Indicators m:iy be c:itegori7. ed :1s to availability, relevance, accessibility, utilizatio n, coverage, quality. effort. efficiency, and impact (J,euerslei n 1986). Indicator Purpose Example Availab Ulty Show whether something Whether there is one available exists and if it Is avallab le. trained local health w0rk,er for every. " '--· ·---Relevance Sl'low how relevant or Whethe r the newly acquired approprlat~ something Is. program vehicle can access hilly project srtes than the old one. Accessibility Oeterrnlne whether what Whethe r a health center may be out exists is actually Within reach of reach by the people because of of those who need them. mountains, flooded rivers, lack of transport or people's poverty Utilrzation Show to what extent Number of non-literate who are something that has been attending llteraay classes regularly made available is actually being used for that purpose. Coverage Show what proportion of Number of people estimated or those who need something known to have tuberculosis that are ar~ actually receiving It actually receiving reglllartreatment, ___ N'1"P-nn-r<: Quality Show the Q. uality or standard Water quality Is free-from harmful, of somethi ng disease-causing substance s or-----:... _.. Effort Show how much. and what How long It takes how many number is being Invested In order to of health w·orkers to construct what __...,_.. _........... ~..--L..-. r-~..-:1.......... ;~ :a--· Efficiency Show whether resourc~ and Number, frequency and quality of actfvltles are being. put to use supervisory visits a~er attending a to achieve the objectives. training program on supervision Impact Show If what you are doing Is Reduction In the lncloence. really making any difference of measles after a 6-month immunization campaig n Using the d~1t:1 and information gencrnted frnm the above indicators offers the nurse, community and Lhe people provic. liog the funds to make recommendations on the future and directions of the health programs being evaluated. Evaluating Communit y Competence Utilizing the Participatory Approach Conventionally, the way lo evaluate the outcomes of health and developmen t intervention program s is to look at the changes tlrnt occur in the population, the health care system within Lhe community 1. 1r the community environment it·self. The ultimate measure of effectivenessofintervcntion programs and services is the health status of the popula1inr1. IL can be described in terms of epidemiologic studies. Bnt whfle mortality and morhiciiry cl:. 1La are ohjcc Li\'C measures, lhc nurse is nlso conc-. crncd ii, measuring change;; in people's knowledge. bchavior. skills and attitudes and their emotional ,vell-being. The PRECEDE-PROCEED Model clearly demonstrates this framework. There are several paradigms in ev. iluation (Anderson and Mc Farlane 2004), however, 216 c1 