Documentation and implementation in health care planning ivPresentation Transcript
Documentation, Programming and Implementation Nayyar Raza Kazmi
Helps in standardizing what has to be done
Acts as a reference document
Helps in understanding what has to be done and why.
Once an Option is selected as a Course of action, the next step is to make a plan of action based on the selected option.
Contains information about different activities for achieving the objectives.
What Programming Addresses
It provides the following guidelines
What is to be done
How exactly to be done
Where it will be done
Who will do it
What resources will be needed
How much money will be spent on it
When will it start and end
How does it relate to other activities
How precisely will it be monitored? With what frequency? And by whom?
Logical Framework Analysis (LFA) also called Log Frame is a planning and programming tool that
Creates hierarchy of aims
Highlights external factors that may impact the implementation of the project
Established criteria for M & E.
States the Implications of carrying out the planned activities in terms of resources, assumptions and risks.
Log Frame Components
Broader terms implying vision or mission
How that goal will be achieved.
SMART (Specific, measurable, attainable, realistic, time bound)
End Products of the Project
Accomplishment of which will result in the delivery of the output.
Log Frame Components (Contd)
Objective measures used to verify progress and achievement of the project
Means of Verification
Methods of collecting and assessing information with regard to the indicators (progress reports)
Events and conditions outside the control of the planners and implementers that may impact the attainment of aims and objectives.
(Activity to Output) The external factors that must be realized to obtain the planned outputs on schedule The decisions or actions outside the control of the funders that are necessary for the inception of the project Sources of information and methods used to collect and report it Inputs/Resources: Materials/equipment or services (personnel trained etcetera) to be provided at what cost in what period by funders, partners, or beneficiaries Activities: The tasks carried out to implement the project and deliver the identified outputs (Output to Purpose) The factors not within the control of the project, which if not present, are liable to restrict progress from outputs to achievement of the project purpose Sources of information and methods used to collect and report it Measures of the quantity and quality of outputs and the timing of their delivery Used during monitoring and review Outputs: The direct measurable results (goods and services) of the project, produced in order to achieve the project purpose. (Purpose to Goal) Conditions external to the project that are necessary if achievement of the Project’s Purpose is to contribute to the Project’s Goal Sources of information and methods used to collect and report it Quantitative and qualitative evidence for judging achievement and distribution of benefits (quantity, quality, time) Used for project completion and evaluation Purpose: The intended outcome expected at the end of the project The improvements or changes the project will bring about (Goal to Supergoal) The external factors necessary for sustaining objectives in the long-term Sources of information and methods used to collect and report it The quantitative ways of measuring or qualitative ways of judging whether the broad objectives have been achieved Used during evaluation Goal: The wider problems that the project will help to resolve. Assumptions and Risks Means of Verification Performance Indicators Narrative Summary of the Project Description
Suficient Funds are available with Donor Donor commitment is present Required staff would be easily available. Quarterly Financial Reports Quarterly Reports. Project Documents %age of allocated funds released No. of staff hired
Staff hired ( I health education specialist)
1 awareness campaign in each district per quarter
Community support is present Political support is present Risks: Law and Order situation in 2 Districts is not good Political scenario is uncertain Quarterly Reports No of training sessions conducted per district No of awareness campaigns conducted per district No of newsletters, posters and leaflets published and distributed in 6 Districts
6 Training sessions of INC Coordinators in 6 Districts
6 awareness campaigns in each district by end of 18 months
15000 newsletters, 10000 posters and leaflets related to TB published and distributed
Case detection rate of TB increases from 44% to 60% in 18 months
The Local Community groups will cooperate Political support and commitment is present Pre and Post Intervention Focus Group Discussion Quarterly TB reports
%age of women with correct knowledge related to TB
Case detection rate among women
Outcomes 1. Level of women knowledge related to TB is increased 2. Case detection rate of TB among women increases. The Local Community groups will cooperate Political support and commitment is present Pre and Post intervention Focus Group Discussions Quarterly Reports and TB Centre Registers
%age of women knowing basic information about TB
%age of women attending TB clinics
To improve the awareness of community women in 6 Districts of NWFP on TB related issues
2. To increase women’s access and utilization of TB control services in 6 Districts of NWFP.
Community and partner commitment of TB is high Through community and hospital surveys TB prevalence rate and standardized mortality ratio has decreased Goals To decrease the morbidity and mortality of TB Risks/ Assumptions Means of Verification Indicators
Implementation means actually carrying out the activities as outlined in the documented plan of action
Implementation is done applying various management theories. However certain tools help in implementation.
Project Implementation Tools
Project Management techniques like
PERT ( Performance Evaluation and Review technique)
CPM ( Critical Path Method)
A Graphical representation of time schedule of activities and inter relations between them
Time is represented on X-axis and activities on the Y-axis. Each activity is shown as a bar starting from the day it starts and ends on the day it terminates. Parallel activities lie below each other.