Evaluating Health Planning
Over the years evaluations of health planning have become increasingly more sophisticated in their approach and elegant in their form of presentation. The earliest reports were not only less sophisticated and less elegant, they were addressed to a different set of issues. This chapter attempts to capture the perspective from which the problems associated with developing a health planning enterprise were being viewed during the second half of the twentieth century, when health planning entered the era of public sector participation in planning (phase 11 of the four-phase sequence identified earlier). The review of the literature is organized in chronological order beginning with the years immediately following the enactment of the two initial public sector planning programs -- the RMP in 1965 and CHP in 1966. However, this review is not exhaustive, since the amount of material that could be included in such a review is far too extensive. However, the reader is directed to literature reviews which became available at various points in time along the way.
One of the earliest references to the health planning legislation that came into existence during this era (RMP and CHP) can be found in the American Journal of Public Health. Anticipating the need for guidance in interpreting the new laws, the officials of the American Public Health Association ( APHA) published a set of guidelines in the December 1966 issue of the journal. The guidelines advocated including representatives of all relevant agencies in the planning process including health departments, and public and private mental health agencies, welfare departments, and professional schools and voluntary agencies ( 1966,