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Fixing health systems : linking research, development, systems, and partnerships

SAVIGNY, Don de
et al
2008

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Describes the process and lessons learned from the Tanzania Essential Health Intervention Project (TEHIP). This intervention used research to support the development of health care interventions aimed at the local burden of disease priorities. Local demographic surveillance helped to establish health intervention priorities in two districts, and then simple, computer-based 'burden of disease profiling tools' were used to help decide the allocation of budgets. The result was a large decrease in mortality rates, particularly among children and an increase in patient satisfaction and attendance at clinics

Making a difference : M&E of policy research

HOVLAND, Ingie
July 2007

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"This paper aims to advance understanding on how to monitor and evaluate policy research, i.e. research that is undertaken in order to inform and influence public policy. Policy is defined very broadly to encompass both policy decisions and processes, including implementation..."

Lessons learned from the nine communities funded through the Connecting Communities for Better Health program

FOUNDATION FOR EHEALTH INITIATIVE
2006

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This document brings together the experiences and lessons learned in the implementation of health information exchange (HIE) initiatives as part of Connecting Communities for Better Health programme. The programme provides support to health information organisations and initiatives across the United States, but lessons can be applied to other contexts and settings. Covers all main components of programme planning and implementation, including: creating business models; planning and building IT infrastructure; getting started; assessing the environment; developing a shared vision; marketing; resource allocation and budget; data collection and evaluation; replication of prior success as a project strategy

Perceptions and practice : an anthology of impact assessment experiences

SAYCE, Kay
NORRISH, Patricia
2006

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This book presents eleven case studies of impact assessment in information and communication projects such as CATIA, Reflect's ICT projects in India, Tearfund's Footsteps project, Bernard van Leer Foundation's Effectiveness Initiative and others. Each case study begins with a summary of the study, followed by first-hand accounts of the key people involved in each assessment. The central issues raised by the studies include learning and accountability, attribution, context, communication, donor issues, resources, and planning. The case studies are bracketted by sensitive and analytical introductory and concluding chapters, which synthesize the practitioners' voices from the case studies, contextualise them in wider debates in development impact assessment, evaluation and learning

Looking back, moving forward : SIDA evaluation manual

MOLUND, Stefan
SCHILL, Göran
2004

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Evaluation manual for Sida in two parts. The first part reviews central evaluation concepts and discusses roles and relationships in development co-operation evaluations. It also deals with issues in the evaluation of poverty reduction. The second part is a step-by-step account of the evaluation process, beginning with the decision to evaluate and ending with management response and dissemination of results

Enhancing research uptake through communication, networking and capacity development

DUNN, Alison
2004

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This brief paper describes the research methodology employed by the Malaria Knowledge Programme, and key lessons learned. The programme aimed to enhance the impact of its work through strengthening information and communication flows, involving Southern researchers and institutions and creating international networks for the improvement of research communication throughout its work. Using examples, this paper illustrates how the programme engaged with dynamics of research, policy making and practice, in accordance with DFID recommendations

A comparative study of after action review (AAR) in the context of the southern Africa crisis : a case study paper for the Active Learning Network for Accountability and Performance in Humanitarian Action

SEXTON, Richard
MCCONNAN, Isobel
June 2003

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After Action Review (AAR) is a review technique for appraising ongoing or past operational activity. Part One of this paper identifies the principal components of an AAR-type process and explains how AAR works. It also contains a section on the assumptions underpinning the methodology used for this study. Parts Two, Three and Four each describe the experience of an individual agency or event. Part Five explores the comparative dimensions of the case studies, and lessons learned are described in an Annex

Building a dispensary health management information system

SOHANI, Salim
SHARIF, Shanaaz
FOX, John
Eds
2003

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This policy brief focuses on the outcomes of the Kwale Health Systems Strengthening Project (KHSSP), which aims to improve the quality of health care at the dispensary level. The project increased the participation of the local community in the running of the dispensaries and in the development and operation of the health information system that was used. This brief outlines the projects work and lessons that can be learned from it

Evaluating computerised health information systems : hard lessons still to be learnt

LITTLEJOHNS, Peter
WYATT, Jeremy C
GARVICAN, Linda
2003

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This article discusses the implementation of a hospital information system in Limpopo Province, South Africa and describes how it failed because of inadequate infrastructure and problems with the functioning of the system itself. Furthermore, users were not made sufficiently aware of the purpose of a computerised system and failed to appreciate the complexity of implementation and of the healthcare process. The paper calls for a better understanding of the unique nature of hospital information systems and for well designed evaluation to be built into the contracts from the beginning

Use of a computerized tuberculosis register for automated generation of case finding, sputum conversion, and treatment outcome reports

VRANKEN, R
et al
February 2002

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The article describes the 'Electronic TB Register', a user-friendly, Epi-Info based software programme based on the WHO/IUATLD format of recording and reporting. Individual records from the TB registry are entered in a program that provides interactive support. Factors critical for success include a functioning, paper-based system, involvement of staff from the TB programme, health information systems, and health facilities, ongoing training, and backup support

Notes to accompany ALPS

ACTIONAID
2001

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Detailed description of the central themes and strategies around ActionAid's innovative Accountability, Learning and Planning System (ALPS)

Lessons learnt : the peer education approach in promoting youth sexual and reproductive health

INTERNATIONAL PLANNED PARENTHOOD FEDERATION (IPPF)
2001

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This study focuses on the peer education approaches and experiences in five youth projects funded by the IPPF Vision 2000 Fund in Burkina Faso, Senegal, Ghana and Indonesia. The specific objectives are to identify the main lessons learned and key criteria for developing a successful peer education approach in a similar context; and to establish a model which encompasses the various experiences and approaches for peer education, and outreach activities. This document is designed to be used as a guideline by youth programme managers in family planning associations and other people who want to plan and carry out peer education projects for youth, such as social workers, health educators, personnel of non-governmental organisations and youth associations, etc. The results and key lessons can be used to design a new project, or to integrate peer education into an existing youth project. The document describes the necessary steps to plan, design, implement and evaluate peer education programmes

Evaluation and poverty reduction

FEINSTEIN, Osvaldo N
PICCIOTTO, Robert
Eds
2001

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This collection of papers includes contributions from leading figures in development including policy makers and a Nobel Laureate. It covers a broad spectrum from methodological issues to policy concerns, whilst emphasising 'what works' in poverty reduction programmes. Contributors emphasise social funds and safety nets, social services, crisis prevention, informal social security and insurance systems, anti-corruption programmes, mobilisation of the poor and ultimately the creation of a workable civil society

Reasons for resiliency : toward a sustainable recovery after Hurricane Mitch

WORLD NEIGHBORS
2000

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This report presents the methods and findings of an action research effort to measure and compare the impact of Hurricane Mitch on conventionally and agroecologically farmed lands in Honduras, Nicaragua and Guatemala. The project included farmers, promoters and local organizations as full partners in the research process, from beginning to end, and was designed to stimulate reflection and action based upon the lessons learned

Primary health care meets the market : lessons from China and Vietnam

BLOOM, Gerald
March 1997

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This paper outlines some lessons that policy makers can learn from China and Vietnam. Both countries developed low cost rural health services during the period between the early 1950s and the mid-1970s. Their example strongly influenced international health policy, and lessons from these case studies will have relevance to policy-makers in other low and middle income countries who are asking fundamental questions about how services should be financed, the relationship between service providers and government, and the role of the state in ensuring that health services are cost-effective and equitable [Author's abstact, adapted]

Evaluating health projects : lessons from the literature

STOUT, Susan
et al
1997

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This report reviews the literature on the causes of observed changes in health and fertility levels, the evaluation of policies, and programs designed to accelerate these changes; and presents the findings of earlier assessments of the World Bank's work in the Health, Nutrition, and Population (HNP) subsectors. A framework outlining the relationships between Bank activities in the sector, the characteristics of the health care system, household behavior, and changes in health outcomes is presented; and four evaluative criteria for assessing the performance of health care systems are identified. Broadly, the approach anticipates that Bank activities are more successful, as measured by their influence on system performance, when they achieve an appropriate fit between the institutional incentives, which determine the supply of health goods and services, the nature of those goods and services, and consumer demand. This report ends by describing a strategy for assessing the development effectiveness of the Bank's work in the HNP sectors. [Publisher's abstract]

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