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PHHE 469 Principles of Health Planning

PHHE 469 Principles of Health Planning. Week 13 – The Bottom Line. Important Final Material. IN PHHE 469 : Introduction to the Idea of Planning as a necessary element in providing for the health care needs of the community Composed of Four elements > Theory > Needs Assessment

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PHHE 469 Principles of Health Planning

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  1. PHHE 469Principles of Health Planning Week 13 – The Bottom Line

  2. Important Final Material • IN PHHE 469: Introduction to the Idea of Planning as a necessary element in providing for the health care needs of the community • Composed of Four elements > Theory > Needs Assessment > Intervention > Evaluation

  3. Impact Program Evaluation Outcome 1 Theory success> Cause > Intervention > Effect (successful (program (program (desired program) hypoth) design) results) • Program is successful: all part of process working well together, logical development, effect follows

  4. Impact Program Evaluation Outcome 2 Theory failure > Cause > Intervention > Effect (Unsuccessful (faulty (Bad Program (Bad or no Program) hypothesis) Design) Results) • Program Unsuccessful due to theory failure • Alignment between program hypothesis (theory) and program design (intervention) bad (not compatible) • Program does not produce the desired outcome or effects

  5. Impact Program Evaluation Outcome 2, continued… • Called Theory Failure because if the hypothesis had been valid, then the program design should have produced the desired outcome or results. • Because the desired outcome was not produced, the hypothesis is not supported and a different hypothesis has to be considered. (Is this necessarily bad? Think of the null hypothesis…)

  6. Impact Program Evaluation Outcome 3 Program Failure > Cause > Intervention > Effect (Unsuccessful (Faulty (Bad program (Failed Program) hypothesis) design) outcome) • Program failure occurs when there is a misalignment between the program hypothesis (cause) and the program design (intervention) • Program fails to produce desired outcome or effect. (Not driven by a valid program hypothesis).

  7. Impact Program Evaluation Outcomes: Significance When program fails to achieve its desired outcomes or result due to theory failure, the result is still a valid test of the program. • We can still make inferences about the program because the test itself is valid • If we know what made the program fail, we can do a better job when we redesign a replacement program (or better yet, if this is an ongoing evaluation we have time to reposition the existing program so we don’t waste precious resources)

  8. Impact Program Evaluation Outcomes: Significance, page 2 • When a program fails to achieve the desired results due to program failure, it tells us that the program wasn’t properly tested. • When this happens, we can’t tell anything about the success or failure of the program because it wasn’t properly implemented as planned.

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