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APHA Scientific Session and Event Listing

Kolawole Oyediran, PhD, Upama Khatri, MPH, and Timothy Williams, MA, MEM. MEASURE Evaluation, John Snow, Inc., Zeto Court, Plot 858, Osogbo Close, Area 11, Garki, Abuja, Nigeria, 2348035517450, bkoyediran@yahoo.com

As part of an effort to promote a single national M&E framework for HIV/AIDS activities in Nigeria, the MEASURE Evaluation Project has worked with the National Action Committee on AIDS (NACA) to develop a routine information system to track, monitor, and evaluate HIV/AIDS activities. The system, called the Nigeria National Response Information Management System (NNRIMS), is multi-sectoral in scope and designed to strengthen use of HIV/AIDS data at all levels of government. NNRIMS is based on a short, user-friendly reporting form linked to a central database and decision support system to enable easy access to data by managers. The system was pilot tested in five states in 2004-05, evaluated in June 2005 by NACA, MEASURE Evaluation, and other partners, and revised based on the evaluation findings. NACA subsequently determined that the system was functional, and decided to scale it up to all states.

As a first step, approximately 50 people from 16 states were trained in the revised NNRIMS in November 2005, along with about half the ART-providing sites. Most participating states held step-down trainings in January and February 2006 to reach their LGA (district) and facility levels, thereby covering all facilities and organizations providing HIV/AIDS activities in each state. Trainings for the remaining 20 states and ART sites are planned for the first half of 2006, with expectations that all states and ART sites will begin reporting information by third quarter 2006. Keys to successful rapid scale-up appear to be strong political will and commitment, efficient use of host-country and international resources and assistance, and effective use of pilot testing and evaluation to generate interest and to revise and improve the initial version of NNRIMS.

This presentation will describe the main achievements and challenges encountered during the NNRIMS scale-up, with an emphasis on lessons learned for countries attempting to implement similar information systems. Aggregated program data on key HIV/AIDS indicators will be presented for all sites reporting through the system at the time. Potential use of NNRIMS information will be discussed, in terms of program management, feedback to lower levels, and results reporting.

Learning Objectives: