Abstract

BackgroundHealth research capacity strengthening (RCS) projects are often complex and hard to evaluate. In order to inform health RCS evaluation efforts, we aimed to describe and compare key characteristics of existing health RCS evaluation frameworks: their process of development, purpose, target users, structure, content and coverage of important evaluation issues. A secondary objective was to explore what use had been made of the ESSENCE framework, which attempts to address one such issue: harmonising the evaluation requirements of different funders.MethodsWe identified and analysed health RCS evaluation frameworks published by seven funding agencies between 2004 and 2012, using a mixed methods approach involving structured qualitative analyses of documents, a stakeholder survey and consultations with key contacts in health RCS funding agencies.ResultsThe frameworks were intended for use predominantly by the organisations themselves, and most were oriented primarily towards funders’ internal organisational performance requirements. The frameworks made limited reference to theories that specifically concern RCS. Generic devices, such as logical frameworks, were typically used to document activities, outputs and outcomes, but with little emphasis on exploring underlying assumptions or contextual constraints. Usage of the ESSENCE framework appeared limited.ConclusionsWe believe that there is scope for improving frameworks through the incorporation of more accessible information about how to do evaluation in practice; greater involvement of stakeholders, following evaluation capacity building principles; greater emphasis on explaining underlying rationales of frameworks; and structuring frameworks so that they separate generic and project-specific aspects of health RCS evaluation. The third and fourth of these improvements might assist harmonisation.

Highlights

  • Health research capacity strengthening (RCS) projects are often complex and hard to evaluate

  • The online survey focused mainly on use of the ESSENCE on Health Research initiative (ESSENCE) PM&E framework, and included a question asking what other frameworks respondents used in evaluating health RCS

  • We identified framework documents through the engagement process, both directly and indirectly, by looking for references to frameworks in health RCS evaluation reports commissioned by funders

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Summary

Introduction

Health research capacity strengthening (RCS) projects are often complex and hard to evaluate. In order to inform health RCS evaluation efforts, we aimed to describe and compare key characteristics of existing health RCS evaluation frameworks: their process of development, purpose, target users, structure, content and coverage of important evaluation issues. A secondary objective was to explore what use had been made of the ESSENCE framework, which attempts to address one such issue: harmonising the evaluation requirements of different funders. Health research capacity strengthening (RCS) is recognised as an important area for action to improve health in low- and middle-income countries and to address global health challenges [1]. Health RCS funders have subsequently made efforts to coordinate their activities, primarily through the ESSENCE on Health Research initiative [10]. We collaborated with ESSENCE to explore the use of PM&E frameworks and approaches to evaluating health RCS, and to inform refinements to the ESSENCE PM&E framework

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