EVALUATION OF HEALTH

SERVICES

Rashifa Thasni P
Roll no. 90
EVALUATION
A systematic Process to assess the
achievement of the stated objectives of a
program its adequacy ,efficiency and its
acceptance by all parties involved.
FEATURES
● It adresses
○ Quality of medical care.
○ Utilisation and coverage of health services.
○ Benefits to community health in terms of morbidity and mortality
reduction
○ Improvement in the health status of the recipients of care.
● It determines program effectiveness.
● It identifies inconsistencies between programme objective and activities.
● It suggests changes in programme procedure operation and objectives.
● It identifies the possible side effects of the program.
 STEPS IN EVALUATION

1. Determine what is to be evaluated

2. Establish standards and criteria
3. Plan the methodology to be applied
4. Gather information
5. Analyse the results
6. Take action
7. Re-evaluate
1.Determine what is to be evaluated
a. Evaluation of structure; Evaluation of whether facilities,
equipment, manpower and organisation meet a standard accepted by
expert as good.

b. Evaluation of “process”; The way in which various activities of

program is carried out is evaluated by comparing with a
predetermined standard. It includes problems of recognition,
diagnostic procedure, treatment,clinical management,care and
prevention.

c. Evaluation of outcome; Evaluate how the outcome of a disease is

influenced by the health services provided, It is measured in terms
of disease,discomfort,dissatisfaction,disability and death.
2. Establishment of standards and criteria

Standards and criteria must be established to

determine how well the desired objectives have been
attained.
● Structural criteria; physical facilities and
equipment
● Process criteria; every pren attel mother must
receive 6 check UPS
● Outcome criteria; alterations in patient health
status,death,disability
3.Planning the methodology
A format in keeping with the purpose of evaluation
must be prepared for gathering information desired.
standards and criteria must be included at the
planning stage.

4.Gathering information
Collection of data or information.
The type and amount of data required will depend on
the purpose and use of evaluation.
5.Analysis of results
The analysis and interpretation of data and feedback
to all individuals concerned should take place within
the shortest time feasible ones information has been
gathered.

6.Taking action
Emphasis should be placed on actions designed to
support strengthen or otherwise modify the services
involved. This may also calls for shifting priorities,
revising objectives or development of new programs
or services to meet previously unidentified needs.
7. Re-evaluation
This evaluation is an ongoing
process aimed mainly at
rendering health activities more
relevant,more efficient and
more effective.
ELEMENTS OF EVALUATION
● Relevance: It relates to the appropriateness of the
service ie whether it is need or not.
● Adequacy: It implies that sufficient attention has
been paid to certain previously determined causes of
action.
● Accessibility: It is the proportion of the given
population that can be expected to use a specified
facility service etc
● Acceptability: The service provided may be accessible
but not acceptable to all,e.g.,male sterilisation

● Effectiveness: It is the extent to which the

underlying problem is prevented or alleviated.
○ The ultimate measures of effectiveness will be the
reduction in morbidity and mortality rates.

● Efficiency: It is a measure of how well resources are

utilised to achieve a given effectiveness. e.g.
Percentage of bed occupancy,cost per patient treated.
● Impact: It is an expression of the overall effect of
a program,services or institution on health status
and socio-economic development.
For example , If the target of village water supply has
been reached,it also leads to reduction in the incidence
of diarrhoea diseases.
THANK YOU