Professional Documents
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NCM113 Finals
NCM113 Finals
EVALUATION :
the making of a judgment about the
MONITORING & EVALUATION OF amount, number, or value of
COMMUNITY HEALTH PROGRAMS something;
IMPLEMENTED In CHN, evaluation is specifying the
worth of the implemented:
MONITORING health programs
to watch and check a situation carefully performance of health facilities/human
for a period of time In order to resources
discover something about it: nursing care given to clients
to observe and check the progress or Analysis of the effectiveness, quality,
quality of (something) over a scope, and timeliness of services given
period of time; keep under systematic “the process for determining
review. systematically and objectively the
to maintain regular surveillance relevance, efficiency, effectiveness, and
impact of activities in the light of their
MONITORING – (United Nations-1978) objectives (UN, 1978)
“the continuous or periodic review and Done during planning stage
surveillance by management at every
level of hierarchy of the PROGRAM EVALUATION
implementation or an activity to ensure aims to:
that : discover how well the objectives are
input deliveries being fulfilled
work schedules determine the reasons for specific
targeted outputs successes and failures
other required outputs are proceeding Uncover principles underlying a
according to plan successful program
Done during the implementation phase
EVALUATION
PURPOSE OF MONITORING: Help prevent costly mistakes
Identify deviations or problems so that Improve program planning/
corrective measures/actions or implementation in the future
interventions can be instituted
immediately. RESPONSIBLE FOR EVALUATION IN
Implies reporting to appropriate CHN:
persons/offices at regular intervals. Head of the Unit (Physician)
Local health programs
Community Health Nurse
Nursing care rendered to
clients/Midwives performance
Midwife
Assist in the evaluation of BHW
2. Individual
3. Population Group
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threatened by the presence of the undertaken from 6-12 months after the
evaluator project completion
a substitute for ex-post evaluation of
FEEDBACK: the project with short duration
serves many purposes: assess the achievement of overall
motivates and reinforces positive results in terms of efficiency, outputs,
behavior effect and impact
enhances client’s self image learn lessons for future planning
increases client’s awareness of the need
to improve their behaviors 3. Ex post:
provide client the opportunity to undertaken some years after project
articulate their thoughts regarding completion; impact have been realized
tasks on hand
Should be properly documented INDICATORS:
Family health record should be is a performance measure
updated regularly Indicator should be:
valid
PROGRAM EVALUATION reliable
PROGRAM: objective
An organize set of activities, projects, sensitive
processes or services which aims for specific
the realization of specific objectives. cost-effective
Has a broader scope, magnitude, and timely
diversity than a project
EXAMPLES OF INDICATORS:
FOCUS OF EVALUATION 1. Input indicators
number of Vit. A capsules procured
number and type of
education/information materials
developed/reproduced
number of BHWs trained on the
prevention of Vit. A
2. Process Indicator
percentage (%) of Vit. A capsules
distributed to field offices
percentage (%) of
education/information materials
THREE TYPES OF PROGRAM actually
EVALUATION distributed to field office
1. Ongoing: percentage (%) of BHWs actually
analysis during implementation of the trained
activity of its continuing relevance,
efficiency, effectiveness 3. Output Indicators:
present and like future outputs, number of preschoolers weighed
effects, impact number of school children given Vit. A
number of BHWs completed the
training
4. Effect Indicators:
number of preschoolers who increased
weight
number of school children having good
eyesight
number of trained BHWs doing health
teaching
2. Terminal:
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most basic record which must be kept serves as source of data for reports
in the facility prepared by midwives
Fundamental building block of FHSIS serves as data source for survey, study,
it contains: or research
client’s data: name, address, date of serves as a tool for the midwife to
birth, religion, assess her own accomplishment
weight
chief complaints, vital signs, diagnosis, 4. MONTHLY CONSOLIDATION
treatment(s) TABLE– show monthly trend of disease
date of treatment, consultation occurrence
Target/Client List:
A. Constitute the second building block
of the FHSIS
4 Purposes:
2. Output Reports/Tables – produced at
1. Plan and carry out patient care and
the PHO back to BHS/BHC to RHO
service delivery to prevent duplication or
redundancy
THE STAGES OF GROUP
2. Facilitate monitoring and supervision
DEVELOPMENT (Dependency Stage)
3. Report services delivered, information or
Task confronting group members
tally sheets for easy reporting
during initial stage:
4. Provide clinic-level data base for further
1. They must determine a way of achieving
studies
their primary task (the purpose to which
they join the group)
B. Programs to be maintained in the
target/client list:
2. They must find a place for themselves in
EPI
the group ( gratification from the pleasure
Eligible Population
of group
Children 9-59 months (risk, Under 5
membership)
Children)
Nutrition
BEHAVIORAL PATTERNS OF INITIAL
Pre-Natal Care
GROUP MEMBERS:
Post Partum Care
A. “in” or “out” of the group
Family Planning
B. Liked, respected or ignored by the
TB Symptomatic/TB Patients under
group
SCC/TB Patients under Standard
C. Communication are limited,
Regimen
repetitious, and restrained
Leprosy/Malaria/Schistosomiasis
members are careful with their words
Patients
discuss topics with little substantive
interest
3. SUMMARY TABLE
vehicle to explore how they are
a) Is a form with 12-month column
perceived by co-members=discovers
retained at the Barangay Health
who eventually:
Station (BHS)
responds favorably
- Midwives made relevant monthly report
sees things the way she/he does
b) parts of the summary table:
whom to fear
health program accomplishment
whom to respect
midwives record all data found in the
D. Members search for similarities (group
target client list (TCL)
cohesiveness)
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3. Human dignity-
The recognition that human beings
possess a special value intrinsic to
their humanity and as such are worthy
of respect simply because they are
human beings.
Every human being, regardless of age,
ability, status, gender, ethnicity, etc., is
to be treated with respect 5. Fidelity
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