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KMID : 0365220160530010039
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Korean Journal of Public Health
2016 Volume.53 No. 1 p.39 ~ p.47
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Evaluation of the ODA Project for Strengthening the Emergency Care System in Sri Lanka
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Joo Jung-Min
Jeong Youn
Kwon Min-Ji
Sohn Ae-Ree
Cho Byong-Hee
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Abstract
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Objectives: The aim of this study was to evaluate the performances of Preliminary Care Unit (PCU) in Avissawella Base Hospital in Sri Lanka, which has been constructed and operated since 2014 as an emergency care facility with the financial and personnel training supports by the Korean Foundation of International Health Care (KOFIH).
Methods: Five evaluation criteria (relevance, efficiency, effectiveness, impact, and sustainability) of OECD/DAC were applied in order to assess the four steps of inputs, outputs, outcome, and impact. The evaluation data were collected by utilizing diverse methods such as literature review, field visit and observation, questionnaire survey, and in-depth interviews.
Results: Since the war wounded, cardiovascular diseases, and accidents & injuries have increased in Sri Lanka recently, the supports to the introduction of emergency care system such as PCU were considered as adequate and relevant (relevance). It was found that the PCU has contributed to decreasing unnecessary admissions to and to lowering the mortality rate of major diseases (effectiveness). The benefits of the lowering mortality were estimated to be larger than the total amounts of inputs (efficiency). The social reputation of the PCU was high among community people who were mostly satisfied with the PCU services (impact). The PCU also has attained the sustainable future since the Sri Lanka government will firmly provide the PCU with medical personnel and operating expenses as much as now (sustainability).
Conclusion: The PCU project has been found to be successful in attaining the goal of official development assistance (ODA) supports. However, the high quality of PCU services made patients flood into the PCU, which was likely to lower the capacity of decent emergency care services. Therefore, there are needs to cooperate with medical institutions to distribute properly the concentrating patients for lowering such risk.
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KEYWORD
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PCU, ODA, emergency care, Sri Lanka, evaluation
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