Abstract
An IOM workshop on evaluation design drew on recent evaluations of 4 complex initiatives (PEPFAR; the Global Fund to Fight AIDS, TB and Malaria; the President’s Malaria Initiative; and the Affordable Medicines Facility-malaria). Key components for good evaluations: (1) a robust theory of change to understand how and why programs should work; (2) use of multiple analytic methods; and (3) triangulation of evidence to validate and deepen understanding of results as well as synthesis of findings to identify lessons for scale-up or broader application.
Highlights
An Institute of Medicine (IOM) workshop on evaluation design drew on recent evaluations of 4 complex initiatives (PEPFAR; the Global Fund to Fight AIDS, TB and Malaria; the President’s Malaria Initiative; and the Affordable Medicines Facility-malaria)
Donor assistance for global health has increased dramatically in the last 15 years, and most of these resources are channeled through complex global health initiatives that target various health outcomes through a multitude of interventions, implemented by diverse partners in multiple countries and regions of the world
We report on key messages from a workshop on ‘‘Evaluation Design for Complex Global Health Initiatives,’’ convened by the Institute of Medicine (IOM) in January 2014, during which workshop participants discussed just how this might be done
Summary
What information do we need to scale-up and sustain a success story? What can failure to achieve expected health effects teach us about how implementation conditions and the political landscape contributed to the observed results? What can evaluators do better when evaluating complexity in global health initiatives?. The goal of the workshop was to extend evaluation methodology by capturing lessons learned from recent large-scale, complex, multinational global health initiatives. Four recent evaluations of large-scale, multinational, complex global health initiatives served as core examples for the workshop: Global Fund to Fight AIDS, Tuberculosis and Malaria (Global Fund). We used the coding exercise to further organize the information in the proceedings document to make the important lessons and messages more accessible for practitioners of global health evaluations. Both authors were workshop participants, and one a panelist, so we used our own participant observations to triangulate and synthesize the following lessons and recommendations from the workshop.
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