ABSTRACT
Outcome measurement in health care is practically always aimed at determining the outcome of separate interventions, whether these are of a preventive or curative nature. Outcome measurement of a system of care differs considerably in many respects from the evaluation of a single intervention. In this chapter, the framework for the substance of such a programme evaluation of pre-school Child Health Care is sketched, starting with a description of the objectives. On the basis of the so-called ecological health model, used by the World Health Organization in the international programme 'Health for All by the Year 2000', a broad objective for preschool Child Health Care is formulated. Subsequently, subsidiary objectives that can be made operational are derived from this. Then the operating procedures serving to attain these specific objectives are described. Finally the way to chart the effects of these procedures, related to the objectives, is explained.
