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Health program monitoring and evaluation

The document outlines the concepts of controlling, monitoring, and evaluation (M&E) within management practices, emphasizing their importance in ensuring that activities align with planned objectives. It details the principles of implementation, types of evaluations, and characteristics of effective indicators, while also distinguishing between monitoring and evaluation. The document serves as a guide for understanding the systematic processes involved in managing and assessing program performance.

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0% found this document useful (0 votes)
2 views

Health program monitoring and evaluation

The document outlines the concepts of controlling, monitoring, and evaluation (M&E) within management practices, emphasizing their importance in ensuring that activities align with planned objectives. It details the principles of implementation, types of evaluations, and characteristics of effective indicators, while also distinguishing between monitoring and evaluation. The document serves as a guide for understanding the systematic processes involved in managing and assessing program performance.

Uploaded by

assefafikad
Copyright
© © All Rights Reserved
Available Formats
Download as PPTX, PDF, TXT or read online on Scribd
You are on page 1/ 37

Controlling

Prepared By: Ali Y. (MPH in HSM)

Woldia , Ethiopia

August 2022
Session Objectives
Define controlling , monitoring & evaluation

Determine the purpose of M&E

Analyze the different steps of monitoring & evaluation

practices
Describe the r/n ship b/n M&E

Identify the types of evaluations

Evaluate the characteristics of indicators

2 Ali Y (Bsc, MPH) 01/25/2025


Brain Storming

What is implementation?

What is controlling?

3 Ali Y (Bsc, MPH) 01/25/2025


Implementation
It is the process of putting a program into actions.

Is the time of conducting our designed plans.

Once a program has been planned, implementation


follows.

4 Ali Y (Bsc, MPH) 01/25/2025


Implementing
 Practice of mgt next to organizing

 Excision of actual activities based on the plan

 Integrate systems and coordinate work flow

 controlling is a mgt practice next to implementing

5 Ali Y (Bsc, MPH) 01/25/2025


Principles of Implementation
 Assigning implementers

 Adequate resource allocation

 Smooth r/ship with stakeholders

 Coordination of works

 Communication

 Progressive monitoring and supervision

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Controlling
 Control is the final link in the chain of management

activities.
 It is a decision making process

 Without it, efficient planning, solid organizational


structure, & motivated employees are no guarantee of
success

7 Ali Y (Bsc, MPH) 01/25/2025


Organizational Control

Management Control
 is the process of ensuring that actual activities conform to

planned activities.
 helps managers to monitor the effectiveness of

 their planning,

 organizing, and

 leading.

 Taking corrective action is an essential part of control process

8 Ali Y (Bsc, MPH) 01/25/2025


Organizational Control…
Can be classified as;

1.Feed forward Control

 The active anticipation and prevention of problems, rather than passive

reaction.

 Monitor inputs

2.Concurrent Control

 Monitoring and adjusting ongoing activities and processes.

3.Feedback Control /outputs/products

 Checking a completed activity and learning from mistakes.


9 Ali Y (Bsc, MPH) 01/25/2025
Feedback in the Control
Process
An essential element in the control process.
 Any feedback system must have a
number of characteristics.
• Timely
• Reliable
• Precise
• Right
10 Ali Y (Bsc, MPH) 01/25/2025
Functional steps of Controlling

 Establish standards of performance

 Gather information and measure current performance

 Compare performance with standard

 Taking corrective action

 Rewarding

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Forms of management control
There are three basic forms of management control

12 Ali Y (Bsc, MPH) 01/25/2025


 Monitoring is a continuous process of gathering, analyzing and

interpreting of information and,

 The daily use of inputs and their outputs in order to enable timely

adjustment or correction on the development of a programme

/project when necessary.

 Hence it is a basic part of implementation management.


The goals of monitoring are:
 To identify any problem early,
 To solve without delaying the progress of the program.
13 Ali Y (Bsc, MPH) 01/25/2025
Supervision
Supportive supervision is “the process of guiding,
helping and encouraging staff to improve their
performance so that they meet the defined
standards of health performance of their HFs.
Is a “process”: not a one-time event, but is a
connected series of events over a period of time
It can be;
internal by senior managers within the organization
external when it’s done by external bodies

Supervision is a helping process.

 "It is not fault finding”.


14 Ali Y (Bsc, MPH) 01/25/2025
Supervision
o Types of supervision
1)Formative
2)Summative
o There Are three main styles of supervision :
1) Autocratic – do what I say
2) Democratic (supportive) – lets discuss and do the
best
3) Anarchic- do what you like

15 Ali Y (Bsc, MPH) 01/25/2025


Evaluation is a systematical and periodical gathering, analyzing
and interpreting of information on the operation as well as the
effects and impacts of a development programme/project.

An assessment of;
 the overall project performance and objective achievement

 Any impact resulted from the program/project

 Reasons contributing for success and failure

16 Ali Y (Bsc, MPH) 01/25/2025


Purposes Of Evaluation

The main purposes of evaluation can be generalized


as:
To note the shortcomings, deficiencies,
duplications etc. in the system.
To undertake Suitable corrective actions.
To justify the governmental expenditure on a
program by demonstrating its worth and
convincing the people that their money is being
well utilized.

17 Ali Y (Bsc, MPH) 01/25/2025


Activities(03 minutes)

Difference between monitoring & evaluation?

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Distinctive Characteristics of M & E
Characteristics Monitoring Evaluation

Scope Narrow Broad

Frequency Continuous Periodic

Data Gathered Primarily Quantitative Primarily Qualitative

What does it answers? - Activities performed Why and how


- Problems encountered results were achieved or not
- Rectifying measures - Strategy and policy
options

Actors Internal Internal/External

01/25/2025 Ali Y (Bsc, MPH) 19


Types of Evaluation
 can be seen in two ways i.e. in periods of evaluation and
by persons involved in the evaluation process.
Based on the Period
i. Ex-ante / start-up/ evaluation,
ii. On-going or mid-term /formative/ evaluation,
iii. Terminal /summative/ evaluation; and
iv. Ex-post /impact/ evaluation.

20 Ali Y (Bsc, MPH) 01/25/2025


1. Ex-ante/start-up Evaluation:

 It is an evaluation carried out before the start of


implementation

 Includes the initial gathering of data required for project


formulation

 Can be looked as a “base line” study in which the situation of


the project area, the target group and its environment is
described

 Data & information gathered through this evaluation helps for


the project design and also at a later stage to compare the
effects and impacts of the programme or project.
21 Ali Y (Bsc, MPH) 01/25/2025
2. On-going/mid-term/formative Evaluation

 It takes place while the implementation of the planned project is on-

progress or in the mid of the project life.


 It primarily focuses on project performance and to see immediate

and intermediate results

 May help to analyze the relation between outputs and


effects/outcome.
 Unlike monitoring, it does not deal with daily problems, but

produces periodical assessment


22 Ali Y (Bsc, MPH) 01/25/2025
3. Terminal Evaluation/summative
 Known as a project completion report

 Conducted when the funding for the project comes to an end or


certain phase of the project is completed.

 The distinguishing features of terminal evaluation are;


• it takes longer time for review of the initial outputs and
effects
• It undertakes a careful examination of implementation
performance
• it assess the sustainability of the benefits accruing to the
target area/group from the project

23 Ali Y (Bsc, MPH) 01/25/2025


4. Ex-post Evaluation

 Often called impact evaluation/ assessment

 Designed as in-depth study of the impact of a project that has

been already executed or an intervention (support) given for


certain development activities

 Carried some time after the programme/project activity has

been terminated in order to determine its impact on the target


group and the local area.
24 Ali Y (Bsc, MPH) 01/25/2025
Based on Evaluating Persons:
1. Internal Evaluation:

 Performed by persons who have a direct role in the


programme/project implementation

 Can be done by the management team or persons assigned


from the implementing agency

 On-going evaluation can be performed by internal evaluators

25 Ali Y (Bsc, MPH) 01/25/2025


2. External Evaluation:

 It is carried by persons/institutions from outside the


programme/project

 In most cases it is conducted by the funding /sponsoring/


agencies with formally designated persons outside the
project at fixed points in time

 Terminal and ex-post evaluation is often conducted by


external evaluators (in some cases also ex-ante & on-going
evaluation).

26 Ali Y (Bsc, MPH) 01/25/2025


Activities (05 minutes)

Discuss about the five program components


with an example?
 Input
 Process
 Output
 Outcome
 Impact

27 Ali Y (Bsc, MPH) 01/25/2025


Program Components
Inputs
Resources used in a program, such as money, staff, curricula,
and materials

Process/Activities/
Services that the program provides to accomplish its
objectives, such as outreach, materials distribution, counseling
sessions, workshops, and training

28 Ali Y (Bsc, MPH) 01/25/2025


Program Components (cont.)
Outputs
Direct products or deliverables of the
program/project, such as intervention sessions
completed, people reached, and materials
distributed
Outcomes
Program results that occur both immediately
and some time after the activities are
completed,
Changes in knowledge, attitudes, beliefs, skills,
behaviors, access, policies, and environmental
conditions

29 Ali Y (Bsc, MPH) 01/25/2025


Program Components (cont.)
Impacts
 Long-term results of one or more programs
over time, such as changes in HIV
infection, morbidity, and mortality
Indicators
An indicator is a standard used to measure changes in the
state of health and welfare of the community.
They are predetermined and pre-defined and are employed to
compare the expected result with the actual performance.
 Is defined as a number , proportion , or rate that
suggests or indicates the extent of some program
achievement
30 Ali Y (Bsc, MPH) 01/25/2025
Indicators are signals which
show;
 Whether we are on the right track &
direction,
 How far we have progressed
 How far we still have to go to reach
our destination/objectives and
Indicators can be :
 Quantitative, measuring tangible
effects, or
 Qualitative, dealing with judgments

31 Ali Y (Bsc, MPH) 01/25/2025


Direct and Proxy Indicators
 Some times it is not possible to observe and
measure project results directly

 In such situations indirect or proxy indicators


have to be used

 Example: effectiveness of ‘behavioral change


communication in HIV/AIDS prevention’

 projects may be measured directly by reduced


death rates related to the virus.

 But these are difficult to determine over short


period of the project life.
32 Ali Y (Bsc, MPH) 01/25/2025
Direct and Proxy Indicators . . .
 What indicators do you suggest to be used
in such situation?
Proxy indicators, such as;

 Number of new anti-AIDS clubs established


and

 Increase in number of people practicing


voluntary counseling and testing (VCT)
may be used as indicators.

33 Ali Y (Bsc, MPH) 01/25/2025


Purposes of indicators

Provide a reference point for program


planning, management, and reporting
Allow you to assess trends and identify
problems
Can act as early warning signals for
corrective action
Analyze the present situation.
 Make comparisons.
 Measure changes over time

34 Ali Y (Bsc, MPH) 01/25/2025


Characteristics of Good Indicators
Valid: accurate measure of a behavior, practice or task

Reliable: consistently measurable in the same way by

different observers
Precise: operationally defined in clear terms

Measurable: quantifiable using available tools and

methods
Timely: provides a measurement at time intervals in terms

of program goals and activities


35 Ali Y (Bsc, MPH) 01/25/2025
Contents Of Evaluation Report Writing

1.Back ground information


2. Statement of the program
3. Literature review
4. Objectives
5. Methodology
6. Work plan
7. Implementation
8. Write up

36 Ali Y (Bsc, MPH) 01/25/2025


37 Ali Y (Bsc, MPH) 01/25/2025

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