A FRAMEWORK FOR PERFORMANCE EVALUATION AND MONITORING OF PUBLIC HEALTH PROGRAM USING COMPOSITE PERFORMANCE INDEX

A public health program (PHP) taken up by the government of a country refers to all organized measures to prevent disease and promote health among the population, by providing different planned cares/services to the people. Usually, the target population for different PHP are different. The basic requirement for success of a PHP is to ensure that all the planned cares/services are reached to each member of the target population. Therefore, the important performance measures for a PHP are the implementation status of all the planned cares/services under the PHP. However, management and monitoring of a PHP become quite difficult by interpreting separately the information contained in a large number of performance measures. Therefore, usually a metric, called composite performance index (CPI), is evaluated to understand the overall performance of a PHP. However, due a scaling operation involved in the CPI computation procedure, the CPI value does not reveal the true overall implementation status of a PHP and consequently, it is effective for management of a PHP. This paper presents a new approach for CPI computation, in which scaling/normalization of the performance variables is not required and therefore, it can be used for monitoring the true overall implementation status of a PHP in a region. A systematic approach for monitoring a PHP using the CPI values is proposed and applied for monitoring the maternal and child healthcare (MCH) program. The results are found effective towards continuous improvement of implementation status.