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ALG
AF
Pre
sent
atio
n by
Ros
e A
LGA
F P
rese
ntat
ion
by R
ose
Nal
wad
daN
alw
adda
Uga
nda
AID
S C
omm
issi
onU
gand
a AI
DS
Com
mis
sion
Cha
lleng
es o
f Dev
elop
ing
Mon
itorin
g C
halle
nges
of D
evel
opin
g M
onito
ring
and
Eval
uatio
n M
echa
nism
s fo
r an
d Ev
alua
tion
Mec
hani
sms
for
HIV
/AID
S In
terv
entio
ns w
ithin
the
HIV
/AID
S In
terv
entio
ns w
ithin
the
cont
ext o
f Dec
entr
aliz
atio
n an
d Lo
cal
cont
ext o
f Dec
entr
aliz
atio
n an
d Lo
cal
Gov
erna
nce.
Gov
erna
nce.
ALG
AF
Pre
sent
atio
nA
LGA
F P
rese
ntat
ion
ALG
AF
Pre
sent
atio
n by
Ros
e A
LGA
F P
rese
ntat
ion
by R
ose
Nal
wad
daN
alw
adda
Uga
nda
AID
S C
omm
issi
onU
gand
a AI
DS
Com
mis
sion
Intr
oduc
tion
Intr
oduc
tion
This
pap
er is
sub
mitt
ed to
the
Afri
can
Loca
l Th
is p
aper
is s
ubm
itted
to th
e A
frica
n Lo
cal
Gov
ernm
ent A
ctio
n Fo
rum
(ALG
AF)
to c
atal
yze
Gov
ernm
ent A
ctio
n Fo
rum
(ALG
AF)
to c
atal
yze
dial
ogue
and
dis
cuss
ions
on
dial
ogue
and
dis
cuss
ions
on
Cha
lleng
es o
f C
halle
nges
of
deve
lopi
ng M
onito
ring
and
Eval
uatio
n (M
&E)
de
velo
ping
Mon
itorin
g an
d Ev
alua
tion
(M&
E)
Mec
hani
sms
for H
IV/A
IDS
Inte
rven
tions
M
echa
nism
s fo
r HIV
/AID
S In
terv
entio
ns
with
in th
e co
ntex
t of D
ecen
tral
izat
ion
and
with
in th
e co
ntex
t of D
ecen
tral
izat
ion
and
Loca
l Gov
erna
nce
Loca
l Gov
erna
nce .
. Th
e P
aper
pre
sent
s a
snap
shot
of t
he e
pide
mic
Th
e P
aper
pre
sent
s a
snap
shot
of t
he e
pide
mic
in
the
7 G
loba
l Dis
tanc
e Le
arni
ng N
etw
ork
in th
e 7
Glo
bal D
ista
nce
Lear
ning
Net
wor
k co
untri
es o
f Eth
iopi
a, G
hana
, Ken
ya, R
wan
da,
coun
tries
of E
thio
pia,
Gha
na, K
enya
, Rw
anda
, Ta
nzan
ia, U
gand
a an
d Zi
mba
bwe.
Ta
nzan
ia, U
gand
a an
d Zi
mba
bwe.
ALG
AF
Pre
sent
atio
n by
Ros
e A
LGA
F P
rese
ntat
ion
by R
ose
Nal
wad
daN
alw
adda
Uga
nda
AID
S C
omm
issi
onU
gand
a AI
DS
Com
mis
sion
Intr
oduc
tion
Intr
oduc
tion
The
pape
r rem
inds
par
ticip
ants
abo
ut th
e gl
obal
Th
e pa
per r
emin
ds p
artic
ipan
ts a
bout
the
glob
al
and
natio
nal o
blig
atio
ns fo
r mon
itorin
g th
e an
d na
tiona
l obl
igat
ions
for m
onito
ring
the
HIV
/AID
S e
pide
mic
with
spe
cific
dis
cuss
ion
on
HIV
/AID
S e
pide
mic
with
spe
cific
dis
cuss
ion
on
the
chal
leng
es o
f dev
elop
ing
the
M&
E s
yste
ms
the
chal
leng
es o
f dev
elop
ing
the
M&
E s
yste
ms
at th
e de
cent
raliz
ed le
vel i
n U
gand
a pr
ovid
es a
at
the
dece
ntra
lized
leve
l in
Uga
nda
prov
ides
a
case
and
just
ifica
tion
for t
he d
ialo
gue
on th
e ca
se a
nd ju
stifi
catio
n fo
r the
dia
logu
e on
the
issu
e.is
sue.
A c
oncl
usio
n is
mad
e po
intin
g at
act
ion
area
s A
con
clus
ion
is m
ade
poin
ting
at a
ctio
n ar
eas
that
cou
ld b
e ad
dres
sed
acro
ss c
ount
ries
to
that
cou
ld b
e ad
dres
sed
acro
ss c
ount
ries
to
impr
ove
mon
itorin
g an
d ev
alua
tion
of th
e im
prov
e m
onito
ring
and
eval
uatio
n of
the
epid
emic
at t
he s
ubep
idem
ic a
t the
sub
-- nat
iona
l lev
el.
natio
nal l
evel
.
ALG
AF
Pre
sent
atio
n by
Ros
e A
LGA
F P
rese
ntat
ion
by R
ose
Nal
wad
daN
alw
adda
Uga
nda
AID
S C
omm
issi
onU
gand
a AI
DS
Com
mis
sion
A s
naps
hot o
f the
Glo
bal H
IV/A
IDS
A s
naps
hot o
f the
Glo
bal H
IV/A
IDS
epid
emic
.ep
idem
ic.
As
of D
ecem
ber 2
007,
an
estim
ated
A
s of
Dec
embe
r 200
7, a
n es
timat
ed
33.2
mill
ion
peop
le w
orld
wid
e w
ere
33.2
mill
ion
peop
le w
orld
wid
e w
ere
livin
g w
ith H
IV a
nd a
n es
timat
ed 2
.5
livin
g w
ith H
IV a
nd a
n es
timat
ed 2
.5
mill
ion
peop
le w
ere
new
ly in
fect
ed .
mill
ion
peop
le w
ere
new
ly in
fect
ed .
The
seve
n co
untr
ies
on w
hich
this
Th
e se
ven
coun
trie
s on
whi
ch th
is
pape
r foc
us, h
appe
n to
be
part
of S
ubpa
per f
ocus
, hap
pen
to b
e pa
rt o
f Sub
--Sa
hara
n A
fric
a w
hich
has
con
tinue
d to
Sa
hara
n A
fric
a w
hich
has
con
tinue
d to
ba
re th
e br
unt o
f the
HIV
and
AID
S ba
re th
e br
unt o
f the
HIV
and
AID
S ep
idem
ic.
epid
emic
. Its
impo
rtan
t to
note
that
no
dise
ase
in
Its im
port
ant t
o no
te th
at n
o di
seas
e in
hi
stor
y ha
s pr
ompt
ed a
com
para
ble
hist
ory
has
prom
pted
a c
ompa
rabl
e m
obili
zatio
n of
reso
urce
s.m
obili
zatio
n of
reso
urce
s.
ALG
AF
Pre
sent
atio
n by
Ros
e A
LGA
F P
rese
ntat
ion
by R
ose
Nal
wad
daN
alw
adda
Uga
nda
AID
S C
omm
issi
onU
gand
a AI
DS
Com
mis
sion
A s
naps
hot o
f the
Glo
bal H
IV/A
IDS
A s
naps
hot o
f the
Glo
bal H
IV/A
IDS
epid
emic
.ep
idem
ic.
Des
pite
the
leve
l of e
ffort
exhi
bite
d by
the
Des
pite
the
leve
l of e
ffort
exhi
bite
d by
the
coun
tries
and
glo
bal p
artn
ers,
all
the
coun
tries
and
glo
bal p
artn
ers,
all
the
coun
tries
hav
e H
IV e
pide
mic
s th
at is
ove
r 1
coun
tries
hav
e H
IV e
pide
mic
s th
at is
ove
r 1
perc
ent.
perc
ent.
The
proj
ecte
d pr
eval
ence
est
imat
es b
y Th
e pr
ojec
ted
prev
alen
ce e
stim
ates
by
UN
AID
S in
200
7 re
veal
Eth
iopi
a an
d G
hana
U
NA
IDS
in 2
007
reve
al E
thio
pia
and
Gha
na
as h
avin
g th
e lo
wes
t pre
vale
nce
of 2
.2%
as
hav
ing
the
low
est p
reva
lenc
e of
2.2
%
whi
le Z
imba
bwe
whi
le Z
imba
bwe ’’
s pr
eval
ence
is h
ighe
st ,
at
s pr
eval
ence
is h
ighe
st ,
at
16.1
%. (
Ple
ase
refe
r to
Tabl
e 1)
.16
.1%
. ( P
leas
e re
fer t
o Ta
ble
1).
ALG
AF
Pre
sent
atio
n by
Ros
e A
LGA
F P
rese
ntat
ion
by R
ose
Nal
wad
daN
alw
adda
Uga
nda
AID
S C
omm
issi
onU
gand
a AI
DS
Com
mis
sion
Tabl
e 1:
Adu
lt (1
5Ta
ble
1: A
dult
(15 --
49) h
igh
estim
ate
prev
alen
ce (%
) by
49) h
igh
estim
ate
prev
alen
ce (%
) by
coun
try
durin
g 19
90, 2
000
and
2007
coun
try
durin
g 19
90, 2
000
and
2007
Ple
ase
refe
r to
hand
out
for t
able
1 o
n P
leas
e re
fer t
o ha
nd o
ut fo
r tab
le 1
on
Pag
e 2
Pag
e 2
ALG
AF
Pre
sent
atio
n by
Ros
e A
LGA
F P
rese
ntat
ion
by R
ose
Nal
wad
daN
alw
adda
Uga
nda
AID
S C
omm
issi
onU
gand
a AI
DS
Com
mis
sion
Tabl
e 2:
AID
S de
ath
in a
dults
and
chi
ldre
n Ta
ble
2: A
IDS
deat
h in
adu
lts a
nd c
hild
ren
(num
ber)
by
coun
try
durin
g 19
90, 2
000
& 2
007
(num
ber)
by
coun
try
durin
g 19
90, 2
000
& 2
007
Whi
le th
ere
is in
crea
sing
evi
denc
e of
pro
gres
s m
ade
in
Whi
le th
ere
is in
crea
sing
evi
denc
e of
pro
gres
s m
ade
in
prov
idin
g tre
atm
ent a
nd c
are
for t
he in
fect
ed a
nd
prov
idin
g tre
atm
ent a
nd c
are
for t
he in
fect
ed a
nd
affe
cted
peo
ple,
AID
S re
mai
ns a
key
stra
in th
e he
alth
af
fect
ed p
eopl
e, A
IDS
rem
ains
a k
ey s
train
the
heal
th
syst
ems
and
a m
ajor
cau
se o
f dea
th in
the
wor
ld to
day.
sy
stem
s an
d a
maj
or c
ause
of d
eath
in th
e w
orld
toda
y.
In 2
007,
AR
V c
over
age
rose
by
42%
, rea
chin
g 3
mill
ion
In 2
007,
AR
V c
over
age
rose
by
42%
, rea
chin
g 3
mill
ion
peop
le in
low
peop
le in
low
-- and
mid
dle
and
mid
dle --
inco
me
coun
tries
.in
com
e co
untri
es.
Onl
y 31
% o
f ind
ivid
uals
livi
ng w
ith H
IV a
nd T
B c
oO
nly
31%
of i
ndiv
idua
ls li
ving
with
HIV
and
TB
co --
infe
ctio
n re
ceiv
ed b
oth
antir
etro
vira
l and
ant
iin
fect
ion
rece
ived
bot
h an
tiret
rovi
ral a
nd a
nti -- T
B d
rugs
TB
dru
gs
(UN
, 200
8).
(UN
, 200
8).
AID
S d
eath
s ar
e m
ore
or le
ss in
crea
sing
in a
ll th
e 7
AID
S d
eath
s ar
e m
ore
or le
ss in
crea
sing
in a
ll th
e 7
coun
tries
exc
ept U
gand
a w
here
ther
e ha
s be
en a
co
untri
es e
xcep
t Uga
nda
whe
re th
ere
has
been
a
halv
ing
of th
e de
aths
in th
e re
cent
7 y
ears
and
dea
ths
in
halv
ing
of th
e de
aths
in th
e re
cent
7 y
ears
and
dea
ths
in
Zim
babw
e ha
ve in
crea
sed
six
times
in th
e la
st 1
7 ye
ars
Zim
babw
e ha
ve in
crea
sed
six
times
in th
e la
st 1
7 ye
ars
(Tab
le 2
). an
d in
crea
sing
leve
ls o
f wid
owho
od(T
able
2).
and
incr
easi
ng le
vels
of w
idow
hood
ALG
AF
Pre
sent
atio
n by
Ros
e A
LGA
F P
rese
ntat
ion
by R
ose
Nal
wad
daN
alw
adda
Uga
nda
AID
S C
omm
issi
onU
gand
a AI
DS
Com
mis
sion
Mon
itorin
g an
d Ev
alua
ting
the
Mon
itorin
g an
d Ev
alua
ting
the
HIV
/AID
S ep
idem
icH
IV/A
IDS
epid
emic
M &
E re
fers
to th
e co
ntin
uous
ass
essm
ent o
f M
& E
refe
rs to
the
cont
inuo
us a
sses
smen
t of
prog
ress
mad
e to
war
ds s
et ta
rget
s an
d th
e im
pact
pr
ogre
ss m
ade
tow
ards
set
targ
ets
and
the
impa
ct
mad
e fro
m th
e pl
anne
d ac
tiviti
es, r
espe
ctiv
ely.
m
ade
from
the
plan
ned
activ
ities
, res
pect
ivel
y.
The
bene
fits
of M
&E
spa
n fro
m im
prov
ing
deci
sion
Th
e be
nefit
s of
M&
E s
pan
from
impr
ovin
g de
cisi
on
mak
ing
to e
nhan
cing
acc
ount
abili
ty re
latio
nshi
ps
mak
ing
to e
nhan
cing
acc
ount
abili
ty re
latio
nshi
ps
and
trans
pare
ncy.
an
d tra
nspa
renc
y.
Whi
le d
ecis
ion
mak
ing
is v
ery
impo
rtant
at
Whi
le d
ecis
ion
mak
ing
is v
ery
impo
rtant
at
impl
emen
tatio
n le
vel,
M&
E fo
r acc
ount
abili
ty a
nd
impl
emen
tatio
n le
vel,
M&
E fo
r acc
ount
abili
ty a
nd
trans
pare
ncy
larg
ely
serv
es to
est
ablis
h ev
iden
ce o
n tra
nspa
renc
y la
rgel
y se
rves
to e
stab
lish
evid
ence
on
prog
ress
mad
e on
var
ious
nat
iona
l and
glo
bal
prog
ress
mad
e on
var
ious
nat
iona
l and
glo
bal
com
mitm
ents
by
gove
rnm
ents
to im
prov
e th
e so
cio,
co
mm
itmen
ts b
y go
vern
men
ts to
impr
ove
the
soci
o,
polit
ical
and
eco
nom
ic s
tatu
s of
the
popu
latio
ns.
polit
ical
and
eco
nom
ic s
tatu
s of
the
popu
latio
ns.
ALG
AF
Pre
sent
atio
n by
Ros
e A
LGA
F P
rese
ntat
ion
by R
ose
Nal
wad
daN
alw
adda
Uga
nda
AID
S C
omm
issi
onU
gand
a AI
DS
Com
mis
sion
Mon
itorin
g an
d Ev
alua
ting
the
Mon
itorin
g an
d Ev
alua
ting
the
HIV
/AID
S ep
idem
icH
IV/A
IDS
epid
emic
Ther
e ar
e sp
ecifi
c re
ason
s w
hy m
onito
ring
and
Ther
e ar
e sp
ecifi
c re
ason
s w
hy m
onito
ring
and
Eva
luat
ing
the
HIV
/AID
S e
pide
mic
is c
ritic
al a
t E
valu
atin
g th
e H
IV/A
IDS
epi
dem
ic is
crit
ical
at
both
glo
bal a
nd im
plem
enta
tion
leve
ls.
both
glo
bal a
nd im
plem
enta
tion
leve
ls.
Firs
t, th
e H
IV e
pide
mic
is a
glo
bal d
evel
opm
ent
Firs
t, th
e H
IV e
pide
mic
is a
glo
bal d
evel
opm
ent
chal
leng
e an
d al
l nat
ions
are
inte
rest
ed in
ch
alle
nge
and
all n
atio
ns a
re in
tere
sted
in
findi
ng la
stin
g so
lutio
ns to
the
wor
ldw
ide
findi
ng la
stin
g so
lutio
ns to
the
wor
ldw
ide
suffe
ring.
The
re a
re g
loba
l com
mitm
ents
by
suffe
ring.
The
re a
re g
loba
l com
mitm
ents
by
natio
ns to
resp
ond
to th
e pr
oble
m th
at a
re
natio
ns to
resp
ond
to th
e pr
oble
m th
at a
re
mon
itore
d on
a re
gula
r bas
is.
mon
itore
d on
a re
gula
r bas
is.
ALG
AF
Pre
sent
atio
n by
Ros
e A
LGA
F P
rese
ntat
ion
by R
ose
Nal
wad
daN
alw
adda
Uga
nda
AID
S C
omm
issi
onU
gand
a AI
DS
Com
mis
sion
Mon
itorin
g an
d Ev
alua
ting
the
Mon
itorin
g an
d Ev
alua
ting
the
HIV
/AID
S ep
idem
icH
IV/A
IDS
epid
emic
The
thre
e cu
rrent
not
able
glo
bal
The
thre
e cu
rrent
not
able
glo
bal
mon
itorin
g fra
mew
orks
for t
he H
IV/A
IDS
m
onito
ring
fram
ewor
ks fo
r the
HIV
/AID
S
are:
ar
e:
The
Cor
e in
dica
tors
for m
onito
ring
the
The
Cor
e in
dica
tors
for m
onito
ring
the
decl
arat
ion
of c
omm
itmen
t on
HIV
/AID
S
decl
arat
ion
of c
omm
itmen
t on
HIV
/AID
S
resp
onse
; re
spon
se;
The
Uni
vers
al a
cces
s ta
rget
s;Th
e U
nive
rsal
acc
ess
targ
ets;
The
Mille
nniu
m D
evel
opm
ent g
oals
Th
e M
illenn
ium
Dev
elop
men
t goa
ls
MD
Gs
MD
Gs )
.).
ALG
AF
Pre
sent
atio
n by
Ros
e A
LGA
F P
rese
ntat
ion
by R
ose
Nal
wad
daN
alw
adda
Uga
nda
AID
S C
omm
issi
onU
gand
a AI
DS
Com
mis
sion
Mon
itorin
g an
d Ev
alua
ting
the
Mon
itorin
g an
d Ev
alua
ting
the
HIV
/AID
S ep
idem
icH
IV/A
IDS
epid
emic
In th
e 20
01U
N G
ener
al A
ssem
bly
In th
e 20
01U
N G
ener
al A
ssem
bly
(UN
GA
SS
), M
embe
r Sta
tes
unan
imou
sly
(UN
GA
SS
), M
embe
r Sta
tes
unan
imou
sly
embr
aced
a s
erie
s of
tim
eem
brac
ed a
ser
ies
of ti
me --
boun
d ta
rget
s bo
und
targ
ets
in th
e D
ecla
ratio
n of
Com
mitm
ent o
n in
the
Dec
lara
tion
of C
omm
itmen
t on
HIV
/AID
S.
HIV
/AID
S.
Mor
e sp
ecifi
cally
, in
adop
ting
the
Mor
e sp
ecifi
cally
, in
adop
ting
the
Dec
lara
tion,
mem
ber s
tate
s ob
ligat
ed
Dec
lara
tion,
mem
ber s
tate
s ob
ligat
ed
them
selv
es to
regu
larly
repo
rt on
thei
r th
emse
lves
to re
gula
rly re
port
on th
eir
prog
ress
to th
e G
ener
al A
ssem
bly.
pr
ogre
ss to
the
Gen
eral
Ass
embl
y.
Mem
ber s
tate
s ar
e re
quire
d to
sub
mit
Mem
ber s
tate
s ar
e re
quire
d to
sub
mit
Cou
ntry
Pro
gres
s re
ports
to U
NA
IDS
C
ount
ry P
rogr
ess
repo
rts to
UN
AID
S
ever
y tw
o ye
ars.
ev
ery
two
year
s.
ALG
AF
Pre
sent
atio
n by
Ros
e A
LGA
F P
rese
ntat
ion
by R
ose
Nal
wad
daN
alw
adda
Uga
nda
AID
S C
omm
issi
onU
gand
a AI
DS
Com
mis
sion
Mon
itorin
g an
d Ev
alua
ting
the
Mon
itorin
g an
d Ev
alua
ting
the
HIV
/AID
S ep
idem
icH
IV/A
IDS
epid
emic
In a
dditi
on e
fforts
hav
e be
en m
ade
by
In a
dditi
on e
fforts
hav
e be
en m
ade
by
UN
AID
S to
dev
elop
a C
ount
ry R
epor
ting
UN
AID
S to
dev
elop
a C
ount
ry R
epor
ting
Info
rmat
ion
Sys
tem
(CR
IS) d
ata
entry
In
form
atio
n S
yste
m (C
RIS
) dat
a en
try
softw
are
to a
id th
e gl
obal
repo
rting
. so
ftwar
e to
aid
the
glob
al re
porti
ng.
The
num
ber o
f cou
ntrie
s re
porti
ng o
n th
ese
The
num
ber o
f cou
ntrie
s re
porti
ng o
n th
ese
indi
cato
rs, a
nd th
e co
mpl
eten
ess
of n
atio
nal
indi
cato
rs, a
nd th
e co
mpl
eten
ess
of n
atio
nal
repo
rts h
as s
tead
ily im
prov
ed s
ince
repo
rting
re
ports
has
ste
adily
impr
oved
sin
ce re
porti
ng
bega
n in
200
3. In
200
8, o
ver 8
0 pe
rcen
t of t
he
bega
n in
200
3. In
200
8, o
ver 8
0 pe
rcen
t of t
he
47 S
ub47
Sub
-- Sah
aran
cou
ntie
s su
bmitt
ed th
eir U
N
Sah
aran
cou
ntie
s su
bmitt
ed th
eir U
N
Gen
eral
Ass
embl
y (U
NG
AS
S) c
omm
itmen
t G
ener
al A
ssem
bly
(UN
GA
SS
) com
mitm
ent
repo
rts.
repo
rts.
ALG
AF
Pre
sent
atio
n by
Ros
e A
LGA
F P
rese
ntat
ion
by R
ose
Nal
wad
daN
alw
adda
Uga
nda
AID
S C
omm
issi
onU
gand
a AI
DS
Com
mis
sion
Mon
itorin
g an
d Ev
alua
ting
the
Mon
itorin
g an
d Ev
alua
ting
the
HIV
/AID
S ep
idem
icH
IV/A
IDS
epid
emic
The
seco
nd m
ajor
reas
on w
hy m
onito
ring
and
The
seco
nd m
ajor
reas
on w
hy m
onito
ring
and
eval
uatin
g th
e H
IV/A
IDS
resp
onse
is c
ritic
al is
ev
alua
ting
the
HIV
/AID
S re
spon
se is
crit
ical
is
the
vola
tile
natu
re o
f the
epi
dem
ic.
the
vola
tile
natu
re o
f the
epi
dem
ic.
As
the
heal
th a
nd s
ocia
l effe
cts
and
impa
cts
of
As
the
heal
th a
nd s
ocia
l effe
cts
and
impa
cts
of
the
epid
emic
cha
nge,
the
natio
nal r
espo
nses
th
e ep
idem
ic c
hang
e, th
e na
tiona
l res
pons
es
have
to b
e in
tand
em w
ith th
e ch
ange
s. F
or
have
to b
e in
tand
em w
ith th
e ch
ange
s. F
or
effe
ctiv
e re
spon
ses,
cou
ntrie
s ha
ve to
kno
w th
e ef
fect
ive
resp
onse
s, c
ount
ries
have
to k
now
the
popu
latio
ns w
ho a
re m
ost a
t ris
k, th
e so
urce
of
popu
latio
ns w
ho a
re m
ost a
t ris
k, th
e so
urce
of
new
infe
ctio
ns a
nd th
e m
ost c
ost e
ffect
ive
new
infe
ctio
ns a
nd th
e m
ost c
ost e
ffect
ive
inte
rven
tions
. in
terv
entio
ns.
ALG
AF
Pre
sent
atio
n by
Ros
e A
LGA
F P
rese
ntat
ion
by R
ose
Nal
wad
daN
alw
adda
Uga
nda
AID
S C
omm
issi
onU
gand
a AI
DS
Com
mis
sion
Mon
itorin
g an
d Ev
alua
ting
the
Mon
itorin
g an
d Ev
alua
ting
the
HIV
/AID
S ep
idem
icH
IV/A
IDS
epid
emic
The
third
reas
on is
the
incr
easi
ng
The
third
reas
on is
the
incr
easi
ng
dedi
cate
d gl
obal
fund
ing
for H
IV. T
here
is
dedi
cate
d gl
obal
fund
ing
for H
IV. T
here
is
a 6
a 6 --
fold
incr
ease
in fi
nanc
ing
for H
IV
fold
incr
ease
in fi
nanc
ing
for H
IV
prog
ram
s in
low
prog
ram
s in
low
-- and
mid
dle
inco
me
and
mid
dle
inco
me
coun
tries
(UN
AID
S, 2
008)
. co
untri
es (U
NA
IDS
, 200
8).
For d
etai
ls o
n di
sbur
sem
ent f
or c
ount
ries
For d
etai
ls o
n di
sbur
sem
ent f
or c
ount
ries
unde
r rev
iew
, ple
ase
refe
r to
tabl
e 4
in th
e un
der r
evie
w, p
leas
e re
fer t
o ta
ble
4 in
the
hand
out
.ha
nd o
ut.
ALG
AF
Pre
sent
atio
n by
Ros
e A
LGA
F P
rese
ntat
ion
by R
ose
Nal
wad
daN
alw
adda
Uga
nda
AID
S C
omm
issi
onU
gand
a AI
DS
Com
mis
sion
M&
E M
echa
nism
s at
M
&E
Mec
hani
sms
at
Dec
entr
aliz
ed le
vel i
n U
gand
Dec
entr
aliz
ed le
vel i
n U
gand
aaTh
e D
ecen
traliz
atio
n po
licy
was
laun
ched
Th
e D
ecen
traliz
atio
n po
licy
was
laun
ched
in
Uga
nda
in 1
992
in w
hich
var
ying
in
Uga
nda
in 1
992
in w
hich
var
ying
po
wer
s an
d se
rvic
e pr
ovis
ion
have
bee
n po
wer
s an
d se
rvic
e pr
ovis
ion
have
bee
n de
volv
ed to
pop
ular
ly e
lect
ed lo
cal
devo
lved
to p
opul
arly
ele
cted
loca
l go
vern
men
ts.
gove
rnm
ents
. A
t bot
h na
tiona
l and
loca
l gov
ernm
ent
At b
oth
natio
nal a
nd lo
cal g
over
nmen
t le
vels
, the
refo
rms
have
resu
lted
into
mor
e le
vels
, the
refo
rms
have
resu
lted
into
mor
e de
man
d fo
r acc
ount
abilit
y, tr
ansp
aren
ce
dem
and
for a
ccou
ntab
ility,
tran
spar
ence
an
d ev
iden
ce o
f res
ults
. an
d ev
iden
ce o
f res
ults
.
ALG
AF
Pre
sent
atio
n by
Ros
e A
LGA
F P
rese
ntat
ion
by R
ose
Nal
wad
daN
alw
adda
Uga
nda
AID
S C
omm
issi
onU
gand
a AI
DS
Com
mis
sion
M&
E M
echa
nism
s at
M
&E
Mec
hani
sms
at
Dec
entr
aliz
ed le
vel i
n U
gand
Dec
entr
aliz
ed le
vel i
n U
gand
aaH
IV/A
IDS
is s
een
as a
mai
nstre
am c
ross
cutti
ng
HIV
/AID
S is
see
n as
a m
ains
tream
cro
sscu
tting
de
velo
pmen
t cha
lleng
e an
d co
nsid
erab
le e
fforts
de
velo
pmen
t cha
lleng
e an
d co
nsid
erab
le e
fforts
ha
ve b
een
mad
e at
all
leve
ls in
the
coun
try to
ha
ve b
een
mad
e at
all
leve
ls in
the
coun
try to
ad
dres
s th
e pr
oble
m. A
mec
hani
sm th
at b
rings
ad
dres
s th
e pr
oble
m. A
mec
hani
sm th
at b
rings
to
geth
er a
ll st
akeh
olde
rs in
the
natio
nal
toge
ther
all
stak
ehol
ders
in th
e na
tiona
l re
spon
se a
nd le
d by
the
Uga
nda
AID
S
resp
onse
and
led
by th
e U
gand
a A
IDS
C
omm
issi
on (U
AC
) has
bee
n se
t up.
C
omm
issi
on (U
AC
) has
bee
n se
t up.
A
Mul
ti A
Mul
ti se
ctor
alse
ctor
alA
ppro
ach
to th
e re
spon
se w
ith
App
roac
h to
the
resp
onse
with
ce
ntra
l coo
rdin
atio
n fro
m a
neu
tral i
nstit
utio
n ce
ntra
l coo
rdin
atio
n fro
m a
neu
tral i
nstit
utio
n (T
he o
ffice
of t
he P
resi
dent
) was
ado
pted
by
the
(The
offi
ce o
f the
Pre
side
nt) w
as a
dopt
ed b
y th
e es
tabl
ishm
ent o
f the
Uga
nda
AID
S C
omm
issi
on
esta
blis
hmen
t of t
he U
gand
a A
IDS
Com
mis
sion
w
ay b
ack
in 1
992.
w
ay b
ack
in 1
992.
ALG
AF
Pre
sent
atio
n by
Ros
e A
LGA
F P
rese
ntat
ion
by R
ose
Nal
wad
daN
alw
adda
Uga
nda
AID
S C
omm
issi
onU
gand
a AI
DS
Com
mis
sion
M&
E M
echa
nism
s at
M
&E
Mec
hani
sms
at
Dec
entr
aliz
ed le
vel i
n U
gand
Dec
entr
aliz
ed le
vel i
n U
gand
aaW
hile
the
Par
tner
ship
Com
mitt
ee (P
C) t
hat
Whi
le th
e P
artn
ersh
ip C
omm
ittee
(PC
) tha
t m
eets
eve
ry m
onth
is re
spon
sibl
e fo
r m
eets
eve
ry m
onth
is re
spon
sibl
e fo
r m
onito
ring
prog
ress
at n
atio
nal l
evel
, the
m
onito
ring
prog
ress
at n
atio
nal l
evel
, the
D
istri
ct A
IDS
Com
mitt
ee (D
AC
) and
the
Dis
trict
AID
S C
omm
ittee
(DA
C) a
nd th
e D
istri
ct A
IDS
Tas
k Fo
rce
(DA
T) a
re th
e D
istri
ct A
IDS
Tas
k Fo
rce
(DA
T) a
re th
e or
gans
resp
onsi
ble
for o
vers
eein
g or
gans
resp
onsi
ble
for o
vers
eein
g im
plem
enta
tion
at th
e di
stric
t lev
el.
impl
emen
tatio
n at
the
dist
rict l
evel
.
ALG
AF
Pre
sent
atio
n by
Ros
e A
LGA
F P
rese
ntat
ion
by R
ose
Nal
wad
daN
alw
adda
Uga
nda
AID
S C
omm
issi
onU
gand
a AI
DS
Com
mis
sion
M&
E M
echa
nism
s at
M
&E
Mec
hani
sms
at
Dec
entr
aliz
ed le
vel i
n U
gand
Dec
entr
aliz
ed le
vel i
n U
gand
aaU
gand
a ha
s re
cent
ly c
ompl
eted
a p
artic
ipat
ory
Uga
nda
has
rece
ntly
com
plet
ed a
par
ticip
ator
y pr
oces
s to
dev
elop
a N
atio
nal S
trate
gic
Pla
n pr
oces
s to
dev
elop
a N
atio
nal S
trate
gic
Pla
n (N
SP
)(N
SP
) 200
7/8
2007
/8 --
2011
/12
2011
/12
and
the
supp
ortin
g an
d th
e su
ppor
ting
Nat
iona
l Per
form
ance
Mea
sure
men
t and
N
atio
nal P
erfo
rman
ce M
easu
rem
ent a
nd
Man
agem
ent P
lan
(PM
MP)
. M
anag
emen
t Pla
n (P
MM
P).
The
Pla
n cl
early
des
crib
es th
e pr
oces
s of
Th
e P
lan
clea
rly d
escr
ibes
the
proc
ess
of
mon
itorin
g at
the
dist
rict a
nd lo
wer
leve
ls. T
he
mon
itorin
g at
the
dist
rict a
nd lo
wer
leve
ls. T
he
unde
rsta
ndin
g is
that
with
in th
e de
cent
raliz
atio
n un
ders
tand
ing
is th
at w
ithin
the
dece
ntra
lizat
ion
polic
y, th
e di
stric
tspo
licy,
the
dist
ricts
’’ lea
ders
hip
is e
xpec
ted
to
lead
ersh
ip is
exp
ecte
d to
pl
ay a
sig
nific
ant r
ole
in th
e pr
ovis
ion
of
play
a s
igni
fican
t rol
e in
the
prov
isio
n of
te
chni
cal s
ervi
ces
and
coor
dina
tion
of H
IV/A
IDS
te
chni
cal s
ervi
ces
and
coor
dina
tion
of H
IV/A
IDS
ac
tiviti
es a
t the
loca
l gov
ernm
ent a
nd lo
wer
loca
l ac
tiviti
es a
t the
loca
l gov
ernm
ent a
nd lo
wer
loca
l go
vern
men
t lev
els.
go
vern
men
t lev
els.
ALG
AF
Pre
sent
atio
n by
Ros
e A
LGA
F P
rese
ntat
ion
by R
ose
Nal
wad
daN
alw
adda
Uga
nda
AID
S C
omm
issi
onU
gand
a AI
DS
Com
mis
sion
Cha
lleng
es o
f M&
E M
echa
nism
s C
halle
nges
of M
&E
Mec
hani
sms
at d
istr
ict l
evel
in U
gand
at d
istr
ict l
evel
in U
gand
aaIt
is im
porta
nt to
not
e th
at c
halle
nges
of
It is
impo
rtant
to n
ote
that
cha
lleng
es o
f M
&E
cut
acr
oss
all s
ervi
ce d
eliv
ery
with
M
&E
cut
acr
oss
all s
ervi
ce d
eliv
ery
with
ho
wev
er v
aryi
ng s
ever
ity. T
he L
ocal
ho
wev
er v
aryi
ng s
ever
ity. T
he L
ocal
G
over
nmen
t Sec
tor I
nves
tmen
t Pla
n G
over
nmen
t Sec
tor I
nves
tmen
t Pla
n de
scrib
es M
onito
ring
and
Eva
luat
ion
as a
de
scrib
es M
onito
ring
and
Eva
luat
ion
as a
pr
oces
s in
tend
ed to
est
ablis
hing
pr
oces
s in
tend
ed to
est
ablis
hing
co
nfor
mity
to s
tipul
ated
gui
delin
es,
conf
orm
ity to
stip
ulat
ed g
uide
lines
, ef
ficie
ncy
and
valu
e fo
r mon
ey,
effic
ienc
y an
d va
lue
for m
oney
, ef
fect
iven
ess,
impa
ct, s
usta
inab
ility
and
effe
ctiv
enes
s, im
pact
, sus
tain
abilit
y an
d re
leva
nce
to lo
cal c
onte
xts.
re
leva
nce
to lo
cal c
onte
xts.
ALG
AF
Pre
sent
atio
n by
Ros
e A
LGA
F P
rese
ntat
ion
by R
ose
Nal
wad
daN
alw
adda
Uga
nda
AID
S C
omm
issi
onU
gand
a AI
DS
Com
mis
sion
Cha
lleng
es o
f M&
E M
echa
nism
s C
halle
nges
of M
&E
Mec
hani
sms
at d
istr
ict l
evel
in U
gand
at d
istr
ict l
evel
in U
gand
aaTh
e P
lan
the
chal
leng
es to
M&
E to
incl
ude
:Th
e P
lan
the
chal
leng
es to
M&
E to
incl
ude
:M
ultip
le M
&E
tool
s fo
r spe
cific
pro
ject
s; P
MA
, M
ultip
le M
&E
tool
s fo
r spe
cific
pro
ject
s; P
MA
, N
AA
DS
, NU
SA
F, L
GD
PII
NA
AD
S, N
US
AF,
LG
DP
IIS
ever
al p
aral
lel l
evel
s of
M&
E s
truct
ures
; Lin
e S
ever
al p
aral
lel l
evel
s of
M&
E s
truct
ures
; Lin
e M
inis
tries
, IG
G, O
AG
, Offi
ce o
f the
Prim
e M
inis
tries
, IG
G, O
AG
, Offi
ce o
f the
Prim
e M
inis
ter,
Nat
iona
l Pla
nnin
g A
utho
rity
(NP
A)
Min
iste
r, N
atio
nal P
lann
ing
Aut
horit
y (N
PA
)La
ck o
f a C
entra
l sto
rage
and
cle
arin
g sy
stem
La
ck o
f a C
entra
l sto
rage
and
cle
arin
g sy
stem
fro
m th
e se
vera
l stru
ctur
esfro
m th
e se
vera
l stru
ctur
esLa
ck o
f cap
acity
by
LG to
und
erta
ke th
e M
&E
La
ck o
f cap
acity
by
LG to
und
erta
ke th
e M
&E
fu
nctio
n; li
ke fi
lling
of f
orm
s an
d in
terp
reta
tion
func
tion;
like
filli
ng o
f for
ms
and
inte
rpre
tatio
n of
info
rmat
ion
of in
form
atio
n
ALG
AF
Pre
sent
atio
n by
Ros
e A
LGA
F P
rese
ntat
ion
by R
ose
Nal
wad
daN
alw
adda
Uga
nda
AID
S C
omm
issi
onU
gand
a AI
DS
Com
mis
sion
Cha
lleng
es o
f M&
E M
echa
nism
s C
halle
nges
of M
&E
Mec
hani
sms
at d
istr
ict l
evel
in U
gand
at d
istr
ict l
evel
in U
gand
aaTh
ese
chal
leng
es a
pply
to m
onito
ring
HIV
Th
ese
chal
leng
es a
pply
to m
onito
ring
HIV
an
d A
IDS
by
Loca
l gov
ernm
ents
. Mor
e an
d A
IDS
by
Loca
l gov
ernm
ents
. Mor
e sp
ecifi
cally
to H
IV a
nd A
IDS
the
follo
win
g sp
ecifi
cally
to H
IV a
nd A
IDS
the
follo
win
g ch
alle
nges
are
obs
erve
d an
d so
me
of
chal
leng
es a
re o
bser
ved
and
som
e of
th
em a
re g
ener
al a
pply
ing
to th
e na
tiona
l th
em a
re g
ener
al a
pply
ing
to th
e na
tiona
l le
vel b
ut a
ffect
the
dist
ricts
as
wel
l.le
vel b
ut a
ffect
the
dist
ricts
as
wel
l.
ALG
AF
Pre
sent
atio
n by
Ros
e A
LGA
F P
rese
ntat
ion
by R
ose
Nal
wad
daN
alw
adda
Uga
nda
AID
S C
omm
issi
onU
gand
a AI
DS
Com
mis
sion
Cha
lleng
esC
halle
nges
……
……
....D
efin
ing
and
deve
lopi
ng a
sha
red
unde
rsta
ndin
g D
efin
ing
and
deve
lopi
ng a
sha
red
unde
rsta
ndin
g of
indi
cato
rs: c
olle
ctin
g an
d re
porti
ng o
n th
e of
indi
cato
rs: c
olle
ctin
g an
d re
porti
ng o
n th
e sa
me
info
rmat
ion.
sa
me
info
rmat
ion.
H
arm
oniz
ing
indi
cato
rs: m
ost s
ervi
ce p
rovi
ders
H
arm
oniz
ing
indi
cato
rs: m
ost s
ervi
ce p
rovi
ders
ar
e no
t usi
ng th
e in
dica
tors
out
lined
in th
e M
&E
ar
e no
t usi
ng th
e in
dica
tors
out
lined
in th
e M
&E
fra
mew
ork
(var
iatio
n de
pend
ing
on fu
ndin
g fra
mew
ork
(var
iatio
n de
pend
ing
on fu
ndin
g ag
enci
es.)
agen
cies
.) W
eak
or n
o lin
kage
of t
he U
AC
dat
abas
e w
ith
Wea
k or
no
linka
ge o
f the
UA
C d
atab
ase
with
ex
istin
g da
ta re
porti
ng s
yste
ms
i.e.,
HM
IS,
exis
ting
data
repo
rting
sys
tem
s i.e
., H
MIS
, E
MIS
, M&
E fo
r OV
CE
MIS
, M&
E fo
r OV
CIn
adeq
uate
sta
ffing
and
cap
acity
(ski
lls a
nd
Inad
equa
te s
taffi
ng a
nd c
apac
ity (s
kills
and
in
frast
ruct
ure)
; in
frast
ruct
ure)
; Var
ing
Var
ing
leve
ls o
f det
ail r
equi
red
by
leve
ls o
f det
ail r
equi
red
by
stak
ehol
ders
stak
ehol
ders
’’ rep
orts
repo
rts
ALG
AF
Pre
sent
atio
n by
Ros
e A
LGA
F P
rese
ntat
ion
by R
ose
Nal
wad
daN
alw
adda
Uga
nda
AID
S C
omm
issi
onU
gand
a AI
DS
Com
mis
sion
Cha
lleng
esC
halle
nges
……
……
....D
iffer
ent p
lann
ing
and
repo
rting
cyc
les
for
Diff
eren
t pla
nnin
g an
d re
porti
ng c
ycle
s fo
r G
over
nmen
t of U
gand
a, Im
plem
entin
g P
artn
ers,
G
over
nmen
t of U
gand
a, Im
plem
entin
g P
artn
ers,
D
evel
opm
ent P
artn
ers.
D
evel
opm
ent P
artn
ers.
H
igh
leve
l of a
ggre
gatio
n of
dat
a fro
m n
atio
nal
Hig
h le
vel o
f agg
rega
tion
of d
ata
from
nat
iona
l su
rvey
s (e
.g.
surv
eys
(e.g
. ser
ose
ro-- s
urve
y; U
DH
S)
surv
ey; U
DH
S)
Exp
ensi
ve m
etho
ds o
f obt
aini
ng d
ata
on k
ey
Exp
ensi
ve m
etho
ds o
f obt
aini
ng d
ata
on k
ey
indi
cato
rs li
ke in
cide
nce.
in
dica
tors
like
inci
denc
e.
Dem
and
for d
ata
by p
rogr
am m
anag
ers
for
Dem
and
for d
ata
by p
rogr
am m
anag
ers
for
plan
ning
is li
mite
dpl
anni
ng is
lim
ited
The
stig
ma
arou
nd H
IV.
The
stig
ma
arou
nd H
IV.
With
incr
easi
ng a
dvoc
acy
for m
ains
tream
ing
HIV
, W
ith in
crea
sing
adv
ocac
y fo
r mai
nstre
amin
g H
IV,
attri
butio
n an
d es
tabl
ishi
ng v
alue
for m
oney
at
tribu
tion
and
esta
blis
hing
val
ue fo
r mon
ey
beco
mes
a c
halle
nge.
beco
mes
a c
halle
nge.
ALG
AF
Pre
sent
atio
n by
Ros
e A
LGA
F P
rese
ntat
ion
by R
ose
Nal
wad
daN
alw
adda
Uga
nda
AID
S C
omm
issi
onU
gand
a AI
DS
Com
mis
sion
Cha
lleng
esC
halle
nges
……
……
……
..
Des
pite
the
man
y ch
alle
nges
, the
re is
D
espi
te th
e m
any
chal
leng
es, t
here
is
som
e m
onito
ring
and
eval
uatio
n of
HIV
so
me
mon
itorin
g an
d ev
alua
tion
of H
IV
and
AID
S p
rogr
ams
by L
ocal
an
d A
IDS
pro
gram
s by
Loc
al
Gov
ernm
ents
whi
ch is
larg
ely,
G
over
nmen
ts w
hich
is la
rgel
y, a
dhoc
adho
can
d an
d no
t wel
l ins
titut
iona
lized
in th
e lo
cal
not w
ell i
nstit
utio
naliz
ed in
the
loca
l go
vern
men
t stru
ctur
es. T
he la
ck o
f go
vern
men
t stru
ctur
es. T
he la
ck o
f su
bsta
ntiv
e ev
iden
ce o
n th
e ep
idem
ic a
t su
bsta
ntiv
e ev
iden
ce o
n th
e ep
idem
ic a
t th
e lo
cal g
over
nmen
t lev
els
has
slow
ed
the
loca
l gov
ernm
ent l
evel
s ha
s sl
owed
do
wn
the
agen
da o
f mai
nstre
amin
g H
IV
dow
n th
e ag
enda
of m
ains
tream
ing
HIV
an
d A
IDS
in D
istri
ct D
evel
opm
ent P
lans
. an
d A
IDS
in D
istri
ct D
evel
opm
ent P
lans
.
ALG
AF
Pre
sent
atio
n by
Ros
e A
LGA
F P
rese
ntat
ion
by R
ose
Nal
wad
daN
alw
adda
Uga
nda
AID
S C
omm
issi
onU
gand
a AI
DS
Com
mis
sion
Inno
vatio
ns to
Ove
r com
e M
&E
Inno
vatio
ns to
Ove
r com
e M
&E
Cha
lleng
esC
halle
nges
The
need
for s
treng
then
ing
the
M&
E s
yste
ms
is
The
need
for s
treng
then
ing
the
M&
E s
yste
ms
is
very
evi
dent
giv
en th
at th
e ep
idem
ic is
at a
sta
ge
very
evi
dent
giv
en th
at th
e ep
idem
ic is
at a
sta
ge
whe
re u
ntar
gete
d im
plem
enta
tion
can
resu
lt in
an
whe
re u
ntar
gete
d im
plem
enta
tion
can
resu
lt in
an
upsu
rge
in th
e pr
eval
ence
rate
s an
d ne
gate
all
the
upsu
rge
in th
e pr
eval
ence
rate
s an
d ne
gate
all
the
hard
ach
ieve
d su
cces
s in
our
cou
ntrie
s.
hard
ach
ieve
d su
cces
s in
our
cou
ntrie
s.
In U
gand
a th
ere
are
inno
vativ
e ar
rang
emen
ts to
In
Uga
nda
ther
e ar
e in
nova
tive
arra
ngem
ents
to
impr
ove
and
inst
itutio
naliz
e M
& E
of H
IV a
nd A
IDS
im
prov
e an
d in
stitu
tiona
lize
M &
E o
f HIV
and
AID
S
at L
ocal
Gov
ernm
ent l
evel
s in
clud
ing:
at L
ocal
Gov
ernm
ent l
evel
s in
clud
ing:
The
Min
istry
of L
ocal
Gov
ernm
ent a
nnua
lly c
arrie
s Th
e M
inis
try o
f Loc
al G
over
nmen
t ann
ually
car
ries
out a
Nat
iona
l Ass
essm
ent E
xerc
ise
to e
stab
lish
out a
Nat
iona
l Ass
essm
ent E
xerc
ise
to e
stab
lish
dist
rict p
erfo
rman
ce o
n th
e im
plem
enta
tion
of th
e di
stric
t per
form
ance
on
the
impl
emen
tatio
n of
the
annu
al
annu
al w
orkp
lans
wor
kpla
ns(c
oord
inat
ion
of H
IV is
ass
esse
d).
(coo
rdin
atio
n of
HIV
is a
sses
sed)
.
ALG
AF
Pre
sent
atio
n by
Ros
e A
LGA
F P
rese
ntat
ion
by R
ose
Nal
wad
daN
alw
adda
Uga
nda
AID
S C
omm
issi
onU
gand
a AI
DS
Com
mis
sion
Cha
lleng
esC
halle
nges
……
……
..
The
Min
istry
of F
inan
ce p
asse
d a
circ
ular
whi
ch
The
Min
istry
of F
inan
ce p
asse
d a
circ
ular
whi
ch
requ
ires
all d
istri
cts
and
Low
er L
ocal
re
quire
s al
l dis
trict
s an
d Lo
wer
Loc
al
Gov
ernm
ents
to c
reat
e bu
dget
line
s fo
r HIV
and
G
over
nmen
ts to
cre
ate
budg
et li
nes
for H
IV a
nd
AID
S.
AID
S.
With
sup
port
from
Iris
h A
id, d
istri
cts
will
be
With
sup
port
from
Iris
h A
id, d
istri
cts
will
be
supp
orte
d fo
r thr
ee y
ears
to u
nder
take
dis
trict
su
ppor
ted
for t
hree
yea
rs to
und
erta
ke d
istri
ct
Par
tner
ship
For
ums
durin
g w
hich
info
rmat
ion
on
Par
tner
ship
For
ums
durin
g w
hich
info
rmat
ion
on
the
stat
us o
f the
epi
dem
ic in
the
dist
rict i
s sh
ared
th
e st
atus
of t
he e
pide
mic
in th
e di
stric
t is
shar
ed
and
prio
ritie
s se
t for
the
next
fina
ncia
l yea
r. an
d pr
iorit
ies
set f
or th
e ne
xt fi
nanc
ial y
ear.
A n
atio
nal F
acili
tatio
n Te
am h
as b
een
form
ed b
y A
nat
iona
l Fac
ilita
tion
Team
has
bee
n fo
rmed
by
UA
C to
sup
port
Stra
tegi
c P
lann
ing
at th
e D
istri
ct.
UA
C to
sup
port
Stra
tegi
c P
lann
ing
at th
e D
istri
ct.
ALG
AF
Pre
sent
atio
n by
Ros
e A
LGA
F P
rese
ntat
ion
by R
ose
Nal
wad
daN
alw
adda
Uga
nda
AID
S C
omm
issi
onU
gand
a AI
DS
Com
mis
sion
Con
clus
ion
and
sugg
estio
nsC
oncl
usio
n an
d su
gges
tions
The
pape
r has
hig
hlig
hted
the
glob
al a
nd
The
pape
r has
hig
hlig
hted
the
glob
al a
nd
spec
ific
coun
try s
tatu
s of
the
epid
emic
, sp
ecifi
c co
untry
sta
tus
of th
e ep
idem
ic,
exam
ined
the
criti
cal n
eed
for m
onito
ring
the
exam
ined
the
criti
cal n
eed
for m
onito
ring
the
AID
S e
pide
mic
and
out
lined
the
spec
ific
AID
S e
pide
mic
and
out
lined
the
spec
ific
chal
leng
es o
f the
M&
E m
echa
nism
s in
Uga
nda.
ch
alle
nges
of t
he M
&E
mec
hani
sms
in U
gand
a.
Act
ion
is re
quire
d to
add
ress
the
situ
atio
n A
ctio
n is
requ
ired
to a
ddre
ss th
e si
tuat
ion
beca
use
of th
e lik
ely
nega
tive
effe
ct o
n th
e be
caus
e of
the
likel
y ne
gativ
e ef
fect
on
the
succ
ess
of th
e na
tiona
l pro
gram
s if
ther
e is
su
cces
s of
the
natio
nal p
rogr
ams
if th
ere
is
limite
d ev
iden
ce o
n w
hat i
s w
orki
ng, h
ow is
it
limite
d ev
iden
ce o
n w
hat i
s w
orki
ng, h
ow is
it
wor
king
, why
it is
wor
king
and
wha
t can
be
done
w
orki
ng, w
hy it
is w
orki
ng a
nd w
hat c
an b
e do
ne
diffe
rent
ly.
diffe
rent
ly.
ALG
AF
Pre
sent
atio
n by
Ros
e A
LGA
F P
rese
ntat
ion
by R
ose
Nal
wad
daN
alw
adda
Uga
nda
AID
S C
omm
issi
onU
gand
a AI
DS
Com
mis
sion
Con
clus
ion
and
sugg
estio
nsC
oncl
usio
n an
d su
gges
tions
Ans
wer
s to
thes
e qu
estio
ns re
quire
A
nsw
ers
to th
ese
ques
tions
requ
ire
inst
itutio
naliz
ed, r
obus
t and
sus
tain
able
M&
E
inst
itutio
naliz
ed, r
obus
t and
sus
tain
able
M&
E
syst
ems
to b
e pu
t in
plac
e at
the
dece
ntra
lized
sy
stem
s to
be
put i
n pl
ace
at th
e de
cent
raliz
ed
leve
l.le
vel.
As
body
cor
pora
te, L
ocal
Gov
ernm
ent h
ave
to
As
body
cor
pora
te, L
ocal
Gov
ernm
ent h
ave
to
be in
the
driv
erbe
in th
e dr
iver
’’ s s
eat f
or th
is to
hap
pen.
s se
at fo
r thi
s to
hap
pen.
Sug
gest
ions
are
mad
e ar
ound
thre
e ke
y S
ugge
stio
ns a
re m
ade
arou
nd th
ree
key
inte
rven
tions
that
can
be
unde
rtake
n ac
ross
the
inte
rven
tions
that
can
be
unde
rtake
n ac
ross
the
7 co
untri
es to
war
ds in
stitu
tiona
lizin
g an
d 7
coun
tries
tow
ards
inst
itutio
naliz
ing
and
impr
ovin
g M
&E
mec
hani
sms
at th
e im
prov
ing
M&
E m
echa
nism
s at
the
dece
ntra
lized
leve
l. de
cent
raliz
ed le
vel.
ALG
AF
Pre
sent
atio
n by
Ros
e A
LGA
F P
rese
ntat
ion
by R
ose
Nal
wad
daN
alw
adda
Uga
nda
AID
S C
omm
issi
onU
gand
a AI
DS
Com
mis
sion
Con
clus
ion
and
sugg
estio
nsC
oncl
usio
n an
d su
gges
tions
Sub
ject
to d
iscu
ssio
n, th
e fo
llow
ing
may
nee
d to
be
Sub
ject
to d
iscu
ssio
n, th
e fo
llow
ing
may
nee
d to
be
look
ed in
to;
look
ed in
to;
InIn-- d
epth
Dia
gnos
is o
f cou
ntry
M&
E s
yste
ms
to
dept
h D
iagn
osis
of c
ount
ry M
&E
sys
tem
s to
es
tabl
ish
the
stre
ngth
and
cha
lleng
es fa
cing
the
esta
blis
h th
e st
reng
th a
nd c
halle
nges
faci
ng th
e in
stitu
tiona
lizat
ion
of M
&E
at d
ecen
traliz
ed le
vels
is
inst
itutio
naliz
atio
n of
M&
E a
t dec
entra
lized
leve
ls is
ur
gent
. ur
gent
. Th
e di
agno
sis
shou
ld re
sult
into
iden
tifyi
ng n
onTh
e di
agno
sis
shou
ld re
sult
into
iden
tifyi
ng n
on--
mon
etar
y in
cent
ives
/rew
ards
sch
emes
to e
nhan
ce
mon
etar
y in
cent
ives
/rew
ards
sch
emes
to e
nhan
ce
dem
and
and
utili
zatio
n of
M&
E d
ata
by p
rogr
am
dem
and
and
utili
zatio
n of
M&
E d
ata
by p
rogr
am
man
ager
s fo
r pla
nnin
g an
d bu
dget
ing.
man
ager
s fo
r pla
nnin
g an
d bu
dget
ing.
To e
stab
lish
an E
To e
stab
lish
an E
-- foru
m fo
r M&
E fo
cal p
erso
ns to
fo
rum
for M
&E
foca
l per
sons
to
shar
e m
etho
dolo
gies
, mec
hani
sms
and
best
pra
ctic
es
shar
e m
etho
dolo
gies
, mec
hani
sms
and
best
pra
ctic
es
of m
onito
ring
HIV
/AID
S a
t dec
entra
lized
leve
l.of
mon
itorin
g H
IV/A
IDS
at d
ecen
traliz
ed le
vel.
ALG
AF
Pre
sent
atio
n by
Ros
e A
LGA
F P
rese
ntat
ion
by R
ose
Nal
wad
daN
alw
adda
Uga
nda
AID
S C
omm
issi
onU
gand
a AI
DS
Com
mis
sion
Con
clus
ion
and
sugg
estio
nsC
oncl
usio
n an
d su
gges
tions
Mon
itorin
g pr
ogre
ss is
ess
entia
l for
M
onito
ring
prog
ress
is e
ssen
tial f
or
mai
ntai
ning
the
mom
entu
m o
f suc
cess
in
mai
ntai
ning
the
mom
entu
m o
f suc
cess
in
resp
ondi
ng to
the
HIV
epi
dem
ic.
resp
ondi
ng to
the
HIV
epi
dem
ic.
The
task
is e
norm
ous
but m
anag
eabl
e an
d Th
e ta
sk is
eno
rmou
s bu
t man
agea
ble
and
taki
ng a
pha
sed
appr
oach
, sta
rting
with
ta
king
a p
hase
d ap
proa
ch, s
tarti
ng w
ith
stan
dard
izin
g in
dica
tor d
efin
ition
s an
d st
anda
rdiz
ing
indi
cato
r def
initi
ons
and
tool
s w
ill le
ad to
gre
at im
prov
emen
t of
tool
s w
ill le
ad to
gre
at im
prov
emen
t of
M&
E m
echa
nism
s at
Dec
entra
lized
leve
l in
M&
E m
echa
nism
s at
Dec
entra
lized
leve
l in
our c
ount
ries.
our c
ount
ries.
ALG
AF
Pre
sent
atio
n by
Ros
e A
LGA
F P
rese
ntat
ion
by R
ose
Nal
wad
daN
alw
adda
Uga
nda
AID
S C
omm
issi
onU
gand
a AI
DS
Com
mis
sion
Than
k yo
u S
o m
uch
for y
our a
ttent
ion!
!!Th
ank
you
So
muc
h fo
r you
r atte
ntio
n!!!
I wel
com
e an
y co
men
ts, r
emar
ks,
I wel
com
e an
y co
men
ts, r
emar
ks,
shar
ing
expe
rienc
es fr
om th
e sh
arin
g ex
perie
nces
from
the
parti
cipa
nts
parti
cipa
nts
