This document outlines planning concepts and processes for public health programme managers. It discusses planning as a systematic process of setting goals and objectives to achieve them. The planning cycle involves assessing the current situation, setting priorities and targets, implementing plans, and monitoring and evaluating progress through indicators to inform future planning. The document guides participants through activities to discuss their experiences with planning, identify the steps in the planning process, and how to apply these concepts to the National Rural Health Mission's planning process, including developing priority activities and indicators for the annual programme implementation plan.

1. DHAP and planning
for programme managers

2. Outline
• Planning – general concepts
• District health planning
• Planning under NRHM
• Next steps
09/01/12 Institute of Public Health, Bangalore 2

3. Activity 1: What is planning?
• Mention examples of planning that you did in
the previous year.
• Based on these examples, describe in a few
sentences – “what is planning”?
09/01/12 Institute of Public Health, Bangalore 3

4. Planning – what and why?
Planning – “a systematic process of setting goals
and objectives and choosing between alternatives
to achieve them”
And why?
- Where are we headed?
- Resources are limited
- Aligning priorities of individual, organisation and
communities
09/01/12 Institute of Public Health, Bangalore 4

5. Recall 1: Public health concepts
• Determinants of health
– Health service delivery
• Demands, need and supply
– Irrational demands and felt needs
09/01/12 Institute of Public Health, Bangalore 5

6. Ideally…
09/01/12 Institute of Public Health, Bangalore 6

7. Activity 2: Steps in planning
Based on your previous year’s
experience, summarise the steps in planning
09/01/12 Institute of Public Health, Bangalore 7

8. Planning cycle
Where are we now?
Where do we want
to go?
How will we get
there?
How will we know
when we get there?
What new problems
do we have? What
did we learn?
09/01/12 Institute of Public Health, Bangalore 8
Situation analysis
Priorities, goals
and targets
Implementation
- Indicators
Monitoring and
evaluation
Forward
planning

9. Planning – is it only PIP?
• Recall Activity 1
• How frequently should we plan? – Annual
action plan (PIP)? Monthly? Weekly? Daily!!!?
09/01/12 Institute of Public Health, Bangalore 9

10. Activity 3: Discuss with examples
• Discuss
– Chasing targets vs anticipating
– Daily  Weekly  Monthly = PIP (Need for
monitoring and review) – Do our daily, weekly and
monthly activities/plans move us closer towards the
goals in the annual plan/PIP?
– Role of monthly meetings – What is the role of
monitoring/reivew/evaluation? How did we do this
during the previous year?
09/01/12 Institute of Public Health, Bangalore 10

11. Activity 4: Looking back and learning
• Look back at the PIP preparation during the
previous year.
– What were the steps you followed during the
previous year
– Can you categorise them according to the
planning cycle?
– What did we do correctly? What went wrong?
And how can we avoid the
mistakes/problems/obstacles during this year?
09/01/12 Institute of Public Health, Bangalore 11

12. Recall 2: NRHM
• NRHM core strategies*
– Decentralised planning – PMUs, PIPs etc
– Integration of vertical programmes
– Evidence-based planning, monitoring and
supervision by improving data collection,
assessment and review
* Mission document, NRHM
09/01/12 Institute of Public Health, Bangalore 12

13. Recall 3: Indicators
• What are indicators – examples
• Role of indicators in monitoring and review (and
hence planning)
• Choosing indicators – which one to be used and
when – Discuss
• How did we use them last year?
09/01/12 Institute of Public Health, Bangalore 13

14. Activity 5: PIP 2012-13
• Look at Chapter 1 of the “Framework for
preparation of Annual PIP 2012-13” of GoI and
use it to do a quick situation analysis of your
taluk/district
• Now, do an outcome analysis of previous two
years using template provided in chapter 2
09/01/12 Institute of Public Health, Bangalore 14

15. Assignment
• Use Activity 5 to identify priority activities for
this year’s PIP. Prioritise indicators for
monitoring (visits) and review (meetings)
09/01/12 Institute of Public Health, Bangalore 15

16. Further reading
• Framework for preparation of annual PIP of
NRHM 2012-13, GoI
• Tumkur health status report, IPH/SK
09/01/12 Institute of Public Health, Bangalore 16