Presented by at MEASURE Evaluation Mid-Project Meeting in March 2017.

1. John Spencer
MEASURE Evaluation
March 22, 2017
MEASURE Evaluation
Mid-Project Meeting
The dog who caught the car:
There’s more PEPFAR data
than ever before, now what?
The dog who caught the car:
There’s more PEPFAR data
than ever before, now what?

2. More than a dozen years of
USAID investment in PEPFAR
data infrastructure

3. USAID Investments in PEPFAR Data Infrastructure
2004 – 2015
Source: PEPFAR (data.pepfar.net)
Health System Strengthening (HSS) – HSS activities are
meant to build the capacity of local health systems to
effectively respond to the HIV epidemic.
Strategic Information (SI) – SI includes any program
expenditures for monitoring and evaluation of HIV
programs.

4. Source: PEPFAR
(data.pepfar.net)
Nearly 1.9 billion dollars
USAID Investments in PEPFAR Data Infrastructure
2004 – 2015

5. Indicators to support reporting systems

6. DATIM
Data for Accountability, Transparency, and Impact

7. Improved capacity

8. (locations are uncorrected)
Site locations!!!

9. PEPFAR data infrastructure is
happening in the context of an
explosion of data across society.

10. What services are being
performed, and some
information about the
people receiving them
Electronic system (DATIM)
to help manage and
analyze data
Where the service sites
are located
Context that can affect
services and populations in
need

12. Now
what?

13. Can we use this
data to more
effectively target
services?

14. Help identify priority service sites?

15. Reach key populations?

16. Better understand
the context of the epidemic?

17. And do it all in a way that fits into
PEPFAR’s decision-making process?

18. Improving targeting for PEPFAR

19. Tanzania COP Support
2015–2016

23. Alternative site
#1
Alternative site #4
Alternative site #5
Alternative site #3
Alternative site #2
Low volume
facility
One approach
Nearest site
(Euclidean)
Optimal
alternate site

24. Alternative site #1
Alternative site
#4
Alternative site
#5
Alternative site #3
Alternative site #2
Low volume
facility
Overcrowding
River
Barrier
Mountain
Barrier
Travel-time
Barrier
Optimal
alternate site

25. • Service area advantages
• Estimate population in service area
• Gap analysis
• Over or underperforming sites
• Provide a localized picture

27. ArcGIS toolbox that created
service areas

28. • ArcGIS tool for
calculating
service areas
• Instruction
manual
Original output

29. We received a new request

30. • Analysis of number of sites at
different service thresholds within
distance bands
• Results reported in spreadsheets
• GIS analysis files for use by
PEPFAR SI GIS person
Second output

31. 1. Timing matters
• Important to have conversations
when people can focus on it
Lessons Learned

32. 1. Timing matters
• Important to have conversations
when people can focus on it
2. Personnel matters
• Turnover can either ignite or ground
the rocket
• Needs to be a champion
Lessons learned

33. Inertia
Newton’s First Law of Motion
The vis insita, or innate force of
matter, is a power of resisting by
which every body, as much as in it
lies, endeavours to preserve its
present state, whether it be of rest
or of moving uniformly forward in
a straight line.
Things continue the way they have unless
something forces a change.

34. Now
what?

36. This presentation was produced with the support of the United
States Agency for International Development (USAID) under the
terms of MEASURE Evaluation cooperative agreement AID-OAA-
L-14-00004. MEASURE Evaluation is implemented by the Carolina
Population Center, University of North Carolina at Chapel Hill in
partnership with ICF International; John Snow, Inc.; Management
Sciences for Health; Palladium; and Tulane University. Views
expressed are not necessarily those of USAID or the United States
government.
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