Suchergebnisse

The final publication is available at Elsevier via https://dx.doi.org/10.1016/j.socscimed.2018.03.031 © 2018. This manuscript version is made available under the CC-BY-NC-ND 4.0 license https://creativecommons.org/licenses/by-nc-nd/4.0/ ; Allergic diseases have closely followed the rise of non-communicable diseases (NCDs) especially in western societies. As prevalence of NCD is increasing in sub-Saharan Africa (SSA), researchers are hinting that the same future may hold for (food) allergic disease in this world region. Already, researchers are beginning to record prevalence, though with little attention to the social experience of individuals and parents with food allergic children. This paper presents the first qualitative analysis of the daily realities of adults and parents of children with allergies in SSA using Ghana as a case study. Drawing on political ecology of health, this study contextualizes the psychological (e.g. anxiety and fear), social (e.g. stigmatization, social exclusion), and economic (e.g. impact on work & household expenditures) wellbeing of affected persons within the broader sociocultural environment. By exploring the sociocultural environment, the results provide insights into the likely structures (e.g. the lack of familiarity, absence of local discursive repertoire on food allergy, infrastructure deficit) which interact to shape anxiety, and social exclusion of people with allergy. The case study provides evidence suggesting food allergies do have a global reach, and policy makers must heed the message to integrate food allergy into the broader chronic disease prevention agenda.

Small non-governmental organizations (NGOs) working in water-based development in low- and middle-income countries face unique challenges when it comes to evaluative practice. Few prioritize evaluation because they lack expertise and/or feel strongly about funding programs and not processes, given accountability to donors. To examine facilitators and barriers to evaluation in this context, we embarked on an organizational-level evaluation of H2O 4 ALL, a Canadian NGO with no prior evaluation experience. We first conducted an evaluability assessment, guided by Thurston and Potvin's framework for social change programs, to understand evaluation priorities and needs. By triangulating findings from three qualitative sources of data – an environmental scan, a document review, and in-depth interviews – we demonstrated evaluability assessments' applicability to water-based development and established a baseline for further research.

AbstractThe construct of organizational evaluation capacity is a concept that is receiving increasing attention in theoretical and research‐based literature. It is situated within a stream of inquiry that has come to be known as evaluation capacity building (ECB). This chapter reviews evolving conceptions of ECB and recent research and theory in the area. A conceptualization of organizational capacity for evaluation is explicated. The framework addresses not only the capacity to do but also the capacity to use evaluation. This framework has evolved within our ongoing research program and has also informed other research activities focusing on the integration of evaluation into organizational culture. This chapter concludes with a discussion of implications for ongoing research and practice.

Purpose. This article presents findings that explore investment in organizational capacity building for chronic disease prevention. Specifically, this analysis examines variation in investment inputs, intervention outputs, and capacity changes to inform expectations of health-promotion capacity-building investment. Design/Setting. This multiple case study involving both qualitative and quantitative data is based on seven provincial dissemination projects involved in the Canadian Heart Health Initiative. Methods. Data on investment, number, and type of capacity-building activities and capacity changes come from a questionnaire, key informant interviews, and project report analysis. Quantitative data were analyzed descriptively and for trends, while qualitative data were analyzed thematically. Results. Per capita investments in capacity building ranged from a low of $0.21 in Ontario to $167.41 in Prince Edward Island. Multiple, tailored capacity-building interventions were used in each project. Mostly positive but modest changes were observed in at least five dimensions of capacity in all but one project. Conclusion. These findings reveal that capacity building for chronic disease prevention requires a long-term investment and is context specific. Even limited investment can produce interventions that appear to positively influence capacity for chronic disease prevention. The findings also suggest an urgent need to expand surveillance to include indicators of capacity-building investments and interventions to allow policy makers to make more informed decisions about investments in public health.