Essis Esme Marie Laure, Yaméogo Wambi Maurice Evariste, Sossa Olivier Gbènamblo, Doukouré Daouda, Compaoré Rachidatou, Kpebo Djoukou Olga Denise, Agbré-Yacé Marie Laurette, Aka Joseph, Tiembré Issiaka, Sondo Blaise, Kouanda Seni
National Institute of Public Health, Abidjan, Cote d'Ivoire.
Reproductive Health Research Unit of Cote d'Ivoire, Abidjan, Cote d'Ivoire.
Risk Manag Healthc Policy. 2023 Apr 12;16:699-709. doi: 10.2147/RMHP.S377617. eCollection 2023.
Monitoring and evaluation were introduced into the management of national health programs to ensure that results were attained, and that donors' funds were used transparently. This study aims to describe the process of the emergence and formulation of monitoring and evaluation (M&E) systems in national programs addressing maternal and child health in Cote d'Ivoire.
We conducted a multilevel case study combining a qualitative investigation and a literature review. This study took place in the city of Abidjan, where in-depth interviews were conducted with twenty-four (24) former officials who served at the central level of the health system and with six (06) employees from the technical and financial partners' agencies. A total of 31 interviews were conducted from January 10 to April 20, 2020. Data analysis was conducted according to the Kingdon conceptual framework modified by Lemieux and adapted by Ridde.
The introduction of M&E in national health programs was due to the will of the technical and financial partners and the political and technical decision-makers at the central level of the national health system, who were concerned with accountability and convincing results in these programs. However, its formulation through a top-down approach was sketchy and lacked content to guide its implementation and future evaluation in the absence of national expertise in M&E.
The emergence of M&E systems in national health programs was originally endogenous and exogenous but strongly recommended by donors. Its formulation in the context of limited national expertise was marked by the absence of standards and guidelines that could codify the development of robust M&E systems.
监测与评估被引入国家卫生项目管理中，以确保取得成果，并确保捐助资金的使用透明。本研究旨在描述科特迪瓦国家妇幼保健项目中监测与评估（M&E）系统的出现和形成过程。
我们进行了一项多层次案例研究，结合了定性调查和文献综述。该研究在阿比让市进行，对在卫生系统中央层面任职的24名前官员以及技术和金融合作伙伴机构的6名员工进行了深入访谈。2020年1月10日至4月20日共进行了31次访谈。数据分析依据Lemieux修改并经Ridde改编的Kingdon概念框架进行。
国家卫生项目中监测与评估的引入归因于技术和金融合作伙伴以及国家卫生系统中央层面的政治和技术决策者的意愿，他们关注这些项目中的问责制和令人信服的成果。然而，在缺乏国家监测与评估专业知识的情况下，通过自上而下的方式制定该系统很粗略，缺乏指导其实施和未来评估的内容。
国家卫生项目中监测与评估系统的出现最初是内生和外生的，但受到捐助者的强烈推荐。在国家专业知识有限的背景下制定该系统的特点是缺乏能够规范强大的监测与评估系统发展的标准和指南。
