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Related Experiment Videos

Simplifying the evaluation of primary health care programmes.

B Van Norren1, J T Boerma, E K Sempebwa

  • 1Department of Demography, State University, Groningen, The Netherlands.

Social Science & Medicine (1982)
|January 1, 1989
PubMed
Summary

Evaluating primary health care (PHC) programs requires focusing on intermediate variables that directly impact child survival. This approach is more practical than solely measuring health outcomes like mortality.

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Area of Science:

  • Public Health
  • Health Services Research
  • Pediatric Health

Background:

  • Primary health care (PHC) program evaluations often focus on health impacts (mortality, morbidity, nutrition).
  • Current evaluation methodologies are frequently dominated by complex data collection and analysis, limiting relevance for many PHC programs.

Purpose of the Study:

  • To present a theoretical framework for evaluating PHC programs.
  • To identify intermediate variables that directly influence child survival and can be targeted by PHC interventions.

Main Methods:

  • Development of an action-oriented theoretical framework.
  • Identification of key intermediate variables affecting child survival.

Main Results:

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  • A framework is proposed that shifts focus from direct health impact to intermediate variables.
  • These intermediate variables are directly influenced by PHC interventions and impact child health status.

    • Conclusions:

    • PHC program evaluations should prioritize intermediate variables for a more practical and actionable assessment.
    • Focusing on intermediate variables offers a more relevant approach than solely measuring end-stage health impacts.