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A core component of health system strength is the ability of a system to deliver essential preventive health and nutrition services, such as the vitamin A supplement, and to respond effectively to disease outbreaks. The UNICEF Delivery Effectiveness project explores ways to measure and analyze effectiveness in the delivery of preventive public health and nutrition programs. The project maps 11 effectiveness parameters to the Primary Health Care Performance Initiative (PHCPI) conceptual framework and looks at the extent to which these parameters are referred to in the literature, suggest parameter definitions, and determines the relative importance that program managers and decision-makers ascribe to each parameter. It is concluded that the relative importance of effectiveness parameters depends on local context and circumstances. In assessing the effectiveness of the relative effectiveness of a given program, the first step is to get clarity on which effectiveness parameters matter. Such clarity will derive from in-country discussions and agreement, including relevant program stakeholders.
This research was funded by a grant from the Health Campaign Effectiveness Coalition.