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Developing ACSM objectives
Learning ObjectivesHow to develop ACSM objectives
After the situation analysis, barrier identification and audience analysis, the next step is to define the ACSM objectives.
The ACSM objectives should be SMART i.e. specific, measurable, achievable, realistic and time-based.
Specific: The objective has a single focus or result and does not overlap with other objectives. It describes exactly what we will accomplish, with whom, where and when.
Key question: Does the objective specify what it aims to achieve? Does it cover only one activity versus multiple activities?
Measurable: We should be able to actually quantify a change, attach a number to that change or observe something new.
Key question: Can the objective be measured or counted in some way?
Attainable: The objectives should be achievable and easy to put into action based on our resources.
Key question: Is the objective feasible? Can the programme attain it? or am I aiming higher than I can achieve?
Realistic: The objectives should connect to the larger goals and objectives of the National TB Elimination Programme (NTEP) and be worthwhile and important to the work being done.
Key question: Can the programme realistically achieve the objective with the resources and time available?
Time-bound: The objectives should be made time-bound by setting a timeline or “due date” to keep our activities moving and knowing when to expect the change to happen.
Key question: Does the objective indicate when it will be achieved?
Examples of setting ACSM objectives aligned to NTEP:
| NTEP Objective | ACSM Objectives |
|
Universal access to TB
Early detection and treatment of at least 90% of all types of estimated TB cases in the community, including drug-resistant and HIV-associated TB.
Successful treatment of at least 90% of new TB patients, and at least 85% of previously treated patients.
Reduction in the default rate of the new TB cases to less than 5% and retreatment TB cases to less than 10%. |
Raise knowledge of TB symptoms and TB services to increase by 30% the number of people in district A seeking care for TB symptoms at Directly Observed Treatment, Short-course (DOTS) centres by xxxx (month & year).
Mobilize at least 20% of the private chemists/ pharmacies in district X by xxxx to refer people with TB-like symptoms to DOTS facilities for screening.
By mid-xxxx, improve TB knowledge of primary healthcare providers in 20 medical facilities in the five provinces.
Increase by 50% the number of cured TB patients by the end of xxxx. |
Communication objectives are not programme objectives. With communication objectives, we measure how we are addressing barriers to change (or behavioural determinants) and not specific behaviours or health outcomes. Communication objectives add up to help achieve programme/ behavioural objectives.
Resources
- Advocacy, Communication & Social Mobilization (ACSM) for Tuberculosis Control - A Handbook for Country Programmes, WHO, 2007.
- Operational Handbook on Advocacy, Communication & Social Mobilization for RNTCP, Central TB Division, MoHFW, GoI, 2014.
Assessment:
| Question | Answer 1 | Answer 2 | Answer 3 | Answer 4 | Correct answer | Correct explanation | Page id | Part of Pre-test | Part of Post-test |
| What is a SMART objective? | Specific, measurable, achievable, realistic, time-based | Special, materialistic, achievable, reproducible, time-bound | Sensitive, measurable, ambiguous, reliable, time-bound | None of the above | 1 | Objectives should be SMART - specific, measurable, achievable, realistic, time-based. | | Yes | Yes |
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