HEALTH PROGRAM

MANAGEMENT
2.Definition
3.Rationale
4.Functions of Management
5.Styles of Management
6.Principles of Management
7.Administrative Functions
8.The Planning Process
THE PLANNING PROCESS
2. Health Situational
Analysis
3. Objective Setting
4. Strategy Identification
and Prioritization
5. Activity Setting
6. Plan for Evaluation
7. Budget
PLANNING
Formulation of steps to be
undertaken by the organization
at some future period to achieve
a desired state

Where are we now?

Where do we want to go?
How do we get there?
How do we know that we have
arrived?
 QUALI TI ES PLANNI NG
MAP PROCESS
ORI GI N Accurate, detailed SI TUATI ONAL
Where are we now? current ANALYSI S
DESTI NATI ON Specific, detailed OBJ ECTI VE
Where do we want Time- bound SETTI NG
to go?
STREETS
MODES OF Must lead to the STRATEGY/
TRANSPORT destination ACTI VI TY
How do we get SETTI NG
there?
LANDMARKS Accurate, detailed PLAN FOR
How do we know we EVALUAI TON
have arrived?
 PLANNI NG
MAP QUALI TI ES PROCESS
ORI GI N Accurate, detailed SI TUATI ONAL
Where are we now? current ANALYSI S
DESTI NATI ON OBJ ECTI VE
Specific, detailed
Where do we want SETTI NG
Time- bound
to go?
STREETS
MODES OF STRATEGY/
Must lead to the
TRANSPORT ACTI VI TY
destination
How do we get SETTI NG
there?
LANDMARKS PLAN FOR
How do we know we Accurate, detailed EVALUAI TON
have arrived?
 PLANNI NG
MAP QUALI TI ES
PROCESS
ORI GI N Accurate, detailed SI TUATI ONAL
Where are we now? current ANALYSI S
DESTI NATI ON Specific, detailed
OBJ ECTI VE
Where do we want Time- bound
SETTI NG
to go?
STREETS/
MODES OF Must lead to the STRATEGY/
TRANSPORT destination ACTI VI TY
How do we get SETTI NG
there?
LANDMARKS Accurate, detailed
PLAN FOR
How do we know we
EVALUATI ON
have arrived?
 PLANNI NG
MAP QUALI TI ES
PROCESS
ORI GI N Accurate, detailed SI TUATI ONAL
Where are we now? current ANALYSI S
DESTI NATI ON
Specific, detailed OBJ ECTI VE
Where do we want
Time- bound SETTI NG
to go?
STREETS
MODES OF STRATEGY/
Must lead to the
TRANSPORT ACTI VI TY
destination
How do we get SETTI NG
there?
LANDMARKS
PLAN FOR
How do we know we Accurate, detailed
EVALUATI ON
have arrived?
 Where are we now?

HEALTH SITUATIONAL ANALYSIS

1. Description of the present health

situation
Inventory of health problems and
resources

2. Three (3) main parts:

Description of the current health
situation Forecast of the future health
status Problem identification and
prioritization
 Situational Analysis

2.1 Description of the current

health situation
Is the community healthy in terms
of:
Births
Nutritional Status
Morbidity
Mortality
 Situational Analysis

2.1 Description of the current

health situation
Analysis of the:
Population
Health Status
Health Sector
Related Socio-
economic Factors
 Situational Analysis

2.2 Forecast of the future health

situation

2.3 Problem identification and

Prioritization
Expressed as a LACK or an EXCESS
COMPARISON
Standards
Targets
Trends
 Situational Analysis

2.3 Problem identification and

Prioritization
Activities:
IDENTIFICATION of problems
PRIORITIZATION of problems
EXPLANATION
WHO Criteria as to causes and
Magnitude of the
effects
Problem
Indication investigation
Problemof AREAS
Social of CHANGE
Concern
Output: Problem tree
Vulnerability to
Technology Existing
Health Policies
 Situational Analysis

2.1 Description of the current

health situation
BIRTHS

Analysis of Analysis of Analysis of Analysis of

POPULATION HEALTH HEALTH RELATED
STATUS SECTOR SOCIO-
ECONOMIC
FACTORS
 Situational Analysis

2.1 Description of the current

health situation
BIRTHS
High CBR

Large % of of
Analysis the Analysis of Inadequate
Analysis of Low
Analysis of
popn belong to
POPULATION HEALTH implementation
HEALTH educational
RELATED
the 15- 44 yo STATUS ofSECTOR
the Family attainment
SOCIO-
age group Planning ECONOMIC
Attitude
Program FACTORS
Large % of the towards having
popn are No midwives to children
married teach Family
Planning
2.1.1 Content: Analysis of the Population

Demographic factorsTotal population

Geographical
distribution Age-sex
structure; sex ratio
Dependency ratio
Vital indices CBR CDR
NGR IMR
GFR <5MR
MMR
Life Expectancy
Age-Sex Pyramid
0-4
5-9
10-14
15-29
20-24
25-29, etc.
Age Distribution
0-1 IMR Immunization
1-5 <5MR Nutrition
6-14 Dependency School Health
Ratio
15-44 GFR Family Planning
45-65 Swaroop’s CVD, Cancer
>65 Senior Citizen
2.1.1. Content: Analysis of the Health Status

Mortality patterns Top causes of death

Morbidity patterns Top causes of morbidity

Leading causes of
hospital consultation
and admission
2.1.1. Content: Analysis of the Health Sector

Total number
Health human resourceDistribution
Expertise

Total number
Health facilities Distribution
Nature

Nature
Health services Coverage
2.1.1. Content: Analysis of the Related
Socio-economic Factors
Economic indices % unemployed
Average income
Main sources of
livelihood Expenditures
Social indices Communication
Transportation
Education
Housing/Electrificati
on
Toilet
Environmental indices
Water
Garbage Disposal
Food
Nutritional indices Establishments
Malnutrition
Fe- deficiency
anemia
2.1.2. Appropriate denominators:
Civil status
Educational attainment
Membership in organizations
% popn employed
% children fully/completely
immunized
% popn practicing family planning
2.1.3. Problem identification:
Basis Standard Observation
30% of children 0- 6 9% of children 0-6 WORSE
yrs old are yrs old are POORE
malnourished malnourished R
BELOW
STANDARD
UNFAVORABL
E

Mortality rate is
1/100,000 popn
Mortality rate is
5/100,000 popn
BETTER

WITHIN
STANDARD

FAVORABLE
2.1.3. Problem identification:
Basis Standard Observation
10% of respondents 75% of Poor health
answered “Tama” torespondents knowledge
the statement, “Ang should be able to regarding
sakit na polio ay nai-answer correctly. immunizations
iwasan sa
pamamagi-tan ng
bakuna”
10% of children are 90% of children Low level
Poor health
of immu-
completely immu- should be knowledge
nization
nized immunized

10% of pregnant 90% of pregnant Poor health

Low level of pre-
women undergo women should knowledge
natal checkups
prenatal checkup have prenatal
checkups
2.1.3. Problem identification:
Basis Standard Observation
90% of the house- All households Poor environ-
holds wrap their should dispose of mental sanitation
garbage and throw their garbage in a
them in the canal or sanitary manner
creek

90% of the Poor environ-

respondents said mental sanitation
that the priority
problem in the
community is poor
environmental
sanitation.
2.1.3. Problem
identification/prioritization:
Perceived Perceived Perceived
Problems Causes Solutions
Drug Lack of Setting up
addiction “healthy” of
alternative basketball
hobbies courts Problems M SC VT EHP
SOCIAL
Poor health Lack of Increase
services at funds funding
CONCER
the RHU given by the N
LGU

Basis Standard Observation

90% of the All Poor environ-
households households mental
wrap their should sanitation
garbage and dispose of
throw them their
in the canal garbage in a
or creek sanitary
manner
10% of 90% of Low
children 1- 6 children 1- 6 immunizatio
yrs old are yrs old n rate
completely should be
immunized completely
immunized
2.1.4. Problem Prioritization:
1. MAGNITUDE OF Pulmonary
THE PROBLEM Tuberculosis
Number of people affected
versus
Course of the disease
Pancreatic Carcinoma
90% of adult popn has
PTB versus
1 adult died of Breast
CA

90% of the
2. SOCIAL CONCERN respondents said that
Value attached by the PTB is a priority
community to the disease problem in the
community
PROGRAM
Course of action for the
solution of a given health
problem
A composite of projects

PROJECTS
A series of time- and resource-
limited activities for
enhancing the capability of
programs to solve health
problems
 Situational Analysis
30% of children 0- 6 yrs
PROGRA old are malnourished
M

Large % of the High incidence Weight/growth Only 5% of

popn belong to of immunizable monitoring mothers
the 0-5 yo age diseases conducted breastfeed
group infrequently
90% of
Inadequate mothers
supply of food start
PROJECT supplements weaning
S early at 3
health Few midwives
mos
education are capable of
providing Poor
project nutritional knowledge
advice regarding
breastfeedin
g and
 Situational Analysis

2.3 Problem identification and

Prioritization
Activities:
IDENTIFICATION of problems
PRIORITIZATION of problems
EXPLANATION as to causes and
effects
Indication of AREAS of CHANGE
 Situational Analysis

2.3 Problem identification and

Prioritization-
Explanation as to Causes and Effects
(Problem Investigation and
Formulation of the
Problem Tree)
Indication of Areas Amenable to
Change
 Situational Analysis

Exercise: Problem identification and Prioritization

(Problem investigation and Formulation of the
Problem Tree)
 Depletion of Depletion of family
government resources
resources

High expenditure for High infant and Increased

nutrition programs <5 mortality rate morbidity

High prevalence of
malnutrition
30% of children 0- 6 yrs old
are malnourished
Only 5% of
mothers
Large % of the High incidence Weight/growth breastfeed
popn belong to of immunizable monitoring
the 0-5 yo age diseases conducted
group 90% of
infrequently
mothers start
Inadequate supply
weaning at 3
of food
months
supplements
Few midwives are Poor
capable of knowledge on
providing breastfeeding
nutritional advice and nutrition
 Depletion of Depletion of family
government resources
resources

High expenditure for High infant and Increased

nutrition programs <5 mortality rate morbidity

High prevalence of
malnutrition
30% of children 0- 6 yrs old
are malnourished

   
Only 5% of
mothers
Large % of the High incidence Weight/growth

 
breastfeed
popn belong to of immunizable monitoring


the 0-5 yo age diseases conducted
group 90% of
infrequently
mothers start
Inadequate supply
weaning at 3
of food
months
supplements
Few midwives are Poor
capable of knowledge on
providing breastfeeding
nutritional advice and nutrition
PROBLEM INVESTIGATION
PROTOCOL
I. Background
Summary of CDx

II. (Working) Problem Tree

III. Objectives

IV. Methodology
Research Design
Sample Design
V. Data Collection
Sampling Size Tool
Data Collection
Method
Plan for Data
Analysis
PROBLEM INVESTIGATION REPORT
I. Background
II. (Working) Problem Tree
III. Objectives
IV. Methodology
V. Results and Discussion
VI. (Final) Problem Tree