This document provides an overview of monitoring and evaluation (M&E) of health services. It discusses the key differences between monitoring and evaluation, and explains that M&E is important to assess whether health programs and services are achieving their goals and objectives. The document also outlines the main components and steps involved in conducting evaluations, including developing indicators, collecting and analyzing data, reporting findings, and implementing recommendations.

1. Monitoring and Evaluation of Health Services Dr. Rasha Salama PhD Public Health Faculty of Medicine Suez Canal University-Egypt

2. Presentation Outline

4. Where does M&E fit?

7. Comparison between Monitoring and Evaluation

8. Evaluation

16. Evaluation Matrix

17. Components of Comprehensive Evaluation

19. Who conducts evaluation?

21. Tradeoffs between External and Internal Evaluation

22. Tradeoffs between External and Internal Evaluation Source: Adapted from UNICEF Guide for Monitoring and Evaluation, 1991 .

23. Guidelines for Evaluation (FIVE phases)

34. So what will we do ? Use Importance Feasibility Matrix

35. Face reality! Assess your strengths and weakness

36. Eventually......

38. Development of a frame logical model A program logic model provides a framework for an evaluation. It is a flow chart that shows the program’s components, the relationships between components and the sequencing of events.

39. Use of IF-THEN Logic Model Statements To support logic model development, a set of “IF-THEN” statements helps determine if the rationale linking program inputs, outputs and objectives/outcomes is plausible, filling in links in the chain of reasoning

40. CAT SOLO mnemonic Next, the CAT Elements ( Components, Activities and Target Groups) of a logic model can be examined

43. Pretesting or piloting......

45. Spider Web Method: This method is a visual index developed to identify the kind of indicators/criteria that can be used to monitor change over the program period. This would present a ‘before’ and ‘after’ program/project situation. It is commonly used in participatory evaluation.

47. Example of suggested outline for an evaluation report

52. Thank You