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 Table of Contents  
LETTER TO EDITOR
Year : 2015  |  Volume : 6  |  Issue : 1  |  Page : 72

Evaluation of the multifaceted and complex health strategies: A guide to program managers


Department of Community Medicine, Shri Sathya Sai Medical College and Research Institute, Ammapettai, Kancheepuram, Tamil Nadu, India

Date of Submission22-Apr-2014
Date of Acceptance09-Feb-2015
Date of Web Publication07-Aug-2015

Correspondence Address:
Saurabh RamBihariLal Shrivastava
3rd Floor, Department of Community Medicine, Shri Sathya Sai Medical College and Research Institute, Ammapettai Village, Thiruporur - Guduvancherry Main Road, Sembakkam Post, Kancheepuram - 603 108, Tamil Nadu
India
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/2008-7802.162459

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How to cite this article:
Shrivastava SR, Shrivastava PS, Ramasamy J. Evaluation of the multifaceted and complex health strategies: A guide to program managers. Int J Prev Med 2015;6:72

How to cite this URL:
Shrivastava SR, Shrivastava PS, Ramasamy J. Evaluation of the multifaceted and complex health strategies: A guide to program managers. Int J Prev Med [serial online] 2015 [cited 2020 Jun 4];6:72. Available from: http://www.ijpvmjournal.net/text.asp?2015/6/1/72/162459

Dear Editor,

The program managers from all the nations have planned and implemented various strategies to ensure provision of quality assured health care services to all. [1] However, as most of these health services are extremely complex and are built on the basis of thorough situation analysis, there is a crucial need to evaluate these strategies so that the policies can be subsequently modified. [2] In general, evaluation refers to the comprehensive process by which observed outcomes can be compared with the pre-decided targets. [3],[4] In the modern era, based on the findings of a holistic evaluation process, decisions pertaining to the financial grant for a specific program is made. [4],[5]

However, to enhance the credibility of an evaluation, the steps should be uniform, pre-defined, clear, and flexible enough to be customized based on local needs. [6] Ideally the evaluation process comprises of the following steps, namely identifying what has to be evaluated (structure or process or outcome evaluation); setting standards and criteria to assess accomplishment of pre-decided targets; devising methodology to perform evaluation; data collection; systematic analysis and interpretation of data; followed by implementation of corrective measures; and finally performing re-evaluation to assess the results of the remedial steps. [2],[7],[8]

Any evaluation process should explore six different facets of a health strategy, namely evaluation of relevance, adequacy, accessibility, efficacy, effectiveness, and efficiency. [2],[9],[10] In fact, the program evaluation component has to be designed even prior to the start of any health strategy. [5] In addition, the evaluation process should not be restricted to the health care providers, but should also cover the needs of individuals or communities, so that health indicators can be improved as a whole. [11]

In conclusion, evaluation of health strategy is a complex and an integral component of planning and successfully implementing a health scheme. Thus, program managers should realize its importance and give due attention to it in order to ensure improvement in the well-being of the masses.

 
  References Top

1.
Aikins J, Lloyd L, Joyner I. A scan of program evaluation at the Houston department of health and human services. Public Health Rep 2007;122:707-11.  Back to cited text no. 1
    
2.
Park K, editor. Health planning and management. In: Text Book of Preventive and Social Medicine. 20 th ed. Jabalpur: Banarsidas Bhanot Publishers; 2009. p. 784-5.  Back to cited text no. 2
    
3.
Houston JM, Martin M, Williams JE, Hill RL. The annual African American conference on diabetes: Evolving program evaluation with evolving program implementation. Prev Chronic Dis 2006;3:A18.  Back to cited text no. 3
    
4.
Simpson D, Lypson M. The year is over, now what? The annual program evaluation. J Grad Med Educ 2011;3:435-7.  Back to cited text no. 4
[PUBMED]    
5.
Jack L Jr, Mukhtar Q, Martin M, Rivera M, Lavinghouze SR, Jernigan J, et al. Program evaluation and chronic diseases: Methods, approaches, and implications for public health. Prev Chronic Dis 2006;3:A02.  Back to cited text no. 5
[PUBMED]    
6.
Milstein RL, Wetterhall SF. Framework for program evaluation in public health. MMWR Recomm Rep 1999;48:1-40.  Back to cited text no. 6
    
7.
Shadish WR. The common threads in program evaluation. Prev Chronic Dis 2006;3:A03.  Back to cited text no. 7
[PUBMED]    
8.
Milstein B, Chapel T, Wetterhall SF, Cotton DA. Building capacity for program evaluation at the centers for disease control and prevention. New Dir Eval 2002;93:27-46.  Back to cited text no. 8
    
9.
Heckman JJ. Building bridges between structural and program evaluation approaches to evaluating policy. J Econ Lit 2010;48:356-98.  Back to cited text no. 9
    
10.
Desai J, Geiss L, Mukhtar Q, Harwell T, Benjamin S, Bell R, et al. Public health surveillance of diabetes in the United States. J Public Health Manag Pract 2003;Suppl: S44-51.  Back to cited text no. 10
    
11.
Roback K, Dalal K, Carlsson P. Evaluation of health research: Measuring costs and socioeconomic effects. Int J Prev Med 2011;2:203-15.  Back to cited text no. 11
[PUBMED]  Medknow Journal  




 

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