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PH 195 || Review: LFA || CT Antonio || 17 Mar 2015
Learning outcome
At the end of this session, senior public health
students should be able to:
1. Appraise the health and support environment
situation in a given community
2. Justify the choice of a priority problem using the
Prioritization Matrix
3. Analyze the underlying causes and effects of an
identified problem using the Problem Tree
4. Formulate solutions/strategies to the identified
problem using the Objectives Tree
5. Propose a project plan using the Logframe and
Gantt Chart
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PH 195 || Review: LFA || CT Antonio || 17 Mar 2015
Analysis
Stakeholder
analysis
Problem
analysis
Objective
analysis
Alternatives
analysis
Planning
Developing
the Logical
Framework
matrix
Activity
scheduling
Resource
scheduling
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PH 195 || Review: LFA || CT Antonio || 17 Mar 2015
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PH 195 || Review: LFA || CT Antonio || 17 Mar 2015
Environmental factors
affecting health states
A complex of
environmental
factors not only
influences the
health of the
people, it also
affects the health
services.
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PH 195 || Review: LFA || CT Antonio || 17 Mar 2015
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PH 195 || Review: LFA || CT Antonio || 17 Mar 2015
Problem identification
A problem is a perceived difference or
discrepancy between what exists and the ideal
or planned situation.
Benchmarks:
International standards (e.g., MDGs)
National targets (e.g., National Objectives for
Health)
Development objectives (e.g., CHDP goal)
Varkevisser et al, 2003
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PH 195 || Review: LFA || CT Antonio || 17 Mar 2015
Problem prioritization:
Using the Prioritization Matrix
Issue 1
Issue 2
Issue 3
Issue 4
Issue n
Rank
Total
Criteria n
Criteria 4
Criteria 3
Criteria 2
PROBLEM
Criteria 1
SCORE
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PH 195 || Review: LFA || CT Antonio || 17 Mar 2015
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PH 195 || Review: LFA || CT Antonio || 17 Mar 2015
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PH 195 || Review: LFA || CT Antonio || 17 Mar 2015
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PH 195 || Review: LFA || CT Antonio || 17 Mar 2015
Relevance
Feasibility
Definition
Availability of human,
financial, material and
technical resources required
to solve the problem
Scoring scale
1 = Not relevant
2 = Relevant
3 = Very relevant
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PH 195 || Review: LFA || CT Antonio || 17 Mar 2015
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PH 195 || Review: LFA || CT Antonio || 17 Mar 2015
Stakeholder analysis
Stakeholders are individuals or institutions that
may directly or indirectly, positively or
negatively affect or be affected by a project.
Basic premise: Different groups have different
concerns, capacities and interests, and that
these need to be explicitly understood and
recognized.
European Integration Office, 2011; Ginter et al, 2013; Wholey et al, 2010.
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PH 195 || Review: LFA || CT Antonio || 17 Mar 2015
Interest in Project
What will this
stakeholder get out of
this project?
European Integration Office, 2011; Ginter et al, 2013; Wholey et al, 2010.
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PH 195 || Review: LFA || CT Antonio || 17 Mar 2015
Problem analysis
Problem analysis identifies the negative aspects
of an existing situation and establishes cause
and effect relationships between the identified
problems.
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PH 195 || Review: LFA || CT Antonio || 17 Mar 2015
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PH 195 || Review: LFA || CT Antonio || 17 Mar 2015
Analysis of objectives
The analysis of objectives is a methodological
approach employed to:
Describe the situation in the future once identified
problems have been remedied;
Verify the hierarchy of objectives; and
Illustrate means-ends relationship in a diagram.
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PH 195 || Review: LFA || CT Antonio || 17 Mar 2015
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PH 195 || Review: LFA || CT Antonio || 17 Mar 2015
Analysis of alternatives
The Objective Tree usually shows different
clusters of objectives that have an inherent
means-end linkage.
Out of these possible strategies of intervention
the most pertinent and feasible one is selected
on the basis of a number of criteria.
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PH 195 || Review: LFA || CT Antonio || 17 Mar 2015
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PH 195 || Review: LFA || CT Antonio || 17 Mar 2015
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PH 195 || Review: LFA || CT Antonio || 17 Mar 2015
Once complete, the objectives tree provides a summary picture of the desired
future situation, including the indicative means by which ends can be achieved.
A well-developed objective tree should compose the first column of the matrix.
European Integration Office, 2011.
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PH 195 || Review: LFA || CT Antonio || 17 Mar 2015
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PH 195 || Review: LFA || CT Antonio || 17 Mar 2015
Objectively
verifiable
indicators
Purpose
Intended situation at the
end of the project
Results
Targeting:
Quality
Quantity
Timing
Target
group
Place
Risks /
Assumptions
What information to be
made available
Goal
Long-term societal
benefits not achieved by
the project alone
Means of
verification
Attributes:
Specific
Measurable
Available
Relevant
Time-bound
Independent
Tangible products
resulting from project
activities
Activities
Means
Costs
Specific tasks to be
undertaken during the
projects lifetime
Resource requirements
for each activity
European Integration Office, 2011; AusAID, 2003; Practical Concepts Incorporated, 1979.
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PH 195 || Review: LFA || CT Antonio || 17 Mar 2015
Duration
6 days
Task 1.1.
2 days
Task 1.2.
2 days
Task 1.3.
2 days
Activity 2
4 days
Task 2.1.
3 days
Task 2.2.
1 day
Activity 3
4 days
Task 3.1.
2 days
Task 3.2.
2 days
Wee 1
1
Week 2
4
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PH 195 || Review: LFA || CT Antonio || 17 Mar 2015
References
AusAID. AusGUIDElines: the logical framework approach. [Canberra]:
Australian Agency for International Development; 2003. Link
European Integration Office. Guide to the logical framework approach: a key
tool for project cycle management. Belgrade: Republic of Serbia
Government; 2011. Link
Ginter PM, Duncan WJ, Swayne LE. Strategic Management of Health Care
Organizations, 7th ed. NJ: Jossey-Bass; 2013. 476 p.
Practical Concepts International. The logical framework: a managers guide to a
scientific approach to design & evaluation. Washington, DC: Practical
Concepts International; 1979. Link
Wholey JS, Hatry HP, Newcomer KE. Handbook of Practical Program
Evaluation, 3rd ed. California: Jossey-Bass; 2010.
Varkevisser CM, Pathmanathan I, and Brownlee A. Designing and conducting
health systems research projects. Volume 1: Proposal development and
fieldwork. Amsterdam (The Netherlands), Ontario (Canada) and Brazzaville
(Congo): KIT Publishers, International Development Research Centre, and
World Health Organization Regional Office for Africa; 2003. Link