Planning, Implementation and Evaluation on safe motherhood. These slides will help you to make plan implementation and evaluation of a program.

1. Planning, implementation and
evaluation of health program
on
Safe motherhood
Anita Shakya
BPH 5th sem

2. Outline of presentation
• Introduction on safe motherhood
• Concept of planning
• Planning, implementation and evaluation of
health program on safe motherhood.

3. Safe Motherhood
• Every minute, another woman dies in pregnancy or
childbirth.
• Safe motherhood is one of the important
component of Reproductive Health.
• It means ensuring that all women receive the care
they need, to be safe and healthy throughout the
pregnancy and child birth.
• It is the ability of mother to have safe and healthy
pregnancy and child birth.

4. Introduction
• The Safe Motherhood Initiative is a worldwide
effort that aims to reduce the number of deaths
and illnesses associated with pregnancy and
childbirth.
• launched at a conference held in Nairobi in 1987
• Its aim was to draw the world's attention to the
thousands of deaths and millions of serious
complications that occur every year in
association with motherhood

5. SIX PILLARS of Safe motherhood

6. Planning
• Planning means deciding in advance what
needs to be done, who will do it and how and
when.

7. Cont…
Planning as a process involves the determination
of future course of action i.e.
• What action?
• Why action?
• How to take action?
• Who will be responsible?
• When to take action?
• Where to take action?

8. Health Planning
‘is the orderly process of defining community
health problems, identifying unmet needs,
surveying of resources to meet them,
establishing priority goals that are realistic and
feasible and projecting administrative action to
accomplish the purpose of the proposed
program’ - WHO

9. Baseline data collection
Geographic information:
Jawalamukhi gaupalika ward no. 6 lies in Dhading
district . It lies in hilly regions of Nepal.
• Climate: moderate
• Food production: paddy, millet , Maize
• Total population:3208
• Total households:602
• Female population: 1,827

10. Conti…
• Ethnicity:
 Brahmin, Chettri:30%
 Newar:30%
 Gurung: 25%
 Dalit : 10%
 0thers:5%
• Language spoken:
 Nepali:98%
• Literacy rate: 62%
 Male: 45%
 Female:55%

11. Cont….
• KAP on safe motherhood
Knowledge: about 50% of women have knowledge on safe
motherhood
Attitude: Most of them want it but they are unable due to
different barriers.
Practice: only 30 % of them are practicing safe
motherhood
• Sanitary condition and facilities
The sanitary condition and facilities are also good
because of proper use of toilets .
• Availability of health facilities
There is one health post and one private clinics

12. Cont..
• Educational status
Educational status is not so good and many of
the female population are uneducated.
• Communication facilities: telephone,
landline mobile etc.
• Local resources
Health professionals from RM , FCHV ; HA
• Financial resource
from the local government.

13. Identification of Health and Health
Education needs and Prioritization.
Magnitude of the problem:
• Women of the Jwalamukhi gaupalika are illiterate so,
they lack education on safe motherhood.
• Maternal mortality ratio (MMR) is High
• NMR is also high
• Dropout of ANC
• PNC is not followed
• FP education is not effective
Felt need and observed need of the people
• Education on safe motherhood and family planning

14. General goals and objectives
General objectives: To reduce maternal and neonatal
mortalities by addressing factors related to various
morbidities, death and disabilities caused by
complication of pregnancy and child birth.
Specific objectives: At the end of the health program
• MMR will be reduced by 95%
• Increased ANC visit as by pregnant women
• Reduced NMR by 95%
• Reduced death and disability caused by complication
of pregnancy and child birth
• Safe delivery in health institution by SBA will be
increased by 95%.

15. Deciding content to be taught
1. Introduction to safe motherhood
2. Components of safe motherhood
• Antenatal checkup
• Obstetric care
• Post natal checkup
• Safe Abortion
• Family planning
• STI ( HIV/ AIDS) control
3.Aama surakhshya karyakram

16. Deciding target group
• Specially focused on pregnant women and
lactating mothers
• Reproductive age group of women of child
bearing age(15-49) and her husband and
family.

17. Deciding appropriate methods and
media
Methods:
• Counseling
• Demonstration
• Discussion
• lecture
• Role play
Media:
• Radio / TV broad casting
• Posters
• pamphlets

18. Identifying the necessary and
available resources
Human resources:
• Health assistant, FCHV, ANM,
• Health post incharge
• Health coordinator
Money :
Budget from local government, NGO, INGOs
Material:
News print ,markers, board, poster flip chart
audiovisual.

19. Developing detail plan of action
• Duration; 1:30 hrs
• Refreshment: 10 min after one session
• Level of participants: literate or illiterate
women of reproductive age
• Number of participant: 25
• Venue: training hall of ward no.6
• Time: 11am onward

20. Determining time and Technique of
evaluation
Time of evaluation:
• Beginning of the session
• During the session
• At the ending of session
Technique of evaluation:
• Question and answer method
• Demonstration by Participants

21. Implementation
• It is the process of putting the plan of action into
operation. Strategies of implementation health
education program on safe motherhood are:
A.BUILDING COMMITMENT:
• The techniques of commitment are: -
• Create interest and interpersonal communication.
• Conduct group discussion and seminar in order to
solve the problem.
• Encourage for the supportive Behavior.
• The related personal should be well oriented about
the purpose and usefulness of the health education
program on safe motherhood.

22. Cont…
B. TRAINING OF HUMAN RESOURCES
• The concerned personnel will be well trained. The
facilitators for this program are already getting the
pre-service training. If needed refresher training will
be given after need assessment of facilitators. If so
training package should be developed. Which will
contain the following subject matter:
• Objective: - To reduce maternal and neonatal
mortalities by addressing factors related to various
morbidities, death and disabilities caused by
complication of pregnancy and child birth.

23. Conti…
• Methodology: - lecture, demonstration, group
discussion.
• Trainer: - BPH third year student
• Evaluation technique: - question answer.
• Time period:-one day
• Materials: - Chalk, board, poster flip chart
audiovisual.
• This work will be based on the plan done by the
trainer after understanding the view of trainee

24. Cont….
C. MOBILIZING THE RESOURCES: -
• Local leaders, teachers, mother’s group,
students will be oriented and given
responsibility.
• Giving incentives will motivate them. Financial
support will be done by gaupalika and Ngos.

25. Conti….
D. ORGANIZATION:
• Organizing community – People will be made conscious
effort about bringing positive on their KAP. For this
cooperation plays important role.
• It helps to change KAP.
• It helps to solve the problems in terms of priority basis.
• It helps to work with their will and interest.
• Helps to utilize local resources.

26. Evaluation
• Evaluation is a systematic way of learning from
experience and using the lesson learnt to
improve current activities and promote better
planning by careful selection of alternatives
for future action. (WHO)

27. What Is evaluation?
• Episodic assessment of overall achievement
and Impacts
• Designed specifically with intention to
attribute changes to intervention itself
• Answers the question, “what have we
achieved and what impact have we made”

28. Cont…
Process evaluation
• Document and analyze the early development
of program
• Actual implementation of strategies and its
out put
• It focuses on the program and target persons
• Improves the program

29. Indicators of process evaluation
• Most of the required participant were
attending the program.
• Resources were being used properly.
• methods and media were used as planned.
• The sessions were being conducted in time.
• The participants actively interacted in the
program.
• The topic was found really interesting as
well as useful

30. Outcome evaluation
• Outcome evaluation determines whether an
intervention was successful.

31. Indicators of outcome evaluation
• Most of the participant is changing their behavior
on safe motherhood
• 95% of the participant visited Health facilities
during pregnancy and after child birth.
• Most of them stared using the proper device of
family planning.
• 90% of death of neonatal is being reduced
• 90% of health of women were improved in
nutrition and sanitation.
• 92% of delivery was safe and were done by SBA in
health institutions.

32. Impact evaluation
• Impact evaluation is aimed at providing
feedback to help improve the design of
programs and policies.

33. Indicators of Impact evaluation
• Health status of the community has been changed
by the implementation of safe motherhood
program.
• Maternal morbidity and mortality has been
reduced
• Neonatal morbidity and mortality has been
reduced .
• Incidence of RTIs has also been decreased.
• Antenatal visit has been increased by pregnant
women.
• Safe delivery has been increased as positive impact
of the program.