Wednesday, May 6, 2020

Evaluation Plan For Breast Cancer Screening Programme †Free Samples

Question: Discuss about the Program Planning And Evaluation In Public Health and Evaluation Plan For Breast Cancer Screening Programme. Answer: Introduction There are so many programs related to health and care of public in the nation but the awareness of the programs in the view of public is not that much as should be. The main aim of public health program is to control disability, disease, injury and diseases. This task has become more complex to run in perfect manner. Evaluation motivates to examine the program in sophisticated manner; including which activities takes place, who involved in the activities and who is attain result. It is the report which will focus on the health care program and analyze will be done over the program in sophisticated manner. There is a lot of importance of evaluation plan because it determines the required information by stakeholders and the owner of the health care program (Grembowski, 2015). Along with that the valuation plan aids to gather the data by recognizing the effective possible methods and strategies. The Breast Cancer Screening program has been chosen for this assignment. The main purpose of choosing this program is to make aware ladies about the breast cancer earlier so that they can have the best chance to being cured. It has been analyzed that more than 2 billion women has breast cancer in UK. It is the program which is open for the ladies whose age between 50 to 70 years but for this the patient should be registered first with a GP to receive the invitations. There are various kind of stakeholders involve in the evaluation plan of breast cancer screening program (NCBI, 2016). The rational of evaluation plan will be discussed in this report. The major factors will be analyzed in an appropriate manner which can influence the successful dissemination and utilization of the evaluations finding. The main purpose of the evaluation plan is to attain the effective knowledge about the activities of the program (Kajiho, et. al., 2016). It will be facilitated to decide the outcomes of a health program by providing the evidence considering the contributions of program. Summary of the Evaluation Plan of Breast Cancer screening program Goal: the main objective of the breast cancer screening program to provide services all women aged 50 to 70 for screening every 3 years. The major goal of this program to facilitate discovers breast cancer as early as possible in term to enhance the chance of recovery (Cancer Research UK, 2017). Objectives Strategies Process Indicator Data Collection Methods of Process Indicators Impact/ Outcome Indicators Data Collection Methods of 2 Effect Indicators 1. To provide breast screening called mammography test to all women whose age between 50 and 70 years. Collect information from the data of census and offer them to get secured from breast cancer. Quality of the relevant information and quantity of the population. Survey conducted to get aware about the women who are suffering from breast cancer so that other women can get aware about the potential health issues and get checkup earlier. The screened women will be more aware about whether they have an issue regarding breast and the services to get cured from this disease would be available for them. Analyze the data of collected information to see the possibility of check up of breast cancer in among women. To provide knowledge about the pros and cons of breast cancer to those ladies who come with patients. Health care, health risk and behaviors, economics and health status are major process indicators. Survey conducted to get aware about the population. 2. To enhance the awareness and knowledge about this program so that women get chance of being cured. Advertisement of the program in the social media, news channel and news paper. Various kind of advertisement material made and circulated. Documentation and ask the people if they use social media. Women will get aware about the program and focus on to have test of it for once. It will be liable to reduce the risk of breast cancer and increase the satisfaction for health. Survey people exposed to the program activities. Conduct a program for making aware people about the program. The people who have age more than 65 years. Several ways of promotions. Survey 3. To improve the quality of life of women by protecting them from breast cancer. Conducting program and activities for improving the rate of protection of breast cancer and it would make easier for the nurses to reach at risk Number of aged people who involve in the activities. Satisfaction level of program and activities. Interview with women to get know about the concern related to breast issues with them so that the advice can be given to them to get tested in every 3 years. Activities will be implemented for the purpose of increasing the awareness of the program for women. Survey local and nationally of women whose age is above 50 and less than 80. 4. To reduce the reason of death in the world due to breast cancer. To focus on various factors such as health risks and behaviors, health status and the death rate of women by breast cancer. Vital elements such as specificity of diagnostic procedures, availability of nurse counseling and perform appropriate follow up. Review the sample of forms to checks the health concerns and other issues with women. After screening and test many women are readmitted with breast cancer. Activities of document and survey people who are screened. Rational of evaluation plan The evaluation plan is vital for improving the quality of health system involvement against Breast cancer and to understand whether these involvements have attained the measured goals. Monitoring is able to keep active manager to track progress of program or policies of the planned goals. Especially when new approaches are being used for instance innovative early detection programs (Eldredge, Markham, Ruiter, Kok and Parcel, 2016). It is essential to monitor closely both results whether they have nature of intended or unintended along with that the assumptions should be revised appropriately on which the involvement is based. Participatory evaluation is an approach that includes the stakeholders of a policy in the process of evaluation. The description about the methods, scope, design, stakeholders, ethical concerns, timing and political issues will be mentioned below in the context of Breast Cancer Program. Methods The methods are being taken to analyze the evaluation plan is qualitative data and quantitative data. The survey will be helpful to analyze the concern of women regarding breast cancer and other issues related to breast (Kim, et. al., 2014). Interview with women can be arranged who had experience of breast screen. The questionnaire is made to analyze and evaluate the effect of breast screening test. With the help of questionnaire the response of different people regarding test and the Breast Screening Program will be gathered which would be facilitated to know about the impact of this program. The information regarding program can be collected from the data of the program and use to inform policy development, enable strategic research and review the indicators of program (Hambly, et. al., 2009). It has been evaluated that The Australian Health Ministers Advisory Council (AHMAC) are agreed to an evaluation of the Breast Screen Australia Program in October 2005. By taking help of that report the evaluation plan of this program can be initiated. It comes under the quantitative data which will be helpful to check the concern of women regarding breast cancer. Scope The evaluation plan indicates that there are various challenges in the program of breast screening program but it can be resolved easily by making aware women about its pros so that they can get aware about the possible chances of being patient of breast cancer and cured herself prior. To make the evaluation plan for breast screening program, financial help is taken from government, NGOs and from those who are ready to donation for improving the condition of health of public. The main scope of the evaluation plan is to keep focus on false positives and false negative results. It cannot be found by screening that cancer is there that is why some pope with breast cancer will be missed. It refers as a false negative result. When the test picks up something in some women even they are not victim of breast cancer called as false positive result. Design The main focus of evaluation plan is to enhance he rate of the target age group to increase mortality reduction through a range of social marketing and communication. Along with those service delivery strategies is applied in the evaluation plan, while making sure there is enough capacity to meet the demand. The cross sectional design is taken to approach women from target population. It involves the women from linguistically and culturally background, women living in various major cities and women who surviving in very low remote areas. Stakeholders There are various stakeholders are contributed to implement the evaluation program. It includes doctors, women, nurses, and operators of program, agencies, governments, NGOs and consumers. These plans are improved due to contribution of them in the evaluation plan. The goal of evaluation plan is fulfilled due to support of stakeholders because they are the key themes of success of it (Posavac, 2015). The doctor is supportive in the term of treatment of breast cancer while the agencies, government and NGOs are supportive to provide financial support to conduct research over the people of breast cancer. Ethical issues Ethical consideration is vital process while researching something confidential. There are some ethical issues is arisen such as approval from committee, informed consent and conflicts between evaluation team. To prevent from ethical concern there are some policies are applicable which is liable to take action against those who disclose the confidential information while researching and evaluating (Andersen and Christensen, 2005). The property standards is involved in the evaluation plan while conducting that is service orientation, right of human subjects, human interactions, complete and fair assignments, fiscal responsibility and disclosure of findings. Timings It has been evaluated that the timing is required for evaluation plan is maximum 6 months because it involves the data of death due to breast cancer which is taken 1 or 1.5 months to evaluate in an adequate manner. Summative evaluation is considered to evaluate the data because it contains outcome evaluation and impact evaluation. These outcomes are brought the changes that have nature of short term and long term that outcome directly from the program like attitude change, social norms and knowledge and awareness (Skaane and Skjennald, 2004). Political issues Political issues can be the major issue for evaluating the plan regarding breast cancer. Internal pressure can be the reason of creating ethical issues. Policies are compulsory for making evaluation plan and it can also be the reason of issues as well (Lewin, et. al., 2002). The evaluation should b maintained and proper planned with anticipation of the various interest of several group. Political viability helps to obtain the cooperation so that the misuse of the outcomes can be avoided. Disseminate and Utilise Dissemination is considered as the process of communicating process and learning from the plan of evaluation to relevant audiences on time and it should be unbiased. There are so many elements of the evaluation which may be forceful to prevent the communication in proper manner that is why the reporting strategy should be discussed in prior with intended users and other specifics stakeholders (Independent UK Panel on Breast Cancer Screening, 2012). There is also requirement of planning effective communications to consider the timing the, message source and format of information products. This evaluation plan has been made on the Breast Cancer Screening Programme and it is important for the evaluation plan to attain entire disclosure and unbiased reporting in spite of how communications are made. It has been found that there are issues to implement the evaluation plan in an appropriate manner. These issues can be decreased by taking help of dissemination (Lyman, et. al., 2014). Evalua tion is also punctual staff to simplify their understanding about the goals of the program. There is involvement of many stakeholders in the evaluation plan and the issue can be come in the form of denying providing services on required time (Sewdass and Du Toit, 2014). The findings of evaluation should be utilized; there is also utilization that drive from the evaluating process. In the breast cancer program these process uses should be motivated to enhance the awareness of the women towards the test of breast cancer so that they can get cured before becoming the victim of it. The stakeholders who take part in an evaluation can experience reflective changes in beliefs and behaviour (Lauby-Secretan, et. al., 2015). For example, the challenges in the evaluation plan of breast cancer can force the other related member of evaluation plan to act differently in what they are pursuing and to positive or negative assumptions of people that interlinked program activities with intended effects. The promptness of clarity of goals and objectives of the evaluation plan is able to turn member of the evaluation plan to better function as team focused on a common end. In brief, interest in the logic, values and reasoning of evaluation can have effective but positi ve possessions like firming decisions on systematic judgments instead of on unfounded assumptions. There are additional process is also considered for evaluation that involve the clear definition of indicators which should be clear in the perspective of stakeholders (Gnant, et. al., 2011). It facilitates to make results matter by amending the corroboration linked with attaining the positive results. For instance, a funder can provide grant bonus or outcome dividends to a program that has reflected a major amount of community change and improvement. It has been learned from the evaluation plan of breast cancer to target those ladies whose age is more than 50 but lesser than 70. Conclusion It has been calculated that the role of evaluation plan is major in the health program for public because it helps to determine the impact of the program over the public. The possible changes can be accomplished by making evaluation plan for specific health program. It is the report which has been made on the breast cancer screening program. Program evaluation is able to recognize the location of the program in perfect manner and along with that it can recognize the lack of transportation as a barrier to attendance. The evaluation plan has been made on breast cancer screening program in which various objectives and strategies has been mentioned. Each strategy has process indicators which is having the source of data collection. Data is collected regarding women whose checkup or test of breast is done or remained from the survey and the report of census to get the data of women living in particular area. It has been evaluated that more than 15,000 breast cancers are diagnosed by scree ning in England. It has been recommended by the UK guidelines that women with a high risk of breast cancer if this issue is exist in the history of her family that is why it is important to have screening mammograms every year (Kalager, Zelen, Langmark and Adami, 2010). References Andersen, P.H. and Christensen, P.R., 2005,From localized to corporate excellence: How do MNCs extract, combine and disseminate sticky knowledge from regional innovation systems(No. 05-16). DRUID, Copenhagen Business School, Department of Industrial Economics and Strategy/Aalborg University, Department of Business Studies. 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Hambly, N.M., McNicholas, M.M., Phelan, N., Hargaden, G.C., O'Doherty, A. and Flanagan, F.L., 2009, Comparison of digital mammography and screen-film mammography in breast cancer screening: a review in the Irish breast screening program.American Journal of Roentgenology,193(4), pp.1010-1018. Independent UK Panel on Breast Cancer Screening, 2012, The benefits and harms of breast cancer screening: an independent review,The Lancet,380(9855), pp.1778-1786. Kajiho, H., Kajiho, Y., Frittoli, E., Confalonieri, S., Bertalot, G., Viale, G., Di Fiore, P.P., Oldani, A., Garre, M., Beznoussenko, G.V. and Palamidessi, A., 2016, RAB2A controls MT1?MMP endocytic and E?cadherin polarized Golgi trafficking to promote invasive breast cancer programs.EMBO reports,17(7), pp.1061-1080. Kalager, M., Zelen, M., Langmark, F. and Adami, H.O., 2010, Effect of screening mammography on breast-cancer mortality in Norway.New England Journal of Medicine,363(13), pp.1203-1210. Kim, J.H., Sharma, A., Dhar, S.S., Lee, S.H., Gu, B., Chan, C.H., Lin, H.K. and Lee, M.G., 2014, UTX and MLL4 coordinately regulate transcriptional programs for cell proliferation and invasiveness in breast cancer cells,Cancer research,74(6), pp.1705-1717. Lauby-Secretan, B., Scoccianti, C., Loomis, D., Benbrahim-Tallaa, L., Bouvard, V., Bianchini, F. and Straif, K., 2015, Breast-cancer screeningviewpoint of the IARC Working Group, New England Journal of Medicine,372(24), pp.2353-2358. Lewin, J.M., D'Orsi, C.J., Hendrick, R.E., Moss, L.J., Isaacs, P.K., Karellas, A. and Cutter, G.R., 2002, Clinical comparison of full-field digital mammography and screen-film mammography for detection of breast cancer.American Journal of Roentgenology,179(3), pp.671-677. Lyman, G.H., Temin, S., Edge, S.B., Newman, L.A., Turner, R.R., Weaver, D.L., Benson III, A.B., Bosserman, L.D., Burstein, H.J., Cody III, H. and Hayman, J., 2014, Sentinel lymph node biopsy for patients with early-stage breast cancer: American Society of Clinical Oncology clinical practice guideline update.,Journal of Clinical Oncology,32(13), pp.1365-1383. NCBI, 2016, The breast cancer screening program in Germany, Retrived on 30th October 2017 from: https://www.ncbi.nlm.nih.gov/books/NBK361021/. Posavac, E., 2015,Program evaluation: Methods and case studies, Routledge. Sewdass, N. and Du Toit, A., 2014, Current state of competitive intelligence in South Africa,International Journal of Information Management,34(2), pp.185-190. Skaane, P. and Skjennald, A., 2004, Screen-film mammography versus full-field digital mammography with soft-copy reading: randomized trial in a population-based screening programthe Oslo II study.Radiology,232(1), pp.197-204. van Luijt, P., Heijnsdijk, E. and de Koning, H., 2014, breast cancer screening program.Overdiagnosis in the Dutch and Norwegian breast cancer screening program, p.115.

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