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Lancet. 2011 Jan 1;377(9759):85-95. doi: 10.1016/S0140-6736(10)60810-0. Epub 2010 Jul 9.

Measuring impact in the Millennium Development Goal era and beyond: a new approach to large-scale effectiveness evaluations.

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  • 1Post-Graduate Program in Epidemiology, Federal University of Pelotas, Pelotas, Brazil. cvictora@terra.com.br

Abstract

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.

Copyright © 2011 Elsevier Ltd. All rights reserved.

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PMID:
20619886
[PubMed - indexed for MEDLINE]
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