Nickel Daniela Alba, Calvo Maria Cristina Marino, Natal Sonia, Freitas Sérgio Fernando Torres de, Hartz Zulmira Maria de Araújo
Cad Saude Publica. 2014 Apr;30(4):839-50. doi: 10.1590/0102-311x00032413.
This article analyzes evaluation capacity-building based on the case study of a State Health Secretariat participating in the Project to Strengthen the Technical Capacity of State Health Secretariats in Monitoring and Evaluating Primary Healthcare. The case study adopted a mixed design with information from documents, semi-structured interviews, and evaluation of primary care by the State Health Secretariat in 2008-2011. Process analysis was used to identify the logical events that contributed to evaluation capacity-building, with two categories: evaluation capacity-building events and events for building organizational structure. The logical chain of events was formed by negotiation and agreement on the decision-making levels for the continuity of evaluation, data collection and analysis by the State Health Secretariat, a change in key indicators, restructuring of the evaluation matrix, and communication of the results to the municipalities. The three-way analysis showed that the aim of developing evaluation capacity was achieved.
本文基于一个州卫生秘书处参与加强州卫生秘书处初级卫生保健监测与评估技术能力项目的案例研究,分析了评估能力建设情况。该案例研究采用了混合设计,纳入了2008 - 2011年期间的文件信息、半结构化访谈以及州卫生秘书处对初级保健的评估。采用过程分析来确定有助于评估能力建设的逻辑事件,分为两类:评估能力建设事件和组织结构建设事件。事件的逻辑链由以下环节构成:就评估的持续性在决策层面进行协商与达成一致、州卫生秘书处进行数据收集与分析、关键指标的变化、评估矩阵的重组以及向各市通报结果。三方分析表明,发展评估能力的目标得以实现。