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Analysis of the performance of the system for monitoring the STD/Aids and viral hepatitis control program (MONITORaids) as a management tool: challenges and possibilities

OBJECTIVES: to analyze MONITORaids in the light of the current need to monitor the performance of the program, using the 2009 Action and Targets Plan (PAM). METHODS: the analysis was carried out in three stages: agreement on the meaning of performance and the features to be used to assess program performance; classification of high-priority goals in the PAM according to expected effect and quality criterion; and a review of the indicators used by the system, taking as the PAM goals as a point of reference, and of performance features. RESULTS: it was identified that the current version of the MONITORaids does not reflect the framework or the strategy of the program and is much more geared towards monitoring of the epidemic, since it deals with issues related to surveillance of the epidemic and specific research, rather than the monitoring of the performance of the program itself. Most of the goals contained in the 2009 PAM were classified as products (87%), and showed little in the way of results (13%) and no impact. CONCLUSIONS: the system needs to take into account the logical framework of the program if it is to deal with the issues that are priority for managers and decision-makers aiming to improve program performance. It is recommended that MONITORaids include indicators to monitor the priorities, including issues relating to effectiveness and efficiency.

Sexually transmitted disease; Aids; Monitoring; Evaluation


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