Reproductive health: people can have
a responsible, satisfying and safe sex
life and that they have the capability
to reproduce and the freedom to
decide if, when and how often to do
so.
The right of men and women: to be
informed of and to have access to safe,
effective, affordable and acceptable
methods of fertility regulation of their
choice, and the right of access to appropriate
health care services that will enable women
to go safely through pregnancy and
childbirth and provide couples with the best
chance of having a healthy infant.
SRH programmes
Evaluation
To know if the components are functioning successfully?
What is it going to measure? How will it be measured? What indicators will be used? How will the
evaluation results be incorporated into future decision-making? Who will carry out the evaluations?
Who will use the results of the evaluations and for what purpose?
Process/performance evaluation
Evaluate intermediate (programme-level) objectives or Evaluate effects
measured in terms of programme output
By using data and measures
produced or obtained at the
programme level
quantitative
client
records
client
follow-up
surveys
service
statistics
Commodity
inventories
and Logistics
Information
Systems
Management
information
systems and
service
statistics
Acceptor data
Measure the quantity or
magnitude of something
Amenable to statistical analysis
Survey
qualitative
observation
focus group discussions
in-depth interviews
key informants
mystery shopper
programme document reviews
Goal is to measure subjective dimensions
Cannot (should not?) take an average/mean
of qualitative variables
Validity
The degree to which the
method for collecting
information results in
accurate information
The
researcher has
to rely on the
woman’s own
account of
these events.
age at first
menstration.
number of
pregnancy...
but cannot be
sure if these
accounts are
correct.
Reliability
Degree to which
observations of a study
are repeatable
A measuring
instrument is
reliable if it
generates
consistent
observations at 2
points in time. two
times interviews -
if the same results,
the data are
reliable (not valid)
Program output:
# of service
users/accepters
service quality
% of a target population
Program input
the delivery
of inputs
(Programme
services)
efficiency
(cost
effectiveness
Impact evaluation
short term e.g.:
contraceptive
prevalence
long term
e.g.: fertility
trends
data collected at the population
level
qualitative
quantitative
Country-level data
trends analysis
Survey data
Most important
source of information
for outcome
evaluation
Evaluation relies
heavily on survey
data for
measurement of
changes in
demographic and
health behaviour
e.g.: contraceptive
use, fertility
Contraceptive
Prevalence Surveys
(CPS) World Fertility
Survey (WFS)
Demographic and
Health Surveys
(DHS)
Experiment studies
" xxx" averted
as advocacy tool; tools for
further estimation of maternal
mortality/morbidity - unsafe
abortion/contraceptive use
essentially cannot separate program and non-program effects!