Abstract

Theoretically, the ultimate benefits of health development projects are reflected as increased incomes or tangible improvements in quality of life. They will only be forth coming if services provided by project have more direct effect for those who use the services. However the effects of health programs might be direct or indirect so that they are difficult to be measured comparing with other sectors. The study team conducted a study on Benefit Monitoring and Evaluation (BME) by using The Rural Health and Population Project (ADB Ill-Loan No.1299-lno) as objective of the study. The study was conducted in the year 2000, however, the results of this study is relevant to be published due to it is difficult to find the references, which showed the experiences of the BME study in the health sector. The prime objective of the Rural Health and Population Project was to assist the Government in raising the health status of the population and reducing total fertility rates through the improvement of quality, relevance, efficiency and effectiveness of community-based rural health and family planning (FP) delivery system. The Project adopted the following three strategic initiatives: (1) to change the role and orientation of the district hospital; (2) to improve community-based rural health, nutrition and FP service delivery and capabilities; and (3) to strengthen the organization and management at district level. To examine the extent, to which these reforms through the project implementation have intended benefits and effects, both individually and collectively, the evaluation team conducted a study to evaluate the progress on the field implementation of these reforms in the area of the project. The evaluation of benefits of projects will be conducted, whether or not the benchmarks of benefit monitoring was adequately documented when the project is prepared. The study team using a conceptual model called a Logical Framework (LF) a set of cause-and-effect relationship through which resources provided through the project are transformed so they contribute to achieving the objective of the intervention, and assumptions about external factors which affect these relationships. ALF enables one to describe a project in terms of three sequential relationships: inputs to outputs, outputs to effects and effects to impact. Assessment was used benchmark that information available in the project documents. Addition primary and secondary data needed was collected in the locations of the project. The study identified three group or stakeholders which have benefits of the projects; (1) the local authority; (2) The health provider; (3) the community or recipients. By using the benchmark which available in the regularly reporting and recording system the benefits of the project was assessed as; (1) no benefit; (2} minimal benefit; (3) and optimal benefit. Results of the study showed that (1) the local authority in general have optimal benefit, however several activities have minimal benefits; (2) the health providers have minimal benefit, some showed have no benefit, it is only improvement of medical services have an optimal benefit; (3) the community or recipients almost have optimal benefit.