What is perhaps less commonly
evaluated is the growth of social empowerment and participation
in health actions.
Tools for assessing participation
range from survey questionnaires and key informant interview,
to specific tools such as the Rifkin diagram, and more
participatory methods such as the chapati chart (Schmidt
& Rifkin, 1996).
These tools exemplify a range
of options for reflecting on the extent to which participation
has itself been built through programmes. Sentinel surveillance
is one means of monitoring community perceptions of quality of
care and community priorities. Measures could also be included
in such surveillance to assess access to, use of and participation
in health systems.