M&E >> About Us
The Ministry of Health has a fully-fledged Strategic Information Department [SID] that has four units namely HMIS, Research, M&E and Epidemiology
The M&E unit specifically drives the strategy of engendering a culture of monitoring and evaluation within the ministry. With a generally accepted shift in M&E from traditional i.e. implementation-focussed M&E (i.e. M&E that counted the inputs and the concomitant processes and much less-so the outputs) to results-based M&E (i.e. focussing on outputs, outcomes and impact), the M&E unit is embarking on a process of implementing activities that bring about a new understanding to this shift in the way M&E is conducted. The M&E unit will pursue the results-based approach, recognising that this will influence the generation and consumption of health service delivery data and information. The ministry should consider, as it strengthens the decentralisation strategy, changes that will have to be internalised in the focus, approach and implementation of monitoring and evaluation at the four levels; the facility, the regions, programmes and at HQ level as a result of this approach.
Purpose and Definitions
There are growing pressures in the health sector to improve the performance of the delivery of health services. One strategy to address this need is to design and construct performance-based monitoring and evaluation (M&E) systems so as to be able to track the results produced (or not produced) by the sector and other stakeholders.

Monitoring and evaluation help improve health service delivery. More precisely, the overall purpose of monitoring and evaluation is the measurement and assessment of performance of health service delivery in order to more effectively manage the health outcomes and outputs. Performance is defined as progress towards and achievement of results (health outcomes and outputs). As part of the emphasis on results in MoH today, the need to demonstrate performance is placing new demands on monitoring and evaluation in facilities, regional offices and programme units at the headquarters level. The MoH is being asked to actively apply the information gained through monitoring and evaluation to improve strategies, programmes and other activities.

Therefore, the long-term objectives of today's results-oriented monitoring and evaluation are to:
  • Improve accountability for both resources and results
  • Promote organisational learning and continuous improvement
  • Facilitate strategic decision –making
Specific objectives for monitoring and evaluation include
  • Assess performance along the following dimensions:
    • The degree of technical and budget implementation
    • The delivery and technical quality of products
    • The degree of achievement of expected results
    • The efficiency with which expected results were achieved
  • Analyse the relevance and contribution of work plans to national health priorities
  • Retrospective analysis of adequacy of planning elements and organisational mechanisms
  • Identify enabling and constraining factors to programme implementation and lessons learnt

The M&E department is proposing a broader understanding of M&E. The definitions of M&E concepts were arrived at after carefully reviewing contextual factors as well as taking note of the direction that the SID has embarked on.
Monitoring will be an ongoing process by which facilities, regions, programmes and the HQ obtain regular feedback on the progress being made towards achieving their goals and objectives. Contrary to many definitions that treat monitoring as merely reviewing progress made in implementing actions or activities, the definition used by the M&E unit focuses on reviewing progress against achieving goals . In other words, monitoring, as the M&E unit proposes, is not only concerned with asking "Are we taking the actions we said we would take?" but more importantly "Are we making progress on achieving the results that we said we wanted to achieve?" The difference between these two approaches is extremely important. In the more limited approach, monitoring may focus on tracking projects and the use of the MoH's resources. In the latter, monitoring also involves gathering and analysing data to track strategies and actions being taken by the various strata within the health sector, and through this analysis, facilitate the use of the information generated in figuring out what new strategies and actions need to be taken to ensure progress towards the most important results.
Evaluation is a rigorous and independent assessment of either completed or ongoing activities to determine the extent to which they are achieving stated objectives and to contribute to decision making. Evaluations, like monitoring, can apply to many things, including an activity, project, programme, strategy, policy, topic, theme, sector or organization . The key distinction between the two is that evaluations are done independently to provide managers and health personnel with an objective assessment of whether or not they are on track. They are also more rigorous in their procedures, design and methodology, and generally involve more extensive analysis. However, the aims of both monitoring and evaluation are very similar: to provide credible information that can help inform decisions, improve performance and achieve planned results.
Country Context
Swaziland officially the Kingdom of Swaziland and sometimes called "Eswatini" is a culturally rich, peaceful and small landlocked country. Swaziland is a landlocked country with an estimated surface area of 17, 364km squared. The population stands at 1, 018,449 (Central Statistics Office (CSO), 2007) with about 78.9% residing in rural areas.
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Business Hours
Days Hours
 Mon - Frid  08:00 - 16:45
 Lunch Time  13:00 - 14:00
* We shall observe all holidays as stipulated by the Government of Swaziland
Physical Address: Cooper Centre Office 106, Mbabane, Swaziland

Postal Address: P.O Box 5 Mbabane, Swaziland

Phone: 2404 7712

Fax: none
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