This paper describes planning, implementation, monitoring and evaluation activities carried out in support of a malaria control project that used permethrin-impregnated curtains in eight villages in rural Malawi. Find...
详细信息
This paper describes planning, implementation, monitoring and evaluation activities carried out in support of a malaria control project that used permethrin-impregnated curtains in eight villages in rural Malawi. Findings from formative evaluation and project monitoring aspects of the evaluation are presented. Permethrin-impregnated curtains were introduced to villagers who participated in household self-help projects. To implement the project, village health workers were trained and worked closely with existing project personnel as well as traditional headmen to assure village participation, facilitate health education and coordinate curtain-dipping (impregnation) meetings. A quasi-experimental evaluation design used surveys and observations to measure change in cognitive, behavioural and health outcome indicators. Village adoption rates averaged 50%, with variation between villages. Monitoring data showed a high degree of compliance with curtain re-impregnation initially and high perceived efficacy of curtains. Issues discussed include village readiness for change, trust, acceptability of the innovation, cost, sustainability and leadership.
The development of community-based coalitions has acquired great popularity as a health promotion strategy. The Institute of Medicine recommends that community-based health coalitions employ a performance monitoring p...
详细信息
The development of community-based coalitions has acquired great popularity as a health promotion strategy. The Institute of Medicine recommends that community-based health coalitions employ a performance monitoring process in their efforts. The results of the current study indicate that in the community setting, implementing a performance monitoring process and sustaining the specialized functions entailed in this strategy are challenging. Many of the challenges result from fundamental differences between the organizational environment of bureaucracies-in which these techniques are developed, supported, and greatly successful-and the realities of the loosely-structured and resource-limited community environment. The performance monitoring process is measurement-driven. One challenge of implementing this process at the community level is that public health problems of local concern are not always documented in current surveillance systems and thus a performance monitoring strategy is not always, or immediately, applicable. When data which document a health problem of local concern are available, a second challenge facing community-based coalitions is acquiring the resources, especially the wide-range of specialized expertise, required to fully implement and sustain the performance monitoring process. These issues are examined in the context of the Massachusetts Department of Public Health's Community Health Network Area (CHNA) Initiative which entails the formation of coalitions of local health service providers. The CHNA initiative is a statewide project in which health service providers in specified geographic regions work collaboratively on health improvement projects.
暂无评论