Rural health delivery system project in Haiti : evaluation plan for health agents

The plan is designed to measure (1) delivery of health care services, (2) effectiveness of health agent in introducing preventive health care, and (3) effectiveness of agent in improving mother-child preventive health care relationships. The rationale for a separate and specific evaluation of health agent performance is discussed. The principal roles of the health agent are evaluated separately and as total performance, and on both group- and individual-effectiveness levels. Assessments of health agent performance are provided by a supervisory mobile unit, the dispensary-auxiliary nursing staff, health statisticians, and town community councils. A discussion of policy implications and benefits of such an evaluation process is included.