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Module 3: Basic analyses

Module 3: Basic analyses. Module 3: Learning objectives. Understand common analyses that calculate program coverage and efficiency Calculate program coverage and retention. Terminology. Indicator Program coverage Service availability Service utilization Program retention. Indicator.

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Module 3: Basic analyses

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  1. Module 3: Basic analyses

  2. Module 3: Learning objectives • Understand common analyses that calculate program coverage and efficiency • Calculate program coverage and retention

  3. Terminology • Indicator • Program coverage • Service availability • Service utilization • Program retention

  4. Indicator • Program element that needs tracking • Measures an aspect of a program’s performance • Measures changes over a period of time • Number of new family planning users • Number of clients currently on ART • Expressed as a number or percentage

  5. Common Analyses • Program coverage • Extent to which a program reaches its intended target population, institution, or geographic area • Compare current performance to prior year/quarter • Compare performance between sites • Program retention • Extent to which the range of services are being delivered as initially intended so that client drop-outs are minimal

  6. Why do we need to measure coverage? • To understand program progress • To determine if the target is reached • Clients, commodities, adherence… • To determine if one target is reached more effectively than another • Are there underserved areas/regions, subpopulations?

  7. Program coverage • Extent to which a program reaches its intended target population, institution, or geographic area • Utilization: • Is the target population utilizing services, accessing commodities, being reached with services? • Availability: • Are the services available where there is a need?

  8. Utilization calculation Percentage of the target population utilizing services # of individuals in target population using a service ------------------------------------------- x 100 # of individuals in target population

  9. Utilization calculation – example • No. of persons educated as of 6/12/09 = 300 • Goal for 12/31/09 = 900 300 900 • You have reached 33% of your target group with education messages • = 0.33 x 100 = 33%

  10. Comparison of time periods • Compare percentage achieved toward target in different time periods, different sites, etc. • Rate of increase • As of January, 70 people educated; as of June, 300 people • 300 - 70 = 230 increase in people educated • 230/6 = 38.3 new people educated per month

  11. Utilization of PMTCT Programs All pregnant women (2,000) Utilization = Service users Target population PMTCT Target (1,000) Sought prenatal care (600) Utilization = 600/ 1,000 = 0.6 0.6 x 100 = 60% Counseled & Tested for HIV (500)

  12. Program coverage • Extent to which a program reaches its intended target population, institution, or geographic area • Utilization: • Is the target population utilizing services, accessing commodities, being reached with services? • Availability: • Are the services available where there is a need?

  13. Availability calculation • Number of service outlets available per target population • Number of clinics with PMTCT per number of pregnant women • Expressed as a ratio

  14. PMTCT clinic availability • There are 8 clinics offering PMTCT & 100,000 pregnant women in region X. • Ratio of clinics to pregnant women 8:100,000 • Reduce (1:12,500) pregnant women • The standard recommendation is 1 clinic with PMTCT services per 10,000 pregnant women • Clinic availability is not reaching the target

  15. Availability + Utilization = Coverage • Service availability is 1:12,500 • Service availability target is 1:10,000 • PMTCT service utilization is 25% off the target • What can we conclude? • Service availability and utilization are too low; the program is not meeting the needs of pregnant women.

  16. Program retention • Measures if the range of services are being delivered as initially intended • Determines program retention, i.e., if the project is keeping clients through entire package of services • Important in clinical programs where drug adherence is an issue (TB, HIV/AIDS, immunization) and there are multiple steps (PMTCT)

  17. Retention example: Immunization Utilization Completion

  18. PMTCT Program Retention All pregnant women (2,000 women) PMTCT Target (1,000) Sought prenatal care (600) 350 received HIV- result or no result Tested for HIV (500) 100 received HIV+ result 40 received prophylaxis

  19. All pregnant women (2,000 women) PMTCT Program Retention 1,000 Sought prenatal care 500 350 received HIV- result Tested for HIV 100 received HIV+ result 40 received prophylaxis

  20. All pregnant women (2,000 women) PMTCT Program Retention PMTCT Target (1,000) Sought prenatal care (600) 350 received HIV- result Tested for HIV (500) 100 received HIV+ result 40 received prophylaxis

  21. All pregnant women (2,000 women) PMTCT Program Retention PMTCT Target (1,000) Sought prenatal care (600) 350 received HIV- result or no result Tested for HIV (500) 100 received HIV+ result 40 received prophylaxis

  22. All pregnant women (2,000 women) PMTCT Program Retention PMTCT Target (1,000) Sought prenatal care (600) 350 received HIV- result or no result Tested for HIV (500) 100 received HIV+ result 40 received prophylaxis

  23. Key messages • Coverage – extent to which a program reaches its intended target population, institution, or geographic area • Retention– the extent to which the range of services are being delivered as initially intended with clients retained throughout the full package of services • It is important to look at both to fully understand your services

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