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Foundation of M & EKey
Terminology
Sin Somuny, MD, MPH,
Executive Director, MEDiCAM
08-12 July, 2013
2
Project and Program
• Project _ A time-bound intervention that is
carried out to meet established objectives
within cost and schedule, and is a collection
of one or more activities and usually involves
a single sector, theme or geographic area.
• Program _ A time-bound intervention,
which is a collection of one or more projects
that coordinate to achieve a desired program
goal.
3
• Assessment _ A process (which may or may not be
systematic) of gathering information, analyzing and then
making a judgment on the basis of information.
• Audit_ Verification of the legality and regularity of the
implementation of resources, carried out by independent
auditors (Further step is investigation)
• Supervision _A process in which the legally responsible
organization, periodically reviews progress towards
objectives, identifies key obstacles, helps find workable
solutions and make strategic changes, as required
• Monitoring _ is the routine collection of information on an
ongoing basis to support basic management and
accountability functions and to establish that inputs,
activities and outputs have occurred.
Key Terminologies related
4
• Surveillance_An ongoing, systematic collection, analysis,
and interpretation of health-related data essential to the
planning, implementation, and evaluation of public health
practice
• Review_An assessment of the performance of a project or
program, periodically or on an as-needed basis
• Evaluation_Is a comprehensive examination of the
outcome and impact; how it contributes to the purpose and
goal
– Focus on impact and sustainability
– May happen
» at the end of the phase
» and/or beyond the end of the phase
Key Terminologies related
Definition of Indicator
• An indicator can be defined as something
that helps us to understand where we are,
where we are going and how far we are from
the goal. Therefore it can be a sign, a number,
a graphic and so on. It must be a clue, a
symptom, a pointer to something that is
changing. Indicators are presentations of
measurements. They are bits of information
that summarize the characteristics of systems
or highlight what is happening in a system.
Indicator
Indicators are variables that help to measure changes, directly or
indirectly (WHO).
Indicators are “an indirect measures of an event or condition”.
For example: a baby’s weight for ages is an indicators of the
baby’s nutritional status. (Wilson & Sapannuchart, 1993).
An indicator is “a statistic of direct normative interest which
facilitates concise, comprehensive and balanced
judgments about conditions of major aspects of a society”
(Department of Health, Education, and Welfare, 1969).
Indicators are variables that indicate or show a given
situation, and thus can be used to measure change”
(Green, 1992).
Some Examples of Indicators
• What is the indicator of weight?
• What is the indicator of temperature?
• How do you know that your child is doing good or
bad at school?
• How you measure your family’s economic status?
• How do we know whether people are healthy or
not? Or How do we measure health of the people?
• How can we understand the nutritional status of
children?
តម្លៃលទ្ធផលរំពឹងទ្ុក Targets
តតើអ្វីនិងចំនួនបុន្មា នដែលត ើងចង់សតរលចបាន?Whator how manydowe wishto accomplish?
• Numbers and/orpercentage set asvalueof IntendedResult for anindicator
• សរាប់សូចន្មករនីលួ ៗត ើងចំបាច់កំណត់តម្លៃលទ្ធផលរំពឹងទ្ុកFor each indicator we need toassign atarget value;
• ត ើងបញ្ជា ក់តម្លៃលទ្ធផលរំពឹងទ្ុកតោ សួរសំណូ រ-តតើអ្វីខ្ៃះឬចំនួនបុន្មា នដែលត ើងសងឃឹលថានឹងទ្ទ្ួលបានតៅកនុងរ ៈតពលកំណត់លួ we specify
thetarget byasking—whator howmuchwe hope to obtainina determined timeframe.
Example of target
• Fat people want to get thin and skinny
people want to get fat: What to do?
• Are you spending more than you earn?
• You are now earning about 400 US dollars a
month, what is your target for the next year
earning?
• What are the MDG 4 & 5 targets?
Inputs and Processes
Outputs and Outcomes
Outcome levels
Outcome levels
Program-based Data Population-based Biological,
Behavioral & Social Data
Staff
Funds
Materials
Facilities
Supplies
Input
(Resources)
Trainings
Services
Education
Treatments
Interventions
Activities
( Interventions,
Services)
# Staff Trained
# Condoms Distributed
# Test Kits Distributed
# Clients Served
# Tests Conducted
Output
(Immediate
Effects)
Situation Analysis
Response Analysis
Stakeholder Needs
Resource Analysis
Collaboration plans
Program
Development Data
Assessment
& Planning
Provider Behavior
Risk Behavior
Service Use
Behavior
Clinical Outcomes
Quality of Life
Outcomes
(Intermediate
Effects)
HIV Incid/Prev
Social Norms
STI Incid/Prev
AIDS Morb/Mort
Economic Impact
Impact
(Long-term
Effects)
របតេទ្តផេងៗម្នទ្ិននន័ ដែលបង្ហា ញកនុងគតរាងM&E(M&EframeworkIllustrative DataTypes)
% of delivery at health facility
% of Skilled Birth Attendant
% of Antenatal Care Visit
% of C-Section
% of anemia of reproductive women
% of anemia in pregnant women
Outcomes Impact
# of pregnant wo-
men referred for ANC
# of delivery paid
by HEF
# of women
educated
Training of
midwife
OutcomeOutputs
Health
Education
# of midwifes
trained
Health
Equity Fund
ActivitiesInputs
•Human
Resources,
•Financial
Resource,
•Infrastruct
ures
•etc…

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Key Terminology M&E

  • 1. Foundation of M & EKey Terminology Sin Somuny, MD, MPH, Executive Director, MEDiCAM 08-12 July, 2013
  • 2. 2 Project and Program • Project _ A time-bound intervention that is carried out to meet established objectives within cost and schedule, and is a collection of one or more activities and usually involves a single sector, theme or geographic area. • Program _ A time-bound intervention, which is a collection of one or more projects that coordinate to achieve a desired program goal.
  • 3. 3 • Assessment _ A process (which may or may not be systematic) of gathering information, analyzing and then making a judgment on the basis of information. • Audit_ Verification of the legality and regularity of the implementation of resources, carried out by independent auditors (Further step is investigation) • Supervision _A process in which the legally responsible organization, periodically reviews progress towards objectives, identifies key obstacles, helps find workable solutions and make strategic changes, as required • Monitoring _ is the routine collection of information on an ongoing basis to support basic management and accountability functions and to establish that inputs, activities and outputs have occurred. Key Terminologies related
  • 4. 4 • Surveillance_An ongoing, systematic collection, analysis, and interpretation of health-related data essential to the planning, implementation, and evaluation of public health practice • Review_An assessment of the performance of a project or program, periodically or on an as-needed basis • Evaluation_Is a comprehensive examination of the outcome and impact; how it contributes to the purpose and goal – Focus on impact and sustainability – May happen » at the end of the phase » and/or beyond the end of the phase Key Terminologies related
  • 5. Definition of Indicator • An indicator can be defined as something that helps us to understand where we are, where we are going and how far we are from the goal. Therefore it can be a sign, a number, a graphic and so on. It must be a clue, a symptom, a pointer to something that is changing. Indicators are presentations of measurements. They are bits of information that summarize the characteristics of systems or highlight what is happening in a system.
  • 6. Indicator Indicators are variables that help to measure changes, directly or indirectly (WHO). Indicators are “an indirect measures of an event or condition”. For example: a baby’s weight for ages is an indicators of the baby’s nutritional status. (Wilson & Sapannuchart, 1993). An indicator is “a statistic of direct normative interest which facilitates concise, comprehensive and balanced judgments about conditions of major aspects of a society” (Department of Health, Education, and Welfare, 1969). Indicators are variables that indicate or show a given situation, and thus can be used to measure change” (Green, 1992).
  • 7. Some Examples of Indicators • What is the indicator of weight? • What is the indicator of temperature? • How do you know that your child is doing good or bad at school? • How you measure your family’s economic status? • How do we know whether people are healthy or not? Or How do we measure health of the people? • How can we understand the nutritional status of children?
  • 8. តម្លៃលទ្ធផលរំពឹងទ្ុក Targets តតើអ្វីនិងចំនួនបុន្មា នដែលត ើងចង់សតរលចបាន?Whator how manydowe wishto accomplish? • Numbers and/orpercentage set asvalueof IntendedResult for anindicator • សរាប់សូចន្មករនីលួ ៗត ើងចំបាច់កំណត់តម្លៃលទ្ធផលរំពឹងទ្ុកFor each indicator we need toassign atarget value; • ត ើងបញ្ជា ក់តម្លៃលទ្ធផលរំពឹងទ្ុកតោ សួរសំណូ រ-តតើអ្វីខ្ៃះឬចំនួនបុន្មា នដែលត ើងសងឃឹលថានឹងទ្ទ្ួលបានតៅកនុងរ ៈតពលកំណត់លួ we specify thetarget byasking—whator howmuchwe hope to obtainina determined timeframe.
  • 9. Example of target • Fat people want to get thin and skinny people want to get fat: What to do? • Are you spending more than you earn? • You are now earning about 400 US dollars a month, what is your target for the next year earning? • What are the MDG 4 & 5 targets?
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  • 16. Program-based Data Population-based Biological, Behavioral & Social Data Staff Funds Materials Facilities Supplies Input (Resources) Trainings Services Education Treatments Interventions Activities ( Interventions, Services) # Staff Trained # Condoms Distributed # Test Kits Distributed # Clients Served # Tests Conducted Output (Immediate Effects) Situation Analysis Response Analysis Stakeholder Needs Resource Analysis Collaboration plans Program Development Data Assessment & Planning Provider Behavior Risk Behavior Service Use Behavior Clinical Outcomes Quality of Life Outcomes (Intermediate Effects) HIV Incid/Prev Social Norms STI Incid/Prev AIDS Morb/Mort Economic Impact Impact (Long-term Effects) របតេទ្តផេងៗម្នទ្ិននន័ ដែលបង្ហា ញកនុងគតរាងM&E(M&EframeworkIllustrative DataTypes)
  • 17. % of delivery at health facility % of Skilled Birth Attendant % of Antenatal Care Visit % of C-Section % of anemia of reproductive women % of anemia in pregnant women Outcomes Impact
  • 18. # of pregnant wo- men referred for ANC # of delivery paid by HEF # of women educated Training of midwife OutcomeOutputs Health Education # of midwifes trained Health Equity Fund ActivitiesInputs •Human Resources, •Financial Resource, •Infrastruct ures •etc…