Lesson 7 Flashcards
(23 cards)
Is the systematic collection, analysis, and use of information from programs for three basic purposes:
What are these three purposes
Monitoring
- Learning from the experiences acquired (learning function)
- Accounting internally and externally for the resources used(monitoring function)
- The results obtained and taking decisions (steering function)
Is assessing an ongoing or completed program or policy as systematically and as objectively as possible. The objective is to be able to make statements about their relevance, effectiveness, efficiency, impact and sustainability.
2 purposes
Evaluation
learning function -the lessons learned need to be incorporated into future proposals or policy
And a monitoring function -partners and members review the implementation of policy based on objectives and resources mobilized.
What is the primary aim of m and e?
The primary aim is to have a strong M&E and review system in place for the national health strategic plan that comprises all major disease programs and health systems.
Key events to assess progress and performance.
Existing country health-sector
National Health Mission (2014), strategies for operationalizing the framework should
- be primarily country-focused but also offer the basis for global monitoring
- Address M&E needs for multiple users and purposes, including monitoring program inputs, processes and results, tracking health systems performance and evaluation
- facilitate the identification of indicators and data sources, provide tools and guidance for data analysis, and show how the data can be communicated and used for decision-making .
- bring together the monitoring and evaluation work in disease-specific programs with cross-cutting efforts such as tracking human resources, logistics and procurement, and health service delivery
Is a core component of current efforts to scale up for better health.
hss ?
Monitoring and evaluation
-health system strengthening
The framework builds upon principles derived from the ?
Paris declaration on aid harmonization and effectiveness and the IHP
The framework addresses
Indicator domains
Data Collection
Analysis and synthesis
Communication and use
help to identify “red flags”
Indicators
Realationship between hmis and m and e
can be defined as a variable whose value changes. It is a measurement that measures the value of the change in meaningful units that can be compared to past and future units. It focuses on a single aspect of a program or project –i.e., an input, output or the overarching objective.
Indicator
Relationsip between m and e examples key performance areas
Reproductive health immunization Disease prevention and control Resource utilization Data Quality
Lays down a framework for achieving the fifth Millennium Development Goal of reducing maternal mortality.
The Maternal Survival Strategies lays down
HMIS indicators related to pregnancy care interventions are:
1st antenatal care attendances
4th antenatal care attendances
Cases of abnormal pregnancies attended at out-patient departments (OPD) of health facilities
Institutional cases of maternal morbidity and mortality due to Antepartumhemorrhage (APH), hypertension and edema reported by In-patient departments (IPD) of health facilities
Cases of abortion attended at health facilities
Cases of medical (safe) abortions conducted at health facilities
HMIS indicators related to intra partum care:
Deliveries by skilled attendants (at health facilities)
Deliveries by Health Extension Workers (HEW) (at home or Health Posts)
Institutional cases of maternal morbidity and mortality due to obstructed labor
HMIS indicators related to post-partum care:
1st postnatal care attendance
Institutional cases of maternal morbidity and mortality due to Postpartum hemorrhage (PPH) and Puerperal sepsis
HMIS indicators related to inter-partum (between pregnancies) period:
Family planning method acceptors (New and Repeat)
Family planning methods issued by type of method
is one of those countries who have made great strides towards reducing the under-5 mortalities based on Ethiopia Maternal and Child Health Data (2012)
Ethiopia
major causes of under-5 deaths in Ethiopia, with under-nutrition attributing to over one third of these deaths.
Diarrhea, pneumonia, measles, malaria, HIV/AIDS, birth asphyxia, preterm delivery, neonatal tetanus and neonatal sepsis
Ethiopia is implementing interventions targeting under 5-year-old children through:
Universal Immunization Coverage
Nutrition program
Integrated Management of Childhood Illnesses and the Community Case Management of Childhood Illnesses
Through Health Development Army to –
improve water, sanitation and hygiene–Malaria prevention through Integrated Household Spraying and distribution of Insecticide Treated Nets (ITN)
leading cause of under-5 child mortality
Pneumonia
2051 cases
child survival interventions, the related HMIS indicators are:
Number of treatments for children under five provided by health facility by disease : Diarrhea, dysentery, pneumonia, measles, malaria, neonatal tetanus
Number of infants immunized for measles
Safe water coverage
Latrine coverage
Household with ITN
With the vision to have a TB free world, the goal of the STOP TB Program (STP) is to dramatically reduce the global burden of TB by 2015, in line with the Millennium Development Goals and the Stop TB Partnership targets of the World Health Organization (2006).
The STOP TB Program
Indicators Tb
TB PATIENTS ON dOTS
TB case detection
HIV -TB Co-infection
Tb treatment outcome