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Challenges in evaluating rural health programs.

Joyce Beaulieu1, John Webb

  • 1University of Kentucky, Center for Health Services Management and Research, Lexington 40536-0003, USA. jebeau01@pop.uky.edu

The Journal of Rural Health : Official Journal of the American Rural Health Association and the National Rural Health Care Association
|July 24, 2002
PubMed
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Evaluating complex community health programs in rural areas is challenging due to limited resources. A participatory evaluation model, training local staff, offers a viable solution for effective program assessment.

Area of Science:

  • Public Health
  • Program Evaluation
  • Rural Health

Background:

  • Complex community-based prevention programs face scrutiny regarding effectiveness.
  • Rural public health departments often lack resources (budgets, staff, experts) for program evaluation.
  • Evaluating rural programs is hindered by factors like lack of control groups and small, unstable populations.

Purpose of the Study:

  • To address the challenges of evaluating rural health promotion programs.
  • To implement an internal, participatory model of evaluation for rural public health departments.

Main Methods:

  • A university evaluation expert trained local public health department staff in technical evaluation skills.
  • The expert provided ongoing mentorship and technical consultation.

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  • The model involved training and site visits.

    • Main Results:

    • The participatory model equipped rural public health staff with evaluation skills.
    • Ongoing support addressed resource limitations.
    • The approach facilitated evaluation of complex rural health programs.

    Conclusions:

    • A participatory evaluation model can effectively build capacity within rural public health departments.
    • This approach helps overcome resource and methodological challenges in evaluating rural health promotion programs.
    • Internal capacity building is key to sustainable program evaluation in underserved areas.