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8 Panel Discussion: Moving Forward
Pages 93-98

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From page 93...
... Joseph Jacangelo of H MWH and Johns Hopkins University noted that, for many programs, espe cially in developing countries, there is a need for a more holistic program that incorporates technology, education, and behavior. There are plenty of projects in which the engineering aspects were well designed but the project failed, because there wasn't an educational aspect or a behavioral change orientation.
From page 94...
... Hunter noted that, even major institutions such as at the World Bank, can give the impression that they are more concerned with whether or not funds are dispersed than with whether projects achieve worthwhile outcomes, such as meeting health goals. Therefore, there needs to be more discussion, when money is given, to very clearly define the objectives about what needs to be done, and what the health aims are.
From page 95...
... If researchers are going to change the outcome of interest, then they need to invest time to determine how to measure it. Finally, Moe noted that public health practitioners need to think broadly about health goals when providing safe drinking water, to include not only diarrhea or weight and height, but also well-being.
From page 96...
... The community then becomes a part of framing the aims, the research questions, and the evaluation process. Bringing in a developing country perspective, Eric Kofi Obutey of the Ghana Public Utilities Regulatory Commission noted that, in Ghana, there is an abundance of researchers conducting survey research, but these surveys do not always result in changes in the community.
From page 97...
... This type of collective form can shape effective community programs, establish an effective evaluation, and ultimately shape policy to establish other programs that continue in the community long after the grant funding period. This type of project is difficult because it can take 6–8 months for a community to decide if they really want to participate in a program.


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