SRH program general evaluation

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- week 3
Nanami Tachikawa
Mind Map by Nanami Tachikawa, updated more than 1 year ago
Nanami Tachikawa
Created by Nanami Tachikawa about 9 years ago
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SRH program general evaluation
  1. 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.
    1. 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.
      1. SRH programmes
        1. Evaluation
          1. To know if the components are functioning successfully?
            1. 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?
              1. Process/performance evaluation
                1. Evaluate intermediate (programme-level) objectives or Evaluate effects measured in terms of programme output
                  1. By using data and measures produced or obtained at the programme level
                    1. quantitative
                      1. client records
                        1. client follow-up surveys
                          1. service statistics
                            1. Commodity inventories and Logistics Information Systems
                              1. Management information systems and service statistics
                                1. Acceptor data
                                  1. Measure the quantity or magnitude of something Amenable to statistical analysis
                                    1. Survey
                                    2. qualitative
                                      1. observation
                                        1. focus group discussions
                                          1. in-depth interviews
                                            1. key informants
                                              1. mystery shopper
                                                1. programme document reviews
                                                  1. Goal is to measure subjective dimensions Cannot (should not?) take an average/mean of qualitative variables
                                                  2. Validity
                                                    1. The degree to which the method for collecting information results in accurate information
                                                      1. 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.
                                                    2. Reliability
                                                      1. Degree to which observations of a study are repeatable
                                                        1. 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)
                                                    3. Program output:
                                                      1. # of service users/accepters
                                                        1. service quality
                                                          1. % of a target population
                                                          2. Program input
                                                            1. the delivery of inputs (Programme services)
                                                            2. efficiency (cost effectiveness
                                                          3. Impact evaluation
                                                            1. short term e.g.: contraceptive prevalence
                                                              1. long term e.g.: fertility trends
                                                                1. data collected at the population level
                                                                  1. qualitative
                                                                    1. quantitative
                                                                      1. Country-level data
                                                                        1. trends analysis
                                                                          1. Survey data
                                                                            1. Most important source of information for outcome evaluation
                                                                              1. Evaluation relies heavily on survey data for measurement of changes in demographic and health behaviour e.g.: contraceptive use, fertility
                                                                                1. Contraceptive Prevalence Surveys (CPS) World Fertility Survey (WFS) Demographic and Health Surveys (DHS)
                                                                              2. Experiment studies
                                                                                1. " xxx" averted
                                                                                  1. as advocacy tool; tools for further estimation of maternal mortality/morbidity - unsafe abortion/contraceptive use
                                                                              3. essentially cannot separate program and non-program effects!
                                                                        2. Design
                                                                          1. Implementation
                                                                            1. family planning
                                                                              1. Unmet need
                                                                                1. CPR
                                                                                  1. Ever use
                                                                                    1. CPY
                                                                                      1. Continuation rates
                                                                                        1. User failure rates
                                                                                          1. # of users
                                                                                            1. pregnancies, births, (unsafe) abortions/child deaths averted
                                                                                            2. safe abortion
                                                                                              1. unsafe aboirtions/maternal deaths averted
                                                                                              2. delivery by trained and skilled birth attendants
                                                                                                1. maternal deaths averted/child deaths averted
                                                                                                2. emergency obstetric interventions
                                                                                                  1. maternal/child deaths averted
                                                                                                  2. sub-population targeted campaigns e.g.: men, adolescents, refugees etc
                                                                                                    1. STI counselling, prevention and treatment
                                                                                                      1. STI rates
                                                                                                      2. safe motherhood campaigns
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