A research project of the:

Action Programme on Essential Drugs
World Health Organization
20, Avenue Appia
CH-1211 Geneva 27

Switzerland

undertaken in collaboration with:

Health Action International
Jacob van Lennepkade 334 T
1053 NJ Amsterdam
Netherlands

INSTRUCTIONS FOR COMPLETING THE QUESTIONNAIRE

Of interest to this survey are all public education projects or initiatives carried out within the past five years (since 1989). This includes but is not limited to national projects, local projects, formal education (schools), informal education, advertising, mass-media, and training.

Please complete one copy for each separate project or initiative. (Note: if several activities were undertaken as part of one project, they should be together on one questionnaire.) Use the three continuation sheets at the end of the questionnaire for any additional information or where space in the questionnaire is insufficient for your answer.

If you have any queries or require further information to complete the questionnaire, please contact your regional/country study coordinator.

This questionnaire should be completed in English. Please complete every section. If the requested information is not known or is not available to you, please indicate this in writing or, where relevant, tick the appropriate box.

Please write as clearly as possible and use ink or typewriter.

IMPORTANT: Kindly attach two examples of all publication materials developed during the course of the education project. If these cannot be sent with the questionnaire, please note this under section 2.8 and give appropriate date for mailing.

1. General information

1.1 Title of project (or one-sentence description)

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1.2 Organization responsible for project

Name of organization: _______________________________________

Address: _________________________________________________

City/Country: ______________________________________________

Telephone/fax: _____________________________________________

Contact person: ____________________________________________

1.3 Location of project:

2. Project planning and development

___________________________________________________________
___________________________________________________________

If yes, please describe the composition of the group: (tick as many as apply)

2.3 Did this project replicate another project or draw on existing models?

If yes, which project or model? ________________________________

2.4 What were/are the principal themes of the project?

q general education about rational use of drugs ________________
q specific problem drugs (please name them) __________________
q specific illnesses, treatment regimens, or health-related problems (please name them)
________________________________________________________
q consumer rights and responsibilities _________________________
q other (explain): _________________________________________
________________________________________________________

2.5 How were these themes selected? (if unknown, tick q don't know)

__________________________________________________________
__________________________________________________________

2.6 What specific behaviour change(s) did/do the planners intend to see happen as a result of this project? (What were/are the project objectives?)

__________________________________________________________
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2.7 Who are the target group(s) of the project? (tick as many as apply)

2.8 What educational materials were developed for the project?

IMPORTANT: PLEASE SEND TWO SAMPLES OF ALL MATERIALS DEVELOPED

(printed materials, videos, radio broadcasts, scripts, puppets, etc.)

If it is not possible to send these with this questionnaire, please indicate when they will be mailed and to whom mailing costs should be reimbursed: _________________
_________________________________________________________

2.8.1 Who participated in the materials development? (Please list by functional title, add names if desired.)

_________________________________________________________
_________________________________________________________

2.8.3 If yes, with whom? (types of individuals or groups; location)

_________________________________________________________
_________________________________________________________

2.8.5 If yes, what changes were made? Please describe briefly.

_________________________________________________________
_________________________________________________________

3. Implementation of the project

3.1 What activities and means of communication were used?

q workshops
q training (please complete additional information on page 8)
q community meetings
q health centre talks
q traditional or street theatre
q puppet shows
q display or distribution of printed materials
q place of prescriber information
q place of dispenser information
q school health education programmes
q promotion via mass media:

q radio
q television
q newspaper
q cinema
q other (describe) ____________________________________

q other activities/means of communication (please describe)
_______________________________________________________
_______________________________________________________

3.2 On what basis was it decided to conduct these activities and use these means of communication? (Tick as many as apply) q cost (affordable)

q expertise available
q reach (many people would see/hear)
q request by MOH or other agency
q tradition (people are used to getting information this way)
q novelty (new approach)
q credibility of channel
q logistics (supplies, transport, equipment available)
q opportunity for cooperation with partners
q other (explain)
_______________________________________________________
_______________________________________________________

3.3 Who carried out the above activities (tick as many as apply)

q national Ministry of Health staff
q health workers
q professional association members
q lay volunteers
q NGO staff, including church and community organizations
q teachers q media staff
q other (describe)
_______________________________________________________
_______________________________________________________

3.4 Please fill in the table on this and the following page for further descriptions of the activities and channels. Use one row for each material or activity. List up to two target audiences and up to three collaborating organizations per material or activity.

4. Monitoring and evaluation (for projects which have been completed)

(Some projects have undergone formal evaluations. Most have not. Nonetheless, those who worked on the project will be able to assess, based on their experience, the success, impact, and problems.)

4.2 How was this determined? (by household survey, place-of-purchase survey, observation of sales patterns, informal assessment, etc.)
_________________________________________________________
_________________________________________________________

4.3 What criteria were used to determine the impact? (tick as many as apply)

q proportion of reported behaviour change
q proportion of knowledge change
q change in drug sales patterns
q change in consumer satisfaction
q exposure to project messages and materials
q other (explain)
______________________________________________________
______________________________________________________

4.5 Please summarize from the evaluation, or attempt to estimate the following:

4.5.1 What was the coverage of the project? (What proportion of the target audience was reached?) If unknown please tick q don't know
_______________________________________________________
_______________________________________________________

4.5.2 What problems were experienced in developing and implementing the project?
_______________________________________________________
_______________________________________________________

4.5.3 What factors outside the project contributed to its success or lack of success? (examples: change of legislation, increase or decrease of available drugs, support of the ministry of health)

External factors which contributed to success:
_______________________________________________________
_______________________________________________________

External constraints:
_______________________________________________________
_______________________________________________________

4.5.4 What factors within the project contributed to its success or lack of success? (examples: strong planning, adequate and timely funding, stable personnel)

Internal factors which contributed to success:
_______________________________________________________
_______________________________________________________

Internal constraints:
_______________________________________________________
_______________________________________________________

4.5.5 What are the most important lessons learned from planning and implementing this project?

1.
_______________________________________________________
_______________________________________________________

2.
_______________________________________________________
_______________________________________________________

3.
_______________________________________________________
_______________________________________________________

4.6 Are follow-up activities planned? Underway? Please describe:
__________________________________________________________
__________________________________________________________

5. Financial support

5.1 How much did this project cost? (specify in what currency). Please provide breakdown for each activity/material, if appropriate.
_________________________________________________________
_________________________________________________________

If unknown, please tick q don't know

5.2 What was/is the source of funding? Please include full names and addresses. If you do not wish to provide the name of the funder(s), please tick the appropriate boxes below.

Name(s) and address(es):____________________________________
_________________________________________________________
_________________________________________________________

6. Project replication

Are there other groups who have adapted your project or used it as a model in developing their own projects?

If yes, please provide the name(s) and address(es):
_________________________________________________________
_________________________________________________________

Additional Information
_________________________________________________________
_________________________________________________________
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