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The Most Significant Change Monitoring and Evaluation (MSC) Technique is crucial to monitor and implement palliative care and economic Strengthening of Communities’ Response to HIV/AIDS (SCRHA) project residing in Ethiopia (7 March 2011, Adama)


The Ethiopian Public Health Association (EPHA) in collaboration with PATH Ethiopia is implementing the Most Significant Change (MSC) Monitoring and Evaluation Technique that is deemed to strengthen the monitoring and evaluation capacity of the National Implementing Partners (NIPs) and Civil Society Organizations (CSOs) who are working on Strengthening Communities’ Response to HIV/AIDS (SCRHA) project.

The core objective of MSC project is to monitor the implementation of palliative care and economic strengthening interventions of the SCRHA projects and thereby build capacities of NIPs and CSOs’. “MSC is a new technique of monitoring and evaluation system perhaps is the first of its kind to apply it in Ethiopia, but one thing, which should be noted here, is that MSC is not a standalone tool to be used in connection with other conventional monitoring and evaluating instruments as this has been its role, that is to fill the gaps that would be created in terms of measuring the qualitative aspects of life,” said Theo Henry, a well experienced international consultant on MSC.

Amsle Haileselassie, a focal person  from PATH-Ethiopia remarked  that the SCRHA project is larger in its scope in having been implemented in eight urban and semi-urban operational regions  where this project have been directly implemented by 210 civil society organizations across the country.

“For this cause, eight regions are selected to analyze the economic strengthening and palliative care intervention of the SCRHA projects, which would be undertaken after ensuring that sufficient significant change stories are well captured at the field level,” said Amsale, adding that the MSC programme is believed to improve project performance, celebrate success stories and acknowledge achievements.    

In addition, a standard tool fitting to the SCRHA projects has been adopted and tested by the participants.

As part of the training program thus, the trainees traveled to two CSO sites and where they collected 24 stories of significant change. Of these stories which have been captured from a field visit to Wenji in the outskirts of Adama, four of them were selected by the panel group of participants as the most significant.

 “The six day- long course has given me an overall picture of what MSC is in conducting qualitative and participatory monitoring and evaluation and an understanding of how to use the Most Significant Change (MSC) technique within the SCRHA projects,” said Girma, a representative from Dire Dewa Prop ride.

Essentially, the process of MSC involves collecting significant change (SC) stories emanating from the field, followed by a systematic selection of the most significant of these stories by panels of designated stakeholders.

For this, about 25 participants were drawn from various national implementing partners of the SCRHA projects along with other stakeholders attended the training.