Implementing Comprehensive HIV/STI Programmes with Sex Workers Implementing Comprehensive HIV/STI Programmes with | Page 182

6 Programme Management and Organizational Capacity-building Figure 6.6 Supervision and monitoring system for a national HIV prevention and care programme with sex workers Programme level Central State/Province District/County Municipality/ Sub-municipality Supervision system Monitoring data • State-level managers: 1 for every 1–2 states • Semi-annual/annual formal review meetings with state/province • Frequent informal engagement • Dashboard indicators (with drill-down to identify unusual performance) • Financial information • Service quality reports • Programme manager: 1 for every 3–5 NGOs • Technical manager (clinical services, behaviour change, structural interventions, monitoring) to meet standards for frequency of oversight • Monthly field visits/meetings with NGOs • Quarterly reviews with NGOs • Information from below + • Additional administrative and financial information • Service quality reports • Field officers for monthly oversight of safe spaces (drop-in centres) and clinical services • Monthly all-staff meetings • Clinical service utilization, commodity distribution and contacts from below + • Condom supply • Training reports • Financial reports • Safe spaces (drop-in centres) managed • Clinical service delivery per standards • Outreach supervisor/manager (1 for every 5–7 community outreach workers) meets weekly • Clinical services referral and use: RH/STI, HTC, HIV care, ART, TB, etc. Coordination/co-planning Frontline worker/ Community 160 Community outreach workers • 1 for every 30–65 sex workers • Daily field presence, minimum monthly contact with sex workers • Weekly planning meetings with outreach supervisor Individual interactions (microplanning tools) • Contacts/educational session • Condoms distributed • Referrals