Formulation of Health

Program
Edbert P. Solano, DMD, DDPH, MAED, FICD
• Planning Cycle
• Health Management
• Recommendations of various health committees
• National Health Policy
• Health Care System in India
• Health Care delivery (ICDS)
• Health for All, MDG, SDG
• International Health Organizations
• National Health Mission
Definition

Rationale for Health Planning

Health Planning Cycle outline

Steps by Step Introduction to Health Planning Cycle

• Goals
• Objectives
• Targets
• Indicators
 Goal Target Indicator

Action: A specific,
measurable and
Aspiration: An time-bound result Accountability for
ambitious commitment that directly results
to address a single contributes to
challenge. achievement of a
goal.
Qualitative or Quantitative Quantitative
quantitative
Ensure that, by
2030, children Net enrollment ratio
Achieve universal everywhere, boys
primary education and girls alike, Literacy rate of 15-24
will be able to year olds
complete a full
course of primary
schooling
 Policy

Programme

&

Principle
• Pay increases are only made in January & July

• Learning is Valued

• We provide Job share arrangements

• Respect for the individual is of paramount to the way we

operate

• If you are late more than two times in a month your

attendance will be reduced by the amount of time you are
late
Rationale of planning :

§ To match limited resources with many problems.

§ To eliminate wasteful expenditure.

§ To develop best course of action to accomplish an

objective.
Planning includes 3 steps
REFLECT PLAN

1. Plan formulation
2. Execution
3. evaluation CHECK Act
 Where are we now?
What new problems do we have?
Situation Analysis
Forward Planning

Where do we want to go?

Priorities, goals and targets

How will we know Feedback

when we arrive? How will we get there?
Monitoring & Evaluation
Organization & management
Health planning

§ It is the process of defining community health problems,

identifying unmet needs, surveying the resources to meet
them, establishing priority goals that are feasible and
projecting administrative action to accomplish the purpose
of proposed programme.
Plan ??
v Objective
v Policy : guiding principles stated as an expectation.
v Programme: sequence of activities
v Schedule : is time sequence for work to be done.
v budget
 PLAN THE PLANNING

Prerequisites to be resolved before actually planning exercise

may start

Establish the identity and position of the planning body

Determine specific terms of reference (ToR) of the plan

üWhat has to be planned?

üThe purpose of planning
üDefining target group
üFor what time period
üIdentify resources available
üTiming, tasks and responsibilities
üAssign responsibility to each member (chairman, secretary, core
members, community representatives, from other government
department, NGOs
 PLANNING CYCLE
Analysis of health situation

Establishment of objectives and goals

Assessment of resources

Fixing priorities – meet unmet needs

Write up formulated plan – each stage is defined, costed ,time needed

to implement is specified ,working guidance for all staff and built in
system of evaluation.

Programming and implementation – selection, training, and supervision

of manpower.

Monitoring

Evaluation
PLANNING
CYCLE
Formulate Health Problems
No
Evaluation result Satisfactory
Fixing Priorities

Collect Data for evaluation Formulate individual Problems

Yes
Operate the programme Define Objectives

Assigning Priorities among objectives

Train Workers

Design Alternate Plan

Implement Plan
PLANNING
CYCLE Formulate
Health Problems
No
Evaluation result Satisfactory
Fixing Priorities

Collect Data for evaluation Formulate individual Problems

Yes
Operate the programme Define Objectives

Assigning Priorities among objectives

Train Workers

Design Alternate Plan

Implement Plan
PLANNING Formulate Health Problems
CYCLE

No
Evaluation result Satisfactory Fixing Priorities

Collect Data for evaluation Formulate individual Problems

Yes
Operate the programme Define Objectives

Assigning Priorities among objectives

Train Workers

Design Alternate Plan

Implement Plan
PLANNING
Formulate Health Problems
CYCLE

No
Fixing Priorities
Evaluation result Satisfactory

Formulate individual
Collect Data for evaluation
Problems
Yes
Operate the programme Define Objectives

Assigning Priorities among objectives

Train Workers

Design Alternate Plan

Implement Plan
PLANNING
Formulate Health Problems
CYCLE

Evaluation result Satisfactory No

Fixing Priorities

Collect Data for

evaluation Yes Formulate individual Problems

Operate the programme Define Objectives

Train Workers Assigning Priorities among objectives

Design Alternate Plan

Implement Plan
PLANNING
Formulate Health Problems
CYCLE

Evaluation result Satisfactory No

Fixing Priorities
Yes
Collect Data for
evaluation Formulate individual Problems

Define Objectives
Operate the programme

Train Workers Assigning Priorities among objectives

Design Alternate Plan

Implement Plan
 Characteristic Unplanned Planned

Type Adhoc Anticipatory

Objective
Not Fixed Fixed
Inputs Precise
Imprecise
Priorities Sequential Laid Down

Approach Piecemeal Total

Method Haphazard Systematic

Endpoints Defined
Abstract
Evaluation Subjective Objective

Corrective action
Too Many Few
Cost High Reasonable