A framework for monitoring and evaluating HIV prevention programmes for most-at-risk populations

A framework for monitoring and evaluating HIV prevention programmes for most-at-risk populations

How to monitor and evaluate for HIV prevention programmes for most-at-risk populations

Interventions with most-at-risk populations can be as important in generalized epidemics as in low-level and concentrated epidemics. Without effective interventions in sex work and drug injecting networks, high HIV incidence can drive transmission regardless of epidemic stage. This guide aims to provide an overview of monitoring and evaluation (M&E) methods and approaches to targeted HIV prevention programmes for most-at- risk populations. It also covers the use of strategic information for programme planning, monitoring, and evaluation.

This guide is intended for use by governments, international organisations, nongovernmental organisations (NGOs) and other members of civil society in M&E HIV prevention programmes for most-at-risk populations. It is designed primarily for programme managers and others involved in planning and implementing M&E of programmes and project at both national and sub-national levels.

A variety of methods and tools are provided. Some are within the scope of people or agencies implementing field operations, others require substantial analytical skills and a person or agency to oversee data collection and analysis, and to promote use of the findings.

The framework outlined in this guide provides a step-by-step sequence for planning data collection over time including:

  • identifying the problem
  • determining the contributing factors of risk of infection
  • determining which interventions might work in ideal circumstances
  • determining which interventions and resources are needed
  • assessing the quality of interventions
  • examining the extent of programme outputs
  • examining programme outcomes
  • determining overall programme effects

The chapters in this guide provide the methods and approaches used to answer many of the questions posed in this framework. As this guide focuses more narrowly on M&E methods and, the attention is on those steps that correspond most closely with this topic. Thus, not all steps in the framework receive equal attention here.

[adapted from author]