Evaluating large-scale health programmes at a district level in resource-limited countries

Svoronos, Theodore; Mate, Kedar

doi:10.2471/blt.11.088138

Cited by 33 publications

(28 citation statements)

References 44 publications

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“…Any approach to the implementation and evaluation of a national programme for the control of a disease needs to be contextually sensitive and data-driven. 23 To ensure that new policies are both effective and sustainable, it is essential not only to have a clear understanding of the demand but also to identify possible policy gaps or failures in service provision. 21 The comprehensive process of socioeconomic evaluation used in the present study should inspire researchers, planners and managers of national programmes who wish to establish mechanisms for the on-going improvement of health service provision.…”

Section: Lessons For Health Policies Globallymentioning

confidence: 99%

Removal of user fees no guarantee of universal health coverage: observations from Burkina Faso

Laokri

Weil²,

Drabo³

et al. 2012

Bull. World Health Organ.

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Section: Lessons For Health Policies Globallymentioning

confidence: 99%

Removal of user fees no guarantee of universal health coverage: observations from Burkina Faso

Laokri

Weil²,

Drabo³

et al. 2012

Bull. World Health Organ.

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“…Development of the ClASS approach required identifying the differences between domestic and international programs and making appropriate modification for them [17]. Ryan White programs were federally funded by one government, bound to the same standards and guidelines, and implemented through stand-alone primary health units [6, 16].…”

Section: Resultsmentioning

confidence: 99%

Development of a technical assistance framework for building organizational capacity of health programs in resource-limited settings

Reyes

Sharma

Thomas

et al. 2014

BMC Health Serv Res

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BackgroundLittle information exists on the technical assistance needs of local indigenous organizations charged with managing HIV care and treatment programs funded by the US President’s Emergency Plan for AIDS Relief (PEPFAR). This paper describes the methods used to adapt the Primary Care Assessment Tool (PCAT) framework, which has successfully strengthened HIV primary care services in the US, into one that could strengthen the capacity of local partners to deliver priority health programs in resource-constrained settings by identifying their specific technical assistance needs.MethodsQualitative methods and inductive reasoning approaches were used to conceptualize and adapt the new Clinical Assessment for Systems Strengthening (ClASS) framework. Stakeholder interviews, comparisons of existing assessment tools, and a pilot test helped determine the overall ClASS framework for use in low-resource settings. The framework was further refined one year post-ClASS implementation.ResultsStakeholder interviews, assessment of existing tools, a pilot process and the one-year post- implementation assessment informed the adaptation of the ClASS framework for assessing and strengthening technical and managerial capacities of health programs at three levels: international partner, local indigenous partner, and local partner treatment facility. The PCAT focus on organizational strengths and systems strengthening was retained and implemented in the ClASS framework and approach. A modular format was chosen to allow the use of administrative, fiscal and clinical modules in any combination and to insert new modules as needed by programs. The pilot led to refined pre-visit planning, informed review team composition, increased visit duration, and restructured modules. A web-based toolkit was developed to capture three years of experiential learning; this kit can also be used for independent implementation of the ClASS framework.ConclusionsA systematic adaptation process has produced a qualitative framework that can inform implementation strategies in support of country led HIV care and treatment programs. The framework, as a well-received iterative process focused on technical assistance, may have broader utility in other global programs.

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“…Evaluating health technology is a complex task [38]. Prior studies have identified the importance of understanding ex ante evaluation comparing secondary source data (i.e.…”

Section: Discussionmentioning

confidence: 99%

TEMPEST: An integrative model for health technology assessment

Currie¹

2012

Health Policy and Technology

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Evaluating large-scale health programmes at a district level in resource-limited countries

Cited by 33 publications

References 44 publications

Removal of user fees no guarantee of universal health coverage: observations from Burkina Faso

Removal of user fees no guarantee of universal health coverage: observations from Burkina Faso

Development of a technical assistance framework for building organizational capacity of health programs in resource-limited settings

TEMPEST: An integrative model for health technology assessment

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