Progress on the Implementation of DFID's HIV/AIDS Strategy - International Development Committee Contents


2  MONITORING AND EVALUATION

7. In last year's Report we expressed our regret that DFID had not made available its Monitoring and Evaluation (M&E) Framework at the same time as its new Strategy was published, in June 2008.[8] We found the Strategy to be "strong on rhetoric but weak on communicating how DFID will implement it." We noted that there were "few measurable targets or indicators of how the Strategy's effectiveness will be assessed" and stressed the need for the M&E Framework to set out specific targets and indicators, to enable an assessment to be made of whether DFID's HIV/AIDS programmes were achieving their aims.[9] We highlighted that, in its 2004 Strategy, DFID's indicators of success had been linked primarily to funding targets rather than to outcomes. We observed that, in the new Strategy, DFID was still concentrating on funding levels rather than measuring effectiveness: "there remains an emphasis on the amount of money which will be spent rather than the impact which will be measured".[10]

8. DFID eventually published the M&E Framework, Achieving Universal Access: Monitoring performance and evaluating impact, in December 2008.[11] The document states that the Department sees monitoring of the performance and evaluating the impact of its HIV/AIDS activities as a "central part of DFID's corporate performance systems". It emphasises that:

    Keeping track of the inputs, processes, outputs, outcomes and impacts of DFID funded bilateral and multilateral programmes, and UK activities to influence others, is key to ensuring that the UK responds quickly to fill gaps in performance as well as ensuring transparency and accountability.[12]

A further document, Achieving Universal Access—a 2008 baseline, was published in October 2009.[13] This provides a snapshot of the global AIDS epidemic in mid-2008, when the new Strategy was launched, and sets a baseline against which the impact of DFID's HIV/AIDS commitments will be measured. DFID says that "It is against these commitments that we will be held to account in future biennial reporting."[14]

9. Several witnesses praised DFID for publishing the Baseline to complement the M&E Framework. Sally Joss of the UK Consortium on AIDS and International Development said that it was "a massive move forward from the previous AIDS strategy where there was no baseline and not really a monitoring and evaluation framework to even start to measure what is happening". Mike Podmore of VSO applauded DFID for linking its Strategy to global targets and indicators and said that DFID was "leading well at the international level in terms of global indicators".[15]

10. DFID has committed to reporting on performance of its HIV/AIDS Strategy every two years, with the first progress report to be published on World AIDS Day (1 December) 2010.[16] The information for the biennial reports will be compiled from:

  • biennially collated overviews of the AIDS response from DFID country, regional, policy and multilateral representatives; and
  • information embedded in DFID corporate performance systems.

This information will then be set in the context of internationally agreed targets and indicators administered and collated routinely by UNAIDS and partner countries.[17] The overviews will be collated systematically every two years and will describe the situation in-country, including the epidemic status, the aid environment and the key actors. They will provide details of how DFID is performing against each of the five priorities set out in Achieving Universal Access:

  • Priority 1: Increase effort on HIV prevention; sustain momentum for treatment; increase effort on care and support
  • Priority 2: Respond to the needs and protect the rights of those most affected
  • Priority 3: Support more effective and integrated service delivery
  • Priority 4: Making money work harder through an effective and co-ordinated response
  • Priority 5: How we will turn our strategy into action. [18]

A template showing the information that will be collected from DFID country offices has been included as an annex to the M&E Framework.[19]

11. Witnesses commended DFID for the process it had followed in the development of the M&E Framework, commenting that it had used a "groundbreaking approach in engaging civil society in the monitoring process […] and in making the framework more relevant for those involved in the implementation of the Strategy".[20] At DFID's request, the UK Consortium on AIDS and International Development ("the UK Consortium") set up an Indicators Working Group (IWG). The International HIV/AIDS Alliance ("the Alliance") said that:

    Whilst the IWG was asked to focus [on] the development of indicators, it was able to provide support and expertise to inform other parts of the framework. DFID's commitment to the process and the IWG was clearly shown through the continued engagement of staff and the openness and honesty with which meetings were conducted […] the discussion between the IWG and DFID led to a more balanced approach to monitoring and evaluation of the Strategy. It allowed DFID's efforts to be informed by recognized good practice and the direct experiences of monitoring HIV responses. The discussion and joint inputs have resulted in more requests for qualitative information within the data collection tools, which will facilitate documentation of good practice for knowledge sharing and learning.[21]

However, there was some criticism of the process. The Alliance pointed out that:

    The short timeframes for review of draft documents and provision of feedback, and the application of Chatham House rules to the IWG proceedings, limited the ability of the IWG to consult and engage the stakeholders it was representing. From the outset there appeared to be lack of clarity of the purpose of the group, with no efforts to agree on Terms of Reference for the IWG or to clarify its role in the final decisions related to the selection of indicators. IWG members were not assured endorsement of the final product.[22]

Alvaro Bermejo, Executive Director of the Alliance, told us that he "welcomed the initiative at the beginning in the sense it was very innovative, it was one of the first times that DFID was really involving civil society in setting up indicators they were going to use".[23] But he regretted that "both from civil society and from the DFID side I think we were unable to see that translated into the final product and many things slipped in that path. The one thing we did not really achieve was to get a clear definition of what success would look like."[24]

12. Witnesses remained concerned about the likely effectiveness of the monitoring and evaluation process. World Vision said that, before the publication of the M&E Framework, there had been "high expectations" that answers to important questions about how the Strategy would be monitored would be provided. However, in their view, the question of what the UK Government's contribution would be towards achieving the Strategy's goals had yet to be answered:

    While the Framework outlines how the collective progress by the international community will be monitored, it does not attempt to systematically measure the contribution made by the UK Government. This impedes monitoring of the Government's performance and evaluation of the impact of the Strategy on UK Government policy.[25]

Sally Joss of the UK Consortium had similar reservations:

    One of the difficulties with a lot of the present AIDS strategy is that it is going to be very difficult to attribute what DFID has done in the harmonised international efforts to tackle HIV and AIDS and I think it will be very difficult to work out exactly what DFID has contributed to the general battle against AIDS.[26]

13. The Minister told us that he appreciated that monitoring and evaluation was "not an easy task" and that "complexity does provide us with a test". The AIDS Strategy and the Baseline assessment were geared at the "strategic end rather more than at a […] more operational level". He stressed that DFID was keen to listen to the views of others, but it did not want to "spend valuable resource measuring for no benefit". It was necessary to balance "the need for detailed measurement against using numbers and data that are already available".[27] Many witnesses believed that publication of the completed biennial country overviews would make a significant contribution to increasing transparency and accountability and would assist those outside DFID to assess the impact of its HIV/AIDS programmes. When we pressed DFID officials on their plans for making this information public, Jerry Ash, Team Leader for AIDS and Reproductive Health, said that DFID would "seriously consider publishing the country returns in full".[28]

14. We welcome the innovative approach which DFID used in drawing up the Monitoring and Evaluation Framework for its HIV/AIDS Strategy. We look forward to the publication of the first biennial report on World Aids Day 2010, and expect it to provide valuable information on progress made by DFID against its commitments in the Strategy. To further enhance transparency and accountability, we recommend that DFID publishes, in full, the completed biennial country overviews of progress against its priorities for action. This will assist all stakeholders, including ourselves, in assessing whether DFID is achieving its objectives for its HIV/AIDS activities.

15. A challenge remains, however, in disaggregating DFID's contribution from that of other partners in the global AIDS effort. This is necessary to demonstrate to UK taxpayers what the UK's substantial funding for HIV/AIDS is achieving. We recommend that, in response to this Report, DFID provides us with further information on its plans for measuring the specific contribution its funding is making to tackling HIV/AIDS.



8   Twelfth Report of Session 2007-08, HIV/AIDS: DFID's New Strategy, HC 1068-I, para 117 Back

9   ibid, Summary Back

10   ibid, para 112 Back

11   DFID, Achieving Universal Access-Monitoring performance and evaluating impact, December 2008 Back

12   Achieving Universal Access-Monitoring performance and evaluating impact, p 4 Back

13   DFID, Achieving Universal Access-a 2008 Baseline, October 2009  Back

14   ibid, p iv Back

15   Q 3 [Mike Podmore] Back

16   Achieving Universal Access-Monitoring performance and evaluating impact, p 5 Back

17   ibid, p 6  Back

18   DFID, Achieving Universal Access, June 2008, pp 62-66  Back

19   Achieving Universal Access-Monitoring performance and evaluating impact, pp 16-20 Back

20   Ev 51 Back

21   Ev 51 Back

22   Ev 51 Back

23   Q 2 Back

24   Q 2 Back

25   Ev 84 Back

26   Q 3 [Sally Joss] Back

27   Q 23 Back

28   Q 25 [Jerry Ash] Back


 
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Prepared 1 December 2009