Workshop on Evaluation Methods for Large-Scale,
Complex, Multi-National Global Health Initiatives
January 7–8, 2014
Wellcome Trust, Gibbs Building, 215 Euston Road, London
GOALS OF THE WORKSHOP
The goal of the workshop was to elucidate the decision making needed and options available to develop and implement a credible, rigorous evaluation that is also feasible, affordable, and maximally matched to the priority evaluation questions, aims, and audiences. Workshop sessions identified the resultant gains and trade-offs from different choices across the key elements that make up a large-scale evaluation.
The workshop convened relevant stakeholders, including evaluators and users of large-scale evaluations as well as others interested in evaluation methods, to present and discuss insights gained and transferrable lessons learned from the conduct of recent evaluations of the U.S. President’s Emergency Plan for AIDS Relief; the Global Fund to Fight AIDS, Tuberculosis, and Malaria; the U.S. President’s Malaria Initiative; the Affordable Medicines Facility–malaria; and other large-scale global initiatives.
For the core examples chosen, large-scale refers to initiatives with a total cumulative budget over multiple years in at least the hundreds of millions of U.S. dollars. Multi-national means implementation on a global scale, including multiple countries and regions or subregions of the world. Complexity refers to several dimensions of the initiative. One is that the initiative encompasses multiple different components, such as varied types of interventions and programs implemented in varied settings; systems-strengthening efforts; capacity building; efforts to influence policy change; and utilization of heath diplomacy to achieve the aims of initiative. Another
dimension of complexity is implementation at varied levels within partner countries through a large number of diverse, multi-sectoral partners, including an emphasis on local governments and nongovernmental institutions.
While the core examples discussed reflected complex initiatives on this global scale, the intent of the workshop was to also elucidate how the same considerations and decision making can be applied to enhance the credibility, rigor, feasibility, and utility for evaluations that may be on a smaller scale yet share similar features of complexity.
This workshop was sponsored by the Bill & Melinda Gates Foundation, the Doris Duke Charitable Foundation, the Wellcome Trust, and the William and Flora Hewlett Foundation.
AGENDA
Tuesday, January 7, 2014 | |
8:00A – 8:30A | Registration and Breakfast |
8:30A – 8:45A | Welcoming Remarks and Overview of Workshop Agenda |
Ann Kurth, New York University, Planning Committee Chair |
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8:45A – 9:15A | Setting the Stage: Workshop Framing and Crosscutting Issues |
Simon Hearn, Overseas Development Institute/BetterEvaluation Initiative |
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9:15A – 10:45A | Panel 1: Framing the evaluation, choosing the evaluator, and establishing the governance structure for the evaluation |
OBJECTIVES OF THE PANEL: | |
At the end of this session, workshop participants will be able to identify and understand the key considerations and decisions needed to: | |
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PANELISTS: | |
Overview Speaker/Moderator: Jon Simon, Boston University, Planning Committee Member | |
Discussants: Chris Whitty, UK Department for International Development Ryuichi Komatsu, Global Fund to Fight AIDS, Tuberculosis, and Malaria Deborah Rugg, United Nations Inspection and Evaluation Division Carmela Green-Abate, Country Coordinator, PEPFAR Ethiopia Robert Black, Johns Hopkins University |
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10:45A – 11:15A | BREAK |
11:15A – 1:00P | Panel 2: Developing the evaluation design and methodological approaches |
OBJECTIVES OF THE PANEL: | |
At the end of this session, workshop participants will understand the following: | |
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PANELISTS: | |
Moderator: Kara Hanson, London School of Hygiene and Tropical Medicine, Planning Committee Member | |
Presentation: Evaluation of PEPFAR |
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Deborah Rugg, United Nations Inspection and Evaluation Division |
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Presentation: Evaluation of Global Fund |
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Daniel Low-Beer, Global Fund to Fight AIDS, Tuberculosis, and Malaria |
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Presentation: Evaluation of the Affordable Medicines Facility–malaria |
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Catherine Goodman, London School of Hygiene and Tropical Medicine |
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Presentation: Illustration of Good Practices for Complex Evaluation Design |
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Elliot Stern, Lancaster University |
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1:00P – 2:15P | LUNCH |
2:15P – 4:00P | Panel 3: Mapping data sources and gathering and assessing the data |
OBJECTIVES OF THE PANEL: | |
At the end of this session, workshop participants will understand the following: | |
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PANELISTS: | |
Overview Speaker/Moderator: Ann Kurth, New York University, Planning Committee Chair | |
Discussants: Martin Vaessen, ICF, Planning Committee Member Kara Hanson, London School of Hygiene and Tropical Medicine, Planning Committee Member Jon Simon, Boston University, Planning Committee Member Batya Elul, Columbia University Victoria Fan, Center for Global Development Peter Elias, University of Warwick |
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4:00P – 4:30P | BREAK |
4:30P – 6:00P | Panel 4: Analyzing data using triangulation in a mixed methods evaluation to reach overall findings, conclusions, and recommendations |
OBJECTIVES OF THE PANEL: | |
At the end of this session, workshop participants will understand the following key considerations in data analysis and interpretation for a complex, mixed methods evaluation: | |
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PANELISTS: | |
Overview Speaker/Moderator: Carlo Carugi, Global Environment Facility | |
Discussants: Jon Simon, Boston University, Planning Committee Member Catherine Goodman, London School of Hygiene and Tropical Medicine Sangeeta Mookherji, George Washington University Bridget Kelly, Institute of Medicine |
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6:00P – 6:15P | Day 1 Wrap-Up |
Ann Kurth, New York University, Planning Committee Chair |
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Wednesday, January 8, 2014 | |
8:00A – 8:30A | Registration and Breakfast |
8:30A – 8:45A | Welcoming Remarks: Brief Reflection on Day 1 and Overview of Day 2 Agenda |
Ann Kurth, New York University, Planning Committee Chair |
8:45A – 10:15A | Panel 5: Using the evaluation findings and communicating the key messages |
OBJECTIVES OF THE PANEL: | |
At the end of this session, workshop participants will understand the following: | |
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PANELISTS: | |
Moderator: Sir George Alleyne, University of West Indies, Planning Committee Member | |
Discussants: Bernard Nahlen, President’s Malaria Initiative Dorothy Muroki, FHI360, Planning Committee Member Ian Goldman, Department of Performance Monitoring and Evaluation, Government of South Africa Kimberly Scott, Institute of Medicine |
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10:15A – 10:45A | BREAK |
10:45A – 12:15P | Concurrent Sessions—Block 1 |
1A: Lessons from Large-Scale Program Evaluation on a Not-Quite-as-Large Scale | |
Moderator: Dorothy Muroki, FHI360, Planning Committee Member |
Presenters: Margaret Kruk, Columbia University Padma Chandrasekaran, The Chennai Angels Tanya Marchant, London School of Hygiene and Tropical Medicine |
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1B: Evolving Methods in Evaluation Science | |
Moderator: Sir George Alleyne, University of West Indies, Planning Committee Member | |
Presenters: Geoff Wong, Queen Mary University of London Emmanuela Gakidou, Institute for Health Metrics and Evaluation Caine Rolleston, University of London |
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1C: Strategic Evaluation Design Troubleshooting: “Bring Your Own” Evaluation Challenge Workshop participants are invited to bring their own current evaluation design challenges for a roundtable discussion of design options and solutions with evaluation expert panelists and colleagues. |
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Facilitator: Kimberly Scott, Institute of Medicine | |
Evaluation experts: Tessie Catsambas, EnCompass LLC |
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Sharon Knight, East Carolina University |
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12:15P – 1:30P | LUNCH: Workshop Feedback Session |
Facilitator: Sharon Knight, East Carolina University | |
1:30P – 3:00P | Concurrent Sessions—Block 2 |
2A: Applying Qualitative Methods to Evaluation on a Large Scale | |
Moderator: Kate Meck, Institute of Medicine | |
Presenters: Sharon Knight, East Carolina University Tessie Catsambas, EnCompass LLC |
2B: Applying Quantitative Methods for Evaluation on a Large Scale | |
Moderator: Martin Vaessen, ICF International | |
Presenters: Eran Bendavid, Stanford University
Charlotte Watts, London School of Hygiene and Tropical Medicine Rachel Nugent, University of Washington |
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2C: Strategic Evaluation Design Troubleshooting: “Bring Your Own” Evaluation Challenge | |
Workshop participants are invited to bring their own current evaluation design challenges for a roundtable discussion of design options and solutions with evaluation expert panelists and colleagues. | |
Facilitator: Bridget Kelly, Institute of Medicine | |
Evaluation experts: Batya Elul, Columbia University | |
Sangeeta Mookherji, George Washington University Joanna Schellenberg, London School of Hygiene and Tropical Medicine |
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3:00P – 3:30P | BREAK |
3:30P – 4:45P | Panel 6: Envisioning a future evaluation |
OBJECTIVE OF THE PANEL: | |
Synthesize key messages of the workshop by applying them in a hypothetical design exercise. | |
PANELISTS: | |
Moderator: Elliot Stern, Lancaster University | |
Presenters: Sanjeev Sridharan, Evaluation Centre for Complex Health Interventions, University of Toronto/St. Michaels’s Hospital Charlotte Watts, London School of Hygiene and Tropical Medicine |
4:45P – 5:15P | Summary Highlights of the Workshop and Reflections on Key Outcomes |
Ruth Levine, William and Flora Hewlett | |
Foundation | |
Additional Reflections | |
Mary Bassett, Doris Duke Charitable Foundation | |
Gina Dallabetta, Bill & Melinda Gates Foundation |
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Jimmy Whitworth, Wellcome Trust | |
5:15P – 5:30P | Closing Remarks and Adjournment |
Ann Kurth, New York University, Planning Committee Chair |