Goal and objective

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  • 1. Goals and ObjectivesNajibullah Safi, MD, MSc. HPM
  • 2. Learning objectives• Define an objective and distinguish it from a goal and target• Develop objectives for a malaria control or elimination program3/11/2013 2
  • 3. 1. Situation analysis 2. Stratification of the problem and resources Impact on disease Objectives 3. Selection of anti-malarial 1. Process outcome measures 2. Target achievement 4. Formulation of objectives and1. Operational stratification approaches 1. Preventive services2. Organizational structure Outcome 5. Critical analysis of existing 2. Curative services3. Intervention measures by malaria control problems 3. Epidemiological monitoringstratum 6. Setting operational outputs and 4. Operational monitoring4. Training schedule targets 5. Epidemic control5. Supervision 7. Program budgeting Implementation 8. Selection and definition of6. Health education7. Management of resources evaluation methods8. Information system9. Operational research Implementation plan Planning1. National economic and development plan2. National health development plan Policy3. Health for all policy 3/11/2013 3
  • 4. Introduction• What need to be implemented/achieved• National goal in most African countries “the reduction in malaria related mortality and morbidity to a level at which malaria is no longer a major public health problem”• Achieving this goal my require many successive five years plan3/11/2013 4
  • 5. Definitions - Goal• A goal is an aspiration towards which the program moves. Goals are not limited by time and resource availability; they are conceivable but not necessarily achievable e.g. sustain reduction of malaria burden in Africa3/11/2013 5
  • 6. Definitions - Objective• An objective is a measurable and accessible state that is expected to be achieved as a direct result of the implementation of specific approaches and use of allotted resources• Objective must be SMART – S – Specific – M – Measurable – A – Attainable – R – Relevant / Realistic – T – Time bounded3/11/2013 6
  • 7. Definitions - Objective cont.• Example: – The reduction of malaria mortality by 20% among children less than 5 years of age by 20143/11/2013 7
  • 8. Definitions – Target• Related to the quality and quantity of activities• The time frame is usually annual• Make it possible to measure level of health worker performance, services and resources required and monitor them3/11/2013 8
  • 9. Definitions – Target cont.• Example: – by the end of 2005, 90% of children less than 5 years of age diagnosed with malaria in health facility will have received treatment in accordance with the national policy3/11/2013 9
  • 10. Process of developing objectives• A well defined objective should include: – Time frame – The aspect of disease problem that will be impacted – The magnitude of the change – The population and locality in which the change will be effected3/11/2013 10
  • 11. Process of developing objectives cont.• Objectives should be judicious, convenient and ethical – Identify specific high risk group – Specific strata and geographical location – Different objectives for various strata – Realistic within the program capacity – Acceptable and understandable – Relevant to priorities and policies – Explicit deadline – Accepted by all partners3/11/2013 11
  • 12. Quantification of objectives• Requires consideration of: – Present malaria situation – Results of past actions – Experiences in other similar places – Available resources – Potential partners to support meeting objectives3/11/2013 12
  • 13. Quantification of objectives cont.• Analyze and re-examine the results of previous actions in the light of: – Decision makers expectation at the national level – Current national economic development plans – Planned transformations in health services3/11/2013 13
  • 14. Quantification of objectives cont.• Technicality VS. politics• Periodic review of objectives• Cost of measuring some important variable• Proxy indicators• Objectives must be established in term of general improvement of the health situation in a defined region• Maintenance of the expected results at reasonable cost beyond the planning period3/11/2013 14
  • 15. Summary• Select an aspect of the disease problem• The selected aspect must be measurable• List of indicators• Difficult to measure – proxy indicators• Setting-up an evaluation system• At the end of planning period - review of the objectives3/11/2013 15
  • 16. Learning objectives• Define an objective and distinguish it from a goal and target• Develop objectives for a malaria control or elimination program3/11/2013 16