Dealing with context in logic model development: Reflections from a realist evaluation of a community health worker programme in Nigeria

被引:42
作者
Ebenso, Bassey [1 ]
Manzano, Ana [4 ]
Uzochukwu, Benjamin [2 ,3 ]
Etiaba, Enyi [2 ,3 ]
Huss, Reinhard [1 ]
Ensor, Tim [1 ]
Newell, James [1 ]
Onwujekwe, Obinna [2 ,3 ]
Ezumah, Nkoli [2 ,3 ]
Hicks, Joe [1 ]
Mirzoev, Tolib [1 ]
机构
[1] Univ Leeds, Nuffield Ctr Int Hlth & Dev, Worsley Bldg,Clarendon Way, Leeds, W Yorkshire, England
[2] Univ Nigeria, Coll Med, Hlth Policy Res Grp, Enugu Campus, Nsukka 400001, Nigeria
[3] Univ Nigeria, Coll Med, Dept Hlth Adm & Management, Enugu Campus, Nsukka 400001, Nigeria
[4] Univ Leeds, Sch Sociol & Social Policy, Social Sci Bldg, Leeds, W Yorkshire, England
基金
英国惠康基金;
关键词
Programme theory; Realist evaluation; Logic model; Community health workers programme; Maternal and child health; Nigeria; Context; PERFORMANCE; DESIGN; TOOL; STRATEGIES; SYSTEMS;
D O I
10.1016/j.evalprogplan.2018.12.002
中图分类号
C [社会科学总论];
学科分类号
03 ; 0303 ;
摘要
Logic models (LMs) have been used in programme evaluation for over four decades. Current debate questions the ability of logic modelling techniques to incorporate contextual factors into logic models. We share experience of developing a logic model within an ongoing realist evaluation which assesses the extent to which, and under what circumstances a community health workers (CHW) programme promotes access to maternity services in Nigeria. The article contributes to logic modelling debate by: i) reflecting on how other scholars captured context during LM development in theory-driven evaluations; and ii) explaining how we explored context during logic model development for realist evaluation of the CHW programme in Nigeria. Data collection methods that informed our logic model development included documents review, email discussions and teleconferences with programme stakeholders and a technical workshop with researchers to clarify programme goals and untangle relationships among programme elements. One of the most important findings is that, rather than being an end in itself, logic model development is an essential step for identifying initial hypotheses for tentative relevant contexts, mechanisms and outcomes (CMOs) and CMO configurations of how programmes produce change. The logic model also informed development of a methodology handbook that is guiding verification and consolidation of underlying programme theories.
引用
收藏
页码:97 / 110
页数:14
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