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Management and Evaluation System in China
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“The Management and Evaluation sub-project has
developed a management model that reverses the former top-down relationship
between the family planning system and the client. The model sets
standard operating procedures ... that structure works to focus
on client needs ... has potential to streamline the process of scaling
up informed choice and quality of care. It is a model that integrates
capacity to make adjustment to the local context”
- Evaluation report
by Ford Foundation, 2003
Reorientation of FP programme from demographic
targets to client-centered approaches means a need to focus on improving
quality of care (QOC). With this in mind, the National Population
and Family Planning Commission (NPFPC) initiated a pilot experiment
in five counties. A local project team was formed to establish a
management and evaluation (M&E) system to reform working Plan
and decision making system; implementation of the working system
and regulations; information and evaluation system.
Selected five
pilot areas
1. Luwan district, Shanghai
2. Jimo city, Shandung province
3. Donggang city, Liaoning province
4. Hepin district, Tianjin province
5. Baodi County, Tianjin province
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With funding from Ford Foundation from 001 - 2005,
ICOMP provided technical assistance to the team for designing and
implementing the M&E system which uses (1) people’s need
as a basis for planning; (2) service delivery protocols for QOC;
(3) log frame for evaluation; and (4) a management information system
to support the above.
A management model that reverses the former top-down relationship
between the FP system and the client was developed. This model sets
standard operating procedures for information collection, planning,
implementation and evaluation focusing on client needs. Based on
a learning process approach, it adapts past experiences for adjustment
to the local context, thus making it a suitable tool for western
expansion and scaling up.
Embarking on the next phase, an M&E set of
guidelines and advocacy pack has been prepared to facilitate current
upscaling effort. Issues on informed choice, gender mainstreaming
with male participation and rights/ethics are being integrated in
all M&E phases.
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Gender-sensitive M&E
System
FP/RH
programmes that operate within the QOC framework need to be
gender-sensitive, gender-responsive and women empowering.
In this project, initial activities will
involve developing a common gender baseline survey tool and
a gender logframe. Based on the results, gender integration
follow suit in action plans and in evaluation indicators.
Three counties (Jimo, Heping and Xuanwu)
is testing the refined M&E system while general gender
intervention is to be implemented for 2 pilot counties (Deqing
and Ju Chao). For all 30 UNFPA-supported pilot counties, further
advocacy will be initiated for inclusion of gender.
Sensitised service providers with increased skills can contribute
by reducing STD prevalence and promoting male involvement
and participation in RH care. This will not only improve overall
family relationship but also advocate for women’s rights
through improved quality of care in local health service.
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