Group
• Support the strengthening of the national HV and AIDS M&E system
• Build the culture of M&E strengthening and accountability among their implementing
partners, and make it a mandatory requirement in their MoUs
• Build consensus on harmonizing information requirements and reporting framework to
avoid duplication
• Participate in national HIV response dialogue and reviews
52
6.2 Advocacy and Communication for HIV M&E
NAS will coordinate the process to generate and communicate information relevant to the HIV response
to all stakeholders; and will follow through utilization of the information in programming, policy
development and other key decision making processes. It will work closely with the respective inter-
agency and intra-agency communication units to enhance sharing of reports, review and generation of
progress updates, and timely communication of information to decision makers.
Effectiveness of HIV communication will be monitored to ensure that stakeholders reflect greater
understanding of HIV issues; and that information available is guiding intervention strategies and their
adjustment as needed. NAS will facilitate periodic reviews to identify, document and disseminate good
practice experiences and innovations in the national HIV response.
6.3 Technical Assistance needs

All the key coordinating units for the implementation of this plan will require sustained support to
execute specific core M&E planning, coordination and technical support activities whose capacity may
not be available in-house. This may include: the NAS M&E unit; the relevant MOHS programme,
planning and information management units; DHMTs and DACs; the Secretariats of Stakeholders’ Self
Coordinating Entities (SCE) and Networks and Sector HIV/AIDS Focal Offices. The structural
appropriateness of these responsible M&E Coordination units will also be reviewed and accordingly
developed/ strengthened.
Based on the assessment of needs, the TWG working through NAS or outsourcing to an appropriate
service providers will mobilize and provide technical support using common M&E plan budget/ funding
its or the identified development partners may provide technical support services.For major and
specialized M&E activities in the plan such as surveillance and surveys, NAS may, as has been the case in
the past, solicit technical support from the specialized agencies such as UNAIDS and WHO to help in
availing resource persons to assist the validation process. While such technical support is being
provided, the following considerations are important for effective procurement of the technical
assistance:
• Development of a clear scope of work contained in a terms of reference;
• Adopting a participatory approach, to ensure necessary capacity development for sustainable
and scaled up implementation of similar undertakings
• Detailed documentation of the processes; to generate resource materials for future learning and
reference
7.0 Performance Framework

This M&E plan covers the NSP period 2016 – 2020. This plan will support an effective and robust
monitoring and evaluation system; and will facilitate tracking of progress in the implementation of the
national HIV/AIDS response and guide programs, policies, and service delivery.It will be reviewed and
updated as necessary in 2018, based on the NSP implementation and M&E experiences from the first
two years (2016-2017). The performance framework for implementation of the plan is presented in
Table 8 below, and is based on the core results framework for the plan.
53
Table 9: M&E Performance Framework summary
Results Performance indicator Frequency of

measurement
Outcome 1:Strengthened leadership and Number of HIV Coordination
Coordination of HIV/AIDS Monitoring and Evaluation meetings held at Nationl and sub Quarterly
(M&E) National levels
Output 1.1:Strengthened HIV response M&E Existence of functional National
Coordination units/function at National, sectoral and coordinating bodies (NAC & NAS) at Annually
local council levels National and sub-national levels.
Output 1.2:Strengthened technical leadership and Number of M&E technical Working
coordination function of HIV/AIDS M&E Technical Group meetings held at ntional nd Quarterly
Working Groups or other relevant M&E TWGs at subnational levels
National, Sectoral and local council levels
Output 1.3:M&E Planning protocols and strategic Existence of a costed M&E Biannually
reference resources Operational Plan
Output 1.4:National, Sectoral and local council level Existence of a regional AIDs
HIV AIDS Coordination structures with office and field coordinating Structure with M&E Annually
logistical M&E resources staff at National and sub National
Level
Outcome 2:Enhanced Strategic, Human resource and Existence of trained and competent
Logistical capacity for Monitoring and Evaluation M&E staff and coordinated M&E Annually
(M&E) of the National Response structure at all levels of the response
Output 2.1:Management performance contracts in Existence of an explicit data
public service, civil society and private sector revised collection dissemination and Annually
to reflect M&E management and data utilization and utilization structure to support the
dissemination with respect to HIV response response
management
Output 2.2:Guidelines and practices for staff Existence of a M&E guidelines on
deployment and appraisal reflect adequate attention Staff appointment deployment and Annually
to M&E and appropriate evidence-base for appraisal system in place.
programme activities and service delivery processes
Output 2.3:Adequate M&E Human resources The existence of an M&E unit and
deployed by public, civil society and private sector staff in all partner organization and Quarterly
stakeholders in the HIV response at national, district institutions in the HIV response at all
and other relevant levels to ensure effective and levels
sustainable M&E support across all levels of the HIV
response
Output 2.4:Adequate and sustained M&E skills Existence of an M&E Capacity
capacity development (based on assessed need in development Plan in all partner Quarterly
line with function) for management and program institutions at National and sub
staff; and for leaders at different levels to ensure national level engage in the HIV
appropriate collection, reporting and utilization of Response.
M&E data
Outcome 3:Strengthened systems to undertake Existence of an HIV AIDS Research
HIV/AIDS and related biological and behavioural Agenda with related biological and Annually
Surveillance, Surveys and Research behavioural surveys and reserhes.
Output 3.1:HIV/AIDS surveillance and survey Existence and use of an HIV AIDS
protocols reviewed/ developed, adopted and in use Surveillance Protocol Annually
Output 3.2:The national HIV/AIDS research agenda 1 National Research Agenda updated Every six months
updated, disseminated and in use and disseminated
54
Results Performance indicator Frequency of
measurement
Output 3.3:Strengthened Surveillance, surveys and HIV AIDS Surveillance and Research Annually
research on HIV/AIDS structures strengthened and supported
to undertake studies.
Output 3.4:HIV/AIDS special studies, epidemiological Review of epidemiological analyses Annually
analyses and projections undertaken to enhance and projections for Sierra Leone
knowledge of the epidemic undertaken
Outcome 4.:Enhanced HIV/AIDS Information & An HIV/AIDS Knowledge Annually
Knowledge Management management Assessment conducted
Output 4.1:An HIV/AIDS Knowledge management Existence of an HIV/AIDS Knowledge Annually
policy developed, adopted and in use management policy
Output 4.2:Enhanced integration and co-operability Existence of an HIV Data Quarterly
of HIV/AIDS related data bases and sharing of dissemination strategy in place
information
Outcome 5:Strengthened HIV/AIDS Financial 1 HIV AIDS Financial Monitoring and Annually
monitoring, budget and expenditure analysis Budgetting guidelines developed and
disseminated to partners
Output 5.1:National HIV/AIDS Spending Assessment 1 National AIDS spending Biannually
conducted biennually Assessment study conducted
Output 5.2:Regular budget and expenditure analysis Existence of National AIDS Spending Annually
to promote resource allocation, utilization efficiency report
and equity in the national response
Output 5.3:Unit cost studies, analyses and schedules 1 Unit cost study initiated, Every 5 years
completed conducted and report disseminated
55
Annex 1: Indicative costing of the M&E Plan
Activity LEVEL OF ANNUAL COSTS (USD)

IMPLEMENTATIO Responsible Target
Funding
N N=National Person / per OUTPUT
2016 2017 2018 2019 2020 source
R= Regional Department year
D=District
Outcome1.Improved utilization of strategic information for the effectiveness of the National HIV Response
Outcome 2.M&E, research and knowledge management systems at the national and sub-national levels are strengthened
1. M&E coordination
Output 1: M&E TWG established and functional at Regional level
Quarterly Support M&E
Technical working 4 quarterly M&E TWG
group at Regional R NAS 4 2,400 2,412 2,424 2,436 2,448 GF, GOSL, meetings held
Level. (15 persons in 3 annually
regions)
Quarterly Support to
the National M& E 5 quarterly M&E TWG
Technical working N NAS 4 600 603 606 609 612 GF, GOSL, meetings held
group meetings. (25 annually
people)
GF, UN 1 mest conducted
Conduct MESST N NAS 1 14,000 14,140
Family, everu 2 years
Develop national
1 National Guideline
guidelines IEC/BCC for
for KPs and Youths
Youths and General N NAS 1 4,000 2,500 GF,
developed and
Population and Key
rviewed in 2018
Populations
Develop an inventory
of HIV research 1 HIV &AIDS Research
N NAS 1 2,500 2,500 GF, GOSL,
institutions and their Inventory developed
planned activities
All Programs
Develop Program
GF, KFW, coordinated By Nas
specific M&E plans(GF, N NAS 2 4,000 4,040
GOSL. have program specific
KFW, )
M&E plan
Print and distribute Essential data
data reporting forms to collection and
all stakeholders CSOs N NAS 1 5,000 5,025 5,050 5,075 5,101 GF, GOSL, reporting forms
and partners for printed and
quarterly reporting distributed to all
56
Funding
2016 2017 2018 2019 2020 source
D=District
stakeholders/partner
s
Develop a nationally
accepted M&E
1 HIV &AIDS M&E
curriculum N NAS 1 6,000 GF, GOSL,
cirriculum developed
(consultant,Logistics&
Process)
Sub Total 38,500 8,040 31,261 8,121 8,161
2. Routine programmatic data collection and Reporting
Output 2: Information sharing amongst stakeholders increase
Technical Assistance
for the Implementation Open MRS
Of Open MRS in 5 HIV GF, GOSL, operational in 5
R SOLTHIS/NAS 5
Facilities In Sierra 193,000 193,965 580,000 582,900 585,815 SOLTHIS facilities in 2016 and
Leone & Roll out to 14 14 by 2020
Districts
Monitor the integration
NAS data integrated
of NAS data into the D MOHS/NAS 12 2,000 2,010 2,020 2,030 2,040 GF, GOSL
into DHIS II
DHIS.
1national guidelines
Revise the national
& procedures (SOP)
guidelines &
on recording,
procedures (SOP) on
N NAS,NACP 1 4,000 4,040 GF, collecting, collating,
recording, collecting,
and reporting on data
collating, and reporting
produced and
on data; data quality;
disseminated
Validate national
guidelines &
procedures (SOP) on SOP /guidelines
N NAS,NACP,CSO 1 1,700 1,717 GF,
recording, collecting, validated
collating, and reporting
on data; data quality;
Print and distribute 800 800 Copies of SOP
Copies of SOP to Health distributed to Health
N NAS 2 4,500 4,545 GF, GOSL,
Facilities and regional Facilities and regional
staff staff
Develop guidelines for
Guide lines f or data
analysis, presentation
N NAS 1 2,500 2,525 GF, GOSL, use at all levels and
and data use at facility
facilities developed.
level;
Establish a structured N NAS,NACP 1 500 503 505 508 510 GOSL Feedback mechanism
57
Funding
2016 2017 2018 2019 2020 source
D=District
feedback mechanism for staff and partners
for information developed and
providers operationalised
Sub Total 208,200 196,478 595,352 585,438 588,365
3. Evaluation, Surveys,Surveillance & Special studies
Output 3: Increased capacities to conduct M&E researches and surveys
Conduct ANC NASA institutionalised
NAS, CDC, CSOs, CDC,
Surveillance study (to N 40,000 40,000 40,000 40,000 40,000 and conducted
NACP GOSL,
be conducted by CDC) 1 annually
Conduct National AIDS
NAS, CSOs, GF, UN ANC surveillance
Spending Assessment N 35,000 35,351 35,705
NACP,Academia Family conducted annually
(NASA) study 1
Conduct for cohort
analysis for PLHIV 1 survival analysis
N NAS, NACP 40,000 40,200 40,401 40,603 40,806 GF, GOSL
survival rate after 12 study annually
months on ART 1
Conduct IBBSS for Key IBBSS for Key
NAS, CSOs,
population (FSWs, N GF, populations
NACP,Academia 120,000 121,809
MSMs, PWIDs) -2017 1 conducted
Conduct BSS for NAS, CSOs, BSS for general
N GF
General population NACP,Academia 1 250,000 253,769 population conducted
Conduct situational
NAS, CSOs, 1 OVC Study
analysis of OVCs in N 30,000 GF
NACP,Academia conducted
Sierra Leone (2017) 1
Early Warning
Early Warning Indicator NAS, CSOs, indicator Monitoring
N 5,000 5,025 5,050 5,075 5,101
(EWI) survey NACP,Academia instituted in all
1 GF, GOSL, districts
Size Estimation study Key Population size
N NAS/UNAIDS
for Key Populations 1 202,005 UN Family estimated
1 drug resistance
HIV drug resistance NAS, CSOs,
N 40,000 40,000 40,000 40,000 40,000 study conducted
monitoring NACP,Academia
1 GF annually
Midterm and Terminal MID Term and
Evaluation of NSP N NAS, NACP 17,675 Terminal review of
2016-2020 1 GF, GOSL the SL NSP conducted
Terminal Evaluation of
N NAS 30,000
NSP 2016-2020 1 GF,
Know Your Epidemic
NAS, CSOs, 1 MOT study
Know Your response N
NACP,Academia 125,000 conducted
(MOT)Study 1 UN Family
58
Funding
2016 2017 2018 2019 2020 source
D=District
Prepare and conduct
HIV projections and
HIV Estimates and
estimates for Regions
projection data for N NAS,NACP 12,000 12,060 12,120 12,181 12,242
in Sierra Leone
regional levels covering
developed
high burden districts 1 UN Family
Conduct PMTCT DQA PMTCT DQA
N NAS, NACP 30,000 30,000 30,000 30,000 30,000
and impact study 1 GF, GOSL conducted
Sub Total 242,000 87,085 306,851 87,256 117,343
4. Data quality assurance and M&E related supportive supervision
Output 4: M&E systems are integrated with the existing Health Management Information Systems (HMIS)
Provide logistics to
Regional M&E Teams
for quarterly Management support
monitoring and R M&E TWG 4 22,000 22,110 22,221 22,332 22,443 GF, GOSL for Regional TWG
supervision (DSA, fuel provided
and vehicle lubricant)
for 5 days
Provide logistics to
National M&E Teams
for quarterly Management support
monitoring and N NAS 4 18,160 18,251 18,342 18,434 18,526 GF, GOSL for National TWG
supervision (DSA, fuel provided
and vehicle lubricant)
for 7 days
conduct Joint quarterly
supervision and Joint quarterly
mentoring of service supervision of service
N NAS 4 10,000 10,050 10,100 10,151 10,202 GF, GOSL
delivery points (HCT, delivery points
PMTCT and ART sites) conducted
by NACP
Develop strategies for
information
dissemination. Develop
1 strategy for data
a costed dissemination
dissemination
plan for information N NAS 1 16,000 10,000 10,000 10,000 10,000 GOSL,
developed and
dissemination and
implemented
disseminate relevant
information products
to providers
59
Funding
2016 2017 2018 2019 2020 source
D=District
Provide Annual
refresher Training on
1 training on M&E,
Databases for District
R NAS 3 9,000 9,045 9,090 9,136 9,181 GF data collection and
Counsellors,Supervisor
reporting conducted
s and Health facility
staff
Develop and update
database on Data base on capacity
Staff/Partners receiving N NACP/NAS 1 500 503 505 508 510 GF, GOSL of staff at all levels
training (to avoid developed
duplication)
Conduct DQA on TB/HIV Management
D NACP/NAS/TB 4 18,090 18,271 GF, GOSL
TB/HIV management jointly supervised
Conduct annual Rapid 1 audit on service
N NACP/NAS 1 6,000 6,030 6,060 6,090 6,121 GF
service Quality Audits quality conducted
Production and M&E bulletins
distribution of routine produced and
N NAS 2 3,000 3,015 3,030 3,045 3,060 GF,
M&E bulletins,reports disseminated
through the TWG biannually
Develop,print and
1 M&E Guideline for
distribute National
collecting and
guideline for reporting
N 1 5,000 5,025 5,050 5,075 5,101 GOSL, reporting HIV Data
HIV Data from all
produced and
partners &
disseminated
stakeholders NAS/NACP
Routine M&E TWG
biannual oversight
oversight support to
visits to regional
District and regional
R,D NAS 2 2000 2,010 2,020 2,030 2,040 GF facilities by 4 TWG
facilities .(4 TWG
members /semester
members/semester
conducted
x3days)
DHIS integration and NACP/NAS/MOH HIV Data integrated
N,D 13 2500 2,513 2,525 2,538 2,550 GF, GOSL,
staff support S into DHIS II
Develop/review Terms 1 term of Reference
of Reference and plan for TB/HIV
of action for TB/HIV N NAS/NACP 1 100 100 GF, Collaboration
collaboration developed and
committee circulated
Support Regional 4 Regional meetings
quarterly meetings of R NAS/NACP 4 2412 2,424 2,436 2,448 GF, on TB/HIC conducted
the TB/HIV 2400 by regional
60
Funding
2016 2017 2018 2019 2020 source
D=District
Collaboration Committees
committee.
(4 Regions )
Conduct Joint
Quarterly monitoring 4 Joint monitoring &
NTBLP /NAS
of HIV/TB services at N 4 6000 6030 6,060 6,090 6,121 GF, supervision of TB/HIV
/NACP
service delivery points conducted annually
(3 people)
Sub Total 27,000 27,035 27,270 27,306 27,442
5.Capacity Building
Output 5 : Number and capacities of M&E officers increased
Training of 28
Counselors 5 data entry
clerks on data entry 1 training conducted
and database R NAS 1 40,000 40,401 40,806 GF for District Counselors
management and data entry clerks
programmes for 2 days
at national level
Support Sub Regional
Training of 7 NAS and 7 NAS and NACP Staff
NACP M&E staff on N NAS 4 18,500 18592.5 18,685 18,779 18,873 GF received appropriate
monitoring and M&E training
evaluation
Conduct 2- 2 day
trainings for SRs/SSRs, SRs/SSRs, partners
partners and local and local councils
councils on M&E receive training on
R NAS/NACP 2 12,000 12060 12,120 12,181 12,242 GF
Program reporting and M&E, Program
Data Management reporting and Data
annually ( 40 Management
participants)
Support EPP training at
national level for
15 staff from high
district level
GF,UN burden Districts
disaggregation of N NAS 1 3000 3015 3,030 3,045 3,060
Family supported annually
spectrum data. (15
for EPP training
people for 3 days at
national level)
Train Staff on use of Program staff and
national Guidelines for N NAS/NACP 1 3500 3518 3,535 3,553 3,571 GF, GOSL, partners trained on
recording program data the use of the SOP
61
Funding
2016 2017 2018 2019 2020 source
D=District
Conduct program
review (BCC, 1 Technical program
PMTCT/EMTCT, HCT review meeting on
NAS/NACP/
and ART) services with N 1 14,000 14070 14,140 14,211 14,282 GF, BCC, PMTCT/EMTCT,
CSOs
partners in 2016 ( for 2 HCT and
days for 50 people) by ARTconducted
NACP
strengthen the HIV An integrated
integration in to the D NACP,NAS 4 14,000 14070 14,140 14,211 14,282 GF, GOSL HIV/AIDS data into
DHMT (14 districts) the DHS
Train 19 Councils HIV 19 Councils HIV focal
focal persons and 15 persons and 15 SRs
R NAS 2 6,000 6030 6,060 6,090 6,121 GF
SRs trained on M&E trained on M&E and
and HIV reporting HIV reporting
Sub Total 111,000 71,355 112,113 72,070 113,237
3,724,27
Grand Total 626,700 389,992 1,072,846 780,190 854,547 6
62
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Sierra Leone

National HIV/AIDS Monitoring and

SIERRA LEONE HIV/AIDS PARTNERSHIP FORUM

21ST – 22ND MAY 2015

NATIONAL HIV AND AIDS MONITORING

It is also designed to respond to reporting needs of the Government of Sierra Leone.

Furthermore, a rigorous, transparent, participatory and evidence-based process was used in

Alhaji Dr. Momodu Sesay

National HIV and AIDS Secretariat

Senior Monitoring and Evaluation Officer

National HIV and AIDS Secretariat

Table 1: HIV Prevalence by district – DHS 2013 .......................................................................................... 11

Figure 1: Sierra Leone HIV Epidemic at a glance......................................................................................... 11

1.1 Country Context

Table 1: HIV Prevalence by district – DHS 2013

District Women Men Total

Figure 3: Knowledge on AIDS and accepting attitudes of PLHIV in Sierra Leone

Figure 4: summary of key results from NSP 2011-2015 implementation

1.4 Overview of the NSP 2016-2020

Zero Zero Zero

AIDS Ceases to be a public health problem in Sierra Leone

Key AIDS Related SDGS for Sierra Leone

SDG 3 SDG 10 SDG 16

Key impact Results by 2020

80% reduction of Elimination of mother 80% reduction of AIDS Elimination of HIV

1.5M&E Situation Assessment

Table 2: Priority Action Points from the 2013 MESST Exercise

Organizational Structure: Human Capacity for M&E:

2.1 Goal of M&E Plan

2.2 Objectives of M&E Plan

The plan is based on the following key M&E considerations:

• The right and opportunity for citizens

Figure 7: Framework of Accountability Relationships

2.4 Components of M&E Plan

3.0 The M&E Plan

3.1 M&E System structure

Similarly, Chiefdoms are mandated to constitute an HIV/AIDS Committee or task force; or to

3.1.1 Human capacity for HIV M&E

3.1.2 Partnerships for HIV M&E

Table 4: Key Stakeholders in the HIV M&E Partnerships

National HIV/AIDS Commission Development Partners: Bi-lateral Associations and networks of

3.2.1 Indicators Framework

Output Strategic Existence of HIV Measures NA NA 0 1 1 1 1 1 Progra Annual- NA NAS

Table 6: Indicative data sources for the 2016-2020 M&E Plan

Data Source Lead Institutions Frequency

3.3 Data Storage and data bases

3.4 Data flow and transmission

AIDS Devt. Other Nat & Int

SSL Statistics Sierra Leone

MDA CDW PHUs CBO, Comm projects inWard/VDC

3.5 Data quality assurance

4.0 Evaluation Research and Learning

5.0 M&E Data Utilization and Information Dissemination

6.1 Roles and Responsibilities

The Roles and Responsibilities of District M&E Focal Persons

Stakeholder Category Key roles

6.3 Technical Assistance needs

7.0 Performance Framework

Results Performance indicator Frequency of

Activity LEVEL OF ANNUAL COSTS (USD)