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Health Impact Evaluation: An Introduction

Health Impact Evaluation: An Introduction. Temina Madon, PhD Executive Director Center of Evaluation for Global Action University of California, Berkeley. What is Impact Evaluation?. Why Impact Evaluation?. If you need evidence that a program works

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Health Impact Evaluation: An Introduction

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  1. Health Impact Evaluation:An Introduction Temina Madon, PhD Executive Director Center of Evaluation for Global Action University of California, Berkeley

  2. What is Impact Evaluation?

  3. Why Impact Evaluation? • If you need evidence that a program works Does the program actually improve health outcomes? Does it reach the people in need? • Accountability to civil society • Accountability to funders • Ability to target a limited budget • If you want to improve the program over time • Results-based management • Demonstrate cost-effectiveness • If you want to scale up but need proof of concept

  4. Objectives of this Workshop • Understand how IE is related to M&E • Identify questions suitable for impact evaluation • Determine which indicators and designs to use • Understand impact evaluation methods • Develop an impact evaluation concept note for an intervention of your choice

  5. M&E vs. IE

  6. M&E vs. IE • M&E • IE • M&E • IE • Are deworming treatments being delivered as planned? • Does school-based delivery of deworming medication increase school attendance? • What is the correlation between access to health clinics and the proportion of children under 5 receiving routine vaccinations? • Do house-to-house immunizations lead to an increase in the proportion of children under 5 who are immunized, relative to the level in communities with annual vaccination campaigns? Which costs less per child vaccinated?

  7. M&E vs. IE • M&E can often be started well after the program has been designed and implemented • IE generally needs to be considered at the outset of a program’s implementation or scale-up, because you need to build the evaluation into the design of the program

  8. M&E vs. IE • M&E allows you to guess how the program may have hurt or helped people. • IE allows you to measure the program’s effects directly. You will rule out every other explanation for the observed effects.

  9. What to Evaluate? • A health service program • ITN distribution at pre-natal clinics • Oral rehydration packets and education for new mothers • Deworming medicines in schools • Health systems project • Health insurance plans • Clinic staff retention • Local or federal health policy • Seatbelts law • Tobacco tarriffs • Behavior Change • Patient adherence to treatment • Improved care provided by health care provider • Community-wide adoption of prevention practices • Services & Systems • Quality of Services • Cost-Effectiveness • Health Outcomes • Maternal mortality • Child survival

  10. When to use IE? M&E can be used to fine tune a program’s design, but IE will: • Tell you whether or not the program is “worth the money” (Does it work?) • Guide results-based management • Improve communication with the public & civil society

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