Russell Anna, Ghosh Smita, Tiwari Niharika, Valdez Clarissa, Tally Leigh, Templin Lindsay, Pappas Danielle, Gross Samantha, Eskinder Biniyam, Abayneh Sisay Alemayehu, Kamga Elizabeth, Keleko Colince, Lloyd Spence, Farach Nasim, Pals Sherri, Galloway Eboni, Patel Sadhna, Aberle-Grasse John
Division of Global HIV&TB, Centers for Disease Control and Prevention, Atlanta, GA, USA.
Division of Global HIV&TB, Centers for Disease Control and Prevention, Atlanta, GA, USA.
Eval Program Plann. 2025 Feb;108:102479. doi: 10.1016/j.evalprogplan.2024.102479. Epub 2024 Aug 21.
The second phase of the U.S. President's Emergency Plan for AIDS Relief (PEPFAR) transitioned from scaling up HIV prevention and treatment to promoting sustainability and capacity building for programs monitoring performance and evaluating key program indicators. We assessed the success of a monitoring and evaluation (M&E) curriculum designed to build capacity in three PEPFAR-supported countries.
We customized M&E trainings based on country-specific epidemic control priorities in Ethiopia, Guatemala, and Cameroon. The M&E curriculum included five modules and three evaluation activities to assess impact: (i) in-person pre-post confidence assessment surveys (CAS), (ii) in-person pre-post knowledge tests (PPKT), and (iii) electronic 6-12 months post-training translating knowledge into practice (TKP) surveys. Pre- and post-training results were compared within and across countries and triangulation with the qualitative data evaluated overall success.
Among 188 participants attending M&E trainings, 154 (82 %) responded to CAS and 165 (88 %) participants from Ethiopia and Cameroon completed PPKT. Overall CAS scores between pre- and post-test improved [Score mean difference:1.5-1.9]. PPKT indicated statistically significant knowledge gained. One out of five TKP respondents provided direct application examples from the M&E training.
While feedback was predominantly positive overall, revisions were recommended for three of the five modules. Developing a customizable and adaptable M&E curriculum may sustain countries' ability to monitor their progress towards epidemic control.
美国总统艾滋病紧急救援计划（PEPFAR）的第二阶段从扩大艾滋病毒预防和治疗转向促进项目的可持续性以及监测绩效和评估关键项目指标的能力建设。我们评估了一项旨在增强三个受PEPFAR支持国家能力的监测与评估（M&E）课程的成效。
我们根据埃塞俄比亚、危地马拉和喀麦隆特定国家的疫情控制重点定制了监测与评估培训。该监测与评估课程包括五个模块和三项评估活动以评估影响：（i）面对面的培训前后信心评估调查（CAS），（ii）面对面的培训前后知识测试（PPKT），以及（iii）培训后6 - 12个月将知识转化为实践（TKP）的电子调查。对培训前后的结果在各国之间及各国之内进行比较，并与定性数据进行三角互证以评估总体成效。
在参加监测与评估培训的188名参与者中，154人（82%）回复了CAS，来自埃塞俄比亚和喀麦隆的165名参与者（88%）完成了PPKT。测试前后的总体CAS分数有所提高[分数平均差异：1.5 - 1.9]。PPKT表明获得了具有统计学意义的知识。五分之一的TKP受访者提供了来自监测与评估培训中的直接应用实例。
虽然总体反馈主要是积极的，但建议对五个模块中的三个进行修订。开发可定制和适应性强的监测与评估课程可能会维持各国监测其在疫情控制方面进展的能力。
