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Monitoring and Evaluation in MCH Programs and Projects. MCH in Developing Countries Feb 24, 2009. Session objectives : Explain similarities and differences between monitoring and evaluation Describe the major purposes, types and tools for MCH program evaluation
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Monitoring and Evaluation in MCH Programs and Projects MCH in Developing Countries Feb 24, 2009
Session objectives: • Explain similarities and differences between monitoring and evaluation • Describe the major purposes, types and tools for MCH program evaluation • Contrast traditional evaluation approaches with participatory evaluation • Describe some practical lessons learned from a recent Timor-Leste program evaluation survey: • drawing a representative cluster sample • selecting households for a village survey
Objectives of both monitoring & evaluation: • Improve • program planning • program management • program performance • Assess program effects on beneficiaries • Strengthen links with participant groups
Monitoring: • Periodic, regular collection and analysis of selected indicators • Determines whether key activities are being carried out as planned, and identifies corrections needed • Early indication of progress, or a lack of progress • Provides periodic oversight of activity implementation
Characteristics of Monitoring • Can be carried out by any staff, not a specific evaluation staff person • Informs a project about strengths & weaknesses of the strategies: do we need to refine them?
Is Monitoring Supervision? • We monitor an intervention • We supervise an individual
Monitoring: the regular collection and analysis of selected indicators conducted to determine whether key activities are being carried out as planned, and identify corrections needed Evaluation: done at longer intervals than monitoring conducted to provide an indication of success of a program, and identify problem areas Monitoring and Evaluation:how are they related?
Characteristics of Evaluation • Assesses the value of something • Systematic review of evidence – gives a perspective on the ‘reality’ being examined • Assess performance and effects of program efforts -- requires analysis • Process: organization and management • Outcome or impact: effects on beneficiaries • Carried out selectively – costly and time consuming
Evaluation ProvidesInformation on: • Strategy – Are you doing the right things? • Operations – Are you doing things right? • Learning – Are there better ways?
Types of evaluation: • Formative • Summative • Of relative need for a program • Of the feasibility of a program design • Of program performance or process • Of direct effects or outcomes of a program • Of long-term impact • Internal or external
Internal Evaluation • Staff know more (history, organization, culture, problems, successes) • Can interpret findings more accurately • Known to the program so less likely to be threatening, disruptive but: • May be too close, hard to be ‘objective’ • Part of power structure, may have personal agendas • Likely not highly trained in evaluation
External evaluators • Can take a ‘fresh’ look at the program • Not personally involved; more ‘objective,’ not a part of the normal power structure • Less chance of personal gain • Well trained in evaluation methods, seen as ‘expert’ but: • May not understand the program or people or setting involved • May cause anxiety if not known and trusted
The best of both: Participatory Evaluation • Distinction between experts and layperson is de-emphasized and redefined • Focus on • program participants, not donors • learning, not just accountability • Flexible design, not predetermined • Consultant is a facilitator, not the actual ‘evaluator’ • Evaluation team is key to approach
What does an evaluation team do? Preparation: • Establish purpose, methods (‘scope of work’) including the evaluation questions • Develop data gathering instruments • Develop team plan and itinerary Main activities: • Visit main offices, field sites • Gather data (document review; observations, group discussions, interviews; survey report)
Report preparation: • Team discussion of findings, come to tentative conclusions and recommendations • Draft main findings of the evaluation report • Discuss draft of findings with program staff, other stakeholders • Revise findings, recommendations as needed • Finalize and submit report • Share with staff, community, MOH, others
When in doubt, observe and ask questions.When certain, observe at length and ask many more questions! From Halcolm’s Evaluation Laws