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Author: Joann Lindenmayer, DVM,MPH

1. Introduction

ESSENTIAL PUBLIC HEALTH SERVICE #9: Evaluate effectiveness, accessibility, and quality of personal and population-based health services.

This service calls for ongoing evaluation of health programs, based on analysis of health status and service utilization data, to assess program effectiveness and to provide information necessary for allocating resources and reshaping programs.

ACVPM MODEL CURRICULUM AREAS:

Environmental health: Community health management strategy (evaluation, including cost effectiveness, economics)

Community Health: Administrative aspects of community health (designing an effective public health prevention/control program), community health planning, delivery and evaluation (describe methods of evaluating public health prevention and control programs and the importance of such evaluations)

Epidemiology and Biostatistics: Other applications of epidemiology in veterinary medicine (assessing production/performance of groups of animals, animal health economics – economic principles related to selection and evaluation of health programs, design a plan for evaluating a health service or screening program for a veterinary related issue)

PRIMARY EXAMPLE: Brucellosis

2. Learning Objectives

At end of class, students should be able to:

  • Describe the recommended steps to developing and conducting a formal evaluation of a veterinary public health program or intervention

  • Critique a veterinary public health program or intervention

  • List the basic types of economic evaluation and discuss similarities and differences among them

    Required Reading

3. Required Reading

Roth F, Zinsstag J, Orkhom D et al. Human Health Benefits from Livestock Vaccination for Brucellosis: Case Study. Bull of the WHO 2003; 81:867-75.

Available at:http://www.who.int/bulletin/en/

CDC. Framework for Program Evaluation in Public Health . MMWR Recommendations and Reports 1999 (RR-11); 48:1-58.

CDC. A framework for assessing the effectiveness of disease and injury prevention. MMWR 1992; 41(RR-3); 001.

Cowen P, Garland T, High-Jones ME et al. Evaluation of ProMED-mail as an electronic early warning system for emerging animal diseases, 1996-2004. JAVMA 2006; 229:1090-9.

Schreuder BE, Noorman N, Halimi M and Wassink G. Livestock mortality in Afghanistan in districts with and without a veterinary program. Trop Anim Hlth and Prod 1996; 28:129-36.

Schreuder BEC, Noorman N, Halimi M et al. Further observations on the Impact of a Veterinary Programme in Afghanistan on Seasonal Livestock Mortality. Trop An Hlth and Prod 1998:30: 83-89.

Jost C, Stem C, Ramushwa M, Twinamasiko E, and J Mariner. Comparative Ethnoveterinary and Serological Evaluation of the Karimojong community Animal Health worker Program in Uganda. Ann NY Acad Sci 1998; 849:327-337.

4. Suggested Website

CDC. Steven M. Teutsch Post-Doctoral Fellowship in Prevention Effectiveness Methods at the Centers for Disease Control and Prevention .