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Developing a cost and outcome evaluation system
Summary
This study proposes a simple strategy for building health service evaluation capacity in developing countries, integrating it into existing management and planning for resource-limited settings.
Area of Science:
- Health Services Administration
- Developing Country Health Systems
- Program Evaluation
Background:
- Developing countries face significant resource constraints for health service evaluation.
- Existing health management systems often lack integrated evaluative functions.
- Simple, resource-efficient evaluation methods are needed.
Purpose of the Study:
- To present a strategy for developing evaluative capability in health services administration in developing countries.
- To address the challenge of limited resources for evaluation.
- To ensure evaluation becomes an integral part of health service management.
Main Methods:
- Proposing a phased approach to gradually build evaluation capacity.
- Emphasizing strong links between evaluation activities and existing decision-making processes.
- Advocating for the integration of evaluation across all service levels.
Main Results:
- The proposed strategy facilitates a simple and straightforward approach to evaluation.
- It allows for the gradual development of evaluative skills and systems.
- Evaluation becomes embedded within the routine management of health services.
Conclusions:
- A gradual, integrated approach can successfully introduce evaluative capability in resource-scarce health systems.
- Tying evaluation to planning and decision-making enhances its relevance and sustainability.
- This strategy aims to permeate all levels of health service delivery, improving overall management.