Four major areas were examined: infrastructure of the PHC clinic, the work of the PHC staff (especially in relation to leprosy patients), the flow of patients through the clinic and the performance of programme requirements (such as completion of registers, patient care and supervision of treatment).
The varied performance of Community Health Worker CHWW) programmes in different contexts has highlighted the need for implementation of research that focuses on programme delivery issues.
Integrating PMTCT programmes into an already overburdened health system has been identified as a common reason for the sub-optimal performance of PMTCT programmes as they scale up to achieve national coverage.
Given such varied performance of CHW programmes in different local contexts, calls for a comprehensive body of implementation research that focuses on CHW programme delivery issues are hardly surprising [ 14].
We need to rethink the way we measure the performance of Wash programmes – let's start the conversation at World Water Week.
But these examples underline the importance, as well as the feasibility, of checking the performance of humanitarian programmes against the perceptions of those on the receiving end of international aid.
An independent regulator for welfare to work could stand apart from the vested interests of both minister and contractor and be accountable for policing the performance of these programmes.
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Indicators of the performance of intervention programmes such as coverage levels and numbers covered are typically measured through national statistics or at the scale of large regions due to survey design, administrative convenience or operational limitations.
