Global Health Program Evaluation- DM in KSA

Strengths and limitations

Strengths and limitations of the proposed evaluation plan

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• In terms of inferring causality

The proposed evaluation plan is expected to play a critical role in spreading awareness of Diabetes mellitus in Riyadh. Through the plan, it is expected that the mortality rate as a result of type II diabetes mellitus will reduce the mortality rate from 23.3 per 100,000 to 20 per 100,000. As a result, the evaluation plan is expected to increase awareness among adults aged between 22-55 in Riyadh by raising knowledge from 67.4 to 75%. Through the plan, it is expected that the healthcare practitioners will be in a position to correctly identify complications and symptoms of DM and pass the information to patients during referral. As a result, correct diagnosis and communication of the condition by physicians to patients and their families will ensure that the patient care delivery is effective. Moreover, the evaluation plan will increase screening and referral adherence of the target population through mobile clinics. The use of mobile clinics will ensure that a large proportion of the population is reached. As a result, the evaluation method is beneficial to the people of Riyadh because it will create awareness, increase correct diagnosis, and increase adherence through mobile clinics. As a consequence, correct and early diagnosis of diabetes mellitus will drive the objective of reducing mortality rates among the Riyadh population.

Despite the befits, the evaluation plans come with limitations associated with its success in operation. First, increasing awareness among the Riyadh population means that a lot of resources in terms of personnel, time, and finances will need to make the plan a success. Ensuring that the population is sensitized on the diabetes mellitus will mean overcoming communication, cultural, social, and belief barriers associated with the disease. Also, making people change their eating habits will be a challenging task because it means a change in lifestyle. Correct identification of complications and symptoms associated with DM will also require high-level expertise and qualified professionals who may be challenging to get. 

• In terms of threats to validity (all components)

The fact that the evaluation plan to reach the population through radio and television will ensure that a large portion of the population is reached. As a result, the population will be sensitized about the risks of developing DM and the preventive measures that the population will take to avoid developing DM. seminars and publication of posters, press releases, and education of imams will ensure that the message on DM reaches the target audience. Besides, refresher courses for physicians, a survey on both staff and patients requiring DM care in terms of treating and managing DM respectively, and mobile diabetes clinics are key to success in achieving the evaluation goals of reducing morbidity as a result of DM from 23.3 to 20 in 100,000 people and increase awareness among adults. Despite the benefits of all the components, the limitations are that they require a lot of finances because of the time, and level of expertise required to carry of training in seminars and treatment in hospitals and mobile clinics.

Dissemination plan and use of information – How will you communicate findings? To whom?

Establishing a stable conduit within and without the Riyadh community will be used to disseminate information about DM in the region. Focus groups, working groups, and electronic mailing list will be used to disseminate information during seminars and educational conferences and transfer information to all stakeholders in the project. Publication programs will also be used to produce periodicals and printouts on the monthly progresses on DM in Riyadh to reach physicians and the whole population. Websites, printed publications, conferences, websites, seminars, and workshops will be used to communicate DM diagnosis, managements, updates, and related information to the general public.

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