Evaluating Public Health Interventions: 1. Examples, Definitions, and a Personal Note

Spiegelman, Donna

doi:10.2105/ajph.2015.302923

Cited by 30 publications

(26 citation statements)

References 17 publications

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“…The breadth of the field can be a barrier to use of implementation science, particularly for practitioners and policy makers approaching the area for the first time. [5, 10–14] As a result there have been several efforts to compile and standardize terms and definitions [7, 15–18] as well as to identify and classify the plethora of frameworks and models that have been proposed [5–7, 19–25].…”

Section: Introductionmentioning

confidence: 99%

A synthesis of implementation science frameworks and application to global health gaps

Dintrans

Bossert

Sherry

et al. 2019

glob health res policy

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Background Implementation science has been growing as discipline in the past decades, producing an increasing number of models in the area. On the other hand, most frameworks are intended to guide the implementation of programs, focusing on identifying elements and stages that increase their success. This article aims to structure this discussion, proposing a simplified tool that synthesizes common elements of other frameworks, and highlight the usefulness to use implementation science not only in identifying successful implementation strategies but as a tool to assess gaps in global health initiatives. Methods The study was carried out through a combined methodology that included an initial search of implementation science frameworks, experts’ opinions, and the use of references in frameworks to elaborate a list of articles to be reviewed. A total of 52 articles were analyzed, identifying their definitions of implementation science and the elements of different frameworks. Results The analysis of articles allowed identifying the main goals and definitions of implementation science. In a second stage, frameworks were classified into “time-based”, “component-based” and “mixed”, and common elements of each type of model were used to propose a synthetic framework with six elements: Diagnosis, Intervention provider/ system, Intervention, Recipient, Environment, and Evaluation. Finally, this simplified framework was used to identify gaps in global health was using The Lancet Global Health Series. Potential areas of intervention arise for five different global health issues: malaria, non-communicable diseases, maternal and child health, HIV/AIDS, and tuberculosis. Prioritization strategies differ for the different health issues, and the proposed framework can help identify and classify all these different proposals. Conclusions There is a huge variety of definitions and models in implementation science. The analysis showed the usefulness of applying an implementation science approach to identify and prioritize gaps in implementation strategies in global health. Electronic supplementary material The online version of this article (10.1186/s41256-019-0115-1) contains supplementary material, which is available to authorized users.

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Section: Introductionmentioning

confidence: 99%

A synthesis of implementation science frameworks and application to global health gaps

Dintrans

Bossert

Sherry

et al. 2019

glob health res policy

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“…The program environmental health services s at the primary health care on the patients with pulmonary TB could be called effective if the probability of the effectiveness of the health program of >50.00% (8). Effective whether or not the program services environmental health at the primary health care on patients of pulmonary TB assessed by using the Baye's theory to enter the results of scoring each variable as follows :…”

Section: Methodsmentioning

confidence: 99%

“…While the research in Jambi states that environmental health services s at high-achieving primary health care could be effective because of good collaboration between clinic staff, TB programmers and sanitation workers and were always evaluated at monthly workshop meetings by the head of primary health care (19). When probalititas the effectiveness of the program health >50%, then the program is considered effective in the prevention of disease (8). Primary health cares in the Regency of Banyuwangi is the probability of the effectiveness of the program >50% of the Primary Health Care of Klatak, Mojopanggung, Sobo, Kabat and Gitik.…”

Section: The Effectiveness Of the Environmental Health Services In Thmentioning

confidence: 99%

“…Evaluation of health programs one of them is to determine the effectiveness of health programs to control diseases. The effectiveness of health programs describe the capabilities of the program include inputs comprising resources, materials, funds, facilities and infrastructure, a process that includes planning and implementation of the program to be able to achieve the target/target set/ output (8)(9).…”

Section: Introductionmentioning

confidence: 99%

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The Effectiveness of the Environmental Health Services in the Primary Health Care Against the Prevention of Pulmonary Tuberculosis in the Regency of Banyuwangi

Setiawan

Lestari

Mukono

et al. 2020

JKL

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Introduction: One of the promotive and preventive efforts in the prevention of pulmonary tuberculosis (TB) disease in primary health care is a health services environment that includes counseling, inspection and intervention of environmental health. The purpose of this study is to evaluate the effectiveness of the Environmental health services in the primary health care against the prevention of Pulmonary TB disease in Regency of Banyuwangi. Method: This research was observational descriptive design of study cross-ssectional. The study population was the primary health care in districy of Banyuwangi and a large sample of 6 primary health care. The determination of the study sample by using purposive sampling based on criteria of results Assessment of Performance of primary health care (PKP) services and programs environmental health in primary health cares and numbers Case Notification Rate (CNR) at the top of the East Java Province. Processing and analysis of data using a scoring system based on the scale of the theoretically grouped in the category of good, enough, less. The data is then interpreted descriptively. Result and Discussion: The Program of health service in the prevention of the disease is said to be effective when the probability of >50.00%. The results showed the probability of the effectiveness of the environmental health services in the Primary Health Care of Klatak of 77.00%. The Primary Health Care of Mojopanggung, Sobo, and Kabat respectively 78.80%, Primary Health Care of Gitik by 64.20% and the Primary Health Care of Songgon 49.50%. Human resources at the Primary Health Care of Songgon not competent. The Primary Health Care of Gitik and Songgon not planning activities. The achievement of the output in all the primary health care less, it is because of the lack of commitment of the implementers and the coordination of cross-program not running. Conclusion: There are 5 primary health cares service programs environmental health in the prevention of Pulmonary TB effective that the Primary Health Care of Klatak, Mojopangung, Sobo, Kabat and Gitik while at the Primary Health Care of Songgon is not effective. The effectiveness of services and programs environmental health in TB patients is influenced by policies, human resources, infrastructure, planning and coordination across the program.

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“…In this series, I have 1,2 and will consider study design and analysis, describe the latest and most innovative emerging methodologies, and provide an overview of best practices. In the first column, 1 the one that to which Gargani’s letter responds, I defined four overlapping focal areas of inquiry: implementation science, impact evaluation, comparative effectiveness research, and program evaluation. Based on my review of the literature defining “program evaluation,” it appeared that the goal of program evaluation is typically intended to be specific for the program being evaluated, rather than aspiring to broader generalizability.…”

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confidence: 99%

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Am J Public Health

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Evaluating Public Health Interventions: 1. Examples, Definitions, and a Personal Note

Cited by 30 publications

References 17 publications

A synthesis of implementation science frameworks and application to global health gaps

A synthesis of implementation science frameworks and application to global health gaps

The Effectiveness of the Environmental Health Services in the Primary Health Care Against the Prevention of Pulmonary Tuberculosis in the Regency of Banyuwangi

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