Further considerations for implementation of Recommendation 11-1A: Program monitoring and evaluation

•    OGAC’s current tiered program monitoring indicator reporting structure (illustrated in Figure 11-10) should be further streamlined to report upward only those indicators essential at each PEPFAR level:

o   Tier 1: A small set of core indicators, fewer than the current 25, to be reported to central HQ level. These data should be used to monitor performance across PEPFAR as a whole, for congressional reporting, and to document trends; as such these indicators should remain consistent over time. Whenever possible and appropriate, these indicators should be harmonized with existing global indicators and national indicators; therefore, some centrally reported indicators will reflect PEPFAR’s contribution rather than aim to measure direct attribution.

o   Tier 2: A larger menu of indicators defined in OGAC guidance, from which a subset are selected for their applicability to country programs to be reported by implementing partners to the U.S. mission teams but not routinely reported to HQ. These data should be used to monitor the effectiveness of the in-country response and to support mutual accountability with partner countries and their citizens. These data could be considered for occasional centralized use to inform special studies or respond to congressional requests but aggregation and comparability across countries may be limited in this tier as all mission teams may not collect the same data.

o   Tier 3: Indicators selected by implementing partners to monitor and manage program implementation and effectiveness that are not routinely reported to mission teams. Implementing partners should select appropriate indicators defined in OGAC guidance and augment these with other indicators as needed for their programs. Implementing partners should work with mission teams in developing their program monitoring plans with selected indicators. Mission teams should provide oversight and technical assistance to ensure implementation of these plans and to promote local quality data collection, use, and mutual accountability. Although not routinely reported, some of these data could be considered for occasional country-level and centralized use.

o   OGAC should create mechanisms for implementing partners, mission teams, and agency headquarters to mutually contribute to a periodic review across all tiers of indicator development, applicability, and utility and to make modifications if necessary.

o   Tier 1 indicators should be harmonized whenever possible and appropriate with existing global indicators and national indicators. For indicators that are not routinely reported centrally (Tiers 2 and 3), country program planning should facilitate alignment of

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