I FRAMEWORK OF HEALTH PROMOTION PRINCIPLES
The project embraces the principles of health promotion, including a positive and comprehensive
approach to health, attention for the broad determinants of health, participation, empowerment,
equity and equality.
The following indicators will help you to assess these principles:
1. Does the project address the determinants of health in terms of the skills and capabilities of
people and/or the social and environmental conditions which impact on health?
2. Is the project embedded within a comprehensive approach to promoting health,
as elaborated in a (local, regional, national or institutional) policy plan?
3. Does the project work according to evidence-based principles?
4. Does the project pay attention to empowerment?
5. Does the project pay attention to health inequalities and equity?
6. Does the project aim to create ownership among the stakeholders?
II PROJECT DEVELOPMENT & IMPLEMENTATION
a) Analysis
The project is based on a systematic analysis of the health problem and its determinants
and of the context in which it will be implemented.
The following indicators will help you to assess the quality of this analysis:
1. Is there evidence of the health problem and its impact on quality of life?
• Have empirical data been collected regarding the nature, size and distribution of the
problem?
• Has a system review been performed to collect evidence with regard to the problem,
or is a review explicitly envisaged in the project plan?
• Has information concerning the problem been collected through consultation of the
target group, community or other stakeholders?
2. Is there evidence of the behavioural and contextual factors which impact on the health
problem?
• Has use been made of theoretical models explaining the links between the health
problems, risk behaviour and/or environmental factors?
• Has the importance of each determinant been examined for the target group?
3. Is there evidence of the context in which the project will be implemented?
• Is it clear in which context the project will be implemented?
• Have other programmes been examined which impact on the behaviour or context?
• Have social, cultural and policy factors been examined which infl uence the success of
the project?
b) Aims & objectives
The aims and objectives of the project are clearly defi ned.
The following indicators will help you to assess the adequacy of the aims and objectives
specifi cation:
1. Is there a written specifi cation of the project aims and objectives?
2. Is there a distinction between short-term (immediate), medium-term (intermediate) and
long-term (ultimate) objectives?
3. Is the formulation of the objectives SMART?
• S: specifi c (do they specify the target group and the factors that need to change?)
• M: measurable (are they written in a measurable format, e.g.: magnitude of effects,
numbers to be reached?)
• A: acceptable for the target group?
• R: realistic (are they feasible given the available time, money, staffi ng?)
• T: time-framed (do they state the time frame within which the objectives must be
reached?)
4. Are the objectives matched to the analysis of the problem and determinants?
European Quality Instrument for
Health Promotion (EQUIHP)
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© GEP, NIGZ, VIG - October 2005
c) Target group
The group of people the project intends to infl uence is clearly defi ned.
The following indicators will help you to assess the adequacy of the strategy and method
specifi cation:
1. Have the relevant demographic features of the target group been identifi ed?
2. Have the priority needs, wishes and social norms of the target group been identifi ed?
3. Has the target group been segmented with regard to motivational phase and possibilities
for change?
4. Has the size of the target group been established (number of subjects)?
5. Is it clear how the target group will be reached?
d) Intervention
The strategies and methods for an effective intervention are clearly outlined.
The following indicators will help you to assess the adequacy of the strategy and method
specifi cation:
1. Has a specifi cation been made of mechanisms that will bring about the intended changes?
2. Is the intervention suffi ciently comprehenisive (does it use a combination of strategies to
achieve the objectives)?
3. Has the effectiveness of the intervention methods been proven?
4. Has the intervention been designed in consultation with the partners?
5. Has the intervention been designed in consultation with the stakeholders?
6. Has the intervention been designed in consultation with the target group?
7. Are the intervention methods suitable for the target group?
8. Is the content of the intervention compatible with:
• the culture, knowledge, views, customs and roles of the target group?
• the context of the intervention?
9. Has the intervention been effective in achieving the intended outcomes with a similar
population?
10.Does the intervention provide a complementary value or enhance the effect of existing
interventions?
11. Has the feasibility of the intervention for the given target population been pre-tested, or
is a pre-test explicitly envisaged in the project plan?
e) Implementation strategy
There is a clear description of the way the intervention will be carried out.
The following indicators will help to assess the adequacy of the description of the implementation
strategy:
1. Has a particular mode of implementation been chosen?
2. Has this choice been translated into an implementation plan?
3. Will the partners, target group and/or other stakeholders be involved in the project
delivery?
4. Is it clear for those who will be involved in the implementation which elements of the intervention
are crucial and must be retained without adaptation?
5. Is it clear how the implementation will be monitored?
6. Will the project be documented in a manner which allows for a transfer of experience and
know-how to other projects?
f) Evaluation
The effects (effect evaluation) and quality (process evaluation) of the intervention will be assessed.
The following indicators will help to assess the adequacy of the evaluation of the intervention:
1. Is there an evaluation plan?
2. Does the evaluation plan clearly outline:
• the purpose of the evaluation?
• the evaluation questions?
• the design, method and timing of the evaluation?
• the tasks, roles and responsibilities for the evaluation (including data collection,
analysis and reporting)?
2. Do the evaluation questions match the objectives, context and expectations of the target
group and stakeholders?
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© GEP, NIGZ, VIG - October 2005
3. Will a process evaluation be conducted paying attention to:
• the question whether the activities are implemented according to plan?
• the opinion of users regarding activities and materials?
• obstacles and diffi culties encountered during the implementation process?
• suggestions for improvement?
4. Will an effect evaluation be conducted paying attention to:
• the collection of baseline data?
• the choice of effect criteria and indicators?
• measurement of the short-term, intermediate and long-term objectives?
• exclusion of alternative explanations of possible effects?
• causal attribution of the effect to the intervention?
• evaluation of the cost effectiveness of the project?
5. Are the evaluation design and methods of data collection appropriate for the evaluation
questions, budget and reporting timetable?
6. Will the information deriving from the evaluation be disseminated and fed back to all stakeholders
and to the target group?
III PROJECT MANAGEMENT
a) Leadership
A person has been designated who is ultimately responsible for and capable of managing
the project.
The following indicators will help you the assess the leadership of the project:
1. Has a clear division of responsibilities and tasks been made between project manager and
other decision makers?
2. Is the project manager qualifi ed for the tasks or does (s)he have the possibility to acquire
the necessary skills?
3. Does the project manager have suffi cient authority to achieve the project objectives?
4. Is the project manager able to use the available resources in a fl exible manner?
b) Planning & documentation
The working plan and organisation of the project are fi rmly established.
The following indicators will help you to assess the adequacy of the planning and documentation
of the project:
1. Is the project plan logically structured and clearly written?
2. Does the project plan specify the important decision-making moments?
3. Are the methods of the activities clearly described in a working plan?
4. Are the organisational aspects of the intervention clearly outlined and documented?
5. Is there a realistic timeframe for the project?
c) Capacity and resources
Are the expertise and resources available that are necessary to implement the project successfully?
The following indicators will help you to assess the adequacy of the capacity and resources for the
project:
1. Have the competences of the project staff been clearly established and specifi ed?
• Is there a profi le of the competences and expertise required for each project phase?
• Are the qualifi cations and capabilities of staff members matched to the needs of the
project?
• Have the possibilities been specifi ed to enhance skills through supervision, intervision
and/or training?
2. Have the fi nancial resources for the project been clearly ide