module 3: basic analyses. module 3: learning objectives understand common analyses that calculate...
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Module 3: Basic analyses
Module 3: Learning objectives
Understand common analyses that calculate program coverage and efficiency
Calculate program coverage and retention
Terminology
Indicator
Program coverage
Service availability
Service utilization
Program retention
Indicator
Program element that needs tracking
Measures an aspect of a program’s performance
Measures changes over a period of time
• Number of new family planning users
• Number of clients currently on ART
Expressed as a number or percentage
Common Analyses
Program coverage
Extent to which a program reaches its intended target population, institution, or geographic area
Compare current performance to prior year/quarter
Compare performance between sites
Program retention
Extent to which the range of services are being delivered as initially intended so that client drop-outs are minimal
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Why do we need to measure coverage? To understand program progress
To determine if the target is reached Clients, commodities, adherence…
To determine if one target is reached more effectively than another
• Are there underserved areas/regions, subpopulations?
Program coverage
Extent to which a program reaches its intended target population, institution, or geographic area
Utilization:
Is the target population utilizing services, accessing commodities, being reached with services?
Availability:
Are the services available where there is a need?
Utilization calculation
Percentage of the target population utilizing services
# of individuals in target population using a service
------------------------------------------- x 100
# of individuals in target population
Utilization calculation – example
No. of persons educated as of 6/12/09 = 300
Goal for 12/31/09 = 900
300
900
You have reached 33% of your target group with education messages
= 0.33 x 100 = 33%
Comparison of time periods
Compare percentage achieved toward target in different time periods, different sites, etc.
Rate of increase
As of January, 70 people educated; as of June, 300 people
300 - 70 = 230 increase in people educated
230/6 = 38.3 new people educated per month
Sought prenatal care (600)
All pregnant women (2,000)
PMTCT Target (1,000)
Utilization =
Service users Target population
Counseled & Tested for HIV (500)
Utilization of PMTCT Programs
Utilization =
600/ 1,000 = 0.6
0.6 x 100 = 60%
Program coverage
Extent to which a program reaches its intended target population, institution, or geographic area
Utilization:
Is the target population utilizing services, accessing commodities, being reached with services?
Availability:
Are the services available where there is a need?
Availability calculation
Number of service outlets available per target population
Number of clinics with PMTCT per number of pregnant women
Expressed as a ratio
PMTCT clinic availability
There are 8 clinics offering PMTCT & 100,000 pregnant women in region X.
Ratio of clinics to pregnant women 8:100,000
Reduce (1:12,500) pregnant women
The standard recommendation is 1 clinic with PMTCT services per 10,000 pregnant women
Clinic availability is not reaching the target
Availability + Utilization = Coverage
Service availability is 1:12,500
Service availability target is 1:10,000
PMTCT service utilization is 25% off the target
What can we conclude?
Service availability and utilization are too low; the program is not meeting the needs of pregnant women.
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Program retention
Measures if the range of services are being delivered as initially intended
Determines program retention, i.e., if the project is keeping clients through entire package of services
• Important in clinical programs where drug adherence is an issue (TB, HIV/AIDS, immunization) and there are multiple steps (PMTCT)
Utilization
Retention example: Immunization
Completion
Tested for HIV (500)
Sought prenatal care (600)
All pregnant women (2,000 women)
PMTCT Target(1,000)
40 received prophylaxis
350 received HIV- result or no result
100 received HIV+ result
PMTCT Program Retention
Tested for HIV
Sought prenatal care
All pregnant women (2,000 women)
40 received prophylaxis
350 received HIV- result
100 received HIV+ result
1,000
500
PMTCT Program Retention
Tested for HIV (500)
Sought prenatal care (600)
All pregnant women (2,000 women)
PMTCT Target(1,000)
40 received prophylaxis
350 received HIV- result
100 received HIV+ result
PMTCT Program Retention
Tested for HIV (500)
Sought prenatal care (600)
All pregnant women (2,000 women)
PMTCT Target(1,000)
40 received prophylaxis
350 received HIV- result or no result
100 received HIV+ result
PMTCT Program Retention
Tested for HIV (500)
Sought prenatal care (600)
All pregnant women (2,000 women)
PMTCT Target(1,000)
40 received prophylaxis
350 received HIV- result or no result
100 received HIV+ result
PMTCT Program Retention
Key messages
Coverage – extent to which a program reaches its intended target population, institution, or geographic area
Retention – the extent to which the range of services are being delivered as initially intended with clients retained throughout the full package of services
It is important to look at both to fully understand your services
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