250503 Designing a Monitoring and Evaluation Matrix for Programs in Underserved Communities: Lessons from the Mississippi Minority Health Equity and Promotion Program

Monday, October 31, 2011: 11:06 AM

Lovetta Ann Brown, MD, MPH, CP , Medical Director, Office of Health Disparity Elimination, Mississippi Department of Health, Jackson, MS
Olugbemiga Tanilepada Ekundayo, MD, MPH, DrPH , Department of Epidemiology & Biostatistics, Jackson State University, Jackson, MS
Vincent Mendy, MPH, CPH , Mississippi Delta Health Collaborative, Mississippi State Department of Health, Greenwood, MS
Introduction: A review of evaluation literature indicates many approaches are used to assess and evaluate programs and projects. Monitoring systems tend to follow program or project objectives and goals. However, impact and outcome have sometimes been difficult to measure due to other causes, confounders and monitoring instrument precision challenges. We report a proposed model for fusing monitoring and data collection with evaluation in order to more directly connect impact with activities and plans.

Method: We designed a flow chart that identifies different program and project phases using the Planned Approach to Community Health (PATCH) model for health interventions. We develop objective tooling to measure outcomes and impact from outputs. We relate measures to the Plan, Do, Check, Act (PDCA) model cycle to engage a continuous quality improvement process and enhance the program or project.

Result: A coherent matrix that provides guidance to planners, managers and interventionists, and allows for a flow algorithm that directly measures outcome and impact was developed. Elements included project planning and formation, implementation, evaluation and impact measures.

Conclusion: A well designed evaluation plan helps guide program and project implementation and measurement. Project measurement allows planners to anticipate outcomes and impacts, to better design and plan programs. Well thought out and designed evaluation plans are encouraged for program and project planning to enhance effects in poor and underserved communities, help close gaps in health disparities and promote health equity.

Learning Areas:
Conduct evaluation related to programs, research, and other areas of practice
Planning of health education strategies, interventions, and programs
Program planning
Public health or related public policy
Social and behavioral sciences

Learning Objectives:
1. Identify phases of a program in monitoring and evaluation 2. List some tools for monitoring a program 3. Connect tools with measures of output and outcome 4. Explain how measures directly link to impact 5. List some key questions to ask in evaluating a specific project.

Keywords: Evaluation, Performance Measurement

Presenting author's disclosure statement:

Qualified on the content I am responsible for because: I have been working on designing a monitring and evaluation matrix to study community programs and effectiveness in underserved communities. I am qualified because I have studied the programs implemented in the underserved communities and compiled lessons learned from the Mississippi health equity and promotion program. I have Doctorate in Mupblic health ina ddition to being physician and lead this project among the underserved population.
Any relevant financial relationships? No

I agree to comply with the American Public Health Association Conflict of Interest and Commercial Support Guidelines, and to disclose to the participants any off-label or experimental uses of a commercial product or service discussed in my presentation.