Monitoring and evaluation of a large-scale community-based program: Recommendations for overcoming barriers to structured implementation
Joanne Marguerite Stubbs
Epidemiology, Sydney West Area Health Service, Sydney NSW
Helen Mary Achat
Epidemiology, Sydney West Area Health Service, Sydney NSW
PP: 188 - 196
Abstract
Accountability for the use of limited health resources requires quality information for ongoing monitoring of program effectiveness. We outline the challenges involved in the monitoring and evaluation of a large-scale community nurse home visiting program.
Efforts to establish and maintain rigorous assessment were impaired by interrelated difficulties, impacting on the quality of information collected. The consequences and outcomes of these challenges are discussed. Recommendations to facilitate the monitoring and evaluation of community-based programs are made.
Successful program monitoring and evaluation, guided by these recommendations, will support the ongoing review of program activities and evidence-based decision making to inform current operation and future planning.
Keywords
evaluation; monitoring; community; nursing; home visiting
References
Brazil, K. (1999). A framework for developing evaluation capacity in health care settings. Leadership in Health Services, 12, 6-11.
Centers for Disease Control and Prevention. (1999). Framework for program evaluation in public health. MMWR, 48(RR-11), 1-40.
Centers for Disease Control and Prevention. CDC's Health Communities Program. (2010). Program monitoring and evaluation. Retrieved May 17, 2010, from http://www.cdc.gov/healthycommunitiesprogram/evaluationinnovation/eval.htm
Centre for Epidemiology and Research, NSW Department of Health. (2002). New South Wales child health survey 2001. NSW Public Health Bulletin, 13(3), 1-84.
Craig, P., Dieppe, P., Macintyre, S., Mitchie, S., Nazareth, I., & Petticrew, M. (2008). Developing and evaluating complex interventions: The new Medical Research Council guidance. British Medical Journal, 337, a1655.
Duggan, A., Windham, A., McFarlane, E., Fuddy, L., Rohde, C., Buchbinder, S., & Sia, C. (2000). Hawaii's Healthy Start Program of home visiting for at-risk families: Evaluation of family identification, family engagement, and service delivery. Pediatrics, 105, 250-259.
Dyal, W. (1995). Ten organizational practices of public health: A historical perspective. American Journal of Preventive Medicine, 11(Suppl. 2), 6-8.
Housing, Family and Social Statistics Division. (2003). General social survey, 2003. Cycle 17: Survey on social engagement in Canada. Ontario: Statistics Canada.
Kegeles, S. M., Rebchook, G. M., & Tebbetts, S. (2005). Challenges and facilitators to building program evaluation capacity among community-based organizations. AIDS Education and Prevention, 17, 284-299.
Lovibond, P. F., & Lovibond, S. H. (1995). The structure of negative emotional states: Comparison of the depression anxiety stress scales (DASS) with the Beck Depression and anxiety inventories. Behaviour Research and Therapy, 33, 335-343.
Napp, D., Gibbs, D., Jolly, D., Westover, B., & Uhl, G. (2002). Evaluation barriers and facilitators among community-based HIV prevention programs. AIDS Education and Prevention, 14(Suppl. A), 38-48.
NSW Department of Health. (2007). Future directions for health in NSW - towards 2025. North Sydney: NSW Department of Health.
Severance, J. H. (2009). Community health program evaluation using accreditation as a framework. Evaluation and the Health Professions, 32, 59-68.
Swinburn, B., Bell, C., King, L., Magarey, A., O'Brien, K., & Waters, E. (2007). Obesity prevention programs demand high-quality evaluations. Australian and New Zealand Journal of Public Health, 31, 305-307.
The United States President's Emergency Plan for AIDS Relief. (2009). Monitoring and evaluation. Retrieved May 17, 2010, from http://www.pepfar.gov/press/82285.htm
Walsh, K., Duke, J., Foureur, M., & Macdonald, L. (2007). Designing an effective evaluation plan: A tool for understanding and planning evaluations for complex nursing contexts. Contemporary Nurse, 25, 136-145.
West, P. A. (2010). Evaluating complex interventions. What is and what could be? British Medical Journal, 340, c1340.
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