Foreword

The management of IHRA has determined to include rigorous monitoring and evaluation initiatives in its organizational scope of work starting from conceptualization stage to high quality monitoring reports for informed decision making process, and to strengthen organizational standard operating procedures/systems by promoting enabling environment to generate, capture, track, secure and reutilize its information base. The major objective of this M&E strategy is to connect the Authority’s officials with key performance indicators around departmental targets, quality standards, timeliness, transparency and accountability. These indicators will be tracked regularly and feedback loops will be established for timely decisions/corrective measures.

Monitoring & Evaluation at a glance

As a standard definition of M&E: Monitoring is the systematic and routine collection of information from organizational initiatives for four main purposes:

1. To learn from experiences to improve practices and activities in the future;
2. To have internal and external accountability of the resources used and the results obtained;
3. To take informed decisions on the future of the initiative;
4. To promote empowerment of beneficiaries of the initiative.

Monitoring is a periodically recurring task already beginning in the planning stage of a project or programme. Monitoring allows results, processes and experiences to be documented and used as a basis to steer decision-making and learning processes. Monitoring is checking progress against plans. The data acquired through monitoring is used for evaluation.

Evaluation is assessing, as systematically and objectively as possible, a completed project or programme (or a phase of an ongoing project or programme that has been completed). Evaluations appraise data and information that inform strategic decisions, thus improving the project or programme in the future.
Evaluations should help to draw conclusions about five main aspects of the intervention:

1. Relevance
2. Effectiveness
3. Efficiency
4. Impact
5. Sustainability

Information gathered in relation to these aspects during the monitoring process provides the basis for the evaluative analysis.

Monitoring & Evaluation at IHRA

To achieve tangible target of provision of quality healthcare services to residents of Islamabad Capital Territory by engaging both public and private Health Care Establishments to ensure that all HCEs are duly registered with the Authority and maintaining minimum service delivery standards. M&E team proposes following phase based key performance indicators to record and track progress of the Authority;

 

Key Performance Indicators Phase-I

• % of HCEs of ICT registered with IHRA
• % of HCEs inspected by IHRA
• % of non-registered HCEs followed up
• # of quacks identified and sealed/corrective measures taken
• % of activities monitored
• % of complaints reduced to specific number

Key Performance Indicators Phase-II

• % of licensed HCEs followed IHRA financial guidelines for pricing
• % of licensed HCEs started sharing of patient information on IHRA portal
• % of licensed HCEs obtained standard bench mark (>=75 score) during regular inspection process
• # of quacks stopped malpractice – reduced to minimum number
• % of IHRA’s operations transformed to online portal
• # of learning and innovation themes adopted as best practices

Our Approach

On completion of targets setting and annual work plan of IHRA, M&E team adopted collaborative approach to monitor the implementation process of activities. The team adopted monitoring techniques of result based monitoring and process monitoring by regularly liaising with all the departments to acquire updated plan(s) and will adjust the frequency of monitoring activities accordingly. For result based monitoring organizational targets at monthly and annually basis level have been assessed against performance and in process monitoring SOPs defined in IHRA ACT 2018 along with regulations will be monitored to assess the implementation of set standards. For each department separate set of monitoring tools have been prepared. Each monitoring and evaluation tool will be pilot tested before initiation of monitoring activities. The idea to use mobile application for monitoring team is also envisioned in future plans of IHRA.