Health program/project planning: vertical analysis

Yodi Mahendradhata
 Needs
assessment

Program Program
evaluation development

Program
implementation Program cycle
 Program development?

Developing Developing Reviewing

Ensure realistic
draft plan Roles resources

Develop
Constructing Organization of
communication
timeframe tasks
strategy
 Methods for health program/project planning

• Vertical analysis
• Logical Framework (LogFrame)
• Planning Approach to Community Health (PATCH)
• Mobilizing for Action through Planning and Partnership (MAPP)
• Community Health Improvement Process (CHIP)
• Theory of Change
Vertical analysis
1.Appraising the importance of the problem
2.Epidemiologic model development
3.Inventory of potential interventions
4.Identification of activities to implement the interventions
5.Identifications of required resources
6.Operational strategy development
7.Development of strategy evaluation plan
Step 1: the importance of the problem
1. Severity
• Disability
• Death
2. Frequency of infections/disease
3. Economic burden
4. Social burden
Step 2: Epidemiologic model

Subclinical
Susceptible Disease Death
infection

Risk factors Risk factors Risk factors

Step 3: Potential interventions

Subclinical
Susceptible Disease Death
infection

Interventions Interventions Interventions

Example 1.
TB epidemiologic model

Infectious

Subclinical Death
Susceptible Exposed
infection

Non-
infectious

Density Ventilation HIV

Behaviour Age Diagnosis
Household size Virulence Environment Therapy
Age Interaction Medical condition
 Exercise
Step 2 & 3 of Vertical Analysis
Potential TB interventions

Infectious

Subclinical Death
Susceptible Exposed
infection

Non-
infectious

Ventilation
Socioeconomic Early diagnosis
Imporvement HIV prevention
improvement Behaviour change & treatment
Step 3.1. Intervention selection criteria

• Efficacy
• Effectiveness
• Efficiency
• Acceptability
• Feasibility
Step 4 + 5. Identification of activities and
resources
Activities Type and quantity

Activity 1 …………….

Activity 2 ……………..

Activity 3 ……………..

Activity 4 ……………..

Activity 5 …………………
Activity and resource identification for early TB diagnosis
and treatment
Activities Resources
Suspect screening
Microscopy examination
Treatment category
Initial phase treatment
Continuation phase treament
Follow up
Default tracing
Recording and reporting
Managing drugs & logistics
Training
Cross-check
Supervision
M&E
Limitations of vertical analysis?
• Medical bias – natural history of diseases
• Emphasis on relation between natural history of disease and
intervention, less on
• Implementation
• Stakeholder
 Planning matrix
Indicators Data Assumptions
source

Goal: Proportion of poor Statistics

Improved socio-economic conditions household < 10% bureau
Purpose: Zero bus accident by 2015 Police Economics of rural
Safe and reliable transportation of records goods remain
rural goods favorable
Objectives: • 100% buses in good Project Road and bridges in
1. Improved bus conditions condition by 2014 reports good condition
2. Prudent drivers • 100% licensed drivers
by 2014
Results: • 100% buses < 5yrs old Bus Vehicle production
1.1. Vehicle armada renewed • All buses maintained company quality maintained,
1.2. Regular maintenance established quarterly Spare parts supply
1.3. Reasonable workload imposed
records
• ……… maintained
1.4. Traffic rules mastered by drivers
Activities:
1.1.1. Vehicle procurements
1.1.2. Local maintenance shops
establishment
1.2.1. Workload analysis
……………………..
Rencana Anggaran dan Satuan kerja (RASK)

Daftar Rekapitulasi
Daftar Anggaran Belanja Langsung Satuan Kerja
Tahun anggaran
Bidang kewenangan
Instansi
Program
Kegiatan
Lokasi kegiatan
Indikator dan tolak ukur kinerja belanja langsung
Indikator Tolak ukur kinerja Target kinerja
Masukan
Keluaran
Hasil
Manfaat
Dampak
Rencana Kerja & Anggaran Satuan Kerja Perangkat Daerah (RKA-SKPD)
Rencana Kerja dan Anggaran Formulir
Satuan Kerja Perangkat Daerah RKA SKPD 2.2.1
Provinsi/Kabupaten/Kota……..
Tahun Anggaran…………………
Urusan Pemerintahan X.XX
Organisasi X.XX.XX
Program X.XX.XX,XX
Kegiatan X.XX.XX.XX.XX
Lokasi kegiatan ……………………………………………
Jumlah Tahun n-1 Rp
Jumlah Tahun n Rp
Jumlah Tahun n+1 Rp

Indikator dan tolak ukur kinerja belanja langsung

Indikator Tolak Ukur Kinerja Target Kinerja
Capaian program
Masukan
Keluaran
Hasil
 Methods for health program/project planning

• Vertical analysis
• Logical Framework (LogFrame)
• Planning Approach to Community Health (PATCH)
• Mobilizing for Action through Planning and Partnership (MAPP)
• Community Health Improvement Process (CHIP)
• Theory of Change