Monitoring and Evaluating Community System Strengthening (CSS): Current Indicators and Approaches

This 22-slide PowerPoint presentation outlines indicators and approaches to monitoring and evaluating community system strengthening (CSS), a framework is designed to strengthen community systems working to increase people’s access to health, including prevention, care, and treatment of diseases such as malaria. The presentation was made at the Global Fund to Fight AIDS, Tuberculosis and Malaria (GFATM) Global Fund Round 11 orientation/training workshop, convened by the Roll Back Malaria (RBM) Harmonization Working Group (HWG) and held from August 17-19 2011, in Nairobi, Kenya.
The presentation provides an overview of CSS indicators, objectives, processes, and approaches.
Specifically, it outlines the core indicators of CSS according to their 6 service delivery areas, namely:
- Enabling environments and advocacy
- Community networks, linkages, partnerships, and coordination
- Resources and capacity building
- Community activities and service delivery
- Leadership and organisational strengthening
- Monitoring and evaluation (M&E) and planning
It outlines key points in developing monitoring and evaluation frameworks for CSS, including:
- Conducting in-country consultations to include CSS programmes
- Building M&E into national plans
- Viewing CSS programmes as part of the overall health system
- Showing direct linkages to health delivery services
- Linking monitoring and evaluation frameworks to the Global Fund grant.
The presentation includes outcome-level indicators for: malaria and tuberculosis; maternal, newborn, and child health; and HIV/AIDS. In addition to impact-level indicators and recommended sources for data, it outlines the requirements for programme reviews and evaluation. For example:
- "CSS programs need to plan and conduct periodic program evaluations
- CSS programs [are] encouraged to include impact outcome indicators to demonstrate contribution to health results
- Tracking of relevant core indicators [is suggested in order] to track improvement in the community system."
RBM website, August 31 2011.
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