The global framework for needs assessment and monitoring and evaluation was designed to align with Medtronic Foundation’s Continuum of Care. The specific objectives of the needs assessments were to: (i) estimate the prevalence of diseases and risk factors, (ii) identify major gaps along the continuum of care, and (iii) identify supply- and demand-side barriers that contribute to these gaps.
The monitoring and evaluation activities conducted by IHME can be broadly grouped into two categories: the process evaluation and the endline evaluation. The process evaluation, which had substantial overlap with the monitoring phase, offered insights into the various activities being executed across each of the implementation programs and the endline evaluation measured changes in target health outcomes. Key outcome indicators for HealthRise included the number of individuals diagnosed with diabetes with their most recent blood glucose measurement below the threshold for controlled disease and the number of individuals diagnosed with hypertension with a decrease of 10% or more between their first and last blood pressure measurement.
For the endline evaluation, a mixed methods quasi-experimental approach was implemented in which both quantitative and qualitative data captured the different types of needs, barriers and opportunities. A combination of quantitative and/or qualitative data were collected at each site, and when possible, data were collected from both intervention and comparison areas. These data were compared with data collected at baseline to assess changes in patient outcomes, knowledge, and behaviors; provider knowledge and practices; the quality and availability of health services; and the reach of HealthRise programs.