Suchergebnisse

This paper discusses one of the more contemporary challenges in development and in global health--lots of good ideas from well-meaning insiders and outsiders that end up cluttering both the physical and mental spaces of what can be loosely termed as "attempts" at development. Given the place-based nature of indigenous thought, we turn to Hawaiian epistemology at looking to insights for clarity on how one can negotiate interactions to declutter place and also confuse identity. We believe that evaluation as a field can help in bringing greater recognition of the need for models of development and learning that respect the importance of de-cluttering. Implications for a decolonized approach to evaluation are discussed

This article discusses the utility of realist evaluation in influencing policies aimed at reducing health inequities and improving population health. Using an example of a National Demonstration program in Scotland, the article discusses how realist evaluation can help in several aspects of policy implementation: exploring "loss in translation" from policy aspirations to program design, interrogating the program design, developing a range of learnings from conducting the evaluation, and aligning the learning with policy priorities. Conditions under which evaluations can lead to positive influence on policy makers and future policies are discussed.Cet article traite l'utilité de l'évaluation réaliste à influencer les politiques visant à réduire les inégalités sociales de la santé et à améliorer la santé de la population. En prenant l'exemple d'un programme national de démonstration en Écosse, cet article explique comment l'évaluation réaliste peut aider dans les aspects suivants de la mise en oeuvre de la politique : à découvrir ce qui est « perdu dans la traduction » des aspirations politiques vers la conception des programmes; à questionner la conception du programme; à développer une gamme de leçons apprises de la conduite de l'évaluation; et à aligner l'apprentissage avec les priorités de la politique. L'article examine les conditions favorisant une influence positivedes évaluations sur les décideurs et les politiques de l'avenir.

This article discusses the further development of theory-driven evaluation approaches that are informed by contribution analysis. Using an illustrative example of an ongoing dance/physical activity programme for health promotion, a number of challenges are identified when applying a theory-driven evaluation approach. These challenges are reformulated as questions that need to be answered to make further progress with theory-driven evaluation including contribution analysis. Questions include: What is a 'good enough' programme theory? How does one arrive at expectations of programme impacts? How does the programme theory incorporate heterogeneous mechanisms that programme recipients might need? What does causality mean for complex interventions? What are structures that can facilitate learning from evaluations? How does the application of theory-driven evaluation approaches help generate an 'ecology of evidence'? Discussion of these questions leads to a 'roadmap' for how contribution analysis might be further tested and refined.