Lessons for health program monitoring and evaluation 
in a low resource setting

Field, Emma; Vila, Mafu; Runk, Laina; Mactaggart, Fiona; Rosewell, Alexander; Nathan, Sally

doi:10.22605/rrh4596

Cited by 6 publications

(16 citation statements)

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“…In the development of the tool, successes and challenges of working with an international organisation in a low-resource setting arose. A strength of this project was the development of a medical assessment tool that was built as a response to a programme logic model, with the main outcomes focused on activities and outputs directed towards individualised, therapeutic care in all aspects of the programme (Field et al, 2018). Moreover, The Plaster House staff was directly involved in the tool development, as feedback on the plausibility of the tool was critical.…”

Section: Discussionmentioning

confidence: 99%

“…It was not Vol. 33, No.2, 2022; doi 10.47985/dcidj.586 possible to evaluate data from programme activities already occurring at The Plaster House (Field et al, 2018), as minimal data was being collected. Therefore, in developing the medical assessment tool, the evaluation team worked together to identify one disease-specific indicator to support the general developmental progress indicators.…”

Section: Discussionmentioning

confidence: 99%

“…In this scenario, the faculty team relied heavily on effective communication with The Plaster House team to sufficiently relay challenges and successes with the tool. Additionally, not all NGOs have the staffing capabilities or EHRs to support data collection in the capacity that is being requested (Bach-Mortensen & Montgomery, 2018;Field et al, 2018;Luan et al, 2021). The EHR utilised in this case does not have the capacity to print reports, therefore the assessment tool had to be housed elsewhere, creating a barrier to ease of implementation and accessibility.…”

Section: Limitationsmentioning

confidence: 99%

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Developing an Assessment Tool for Post-Surgical Paediatric Rehabilitative Care in Tanzania: an Interprofessional Approach

Crusan¹,

Biggs²,

Maisano³

et al. 2022

DCID

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Purpose: Located in Arusha, Tanzania, The Plaster House provides rehabilitative services to children receiving surgical care for treatable disabilities. This article describes a set of outcome measurements developed in a collaborative relationship between an evaluation team from The Plaster House staff and St. Catherine University faculty, focused on effectively and efficiently collecting post-operative evaluation and outcome data from a rehabilitative care facility for children with treatable disabilities. Method:From seven care pathways utilised for surgically treatable disabilities (cleft lip and palate, spina bifida, skeletal fluorosis, osteomyelitis, burns, clubfoot and hydrocephalus), an interactive process led to the development of a medical assessment tool for monitoring and evaluation with limited electronic health record and staffing capacity. Results: The medical assessment tool serves multiple purposes for the rehabilitation programme, including monitoring participants' progress, evaluating the effectiveness of current practices, and sharing data with stakeholders. The tool includes collection of demographic and background information, one to three diagnosis-specific indicators to measure progress, and three questions related to typical development (activities of daily living, play, and social interaction). Conclusion and Implications:Due to the delayed ability to conduct a site visit, the evaluation team relied heavily on effective communication to sufficiently relay challenges and successes in developing and implementing the tool. The proposed medical assessment tool developed by an interprofessional team has

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Limitationsmentioning

confidence: 99%

See 1 more Smart Citation

Developing an Assessment Tool for Post-Surgical Paediatric Rehabilitative Care in Tanzania: an Interprofessional Approach

Crusan¹,

Biggs²,

Maisano³

et al. 2022

DCID

View full text Add to dashboard Cite

show abstract

“…Governments play a major role in achieving better quality with value in health care and in the success or failure of healthcare reform and improvement [26]. While regulation is formulated at the national level, implementation occurs mostly at the regional and district levels [27], thus monitoring and evaluation at every system level is needed to check whether the program or action is implemented as planned and has achieved the anticipated results [28]. This is essential to determine whether the program should be continued, modified or eliminated [29].…”

Section: Discussionmentioning

confidence: 99%

“…This is essential to determine whether the program should be continued, modified or eliminated [29]. Monitoring and evaluation are complementary activities and need to be integrated with implementation, not as a distinct activity [20,28] and need to have clear key performance indicators. Within a local government context, carrying out monitoring and evaluation also demonstrates good governance and accountability [20].…”

Section: Discussionmentioning

confidence: 99%

The Role of Governments in the Implementation of Patient Safety and Patient Safety Incident Reporting in Indonesia: A Qualitative Study

2019

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(1) Background: A patient safety incident reporting system was introduced in Indonesian hospitals in 2006; however, under-reporting of patient safety incidents is evident. The government plays a vital role in the implementation of a national system. Therefore, this study focuses on how the Indonesian government has been undertaking its role in patient safety at provincial and city/district levels, including incident reporting according to the National Guideline for Hospital Patient Safety. (2) Methods: This study employed a qualitative approach with interviews of 16 participants from seven organizations. The data were managed using NVivo and thematically analyzed. (3) Results: The findings revealed several problems at the macro-, meso-, and micro-level as the government was weak in monitoring and evaluation. The District Health Office (DHO) and Provincial Health Office (PHO) were not involved in incident reporting, and there was a lack of government support for the hospitals. (4) Conclusions: The DHO and PHO have not carried out their roles related to patient safety as mentioned in the national guidelines. Lack of commitment to and priority of patient safety, the complexity of the bureaucratic structure, and a lack of systematic partnership and collaboration are problems that need to be addressed by systematic improvement. To ensure effective and efficient national outcomes, the three levels of government need to work more closely.

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Formative Evaluation of Rehabilitative Post-surgical Care for Children in Tanzania: “They Arrive with Sorrows, but they Leave Happily”

et al. 2021

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Lessons for health program monitoring and evaluation in a low resource setting

Cited by 6 publications

References 0 publications

Developing an Assessment Tool for Post-Surgical Paediatric Rehabilitative Care in Tanzania: an Interprofessional Approach

Developing an Assessment Tool for Post-Surgical Paediatric Rehabilitative Care in Tanzania: an Interprofessional Approach

The Role of Governments in the Implementation of Patient Safety and Patient Safety Incident Reporting in Indonesia: A Qualitative Study

Formative Evaluation of Rehabilitative Post-surgical Care for Children in Tanzania: “They Arrive with Sorrows, but they Leave Happily”

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