TY - JOUR
T1 - Measuring impact in the Millennium development Goal era and beyond
T2 - A new approach to large-scale effectiveness evaluations
AU - Victora, Cesar G.
AU - Black, Robert E.
AU - Boerma, J. Ties
AU - Bryce, Jennifer
N1 - Funding Information:
We thank Hilde De Graeve and Bert Schreuder for allowing reproduction of figure 2 ; Baltazar Chilundo, Fatima Abacassamo, and Iná Santos for insights into the adaptation of the method to the Mozambique situation; Jennifer Requejo, Kate Gilroy, and David Peters for comments on the text; Agbessi Amouzou and Larry Moulton for inputs on sample size calculations; and Gareth Jones for comments on the plan of statistical analyses. Members of the Catalytic Initiative Evaluation project group at the Institute for International Programs of Johns Hopkins Bloomberg School of Public Health have contributed in important ways to the experience and thinking described in this report. This work was supported by the Canadian International Development Agency and the Bill & Melinda Gates Foundation through subcontracts to the Institute for International Programs at the Johns Hopkins Bloomberg School of Public Health for independent evaluations of the Catalytic Initiative to Save a Million Lives and of the Rapid Scale Up of the Partnership for Maternal, Newborn and Child Health.
PY - 2011
Y1 - 2011
N2 - Evaluation of large-scale programmes and initiatives aimed at improvement of health in countries of low and middle income needs a new approach. Traditional designs, which compare areas with and without a given programme, are no longer relevant at a time when many programmes are being scaled up in virtually every district in the world. We propose an evolution in evaluation design, a national platform approach that: uses the district as the unit of design and analysis; is based on continuous monitoring of different levels of indicators; gathers additional data before, during, and after the period to be assessed by multiple methods; uses several analytical techniques to deal with various data gaps and biases; and includes interim and summative evaluation analyses. This new approach will promote country ownership, transparency, and donor coordination while providing a rigorous comparison of the cost-effectiveness of different scale-up approaches.
AB - Evaluation of large-scale programmes and initiatives aimed at improvement of health in countries of low and middle income needs a new approach. Traditional designs, which compare areas with and without a given programme, are no longer relevant at a time when many programmes are being scaled up in virtually every district in the world. We propose an evolution in evaluation design, a national platform approach that: uses the district as the unit of design and analysis; is based on continuous monitoring of different levels of indicators; gathers additional data before, during, and after the period to be assessed by multiple methods; uses several analytical techniques to deal with various data gaps and biases; and includes interim and summative evaluation analyses. This new approach will promote country ownership, transparency, and donor coordination while providing a rigorous comparison of the cost-effectiveness of different scale-up approaches.
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U2 - 10.1016/S0140-6736(10)60810-0
DO - 10.1016/S0140-6736(10)60810-0
M3 - Comment/debate
C2 - 20619886
AN - SCOPUS:78650819389
SN - 0140-6736
VL - 377
SP - 85
EP - 95
JO - The Lancet
JF - The Lancet
IS - 9759
ER -