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Simplifying the evaluation of primary health care programmes

Author

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  • Van Norren, Bert
  • Ties Boerma, J.
  • Sempebwa, Esther K. N.

Abstract

Currently, there is considerable attention for health impact--as measured by mortality, morbidity or nutrition indicators, in the evaluation of primary health care (PHC) programmes. In most cases, health impact evaluations tend to be dominated by methodological discussions on data collection, analysis and interpretation, which are not relevant to the majority of PHC programmes. In this paper a theoretical framework of variables, affecting child survival, is presented. The key to this action-oriented framework is the identification of a set of intermediate variables which directly affect the health status of children, but can be influenced by PHC interventions as well. It is recommended that evaluations of PHC programmes should focus on these intermediate variables and be less concerned with health impact of the interventions.

Suggested Citation

  • Van Norren, Bert & Ties Boerma, J. & Sempebwa, Esther K. N., 1989. "Simplifying the evaluation of primary health care programmes," Social Science & Medicine, Elsevier, vol. 28(10), pages 1091-1097, January.
    • Handle: RePEc:eee:socmed:v:28:y:1989:i:10:p:1091-1097
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    Cited by:

    1. Perera, Roshan & Dowell, Tony & Crampton, Peter & Kearns, Robin, 2007. "Panning for gold: An evidence-based tool for assessment of performance indicators in primary health care," Health Policy, Elsevier, vol. 80(2), pages 314-327, February.

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