• Responding to the changing funding landscape for HIV program delivery 

  Following the stop work order period, network member countries informally reported a wide range of effects, spanning M&E of community- and facility-based services, documentation and reporting functions from the facility to subnational to national levels, affecting both paper-based and electronic records. A decision was made collaboratively to start reviewing data retrospectively, from January 2024 until present day, to better understand any fluctuations in critical HIV program and service delivery indicators.16 critical, national-level HIV indicators were identified for routine sharing with the ICAP-CQUIN team (see appendix below). The CQUIN SI team works closely with MOH M&E counterparts to review submitted data, produce visualizations to show time trend analyses, conduct additional statistical analyses, and to provide ongoing TA and data quality review where needed.  

  Patterns of impacts across peer countries in the CQUIN network—showing reductions in core HIV services in many countries in 2025—have been reviewed at CoP meetings and at in-person all-network meetings. These reflections on affected HIV services support CQUIN member countries as well as to the global HIV community of stakeholders, as governments are adapting their health systems and HIV services to respond to increasingly constrained external resources, and engaging funders.   

  1. M&E Indicator Prioritization Exercise: 

  Network partner countries began a process of prioritizing national HIV indicators following the June 2025 CQUIN Strategic Planning Meeting. In the initial round of this activity, countries identified indicators that corresponded with critical service delivery elements that would be part of their ‘HIV minimum service delivery package,’ and would be prioritized for routine national reporting under several future funding level scenarios.  Countries overwhelmingly prioritized a broad set of indicators, regardless of the funding envelope—which suggests that robust M&E systems will need to be maintained, even in scenarios with highly constrained external funding. CQUIN will provide an ongoing platform for countries to share and discuss plans for HIV M&E, including priorities for routine reporting.  

  1. National M&E System Vulnerability Assessment:  

  In response to the country HIV M&E indicator prioritization exercise, which produced much conversation about the ability for network countries to produce thorough reporting for HIV indicators, there was identified a need for an assessment to help countries better understand, at a granular level, the vulnerabilities to national HIV M&E systems. 

  The CQUIN team rapidly developed a structured assessment of vulnerabilities in country M&E systems elements of HIV M&E that have been reliant on external funding, personnel, or technical assistance. This survey was reviewed in detail by colleagues in the Zambia Ministry of Health, who provided feedback that was used to revise the tool for piloting. A pilot of this survey was conducted in four countries in September-October 2025: Cameroon, Mozambique, Uganda, and Zambia by the Ministry of Health teams. Summary data and lessons learned from these surveys were shared with the broader CQUIN network at the 9th CQUIN Annual Meeting in Durban (November 17-21, 2025). The tool is currently being revised and updated and will be further piloted by all remaining network countries.  

  1. 2025 M&E CoP Meetings: 

   

  The M&E community of practice (CoP) meetings are an ongoing activity where M&E focal points in the Ministries of Health for all CQUIN member countries meet on a regular basis (at least once a quarter) to discuss critical issues related to M&E systems for HIV service delivery. The meetings in 2025 held thus far include the following and illustrate the types of topics discussed during the CoP meetings: 

  April: DSD Coordinators and M&E focal points joint call: 

  On April 3rd, there was a joint call to communicate the CQUIN mission pivot given the impact of the stop work order issuance on HIV programs across CQUIN member countries. This call detailed the shift away from standard reporting of DSD related indicators (MMD enrollment numbers, model mix, etc) to a focus more on reporting and data sharing critical HIV service delivery and program indicators. 

   

  HMIS Data Sharing, Analysis and Visualization: 

Centering Recipients of Care: Assessing and Improving Satisfaction within DSD Programs : Recorded, August 3, 2023

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