2. Learning outcomes
Assess the concepts of aims
and objectives in planning
Understand the purpose of
SMART objectives
Understand the links between
activities, objectives and
targets
12. Key objective: 100% coverage
Vitamin A supplementation
for 6 month - 5 year
olds at all MCH
clinics by 2016
S M A R T
13. Project aim: To provide
online courses in
public health for
eye care
14. Objective: To teach every
user how to use a
computer before
starting the course
S M A R T
?
15. Target is level of change to be achieved
Currently: 200 cataract
surgeries per surgeon
per year
Target: 400 cataract surgeries
per surgeon per year by 2018
16. How did the planners set this target?
Currently: 200 cataract
surgeries per surgeon
per year
Target: 400 cataract surgeries
per surgeon per year by 2018
Examined reasons present output is low
Searched for guidance on expected targets
Considered balance between supply
and demand
17. In conclusion
Once gaps have been
identified, the direction for
change can be selected. This
is the aim
SMART objectives are
needed
18. In conclusion
Aim and objectives provide
the direction and formula
for change
Set targets based on national
or global guidance, and on
realistic possibilities at the
local level
Welcome. By the end of this presentation, you should be able to:
Assess the concepts of aim and objectives in planning
Understand the purpose of SMART objectives
Understand the links between activities, objectives and targets.
In steps 1 and 2 of the planning cycle planners identify gaps in current service provision using situation and SWOT analyses.
In this presentation we look at step 3 where planners go on to use this information to convert options into a plan of action to improve eye care services.
Priorities for action vary from district to district.
It is important to remember to balance demand and supply when prioritising actions. So, for example, before planning to increase demand for cataract services planners must check whether services will be able to cope with the increase, and vice versa.
Why are aims and objectives important? They provide a direction and focus for change. They also provide a justification, and a way to measure, the plan being undertaken.
An aim is a short, general statement of the purpose of the plan. It explains why the project is needed.
Aims make big statements like, “The aim is to send a man to Mars.”
Or “The aim is to reduce blindness from diabetic retinopathy.”
Objectives identify the practical, specific, time-bound, actions that need to be completed to achieve an aim. Each objective must be SMART:
S - Specific with a target that is a focus
M - Measurable so you can check action have been completed
A - All actions should be achievable to attain the target
R - Actions should be relevant to the aim of the plan
T - Actions should be completed within a defined timeframe
For example, the Zrenya District eye care programme sets an aim to eliminate childhood blindness from Vitamin A deficiency in the district.
One key objective of the plan is to have 100% coverage of Vitamin A supplementation of 6 month to 5 year old children at all maternal and child health clinics in the district by 2016.
This objective is:
S - Specific about who will receive supplement and where they will be. It also has a clear target of covering 100% maternal and child health clinics.
M - Measurable - an indicator can be used to measure how many clinics are carrying out supplementation
A - This objective is achievable with the budget and health staff available
The objective is very relevant for the project aim and it has defined time frame of completion by 2016.
So we can agree that this is a good objective.
Let’s look at another example.
A project aims to provide online courses in public health for eye care.
The objective is to teach every user how to use a computer before starting the course.
When we look at this objective we can see that:
It is specific in the action to teach computer skills to every user.
It is measurable but it will be difficult to assess every user’s computer skills in an online setting
The objective is not achievable as users are in different locations with different access to computers
The objective is not really relevant as the aim of the project is not to teach computer skills but public health for eye care
The objective is not time-bound as it is not clear how long the objective will take.
This is therefore not a good objective.
A target is the level of change that should be achieved in each objective over the agreed period of time. Target setting needs to be considered carefully.
For example, the number of cataract surgeries per surgeon in a hospital is 200 per year at present. The plan is to reach a target of 400 by 2018.
How did the planners set this target?
Firstly, they examined the reasons why the present output is low
Then they searched for guidance from national and regional plans on the expected targets for cataract surgery rates
Finally they considered the balance between supply of, and demand for, services in their population
In conclusion
Once the gaps in current eye care services have been identified in the initial stages of the planning cycle, the direction for change can be selected. This is stated as the aim
To achieve the aim, detailed and SMART objectives need to be put in place
The aim and objectives of a plan provide the direction and formula for change
Setting targets for change has to be based on national or global guidance and on realistic possibilities at the local level.