Monitoring and Evaluation of Health Services.pptVIP

* * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * Characteristics of Indicators Clarity: easily understandable by everybody Useful: represent all the important dimensions of performance Measurable Quantitative: rates, proportions, percentage, common denominator (e.g., population) Qualitative: “yes” or “no” Reliability: can be collected consistently by different data collectors Validity: measure what we mean to measure Which Indicators? The following questions can help determine measurable indicators: How will I know if an objective has been accomplished? What would be considered effective? What would be a success? What change is expected? Evaluation Area (Formative assessment ) Evaluation Question Examples of Specific Measurable Indicators Staff Supply Is staff supply sufficient? Staff-to-client ratios Service Utilization What are the program’s usage levels? Percentage of utilization Accessibility of Services How do members of the target population perceive service availability? Percentage of target population who are aware of the program in their area ? Percentage of the “aware” target population who know how to access the service Client Satisfaction How satisfied are clients? Percentage of clients who report being satisfied with the service received Evaluation Area (Summative Assessment) Evaluation question Examples of specific measurable indicators Changes in Behaviour Have risk factors for cardiac disease have changed? Compare proportion of respondents who reported increased physical activity Morbidity/Mortality Has lung cancer mortality decreased by 10%? Has there been a reduction in the rate of low birth weight babies? Age-standardized lung cancer mortality rates for males and females Compare annual rates of low-birth weight babies over five years period So what will we do ? Use Importance Feasibility Matrix Face reality! Assess your strengths and weakness Eventually...... Phase C: Collecting and Anal