Monitoring & Evaluation

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Monitoring and Evaluation (M&E) is an essential aspect of the PATS program. Monitoring tracks the actual progress the program against our projected goals and evaluating assesses program efficiency and effectiveness. Through M&E initiatives we regularly review our progress to achieve the following:

  • Determine whether the PATS program is meeting its objectives
  • Provide a guide for evidence-based program decision-making
  • Build greater transparency and accountability
  • Use past data and experience for future planning and development

M&E objectives are achieved through quantitative techniques such as collection and analysis of field data as well as qualitative methods including assessment of detailed descriptions and direct quotations from community health workers, children enrolled in the PATS program and their caretakers. The PATS M&E team use these techniques to to produce quarterly and annual reports and to support and guide program operations and implementation.

Pilot Program Report

Graph 1: Frequency of Care from the Healthcare Workers Per Child
The PATS Monitoring and Evaluation team assessed the frequency of the care received by the children in our pilot program, which ran from June 2007 to June 2008 in the Anhui and Henan provinces.

In Anhui, there were 9 children in the pilot program who, on average, were visited by a community health worker at least once a week. At nearly each visit the community health worker asked the child’s caretaker to demonstrate knowledge about the proper way to administer ARVs and/or counted the number of pills remaining to confirm ARV adherence. The community health worker also educated the child or caretaker of the child about HIV/AIDS approximately once a week. Additionally, the community health worker called or brought the child to the doctor approximately every other week.

In Henan, there were 6 children in the pilot program, who received visits from the community health worker approximately every two weeks. The caretaker of the child was asked to demonstrate their knowledge of proper ARV adherence and/or the healthcare worker counted the number of pills remaining at least once per visit. The healthcare worker provided educational information about HIV/AIDS at each visit. Finally, the healthcare worker called or visited the doctor with the child approximately once per month.

Graph 2: Adherence and Pill Counting
The overall rates of ARV self-reported adherence and pill count that confirmed correct treatment adherence were 99% and 97%, respectively. In Anhui, the rate of self-reported adherence was 98%, which was confirmed by pill counts 96% of the time. Similarly, in Henan the rate of self-reported adherences was 100%, which was confirmed by pill counts 98% of the time.

Conclusion:
The tasks of the community health workers, including ARV assessments, education and contact with the doctor contribute to near perfect ARV adherence among the children enrolled in the PATS program.