PROGRAM EVALUATION

By :Rindi Kinanti.S.Kep.,Ns

Program evaluation

• Program evaluation is a process to assess the Program evaluation is a process to assess the performance of a program:performance of a program:

an ongoing process of reflecting on plans, actions, an ongoing process of reflecting on plans, actions, and results, so that programs can improve along the and results, so that programs can improve along the way;way;

At the conclusion of the program, assessing the At the conclusion of the program, assessing the results or outcomes, the community situation “now” results or outcomes, the community situation “now” and what might be done next.and what might be done next.

• (Hitchcock, Schubert, & Thomas, 2003(Hitchcock, Schubert, & Thomas, 2003))

Community Health Nursing Program evaluation should be:

• Participatory• Use multiple methods• Focus on capacity building of individuals,

communities, organizations • Be appropriate to the complexity

Some questions to consider in program evaluation are:

• Was the program carried out as planned?• What has changed as a result of the program?• Were the results worth the effort?• What is the situation now?• What should be done next?

Evaluation Types

• Formative evaluationFormative evaluation

provides information to those planning and implementing the program “along the way” and permits improvements to the program while activities are in progress.

• Summative evaluationSummative evaluation

provides retrospective information about the performance of the program up to the point when the evaluation was completed

Evaluation Framework to Study Quality Health Program

• Structural EvaluationStructural Evaluation : : The assessment of The assessment of resources used in the programresources used in the program

• Process EvaluationProcess Evaluation : : Describe all the activities Describe all the activities undertaken to produce changeundertaken to produce change

• Outcome EvaluationOutcome Evaluation : : Determination of program Determination of program results at different points in timeresults at different points in time

• (Donabedian, 1996)(Donabedian, 1996)

Evaluation As Comparison

• Evaluation is a process ultimately intended Evaluation is a process ultimately intended to determine the worth of something, to determine the worth of something, presumably in comparison with the some presumably in comparison with the some norm or standard of “goodness”norm or standard of “goodness”

• (Hitchcock, Schubert, & Thomas, 2003)(Hitchcock, Schubert, & Thomas, 2003)

In program evaluation, comparison may be made with:

• A similar program A similar program • A different programA different program• Established normsEstablished norms• Established practice and outcome standardsEstablished practice and outcome standards• Pre and post program assessmentsPre and post program assessments• The same program over timeThe same program over time

Cost Analysis

• The evaluation of the costs of a program in The evaluation of the costs of a program in relation health outcomerelation health outcome

• Cost accountingCost accounting• Cost effectivenessCost effectiveness• Cost benefitCost benefit

• (McKenzie & Smletzer, 2001; Rossi & Freeman, 1999)(McKenzie & Smletzer, 2001; Rossi & Freeman, 1999)

• Cost accountingCost accounting : : Comparison of the projected and actual Comparison of the projected and actual costs of a programcosts of a program

• Cost effectivenessCost effectiveness : : Comparison with another program, cost Comparison with another program, cost per effects or outcomes achievedper effects or outcomes achieved

• Cost benefitCost benefit : : Comparison of benefit of different programs Comparison of benefit of different programs with program costswith program costs

THANKS FOR ALL