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APHA Scientific Session and Event Listing

Upama Khatri, MPH, Kolawole Oyediran, PhD, and Timothy Williams, MA, MEM. MEASURE Evaluation, John Snow, Inc., 1616 North Fort Myer Drive, 11th Floor, Arlington, VA 22209, 7035287474, upama_khatri@jsi.com

Since 2004, the MEASURE Evaluation Project has worked collaboratively with the National Action Committee on AIDS (NACA) in Nigeria to develop an effective mechanism for collecting and using routine information on HIV/AIDS as part of the effort to promote a single national M&E framework. The product of this effort—the Nigeria National Response Information Management System (NNRIMS)—is a multi-sectoral information system designed to strengthen use of quality HIV/AIDS data at all levels of government. The system and guidelines were developed through participatory processes, and the system was piloted in five states over a six month period in 2004-05.

In June 2005, NACA and MEASURE Evaluation conducted an evaluation of NNRIMS in 125 SDPs in the pilot states to assess practical functionality of the system, make system improvements, and inform the development of a national scale-up plan. The evaluation consisted of in-depth qualitative interviews and quantitative questionnaires applied at the state, LGA (district), and facility levels, and at various Line Ministries working on HIV/AIDS. Concurrently, NACA conducted an Institutional and Technical Capacity Assessment in 17 additional states to assess the readiness of those states to participate in the NNRIMS scale-up.

This presentation will describe results of the evaluation of the NNRIMS pilot implementation, including areas that were identified as strengths to build on or areas needing improvement. Such strengths and weaknesses likely have applicability to other countries seeking to improve the collection and quality of HIV/AIDS data, especially through routine systems. The presentation will describe participatory processes in NNRIMS development, basic characteristics of the system, main indicators collected and their intended use, data flow and quality processes, improvements based on the pilot evaluation, and progress in scaling up the system to other states. Despite challenges, evidence from the pilot evaluation and initial scale-up efforts indicate that the participatory process of NNRIMS development and pilot testing, combined with a technically sound system, will lead to a successful national scale-up.

Learning Objectives: