Monitoring and Evaluation in Complex Health Systems Flashcards
(22 cards)
What is the objective of Monitoring and Evaluation (M&E)?
Understand system analysis, complexity of systems, and effects on partners
List the key components of Monitoring and Evaluation (M&E)
- Inputs
- Processes
- Outputs
- Outcomes
- Impact
Define systems analysis
Breakdown of activities into related components
What are the components of systems analysis?
- Inputs: Resources required
- Processes: Activities undertaken
- Outputs: Immediate results
- Outcomes: Short-term effects
- Impact: Long-term effects
What are examples of inputs in systems analysis?
- Human resources
- Finances
What does ‘outputs’ refer to in systems analysis?
Immediate results (e.g., number of condoms distributed)
Fill in the blank: Outcomes represent _______.
[short-term effects]
What is the impact in systems analysis?
Long-term effects (e.g., mortality attributed to HIV)
What is an example of complexity in building a new health centre?
- Requires new health workers
- Needs accommodation
- Involves equipment and drug budgets
What does the creation of a new district generate?
- New jobs
- Increased administrative costs
True or False: Events in a system are isolated and do not affect one another.
False
Who are considered direct partners in M&E?
- Children
- Pregnant mothers
- Individuals with non-communicable diseases (NCDs)
What is necessary for effective outcomes in health systems?
- Well-paid health workers
- Adequate drugs and equipment
- Trained health workers
- Good quality care
- Low absenteeism
What processes lead to outcomes in health systems?
- Timely procurement of equipment
- Good financing
- Focused training
- Proper investigations
What does understanding boundary partners involve?
Recognize the limits of your influence in programs
Define the concept of boundary partners.
Program = partners + the rest of the world
What are the spheres of influence?
- Sphere of control
- Sphere of influence
- Sphere of interest
What is the focus of the nested spheres of influence?
Good services, health facilities, trained health workers, and behavioral changes
Why is community engagement important in health initiatives?
To ensure sustainability of health initiatives
What should participants be able to discuss regarding system analysis?
Components of system analysis
What should participants demonstrate regarding system complexity?
Effects on direct and indirect partners
Fill in the blank: Participants should familiarize themselves with the concept of _______.
[boundary partners and spheres of influence]
