xcqended that the lisnea unaer IXSU.LUL.LD~ 3wwrw4/~11,. . '. should review the. -n ""O's :a1 steps towards collaborative activities every integrating the evaluation of the national programmes. It was agreed that the ind Representatives should be involvgd in the ws, In pursuance of this directive, the Regional Director convened'q qe@- #tee, with the following terms of reference: ’ ,’ rated evaluation of WHO's collaborative ._.~ programmes; review of WHO's Collaborative Programmes in the Member countries during the year 1982, and (iii) To 'select a suitable title for the Small Committee. btpru w+tn Mr u.r. e WHO Regional Office at New Delhi from 18 to 20 Chauhan-Lee- 'Thailand) as Rapporteur. (Inaia) as Chairman and Or Samlee Plianbanb- A list of participants is attached (Annex the request of Nr Chauhan, sessions of the meeting durins his Dr Bahrawi Wongsokusumo chaired 'the absence, I . Ine uommlttee recognized the urgent need for developing suitable mecha- nisms to undertake joint monitoring and evaluation of WHO's collaborative activities and national programmes in an integrated manner, and discussed at I length the steps to be taken by the Member countries and the Organi.z&ion to achieve this objective. ".l I Basing its discussions on the background paper SEA/ICP/Meet 3/5, the Committee noted that some Member countries had already established Government/ WI-NJ Loordination Committees or analogous bodies. These mechanisms were being i used for the monitoring and evaluation of WHO's country programmes, Collabo- rative assessments of EPI, malaria and water and sanitation projects had been undertaken in some countries*. and Other joint initiatives of the Organization the Member countries related to Country Health Programming in a number of countries, the Programme Budgeting Exercise in Thailand, retrospective analy- sis and assessments of selected WHO supported projects in Indonesia, and thee-.m"".^-"..3 delivery status reports, It was felt that these various efforts broao basis for launching short and long term initiatives for the integrated monitoring and evaluation of health activities. _----_--_-_-----_---I________i__L_______-~---------------- * - EPI Malaria - Indonesia, Nepal, Sri Lanka and Thailand - All countries Water & )- Burma Sanitation) 2.2 It was observed that national health information systems would tiave,to be established/strengthened to provide the requisite information base? Also, planned action would need to be taken to generate the required manpower! .:In this context, it was agreed that the managerial process for national health development, be built in its infancy in most of the Member countries, would. require to up systematically to enable the integrated evaluation of WHO’s ies and national programmes. . .3 The Committee stressed the monitoring of the technical and managerial aspects of the WHO collaborative programmes, and discussed in detail finan- cial monitoring and the need for developing a suitable mechanism for this purpose. It noted that the mechanism for such monitoring had already been established in the WPC&Rs' offices in the countries. However, this needed to be further refined and improved. country level useful and effective To ,$ake the financial monitoring at the it was necessary for the Regional Office to provide WPC&Rs, regularly and intime, expenditures actually incurred, with up-to-date information regarding components of WHO's inputs. including revised unit costs of the various tion more meaningful, To make the monitoring of financial 'implementa- the review should progressively incorporate an assess- ment of the technical effectiveness of various programme components. It was pointed out, however, that for this assessment, the countries would'haye‘to provide necessary information. The Committee also felt that there was need for evolving a common format for the country-level monitoring of WHO's pro- grammes so that not only the two-way flow of information between the Regional e WPC&Rs was facilitated but the elements of information were comparable. The need for strengthening the offices of WPC&Rs for undertak- ing these tasks was reaffirmed. It was observed that some Member countries had included, in the 1984-1985 biennium, provision for the appointment' of a national in the WPC&R's office to assist in the coordination of the national programmes and WHO's collaborative activities at the country level. 3. Keeping in view all related aspects, the Committee recommended that:-’ (i> Whatever system of monitoring and evaluation is developed, it should be simple. / (ii) Collection of information - both for managerial and technical purposes - should be integrated with actual health' activities. Development of health information system and management informa-: tion system should be a gradual and long-term process in the context of the existing constraints. (iii) WHO's programme implementation in the countries shoula be monit tored jointly with the governments in the context of the respec- tive national programmes. An improved programme implementation and monitoring system should be developed at the country level in close collaboration with the government as soon as possible for use by the Organization and the governments. Simultaneous- ly, the Regional Office should improve the existing Programme Delivery Status Report to meet the needs of programme implemen- tation and monitoring at the country level. Efforts should be made to formulate objective-oriented programme budgets linking objectives to activities and activities in their turn * n Cho h, ,rlr-,v-.C TL1- . ..+I\‘I I’ _----- .- . k?V2ll.- Lb Irt act uuuyc I. l 1-t inn 1 luz wul maKfz prOgi.-dwrries more amenable to r. w..-.. While $-$roducing evaluation as an important element of the---~ - ^_^____ I L . . . a . :lng eva.LuadLIVn applicaole to aped. It has to be evolved., . . '.._ managel*a* yruc,ess, 11; must, at the same clme,. be recogfiized that a single modality far 'undertak' .-l..'Lz-- _--,*-a. 3 all the countries. cannot be d&ell depending on the prevailing national sltuatron taking into account the state of institutional support, the h)ealth manpower required and the aVailable InfFastructure in each country. The countries should select at least one major priority pi?- gramme to undertake joint governmer ’ “.,‘- -..-I..-LI- I . h(nmmr:trn IQQ/I-~OQK P.m cl...m* ‘-,,n^-.! - - LI.UII I5 WWl-iU eva+ar;lon aurlng the UrEpli IJ.Lcr.ll rx"-t-*r"2) pu I.IIQ~ ~~~~~t;'r~ce gained in the methods and mpch%nisms may be applied for the evaluation of other progran~~es.' L 1 ?.-A :-A.-- -- L i for managerial process for,.I.,. I - . -(vii) Country UIIU irlLer-country programme:national health develops---' -,--..'I-, I-- . ', . -'.:A- L- -I II .r.r.-l I_- ..-A-IIIEIIL snuu~u ae Laet-tLAi IGU I ur unue rtaking act;lVlt~es towaros tne monitor&g and evaluation of healths pro-- gramm@s pnd the establishment Qf more sound health information e\rr4a+ (viii) The six-monthly reporting from the rative progratimes s h o - national programmes, countries or,WHUl.s collab+ uid be in the context of res * ^ .~ -- pectiye !. _. ------ -- '~ I . . . ,....^--\ - -NHU.2 LULLHtNKHILVt I'KUGKWMES (REGULAR t%~UGti) DURING 1982 :. -___ z-1 -... _1 ‘4 * * . . 'ovided in respect of country well as financial aspects of 3 1982 (background document ing on the technical aspects The Committee GuI1Sluerea r;ne lnrormation pr and inter-country programmes on the technical as implementation under WHO’s Regular Budget durinc SEA/ICP/Meet 3/4) . It was noted that the report of implementation varied from countr,l I- r\-.*-C-*, --_ -7,.-n- ,-, ,-ck^- i ment in &ts contents. It was also suggestea that it WOULCI be more us~~$?!f the tabular presentation of the fina--'-' ~~ - ' - ' L- 1 Z-d . -I nical assessment. It was, however, aylccu *Y tech- financial implementation and technic-' --&'-"I_'""- the pragrammes were formulated with sharply det supporting the objectives and budget component supporLlny Effort- -L-. ..I 2 i A- L., L--CL LB--‘ Lne act1vltles...A1 * I. .a. . '. . to ac1.--,, "* ,...". The information presented in +ha hnr\i*,..--h I_--. provided a basis for the review of flnanclal Imp1,.^^A Pa- --- * ".^ 1----L .!3 L ,cL** such a correlation between al ,~l+evernents would be facilitated if 'ined objectives, activities -AZ-- LL.- 1. .I. .5 brluulu oe macrr; UY UULII grit: natlana autnorlties ana izne urganlzatlon >if+vp fhic- blab UaLKyL-ullnd paper (SEA/ICP/Meet 3/4).5 . ubeu I ur assessing tk LIII~~~L or p rog rammes , *ementation and could also be as suggested above. in due course, with improvements teview of programme implemen- ImmXttee, it was agreed that:- After considering various approaches to a I tation, as directed by the Regional Cc I" -'
i, ‘:i.i SEA/iCP/M&t. 3/7 Page 5 : I' ',',.Annex I LIST OF PARTICIPANTS BANGLAUGH , ' Brigadier Mohd. Yunus Dewan Joint Secretary (Uevelopment) _ . 1 :i ..-I,,:,,.. Ministry of Health & Population Control (Health Division) 4 Dhaka ,.' BHUTAN ur T. Yountan Director uepartment of Health Services Thimphu BURMA . :. .., Ur u Tun Lin Assistant Director Department of Health Rangoon Dr U Tin Myint Regional Officer (Leprosy) : ; Uepartment of Health Rangoon 'W INDIA * Mr P.P. Chauhan sr ,:':. ,* Joint Secretary Ministry of Health and Family Welfare . New Delhi !.’ .\‘ Dr D.B. Bisht . Additional Director-General :.;<. Directorate-General of Health Services Ministry of Health and Family Welfare New Delhi I. I INDONESIA ., Dr Bahrawi Wongsokusumo Adviser to the Minister of Healtli Republic of Indonesia Jakarta Dr Aziz La Sida Chief, Routine Planning Division Bureau of Planning Jakarta “.‘ ^ ,.. ,”
stH/ICP/Meet 3/7 Page 7 UL L.J. bestatc, Banglaaesh WHO Programme Coordinator & Representative, p-- -. “Aea, WHO Programme Coordinator & Representative, Burma Ur A. Zahra, WHO Programme Coordinator & Representative, India ‘I m.H.M. tl-Lawanry, Indonesia WHO Programme Coordinator & Representative. - YYW rrogramme Coordinator & Representative, Maldives Or K. Wagner, Ag,IJHO Programme Coordinator & Representative, Mongolia Dr tian Tun, WHO Programme Coordinator & Representative, Nepal : K.V. Notaney, WHO Programme Coordinator & Representative, Sri Lanka Dr R. Chical, WHO Programme Coordinator & Repr ur Or O r Mr Mr Mr ,esentative, Thailand. M . Lakir Hussain, Planning Officer S,A. Sapirie, Programme Management Officer Au-q Myat, Programme Development Officer N.N. Vohra, WHO Consultant S.L. Khaki, Budget and Finance Officer S. Subramanyan, Technical Officer (Programmi RESOURCE PERSONS Or C. Kampanart-Sanyakorn, Director, Disease Pre ion and Co”trn, Or Satnam Singh, Director, Development of Comprehensive Health _--- Services Or B.A. Jayaweera, Chief, Medical Research Or U Mya Tu, Chief, Health Manpower Development Mr 0-V. Subrahmanyam, Chief, Environmental Health