Data Priorities for Population and Health in Developing Countries Summary of a Workshop (1996) / Chapter Skim
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SESSION III: EVALUATING PROGRAM IMPACT AND PERFORMANCE
SESSION III: EVALUATING PROGRAM IMPACT AND PERFORMANCE
Pages 13-20
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From page 13... ...
For monitoring and evaluating USAID strategic objectives, Diamond supported the use of DHS programs for national level reporting on fertility rates and infant and child mortality rates. Self-reported survey data on STD prevalence, especially for women, are not very reliable, although the DHS in Ethiopia is testing the idea of collecting body fluids to estimate STD/HIV prevalence.
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From page 14... ...
Black presented his recommendations for health-related indicators serving two purposes: impact evaluation and program performance evaluation. For the former, he proposed an emphasis on assessing medium-term trends in age-specific child mortality rates, HIV or STD infection rates, and in some settings maternal mortality rates.
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From page 15... ...
The SAM collects data on family planning services provided to a sample of women who have responded to a DHS interview. Bertrand pointed out that the SAM has been a useful tool for measuring access by measuring time and distance to the nearest service delivery point, and measuring the density or the number of such points per population and geographic area.
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From page 16... ...
Another limitation is that situation analysis typically does not link service facilities with a specified household population. But there have been several promising examples of studies linking situation analysis data with the DHS information (in Peru, Brazil, and one under way in Tanzania)
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From page 17... ...
In the discussion, Anne Pebley noted that in the area of reproductive health, the role of traditional birth attendants who are located in the village rather than at a health center is often not included in a situation analysis or a SAM. Oot indicated that USAID is seeking to identify a core set of indicators that can serve as useful proxy measures for total service availability and accessibility.
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From page 18... ...
The EVALUATION project is currently supporting a study using this method to determine family planning costs in three countries. Janowitz recommended greater effort be devoted to collecting family planning cost data at individual service delivery points: that is, using a "bottom-up" approach rather than the more common method of estimating expenditures at the macro level and allocating them among services.
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From page 19... ...
Peter Berman proposed greater investments in building capacity at the national level of host countries to monitor costs and expenditures, and he suggested priorities for data collection and analysis. Periodic assessments of total annual national expenditures for services would allow program managers to identify priority program areas and use expenditures as indicators of program outcomes.
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From page 20... ...
or other surveys to examine expenditure information. Some participants agreed that making better use of large surveys such as the NHCS should be considered, but others noted that surveys such as the NHCS provide only aggregate information on health care expenditures at the household level, rather than attributing expenditures to particular programs or activities.
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