Odhiambo-Otieno (2005a) suggests that lack of evaluation of district-level RHIS has been partly due to the lack of defined criteria for evaluating information systems.
The authors present the protocol of an evaluation of a district-level capacity-building intervention to identify the determinants of performance of health workers in managerial positions and to understand how changes (if any) are brought about.
In this paper, we present the protocol of an evaluation of a district-level capacity-building intervention in Karnataka State (India) that aims at responding to the effectiveness question and to the causality question.
The overall topics consisted of subjects such as development of SS guidelines for district immunization managers, district-level training in continuous SS, monitoring and evaluation of performance, and allocation of resources for district managers to cover travel and communication costs.
Although some midwives have been trained to collect sputum from patients and to send the sample to the district laboratory, patients often have to travel themselves to a district-level TB centre for sputum examination for diagnosis, evaluation and monitoring.
The overall intervention evaluated in this study consisted of a package of activities, which included development of supportive supervision guidelines for district immunization managers, district-level training in continuous supportive supervision, monitoring and evaluation of performance, and funding for district CPH to carry out the package of interventions (travel and communication costs).
We conducted structured, in-depth interviews with staff at six district-level health centers in Uganda to elicit their perceptions regarding barriers to TB evaluation.
Other settings with lower populations may have much larger areas aggregated together, resulting in greater variation in risk within aggregated evaluation unit and increased misclassification of underlying districts compared with a district-level design.
In 2001, I served as Planning, Monitoring and Evaluation Officer with UNICEF in Jakarta, Indonesia, where I provided technical guidance to district-level social development planning processes.
We recommend using a district-level TAS among children 8 10 years of age to assess STH but suggest that key consideration is given to evaluation unit size.
