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What Counts is not Falling … but Landing: Strategic Analysis: An Adapted Model for Implementation Evaluation
1Douglas Hospital Research Centre, Canada.
Summary
Implementation evaluations, or process evaluations, assess program strengths and weaknesses but don't guide research strategy. This study proposes an adapted strategic analysis model for program evaluation, addressing limitations found in the UNAIDS drug access initiative in Chile.
Area of Science:
- Program Evaluation
- Public Health Policy
- Strategic Analysis
Background:
- Implementation evaluations, also known as process evaluations, examine program development, identifying strengths and weaknesses.
- While valuable for understanding evaluation objectives, they do not inherently assist researchers in developing a research strategy.
- The UNAIDS drug access initiative in Chile provided a case study for this evaluation.
Purpose of the Study:
- To address the limitations of traditional implementation evaluations in strategy development.
- To propose an adapted strategic analysis model suitable for program evaluation.
- To improve the effectiveness of process evaluations in complex public health initiatives.
Main Methods:
- Utilized the strategic analysis model developed by Crozier and Friedberg for an implementation analysis.
- Identified incompatibilities between the existing model and the specific characteristics of the UNAIDS drug access initiative.
- Developed and proposed an adapted strategic analysis model tailored for program evaluation.
Main Results:
- The standard strategic analysis model by Crozier and Friedberg presented significant incompatibilities with the evaluated program.
- An adapted strategic analysis model was developed to better suit the complexities of program evaluation.
- The adapted model offers a more effective approach for understanding program dynamics and informing strategy.
Conclusions:
- Traditional implementation evaluations offer insights but lack strategic development guidance.
- The adapted strategic analysis model provides a more compatible framework for evaluating complex programs.
- This adapted model enhances the utility of process evaluations for strategic planning in public health.
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