Key Population Data for Decision Making

Nana Fosua Clement, FHI360, Ghana.

December 4, 2015Washington, DC

M & E approaches for key population programs: perils, pitfalls, and promising practices

Ghana : SHARP, SHARPER into LINKAGES

Outline

• Background• Perils and pitfalls• Promising practices• Lesson learnt

Background

SHARP, SHARPER unto LINKAGES

• USAID-funded projects for KP HIV interventions in Ghana

• Strong component of M & E design for interventions• M & E design fit within country context for effective

collaboration from relevant stakeholders and smooth execution.

• Projects led by FHI360

Perils and pitfalls (SHARP: 2004 – 2009)

Country context – limited KP data so focus on general population for HIV intervention

• FSW data available for programming• Very limited data on MSM so few development

partners and CSO implementing KP interventions.• Country focus on general pop HIV (known/available

data)• First bio-behavioural study on MSM - homophobic

environment, chased out from community, study on hold for 3 months

• M & E tools developed for effective data collection – time consuming and slow

Perils and pitfalls (SHARPER: 2010 – 2014)

Country context - Quality mechanisms for standardized M&E for programing

• KP – stigma, discrimination, fear • Utilization of evidence-based data available from

M & Eo public health facilitieso CSO communityo KP community

• Interest in KP program increase thus need to standardize intervention including M&E (good and bad)

Perils and pitfalls (LINKAGES:2015 –2016) Country context – UNAIDS 90-90-90 strategy

• Community KP prevention intervention with running M & E system, CST services tracked for general population at public health facilities

• M & E system to merge both – data for decision making and effective programming

• Transition period vrs. national M & E system launch

Promising practices

• Performance monitoring to include performance-based feedback, dialogue and funding - strengthens the capacity of implementers to implement improved interventions and to show greater accountability.

• KP IBBSS : FSW - 3 completed, 1 underway; MSM – 1 completed, 1 underway

• Development/Standardized data collection tools and strategic documents for effective programming

o KP SOP, KP Strategic Plan (SP) and National SPo Community mapping - Better target services to KP

hotspotso National KP data collection tools

Promising practices

• Effective M & E result in ‘branding’ and ownership of program by KP community

• National KP TWG to coordinate KP interventions including M & E issues

• UIC – data collection and access to services without fear

»

I am someone’s hope - FSW It’s my turn - MSM

Lesson learnt

• Very careful with HOW, WHEN, WHERE, and TO WHOM sensitive KP information is released.

• Be particularly wary of the press – gain trust with the KP community and stakeholders

Result - proper KP data for decision making.

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Acknowledgements