supervision, monitoring and evaluation of health

8/9/2019 Supervision, Monitoring and Evaluation of Health.

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Supervision, Monitoring and

Evaluation of Health

Programs

Prepared By: Dr Ahmad Eklil

PC / HSSP

Takhar Province

Date:


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5/5/2010 Prepared by: Dr Ahmad Eklil 2

Supervision, Monitoring &

EvaluationHow should theperformance of the people

in a project be checked, assessed and supported?

- Supervision

How should theperformance of the planned

activities be checked, assessed and corrected?

- Monitoring

How should theproject as a wholebe assessed?

(Have we achieved our goal? Lessons for future?)

- Evaluation


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Health Program

Policy

Planning

ImplementationInputs

Activities

Outputs

GoalsImpact


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Supervision

What?

Regular, careful scrutiny of work by

subordinates

Why?To ensure effective implementation,

guide staff to become competent

How?

- Direct Observation

- Review ofRecords

- Talking with staff

- Talking with community


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Supervision Contd

Functions:

- Guidance & Training

- Assist with resources / logistics- Support, encourage, advocate


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Supervision Contd

Good Supervisor:

- Interpersonal Skills

- Technical Knowledge- Leadership Qualities

- Attitude to Help

Mentoring, Joint problem solving,

2-Way communication


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Monitoring

Definition

Continuous follow-up of activities to ensure that

they are implemented as planned

PurposeTo provide concurrent feedback on program

components

Value

To facilitate corrective actions

Frequency

Continuous - daily, weekly, monthly, annually


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Inputs Activities Outputs Outcome/

Impact

Resources Services Benefit /Improvement Healthstatus

Personnel

Training

Information

SuppliesEquipment

Facilities

Vehicles

Money

Home visits by

CHW

Del. assisted by

Med.H. Edu. sessions

Org. Imm. In HF

or Outreach

program

Distribute pills

# FP Acceptors

# Safe deliveries

# OPD

#Children./womenimmunized

# Malaria Diag. &

Treated

# IUD insertions

#Qual. of services

Mortality:

Maternal

Neonatal

InfantChild

Morbidity:

Diarrhea

Polio

TetanusMalaria


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Program Based (Performance)

InputsHuman and financial resources

Physical facilities, equipment

Operational policies that enable services

to be deliveredProcess

Refers to multiple activities

Include what is done and how well

Outputs

Results of efforts at program level

Service output(adequacy of service delivery system)

Service utilization

Activities completed


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Population Based (Outcome)

Effect

On large social systems or smaller area

(demonstration project)

Coverage, increased knowledge, skills,

satisfaction, quality etc.

Impact

Anticipated goals of program process

Morbidity, mortality etc.


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Management Concerns

Higher levels are concerned with outcomes

Develop health plans

Allocate resources

Provide inputs

Modifying objectives

Redesigning strategies


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Management Concerns

Middle levels are concerned with outputs

Exercise supervision

Provide support

Take timely corrective action

Rescheduling

Re-budgeting Reassigning staff


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Management Concerns

Implementation levels are concerned with

activities

Implement planned activities as scheduled

Removing bottlenecks (Also involve in training,supervision, expert advice, feed back)


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Monitoring Process

Identifying / detecting deviations from plans

Setting norms for performance

Measure level of performance

Compare performance levels with standard

Explaining / diagnosing reasons for deviation

Taking necessary corrective actions


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Approaches to Monitoring

Routine

Reporting and feedback system

Tracking program implementation

Supervisory field visitsCommunity interviews

Community monitoring

Monthly meetings

Short term monitoring to solve a specific

problem

Use of task force


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Designing Monitoring

SystemsWho should monitor

Frequency of monitoring (when)

Identify # & types of indicators (what) Process of collecting & analyzing data

and communicating results (how)

Organizing these decisionsCost of monitoring


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Evaluation

To assess whether desired goals have been

achieved

- Involves comparison of program effectiveness & impact

To determine causal relationships between project

inputs / activities and impact


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Evaluation

A learning process and action oriented

management tool for improving current

implementation; future planning anddecision making

.


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Procedure of Evaluation

Decide scope and objectives

Select indicatorsCollect information (data)

Analyze information

Compare resultsShare results


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Techniques of Evaluation

Review of records

Case studiesControlled experiments

Sample surveys

Rapid surveys


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Questions?


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Definition of Planning

Planning is a method of trying to ensure that

resources available now are used in most

efficient way to obtain explicit objectives

Planning is essentially about developing

strategies to make policies happen in practice,

and about considering what is needed tooperationalize the strategy


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Terminologies

Goals:-

Define the overall impact that the programme has

to have on target population

Objectives:-

Are explicit measurable statements of programmeoutputs / outcomes

(may be at individual level and/or

population level)

Outcomes:-

Are the specific results that programme hopes to

achieve - always relate to goals

(may be short term, intermediate, long term)

supervision, monitoring and evaluation of health

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