分析用于常规免疫计划的变化理论的使用 - - 从LMICs对影响评估的审查
Lalitha Vadrevu1, Monica Jain2, Shradha S Parsekar2
1Impact Evaluation Initiative (3ie), 3ie, Unit no. 306, 3rd Floor, Rectangle-1, D-4, Saket District Centre, New Delhi, 110017, India. lsv2115@caa.columbia.edu.
Journal of health, population, and nutrition
|September 9, 2024
概括
变化理论 (TOC) 在免疫计划评估中未得到充分利用. 需要更清晰的TOC和假设表达,以改善对干预有效性的证据.
科学领域:
- 公共卫生 公共卫生
- 项目评估 项目评估
- 卫生系统研究 卫生系统研究
背景情况:
- 变化理论 (TOC) 和因果途径对于理解干预影响至关重要.
- 它们在免疫计划评估中的应用需要进一步研究.
- 识别产生关于干预有效性的证据的挑战是必不可少的.
研究的目的:
- 在免疫计划评估中分析TOC和因果途径使用的程度.
- 确定在产生有关干预措施如何改善免疫的证据方面的挑战.
主要方法:
- 2010年以后发表的免疫干预措施影响评估 (IE) 的系统审查.
- 使用NVIVO对程序理论,上下文,假设,TOC使用和因果路径的数据合成.
- 包括来自证据差距地图和耶鲁评论的研究.
主要成果:
- 只有19%的IE明确使用了变化理论 (TOC).
- 56%的人描述了因果路径或使用概念图,而25%的人没有提供有关预期变化的信息.
- 很少有研究 (19/92) 详细介绍了干预假设,而40个研究测量了中间结果.
结论:
- 未来的评估需要明确的TOC,并根据既定的理论提出明确的假设.
- 大规模的政府举措需要在结果框架内整合TOC.
- 结合影响和过程评估对于理解对因果途径的上下文影响至关重要.
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