Health

Promo,on
Evalua,on

Desy Indra Yani

 Outline
Deni,on
Type
Program Planning & Evalua,on Cycle
Checkpoints
Importance
Framework
Challenging
Barriers
 Evalua,on


Evalua,on - the process of determining the
worth or value of something
 Health Promo,on
Empowering
Par,cipatory
Holis,c
Intersectoral
Equitable
Sustainable
Mul,strategy
 Evalua,on

The systema*c examina*on and assessment
of the features of an ini*a*ve and its eects,
in order to produce informa*on that can be
used by those who have an interest in its
improvement or eec*veness.
WHO European Working Group on Health
Promo,on Evalua,on (1998)
 Evalua,on
About genera,ng information that assists in
making judgments about a program, service,
policy or organiza,on
Stuebeam (2001)
Highlight the need to compare the object
with something else in order to assess it:
evalua,on is the comparison of an object of
interest with a standard of acceptability
Green and Kreuter(1999)
Types of Evalua,on
Process Evalua4on
reach, implementa,on, sa,sfac,on
quality

Impact Evalua4on
Immediate eect

Outcome Evalua4on
Longer term, subsequent eect on
health outcome
 Judging HP
Eec4veness the extent to which aims and
objec,ves are met
Appropriateness the relevance of the
interven,on to needs
Acceptability whether it is carried out in a
sensi,ve way
Eciency whether ,me, money and
resources are well spent, given the benets
Equity equal provision for equal need
Program Planning & Evalua,on
Cycle Checkpoints
Need Outcome
Assessment Evalua,on

Program Impact
Planning Evalua,on

Program Process
Evalua,on Evaluability
Implementa,o
Assessment
n

Program
redesign &
reimplementa
,on
 Importance of Evalua,ng HP
Program

Collect evidence about the ecacy of a

program (Professional accountability &
eciency)
Iden,fy ways to improve the prac,ce
(professional development & sa,sfac,on)
Iden,fy the unexpected outcomes
 Core Features HP Evalua,on
Par,cipa,on
Draw on a variety of disciplines
Build the capacity of individuals, communi,es,
organiza,ons, and governments
Appropriate accommodate the complex
nature of health promo,on interven,ons &
their long-term impact
 Evalua,on Planning Framework
Springe_ (1998)
Applicable for all evalua,on processes
Be consistent with health promo,on principles
Focus on collec,ve as well as individual
accountability
Be exible in its applica,on
Cover to all stages of the evalua,on process
Apply to all level of evalua,on
 Stages of Evalua,on HP
1. Describing the proposed program, policy or
ini,a,ve
2. Iden,fying the issues and ques,ons of
concern
3. Obtaining the required informa,on is
designed
4. Collect the data
 Stages of Evalua,on HP

5. Analyze & evaluate the data

6. Recommenda,ons are made
7. Disseminate the ndings
8. Taking ac,on
Evalua,on Planning Guide
Evalua,on Planning Guide
Evalua,on Planning Guide
 RE-AIM Model
R Reach (Individual)
E Ecacy (Individual)
A Adop,on (Organiza,on)
I Implementa,on (Organiza,on)
M Maintenance (Individual & Organiza,on)
Outcome Model for HP
 Evalua,on Methods

Quan,ta,ve
Qualita,ve

Ethical
Issues
 Challenges in Evalua,ng
lack of exper,se
limited ,me and/or resources in the team or
with the individual
a belief that the program will be successful
without any evidence
no recogni,on of the benets of evalua,on
fear that a poor evalua,on will not support
the programs con,nua,on
 Challenges in Evalua,ng
the poli,cs of evalua,on for example who
wants to know how well the program has
been implemented
no clarity about the purpose of evalua,on
the type of program evalua,on selected is
some,mes inappropriate
the costs of external evaluators and the
percep,on that evalua,on is a specialized
type of research that can only be undertaken
by experts.
 Barriers of Evalua,on
Controversy about the nature of evidence in
health promo,on
The dicul,es of proving eec,veness
The need for wider acceptance of alterna,ve
techniques for evalua,ng evidence
The strain of working within a medical model
of health
South and Tilford (2000)
 Awareness of the Limita,ons
The poli4cs of evalua4on
number of poli,cal and/or philosophical issues
need to be considered
supports or opposes the program
acknowledge that the professed program
interven,on goals (such as behavioral or policy
changes)
Funding the evalua4on
should budget for the evalua,on at the program
planning stage
At least 10% of the program cost