Management Model for Enhancing Effectiveness of Population and Health Programs: Case of Ismailia Governorate in Egypt

Monitoring and Evaluation (M&E) of Population and Health Programs (P&HP) at district
levels requires a holistic approach and tight collaboration between policy makers,
implementing bodies and M&E agencies. There is noted need for a management
informational model that triggers areas where implementing agencies need to directly
intervene, improving effectiveness of P&HP. Objectives: To assess impact of communicating
Districts’ key performance indicators (KPIs) of P&HP in an innovative management infograph
model to decision and policy making Governorate Regional Population Council
(GRPC). Method: An intervention Pre-test (2014) Post-test (2016) population-based study
design was used. Study was conducted in Ismailia Governorate (IG) and National Population
Council Head Quarter (NPC-HQ). The study was component of UN Population Fund project
activities in NPC. Data was managed to have 26 indicators for eight categories. Deviation
Scores (DS) from governorate level were estimated for seven IG districts and composite
indices (CI) were presented in one info-graph to GRPC in 2015 to take actions and in 2017 to
investigate impact of the actions taken. Results: Crude Birth Rate (CBR) decreased from
34/1000 in 2014, to 31/1000 in 2016. Infant Mortality Rate (IMR) decreased from 11/1000
live births in 2014, to 7/1000 in 2016. Members of GRPC noted that during the period 2015-
2016, extensive family planning campaigns through mobile clinics were particularly well
distributed and placed, and particularly helped in increasing Contraceptive Coverage Rate
(CCR) from 33% to 64%. Conclusion: Communicating the info-graph management model of
Districts’ P&HP KPIs to GRPC has resulted in more accurate interventions and improved
effectiveness of programs.