This module introduces monitoring and evaluation concepts and their uses in quality improvement and action planning. It discusses how monitoring allows an understanding of program implementation and identifies gaps, while evaluation assesses program impact. Monitoring and evaluation inform program management decisions and ensure effective resource use. The module describes developing an action plan, which includes determining stakeholders, setting action steps and timelines, identifying needed resources, and ensuring accountability. Creating an action plan is presented as an exercise.

1. MODULE 5
Health services data utilization for
planning and advocacy
Module 6 1

2. Aim
• To introduce the concepts of monitoring and
evaluation and its uses in quality
improvement and action planning
Module 6 2

3. Learning Outcomes
• Plan , implement and monitor the sensitive
health services in the community
• Plan for the establishment of improvement
collaboratives to monitor service performance
• Action plan for developing functional referral
mechanisms from community to higher level
health services.
Module 6 3

4. Definitions
• Monitoring is the routine reporting of
data on program implementation and
performance
• Evaluation is the periodic assessment of
program impact at the population level
and value
Module 6 4

5. Monitoring
• Allows accurate understanding of program
implementation
– Has the program is implemented according to the
workplan ?
– Where are the gaps? What is working well?
– Who needs more training?
– Where is the supply chain breaking down?
Module 6 5

6. Evaluation
• Measurement of behaviors and/or health
outcomes in target population that can be
attributed to specific program activities or
interventions
– Are there any changes in behavior or health
outcomes in the target population?
– To what extent are observed changes in the target
population related to program efforts?
Module 6 6

7. Uses of M&E for program
management
• Informs decisions about program operations
and service delivery
• Ensures effective and efficient use of
resources
• Determine whether or not the program is
implemented according to plan
• Meets reporting requirements by funders and
government sectors
• Evaluates the extent to which the
program/project is having or has had the
desired impact
Module 6 7

8. INFORMATION CYCLE
Module 6 8

9. Indicators
• Inputs, Process
‒ Was the program carried out as planned? How
well was it carried out?
• Outputs, Results
‒ Did the expected change occur? How much
change occurred?
• Outcome, Impact
‒ Has the outcome changed in desired direction?
Does the change signal program “success”?
Module 6 9

10. Preparing an action plan
• Determine what people and sectors of the
community should be included.
• Convene a planning group.
• Develop an action plan with action steps for all
proposed changes.
• Review completed plan.
• Follow through.
• Keep everyone informed.
• Keep track of what (and how well) you've done.
• Celebrate accomplishments.
Module 6 10

11. Contents of the action plan
• What action or change will occur?
• Who will carry it out?
• By when (for how long)?
• What resources are needed?
• Communication (who should know what?)
Module 6 11

12. Ensuring member accountability
• Supportive phone calls.
• Reports on progress at meetings.
• Celebrate accomplishments.
Module 6 12

13. Creating an action plan
• Exercise 5.1 Creating an action plan
Module 6 13

14. Module 6 14