Documentation and implementation in health care planning iv


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Documentation and implementation in health care planning iv

  1. 1. Documentation, Programming and Implementation Nayyar Raza Kazmi
  2. 2. Why Documentation? <ul><li>Helps in standardizing what has to be done </li></ul><ul><li>Acts as a reference document </li></ul><ul><li>Helps in understanding what has to be done and why. </li></ul>
  3. 3. <ul><li>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. </li></ul><ul><li>Contains information about different activities for achieving the objectives. </li></ul>
  4. 4. What Programming Addresses <ul><li>It provides the following guidelines </li></ul><ul><ul><li>What is to be done </li></ul></ul><ul><ul><li>How exactly to be done </li></ul></ul><ul><ul><li>Where it will be done </li></ul></ul><ul><ul><li>Who will do it </li></ul></ul><ul><ul><li>What resources will be needed </li></ul></ul><ul><ul><li>How much money will be spent on it </li></ul></ul><ul><ul><li>When will it start and end </li></ul></ul><ul><ul><li>How does it relate to other activities </li></ul></ul><ul><ul><li>How precisely will it be monitored? With what frequency? And by whom? </li></ul></ul>
  5. 5. Programming <ul><li>Logical Framework Analysis (LFA) also called Log Frame is a planning and programming tool that </li></ul><ul><ul><li>Creates hierarchy of aims </li></ul></ul><ul><ul><li>Highlights external factors that may impact the implementation of the project </li></ul></ul><ul><ul><li>Established criteria for M & E. </li></ul></ul><ul><ul><li>States the Implications of carrying out the planned activities in terms of resources, assumptions and risks. </li></ul></ul>
  6. 6. Log Frame Components <ul><li>Goal </li></ul><ul><ul><li>Broader terms implying vision or mission </li></ul></ul><ul><li>Objective </li></ul><ul><ul><li>How that goal will be achieved. </li></ul></ul><ul><ul><li>SMART (Specific, measurable, attainable, realistic, time bound) </li></ul></ul><ul><li>Outcome </li></ul><ul><ul><li>End Products of the Project </li></ul></ul><ul><li>Activities </li></ul><ul><ul><li>Accomplishment of which will result in the delivery of the output. </li></ul></ul>
  7. 9. Log Frame Components (Contd) <ul><li>Indicators </li></ul><ul><ul><li>Objective measures used to verify progress and achievement of the project </li></ul></ul><ul><li>Means of Verification </li></ul><ul><ul><li>Methods of collecting and assessing information with regard to the indicators (progress reports) </li></ul></ul><ul><li>Risks/Assumptions </li></ul><ul><ul><li>Events and conditions outside the control of the planners and implementers that may impact the attainment of aims and objectives. </li></ul></ul>
  8. 11. (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
  9. 12. 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 <ul><li>Activities </li></ul><ul><li>Funds released </li></ul><ul><li>Staff hired ( I health education specialist) </li></ul><ul><li>1 awareness campaign in each district per quarter </li></ul>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 <ul><li>Outputs </li></ul><ul><li>6 Training sessions of INC Coordinators in 6 Districts </li></ul><ul><li>6 awareness campaigns in each district by end of 18 months </li></ul><ul><li>15000 newsletters, 10000 posters and leaflets related to TB published and distributed </li></ul><ul><li>Case detection rate of TB increases from 44% to 60% in 18 months </li></ul>The Local Community groups will cooperate Political support and commitment is present Pre and Post Intervention Focus Group Discussion Quarterly TB reports <ul><li>%age of women with correct knowledge related to TB </li></ul><ul><li>Case detection rate among women </li></ul>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 <ul><li>%age of women knowing basic information about TB </li></ul><ul><li>%age of women attending TB clinics </li></ul><ul><li>Objectives </li></ul><ul><li>To improve the awareness of community women in 6 Districts of NWFP on TB related issues </li></ul><ul><li>2. To increase women’s access and utilization of TB control services in 6 Districts of NWFP. </li></ul>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
  10. 14. Implementation <ul><li>Implementation means actually carrying out the activities as outlined in the documented plan of action </li></ul><ul><li>Implementation is done applying various management theories. However certain tools help in implementation. </li></ul>
  11. 15. Project Implementation Tools <ul><li>Gantt Chart </li></ul><ul><li>Project Management techniques like </li></ul><ul><ul><li>PERT ( Performance Evaluation and Review technique) </li></ul></ul><ul><ul><li>CPM ( Critical Path Method) </li></ul></ul>
  12. 16. Gantt Chart <ul><li>A Graphical representation of time schedule of activities and inter relations between them </li></ul><ul><li>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. </li></ul>
  13. 19. P.E.R.T