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Module 7 handout - Population Indicators - M&E of PHE UNC

Module 7 handout - Population Indicators - M&E of PHE UNC

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Published by Makewa
Handouts to accompany course module on NGO Development Project planning - http://www.scribd.com/doc/48392650/6-Monitoring-Evaluation-in-Project-Cycles (part 7 of an 11 part course on the project cycle and management
Handouts to accompany course module on NGO Development Project planning - http://www.scribd.com/doc/48392650/6-Monitoring-Evaluation-in-Project-Cycles (part 7 of an 11 part course on the project cycle and management

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Published by: Makewa on Apr 08, 2011
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4Pat Thee: icato
Popato secto icato:
Family Planning and Reproductive Health
Population sector activities within PHE programs aim to improve andsustain voluntary amily planning and reproductive health services anduse. Population programs need to collect and assess inormation about twobroad, sometimes overlapping areas: health acilities and relevant popula-tions. Te frst area is important because acility quality and sta train-ing, access, and population use o health acilities all strongly inuencethe overall health o a population. Population programs not only assessa population’s physical health, but also that population’s attitudes, knowl-edge, and behaviors about a specifc health issue, as well as promote genderequality and male inclusion in discussions about contraception. An areao improving and sustaining voluntary amily planning and reproductivehealth services that is particularly relevant to PHE programs’ work is aocus on providing access to underserved communities.While the ultimate long-term measurement in population programs is thetotal ertility rate, the indicators in this guide ocus on measuring vari-ables that can be measured or results over a shorter period o time but areequally important. Many o the indicators in this section may be valuableor population-sector M&E; however, programs that have a ocused natureor that ace limited budgets should concentrate on measuring indicatorsthat best ft their needs.
Tabe 5 – Popato icato
Percent o program sta trained to work withor provide reproductive health services toadolescentsPercentage o women o reproductive age(15-49) who were clients o a community-based contraceptive distributor in the last yearCouple-years o protection (CYP)Average household distance/time to the near-est health centerPercent o skilled health personnel knowl-edgeable in obstetric warning signs1. o acceptors new to moderncontraceptionContraceptive prevalence ratePercent o deliveries occurring in a healthacilityPercent o births attended by skilled healthpersonnelPercent o women attended at least onceduring pregnancy or reasons related topregnancy6.
A Ge o Motog a Eaatg PopatoHeathEomet Pogam 4
P   l      t    i      
lEvEl Of MEAsurEMEnT:
Sta members are considered “youth-riendly” i they have the ability to provide servicesand an environment that targets young audiences. Youth-riendly training generally includes learninghow to create a service environment that will attract and retain a youth clientele. This includes spaceor rooms dedicated to adolescent reproductive health services; sta who are competent in policies andprocedures to ensure privacy and condentiality; peer educators who stay on-site during hours speci-ed or provision o services to youth, and use o non-judgmental approaches to providing services toyouth and accept drop-in clients. A sta member would need to go through specic training or work-ing with youth to be counted in this indicator. The denominator should include all sta who work in thetarget area during the reerence period (semi-annually or annually), even sta who work part-time.
PErCEnT Of PrOGrAM sTAff TrAinEd TO wOrk wiTH Or PrOvidErEPrOduCTivE HEAlTH sErviCEs TO AdOlEsCEnTsdisAGGrEGATE:
Reproductive health services have traditionally been designed or older, married women.Increasing the number o health providers trained to work with youth may increase the chance thatyouth will take advantage o the basic reproductive health services they need.
dATA sOurCEs:
Project records.
Semi-annually; annually.
dATA COllECTiOn COnsidErATiOns:
Specic topics related to adolescent reproductive health,such as sexual health education and peer dynamics, should be covered in the training. Use o a pre-and post-test will assist in determining the stas level o understanding.
sTrEnGTHs & liMiTATiOns:
This indicator targets the service improvement or an audience thathas a strong, oten unmet need or reproductive health services. However, training does not indicatewhether or not providers give adequate care.# o program sta trained to work withor provide reproductive health services to adolescents during the reerence periodtotal # o health service providers in the target area during the reerence period
x 100
Pat Thee: icato
lEvEl Of MEAsurEMEnT:
This indicator measures how well community-based distribution o contraception providescoverage o amily planning services to an area. In the context o PHE programs, community-based dis-tribution means that the contraceptives are sold at a point that is not a traditional health acility, suchas a clinic or hospital. Community-based distribution is generally through a local store or commercialsite or an individual at a non-commercial site, as well as other variations that are community-based. Asmeasured in this indicator, a client is a woman who receives contraception rom the community-baseddistributor (CBD), but does not include a woman who only talks with the CBD about contraceptivemethods. The method o contraception here can include any method – modern or traditional.
By target community.
The aims o the CBD program are to increase contraceptive use by increasing access and rais-ing demand through inormation, education, and communication (EIC) activities. For PHE programs,community volunteers are usually recruited to be community-based distributors, making CBD pro-grams especially eective in rural and isolated communities where demand is limited and access toalternative methods is low.
dATA sOurCEs:
Population-based survey or project records.
Annually or project records and every three to ve years or surveys.
dATA COllECTiOn COnsidErATiOns:
The questionnaire or surveying women in the target areashould include the type o commodities/methods received in the previous time period year.
sTrEnGTHs & liMiTATiOns:
CBDs tend to be low-volume independent distributors in isolated andsometimes difcult-to-reach areas, creating the need or eld-workers to re-supply these posts re-quently and provide supervision and continuous training in contraceptive methods use and risks.
PErCEnT Of wOMEn Of rEPrOduCTivE AGE (15-4) wHO wErE CliEnTsOf A COMMuniTY-BAsEd COnTrACEPTivE disTriBuTOr in THE lAsT YEAr
total # o women clientsage 15-49 o community-based distributors in the target area in the last yeartotal # o women age 15-49 living in the target area in the last year
x 100

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