WHO 3X5 Evaluation

For the World Health Organization (WHO) LTG conducted an evaluation of the Collaborative Fund’s Preparing for Treatment Programme, funded in part by the WHO. The Programme’s objective was to support and expand national and, where appropriate, sub-national community-driven HIV/AIDS treatment preparedness efforts to support the scale-up of national anti-retroviral therapy (ART) Programmes and the achievement of the “3 by 5” target. Under contract to the Department of HIV at the WHO, LTG developed the evaluation questions, designed, and implemented an evaluation of an AIDS Treatment Preparedness initiative involving a global infrastructure and nearly 200 grantees worldwide ranging from small nongovernmental organizations to country-level ministries of health. LTG designed and developed: the evaluation framework; data collection instruments, including qualitative and quantitative date collection; and data management methods. LTG also identified or developed process and outcome indicators for each area of program funding:

• Advocacy
• Reduction of Stigma and Discrimination
• Community Mobilization
• Direct Services
• Treatment Literacy

Indicators were distributed to all governing bodies and grantees. LTG designed and implemented evaluation training and capacity building support; the project website that LTG designed was fielded in five languages. Key successes of the project included the following:

• Facilitation of the development of core indicators for summarizing the progress and achievements of highly diverse grantee activities.
• Developing and implementing means of capturing the socially and culturally distinctive achievements of diverse grantees.
• Developing and operating a web-based electronic communication system to link grantees with each other and with the evaluator.
• The final report was focused to a variety of audiences, including policymakers, international donors, NGOs, and the organizational grantees. In addition to the report, a PowerPoint presentation was developed.  The presentation was first provided at a WHO organization-wide briefing; at the International AIDS Conference; and, by the WHO and the Collaborative Fund subsequently.

While the focus of the project was on understanding the effects of this global initiative, the tools and processes that LTG developed and trained, were the beginning of an opportunity for each of the grantees to develop the evidence of the utility of the interventions that they had developed with specific populations.