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(S'; USAID FROM THE AMERICAN PEOPLE o 'd M t, •M E NT UM ~ ershipfor Health and Resilience Complexity Aware Monitoring (CAM) Workshop Series Session 4: Outcome Harvesting Heather Britt, Principal Research Scientist, NORC at the University of Chicago Lucy Wilson, Independent Consultant, MOMENTUM Knowledge Accelerator Tilly Gurman, Johns Hopkins Center for Communication Programs July 7, 2021

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Page 1: CAM Workshop Series

(S'; USAID ~ FROM THE AMERICAN PEOPLE

o'd ~ M t,•M E NT U M

~ ershipfor Health and Resilience

Complexity Aware Monitoring (CAM) Workshop Series Session 4: Outcome Harvesting

Heather Britt, Principal Research Scientist, NORC at the University of Chicago Lucy Wilson, Independent Consultant, MOMENTUM Knowledge Accelerator Tilly Gurman, Johns Hopkins Center for Communication Programs

July 7, 2021

Page 2: CAM Workshop Series

Introduction • Housekeeping

• Resources

Page 3: CAM Workshop Series

Objectives SESSION OBJECTIVES:

• To provide participants with an introduction tooutcome harvesting and illustrative examples of itsuse in similar projects.

• To increase participants’ understanding of how toadapt outcome harvesting and to supportbrainstorming ideas for their adaptation and usewithin MOMENTUM awards.

WORKSHOP OBJECTIVES:

• Improve participants’knowledge of andunderstanding of CAM

• Improve participants’ability to use CAM

• Expand participants’networks of CAMpractitioners within andoutside theMOMENTUM suite ofawards

Page 4: CAM Workshop Series

Today’s Presenters

HEATHER BRITT

Principal Research Scientist, NORC at

the University of Chicago

LUCY WILSON TILLY GURMAN CAM Consultant, Research and

MOMENTUM Evaluation Officer Knowledge II, Johns Hopkins Accelerator Center for

Communication Programs

4

Page 5: CAM Workshop Series

Today’s Session

PART 1

Preparing for a Successful Outcome Harvest

PART 2

Outcome Harvesting Case Study: Monitoring FHI 360’s PROGRESS Project

PART 3

Outcome Harvesting Case Study: Ethiopia Health Communication Capacity Collaborative

5

PART 4

Wrap-Up & Pause and Reflect

Page 6: CAM Workshop Series

Outcome Harvesting in the CAM Guide Matrix

CAM APPROACH

Outcome Harvesting

Qualitative • Quantitative

Skills & resources required*

2

Intensity / Level of effort**

2,3

Type of engagement † 3

CAM APPROACH

Outcome Harvesting

Design & Planning / Formative Assessments

Implementation / Ongoing Monitoring • Evaluation / Interim or Final Evaluations • What outcomes might be missing? • What outcomes might be yet to emerge? How do stakeholders perceive the project or intervention?

What factors contributed to the observed outcomes? • What is happening in the wider context? * 1 = Can be implemented by community level entity; 2 = Can be implemented by MOMENTUM project staff; 3 = Outside assistance likely needed.

** 1 = Able to integrate within existing staff workload and/or short-term engagement of external assistance; 2 = Moderate dedicated staff time needed and/or medium-term engagement and/or; 3 = Dedicated staff needed and/or longer-term external engagement † 1 = Best as in-person engagement with group or in community setting; 2 = Easily adapted for virtual engagement with videoconferencing and related technologies; 3 = Able to complete remotely via desk reviews, email, phone calls, online surveys, etc.

Page 7: CAM Workshop Series

1 Preparing for a Successful Outcome Harvest

Page 8: CAM Workshop Series

Preparing for a Successful

Outcome Harvest

Heather Britt 7 July 2021

[email protected]

Page 9: CAM Workshop Series

*NORC at the University of Chicago

Learning Objectives

Participants will learn:

▪ When and why Outcome Harvesting can be useful

▪ Outcome Harvesting’s basic steps

▪ How to use the guiding principles to tailor OH to your project context

▪ Tips for planning a harvest

▪ Tips for managing a participatory and iteratively designed method

9

Page 10: CAM Workshop Series

*NORC at the University of Chicago

Outcome Harvesting’s Track Record

Over 400 networks, NGOs, community-based organisations, research institutes, and government agencies in 143 countries across the globe.

10

Page 11: CAM Workshop Series

What is your experience?

A. I’ve heard Outcome Harvesting mentioned, but know verylittle about it.

B. I have a basic understanding of Outcome Harvesting.

C. I’ve read the book and/or taken a training course.

D. I’ve participated in and/or conducted an Outcome Harvest.

11

Page 12: CAM Workshop Series

FOR.DFOUNDAT ION EA Of i ce

Outcome Harvesting

R1car do lol1 l. ~o -Gra eat l'ler Br 1t!

Ml p -T

*NORC

N

at the University of Chicago

Origins

▪ Inspired by OutcomeMapping

▪ Informed by Utilization-Focused Evaluation

12

Page 13: CAM Workshop Series

*NORC at the University of Chicago

Outcome Harvesting

Participatory method to identify, formulate, verify, analyze and

interpret outcomes to answer actionable

questions.

Captures outcomes predicted/unpredicted, positive/negative,

AND

Works backward to describe & verify contribution

FOR

monitoring and evaluation (developmental, formative and summative)

USING

Either internal or external staff, or a mix.

13

Page 14: CAM Workshop Series

What is an outcome?

Sphere of Interest

ActMty Impact

O utcOl'rle

O utconn1e 1

O u~ut

Stakeholde:r Eng1ageme, he 1proje0

Project Staff Social Actor

Change Agent

14

Page 15: CAM Workshop Series

*NORC at the University of Chicago

What is an outcome?

Change in the behavior of a social actor

influenced by the intervention

▪ Behavior: actions, activities, relationships, policies, or practices

▪ Social actor: individual, group, community, organization, or institution

Not knowledge, awareness, attitudes

Project is generally not the only influence

15

Page 16: CAM Workshop Series

*NORC at the University of Chicago

OH is well-suited to projects where

▪ Desired results are big and bold and difficult to measure

▪ Pathways to achieve desired results are not wellunderstood

▪ Project is likely to contribute to unpredicted andunpredictable outcomes

▪ Flexible management continually adapts to newinformation or changes in the context.

16

Page 17: CAM Workshop Series

*NORC at the University of Chicago

OH is not intended for projects where

▪ The pathways to achieve desired outcomes areknown and agreed upon

▪ Little value is placed on capturing outcomes notincluded in the original design

▪ Fit example: The difference between training andcapacity building

17

Page 18: CAM Workshop Series

*NORC at the University of Chicago

AWID example (illustrative)

Association for Women´s Rights in Development (AWID) ▪ BACKGROUND: AWID is serving as Chair of Urgent Responses Working Group for the

Women Human Rights Defenders International Coalition.

▪ PURPOSE: The formative evaluation purpose of the harvest is to inform a newly adoptedcollaborative advocacy approach.

▪ USERS OF THE OUTCOME HARVEST: The primary intended users of the evaluation isthe AWID team responsible for Urgent Responses. The Women Human RightsDefenders International Coalition would be one audience for the evaluation.

▪ USES OF THE OUTCOME HARVEST: The primary intended use of this evaluation is todocument the outcomes of collaborative advocacy activities conducted over the pastyear.

18

Page 19: CAM Workshop Series

*NORC at the University of Chicago

Outcome description example: AWID

▪ DESCRIPTION: In mid-September 2011, the Iranian Ministry of the Interior (or theSecret Service) released “M.B.” after 5 months in prison, 2 of which were spent in solitaryconfinement. No charges were made during her time in detention, although she waseventually released on bail and will be facing charges in the future. M.B. is a woman humanrights defender from Iran who was detained after participating at the UN Commission on theStatus of Women in New York.

▪ CONTRIBUTION OF AWID: Convened group of collaborators working together for M.B.’srelease, organized conference calls, ensured sharing of information, and facilitated jointactivities and direct contact with UN agencies. All of this was in the context of AWID asChair of Urgent Responses Working Group for the Women Human Rights DefendersInternational Coalition.

▪ SIGNIFICANCE OF OUTCOME: The objective was to model collaboration amongorganizations, in addition to securing a concrete victory in getting M.B. released.

19

Page 20: CAM Workshop Series

Clarifying Questions?

Before we dig deeper, do you have questions about what

we’ve covered so far?

20

Page 21: CAM Workshop Series

*NORC at the University of Chicago

Six Iterative Steps

1. Design the Outcome Harvest: Focus on actionableinformation for primary users

2. Gather data and draft outcome descriptions: Collectdata from project sources

3. Engage change agents in formulating outcomedescriptions

4. Substantiate: Knowledgeable, independent individualsvalidate outcome descriptions

5. Analyze and interpret: Provide evidence-based answersto harvesting questions

6. Support use of findings

21

Page 22: CAM Workshop Series
Page 23: CAM Workshop Series

*NORC at the University of Chicago

Essence of Outcome Harvesting

Principles-driven ▪ Each harvest is tailored to the context and adapts to new information

Utilization-focused ▪ The purpose of OH is to serve the principal uses of primary intended users

Participatory ▪ Key stakeholders participate with the evaluator in the OH.

23

Page 24: CAM Workshop Series

*NORC at the University of Chicago

4 Key Stakeholders

▪ Project staff

▪ Primary intended users

▪ Change agents

▪ Outcome verifiers or substantiators

24

Page 25: CAM Workshop Series

*NORC at the University of Chicago

Project Staff

Who? ▪ Staff involved in implementation of project -- knowledgeable about its outcomes

Role? ▪ Provide data on project and context as evaluation informants

▪ Help inform preliminary outcome descriptions

▪ Help identify change agents and verifiers

25

Page 26: CAM Workshop Series

*NORC at the University of Chicago

Intended Users

Who? ▪ Require findings to make decisions or take action

▪ Responsibility and authority to take action

▪ Implementers or donors

Role? ▪ Make informed decisions about design and implementation throughout the harvest to

ensure that the OH will meet their needs

26

Page 27: CAM Workshop Series

*NORC at the University of Chicago

Change Agents

Who? ▪ Individuals or organizations that influence outcomes

Role? ▪ Serve as key informants

▪ Document outcomes and contribution pathways

27

Page 28: CAM Workshop Series

*NORC at the University of Chicago

Outcome Verifiers

Who? ▪ Third-parties both knowledgeable and objective about outcomes

Role? ▪ Review descriptions of outcomes and project’s contribution

▪ Comment on significance of outcomes (optional)

▪ Verify by email or other means

28

Page 29: CAM Workshop Series

Sphere of Interest

Sphere of Influence

AetMt.y Impact

O u~ut O u tcome

O utcon1e 1

Impact

Ouq,ut

Stakeholde:r Eng1ageme, ~ - --......::::::::::a.. _ _J~o!Scc=!:u~e~t!,Jn!.!r1 .... , ~

1 !t,&.!:::!_-!!~~~~~ ~!!J~~~~~mm1L--_.&.::....--:=

Roles Review

29

Project Staff

Primary Intended User

Change Agent

Verifier

Social Actor

Page 30: CAM Workshop Series

GUYl>oWNES ©

We can all be on the saMe pa9e even though we ma'j all have a different stor.:,.

off i ce9 .... ~ca r ~oon s . c on,

*NORC at the University of Chicago

Outcome Harvesting Scope of Work

Getting everyone on the same page is especially important with a participatory and iteratively-designed method

▪ Commissioners requesting OH(issuing an RFP)

▪ Internal teams planning withstakeholders

▪ Evaluators internal or external(responding to RFP)

Terms of reference (TOR) = Scope of work SOW)

30

Page 31: CAM Workshop Series

*NORC at the University of Chicago

Outcome Harvesting TOR

Key Elements

1. Background

2. Purpose

3. Primary intended user(s) and their intended use(s)

4. Useful evaluation questions

5. Methodology

6. Roles and responsibilities

7. Timeline, milestones and estimated budget

31

Page 32: CAM Workshop Series

*NORC at the University of Chicago

Primary users and uses: Tips

Primary intended user(s) and their intended use(s): ▪ Those who have intention, responsibility and authority to act on findings

▪ Not equivalent to project stakeholders

▪ Role: Participate in design decisions throughout the harvest

▪ Advisory Group: Effective decision-making body

▪ Petite committee: Carefully select members

▪ Set up another mechanism to keep stakeholders informed

32

Page 33: CAM Workshop Series

*NORC at the University of Chicago

Keys to Success

Managing a participatory and iteratively-designed method ▪ Orientation and design meeting with primary intended user

▪ Craft a manageable number of useful evaluation questions

▪ Clarify which questions can be answered through Outcome Harvesting andwhich require one or more other methods.

▪ Consult with primary intended users on key decisions during harvest

▪ Flexible management

▪ Prepare for contingencies: time (calendar and LOE) and budget

33

Page 34: CAM Workshop Series

*NORC at the University of Chicago

Recap: OH Strengths & Limitations

Strengths Limitations

Captures outcomes in complex and knowledge scarce situations Negative outcomes are difficult to capture

Participation offers opportunity for rich learning for stakeholders

Participatory methods are not feasible in all situations

Tailored to each project and context Findings not necessarily comparable across evaluations or interventions

Ongoing development of Outcome Harvesting through a vibrant community of practice.

34

Page 35: CAM Workshop Series

Closing Poll

How likely are you to participate in an Outcome Harvest in the

next year?

A. Almost certain

B. Pretty likely

C. Hmmm… still on the fence

D. Looks unlikely

E. Definitely not

35

Page 36: CAM Workshop Series

*NORC at the University of Chicago

Resources

▪ Wilson-Grau, R. & Britt, H. (2012). Outcome Harvesting. New York: Ford Foundation.

▪ Wilson-Grau, R. (2019). Outcome Harvesting: Principles, Steps, and EvaluationApplications. Charlotte, NC: Information Age Publishing, Inc.

▪ AEA eLibrary and AEA365

▪ Outcome Harvesting Community of Practice:

▪ www.outcomeharvesting.net

36

Page 37: CAM Workshop Series

*NORC at the University of Chicago

Discussion

37

Page 38: CAM Workshop Series

Can Trust· * Research You

*NORC at the University of Chicago

Thank you. Heather Britt Principal Research Scientist [email protected]

Page 39: CAM Workshop Series

2OH Case Study: Monitoring the USAID-funded PROGRESSProject at FHI 360

Page 40: CAM Workshop Series

(S'; USAID ~ FROM THE AMERICAN PEOPLE

o'd ~ M t,•M E NT U M

~ ershipfor Health and Resilience

Outcome Harvesting Case Study Monitoring the USAID-funded PROGRESS Project at FHI 360

Lucy Wilson, Independent Consultant, MOMENTUM Knowledge Accelerator

July 7, 2021

Page 41: CAM Workshop Series

PROGRESS: Program Research for Strengthening Services

• 5-year, $50 million USAID-funded global project, implemented by FHI 360

• Goal: To improve access to family planning methods and services amongunderserved populations through research, research utilization andcapacity building.

• PROGRESS offered global technical leadership and undertook focusedcountry-level activities in seven technical areas.

Page 42: CAM Workshop Series

Simplified PROGRESS logic model INPUTS - Staff & stakeholder skills, expertise,experience, etc. - Existing evidence and best practices- Local and international partners for research, policy, advocacy, service delivery, etc.

ACTIVITIES - Research

- Researchutilization

- Capacity building

OUTPUTS - Researchcompleted with results publishedand disseminated

- Advocacy conducted with stakeholders

- Evidence-based practice tools and job aids developed and disseminated

- Capacity building p rovided

OUTCOMES - Programs and services changed to reflect evidence

- Policies and guidelines changed to reflect evidence

- Evidence-based practicesintroduced and scaled

- Organizational capacity improved

IMPACT - Unmet need for family planning amongunderservedpopulations reduced

Project role diminishes as one moves to long-term i mpact

Page 43: CAM Workshop Series

OH steps and PROGRESS adaptations

# Official OH steps PROGRESS steps

1 Design the outcome harvest Develop Performance Monitoring Plan (PMP)

2 Gather data and draft outcome description Identify outcome and draft description

3 Engage change agents in formulating outcome descriptions Internal verification

4 Substantiate External validation or documentation

5 Analysis and interpret Synthesis and reporting

6 Support use of findings Data for decision-making

Page 44: CAM Workshop Series

STEP 1: Develop Performance Monitoring Plan

The PROGRESS PMP included the following:

• Causal framework (logic model)

• Indicators

• Mix of quantitative and qualitative indicators

• Guidance on indicator sources and how data iscollected and frequency of collection andreporting

Lessons Learned: • Fewer indicators• Budget adequately

• Description of Research Utilization (RU)Indicator Database for qualitative indicators

• Reporting requirements

• Plans for evaluation, etc.

Page 45: CAM Workshop Series

Key outcome indicators for research, research utilization Indicator Source Frequency Instances of PROGRESS technical assistance, research results, or products being used in policy or guidelines

Semi-annual and annual reports, trip reports, ad-hoc reports, etc.

Synthesized in the RU Indicator Database

Collected on an ongoing basis

Reported semi-annually

Instances of PROGRESS technical assistance, research results, or products being used in programs

Instances of PROGRESS technical assistance, research results, or products being used in services

Page 46: CAM Workshop Series

•1Tt<l:S.Oot.-.C OF 111 I IMF'IIOVINCi 1"'a

~esearch 'I.Jtlili~tii:m ezuch !Results

!!.mi:sl ~ llil!r!.b!

ill !!'3'1Kl03, B5'D043 •o1i.~o,u o~ tnl< o:t.lf '"9 ,.,,. lronfr plror,r,l"S,I

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ril ~.io:3. anooE;

w 11'30040, B90013

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30

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pl•n" "~"'Ii mt

~ 1 • pen.o lnll ed r• il •ct.l!'IU

• AlfRICl,.IU;tGlOPlALI TAJIZMllJ,

TM

Research Utilization Indicator Database • Initially in MS Access, later custom

built

• Fields included:• Outcome headline• Outcome description (main

narrative) • Indicator• Activity/Intervention Name/#• Country(ies)• Partner organization(s)• Topic and/or tool used• Main staff point of contact• Attachments• Status (draft or approved)

Page 47: CAM Workshop Series

STEP 2: Identify outcome and draft description

To identify potential outcomes, M&E staff:

• Reviewed semi-annual and annual reports, key meetingreports, trip reports, etc.

• Attended regular activity review meetings

• Interviewed activity staff after activity closure

• Trained activity staff to identify and report on outcomes

M&E staff then:

• Determined what “counted” as an outcome

• Drafted initial outcome description

“Sleuthing & slogging”

Lessons Learned: • Less is definitely more• Train & engage staff to

be your “detectives”

Page 48: CAM Workshop Series

STEP 3: Internal verification

M&E and activity staff reviewed and revised outcome description to ensure the description:

• Provided full story of the outcome

• Acknowledged appropriate partners

• Was accurate and not over-stated

• Included or referenced available evidence(attachments in Database)

Lessons Learned: • Review with multiple

staff to get moreaccurate, non-biaseddescription

Page 49: CAM Workshop Series

STEP 4: External validation or documentation • M&E and activity staff reviewed documentation

and sought out ways to strengthen it

• For policy changes, this might include acombination of:

• Full final copy of policy or guideline

• Acknowledgement of PROGRESS staff; inclusionof tool; citation of evidence/article in the policy

• Clearly documented process of PROGRESSactivities and outputs leading towards the outcome

Lessons Learned: • Document, document,

document• Don’t be shy about

asking for externalvalidation

• PROGRESS’s contribution credited/acknowledgedby third party in writing or in formal documentedremarks

Page 50: CAM Workshop Series

What does an outcome description look like?

PROGRESS contributes to community-based access to injectables (CBA2I) policy change in Kenya From 2009-2010, FHI 360, Jhpiego, and the Kenya Ministry of Health conducted a pilot study of CBA2I in Tharaka, Kenya. Using the positive results from that study, PROGRESS worked with members of the Family Planning Technical Working Group, including Jhpiego, to advocate for a CBA2I policy change. PROGRESS led development of an advocacy brief summarizing findings from the pilot study. Stakeholders from the MOH and the local nursing associations were central in the advocacy process. The revised policy, which cited the pilot study results, was signed in November 2012. This change will expand access to one of the most popular methods of contraception in hard-to-reach areas.

Headline summarizing outcome

• What happened? When?Where?

• What was PROGRESS’srole?

• Who else contributed?

• What is the evidence forthis change andPROGRESS’s role?

• Why was it important?What need did it address?

Page 51: CAM Workshop Series

STEP 5: Synthesis and reporting

• Final outcome descriptionscollected in RU IndicatorDatabase

• Reported to USAID semi-annually

PROGRESS contributed to 47 major changes to programs and policies at the country and global level

Lessons Learned: • Improved database

facilitated synthesis andanalysis, and reporting

Page 52: CAM Workshop Series

0

0

0

0

0

STEP 6: Data for decision-making Informal analysis conducted during the project period considered questions such as:

What advocacy strategies were most effective?

Why were certain topics and/or tools more “ripe for change” and others not?

How were other implementing partners engaged and how did that affect impact?

What inherent factors in the country/setting facilitated or hindered research utilization?

How can we facilitate continued impact from research and evidence after project funding ends?

Lessons Learned: • We could have done

more analysis of theoutcomes to improveefforts during theproject.

Page 53: CAM Workshop Series

End-of. Meeting the Family Planning Needs ofUnderserved Populations

fh.1360 PROGRESS .. ........ . ....

Thank you!

...And to FHI 360 and the PROGRESS team

Page 54: CAM Workshop Series

55

Break

5 MINUTES TO:

• stretch

• refill your coffee

• get a snack

• pet your cat/dog

• meditate

• visit the facilities

• drink some water

• gaze out the window

Page 55: CAM Workshop Series

3OH Case Study: Ethiopia Health Communication CapacityCollaborative

Page 56: CAM Workshop Series

Outcome Harvesting Case Study:Ethiopia Health Communication

Capacity Collaborative

Tilly A. Gurman, DrPH, MPH July 7, 2021

Page 57: CAM Workshop Series

HEALTHI COMMUNICATION! CAPACI Y CO · LABO : ATI E

A. JOHNS HOPKINS ~ BLOOMBERG

SCHOOL ef PUBLIC HEALTH

SponsorHealth Communication Capacity demand Collaborative (HC3) • USAID: $108 million

• 2012-2018

• Objectives from the RFP:

⮚ Increase capacity of indigenous organizations to design, implement, manage and evaluate evidence-based health communication interventions

⮚ Establish proven systems for professional development in health communication

Page 58: CAM Workshop Series

A. JOHNS HOPKINS ~ BLOOMBERG

SCHOOL ef PUBLIC HEALTH

Ethiopia Health Communication HC3 Ethiopia Capacity Collaborative

Page 59: CAM Workshop Series

A. JOHNS HOPKINS ~ BLOOMBERG

SCHOOL ef PUBLIC HEALTH

Ethiopia Health Communication

Type of activities Capacity Collaborative

• Trainings for individuals at federal and regional levels

• Transition of the National AIDS Resource Center (NARC) to federalgovernment

• Advocacy to government about social and behavior change communication(SBCC)

• Mentoring program for university students

Page 60: CAM Workshop Series

A. JOHNS HOPKINS ~ BLOOMBERG

SCHOOL ef PUBLIC HEALTH

Evaluation questions

1. In what ways has the FMoH, HAPCO, and HC3 Ethiopia partnerorganizations demonstrated important changes in their capacity forimproved SBCC since the start of the project?

2. To what extent did these outcomes exceed or fall short of HC3 projectobjectives?

3. How sustainable were these outcomes?

Page 61: CAM Workshop Series

L v I of Int rv ntion

Where?

Global

Tr n tni.tl<.1n11I

N1tlon1I

SY b N11tlon1I

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tl v I

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Interventions Howl

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ORGANIZATION

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INDIVIDUAL

Strengtht n the c1p11clty 0t individuals within

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:.tr~k~1 l1.-~

Competencies What?

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ORGANIZATION

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l!XPl!Rll!.NTIAL L ARNI NG/INSTITUTIONAL/COMPLI! XITY THl!.ORY

Outcomes So Whatl Impact

Dt llvt rlng Posltlw H11lth

ind Soc al Outcun,c;

SBCC Capacity Ecosystem

Page 62: CAM Workshop Series

Figure 4: HC3 Ethiopia Outcomes, by Type of Change Observed

* Total exceeds 37 as outcomes fit into multiple categories

Government institutionalizes SBCC programs

HC3 partners requested HC3's or USAID's support

HC3 partners supported platforms for collaboration or technical exchange

HC3 partners provided training on SBCC

Population demand for HC3-supported services

HC3-supported strategies approved or used

HC3 partners applied training or strategy

6

4

5

3

3

9

14

Q1: Outcomes by type of change

Page 63: CAM Workshop Series

A. JOHNS HOPKINS ~ BLOOMBERG

SCHOOL ef PUBLIC HEALTH

Q1: FMOH/HAPCO demonstrating change

⬆ recognition of SBCC as important component and skillset for developingand implementing public health programs in Ethiopia

⬆ commitment to incorporate SBCC into organizational policies, systemsand structures, as indicated through the allocation of resources and staff or institutionalization of SBCC programs

⬆ effort to coordinate and strategically collaborate to improve the quality ofSBCC produced in Ethiopia

Page 64: CAM Workshop Series

A. JOHNS HOPKINS ~ BLOOMBERG

SCHOOL ef PUBLIC HEALTH

Ethiopia: Hotline transition NARC services transition over time, by SBCC Ecosystem level

In May 2016, the Ministry of Civil Service granted approval to FMoH to absorb and expand the 952 Hotline from 41 to 69 counselors.

2015 2016

SBCC Ecosystem level Organization System

Page 65: CAM Workshop Series

A. JOHNS HOPKINS ~ BLOOMBERG

SCHOOL ef PUBLIC HEALTH

Q2: Exceeding objectives

• The evaluation identified outcomes for global HC3 aswell as HC3 Ethiopia program objectives

Page 66: CAM Workshop Series

A. JOHNS HOPKINS ~ BLOOMBERG

SCHOOL ef PUBLIC HEALTH

System

Organization

Individual

(n = 8)

(n= 24)

(n = 5)

Page 67: CAM Workshop Series

A. JOHNS HOPKINS ~ BLOOMBERG

SCHOOL ef PUBLIC HEALTH

Q3: Sustainability

• Practice: The outcome reflected institutionalized or systematicbehavior change in an individual, organization or system thatoccurred either repeatedly over the course of the project or at leastsix months prior to the evaluation.

• Policy: The outcome described a change in SBCC planningprocedures or policy.

Page 68: CAM Workshop Series

A. JOHNS HOPKINS ~ BLOOMBERG

SCHOOL ef PUBLIC HEALTH

HIV/AIDS Prevention & Control Office (HAPCO) on

s i

HC

3 bu

tir

ont

Ces

ce

i

act

com

r utP OSince the beginning of 2015, HC3 organized SBCC workshops for regional and zonal HAPCO experts on SBCC design and implementation. HC3 trained HAPCO on SBCC design and implementation.

Since May 2015, HAPCO integrated SBCC activities in annual work plan of 9 rural regions and 2 urban administrations.

In the course of 2014, HC3 organized a partners meeting for review and validation of final draft, as well as the graphic design of the final document.

Since June 2015, HAPCO partners applied most-at-risk populations SBCC framework in their HIV work.

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Federal Ministry of Health (FMOH)

tn C

0 ·-

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.....

C

0

u

HC3 Contributions

Beginning in May 2014, HC3 lobbied

to Government of Ethiopia. HC3

drafted and presented business plan

to demonstrate the viability of

National Al DS Resource Center

(NARC) services as a commercial

entity.

Between March and

Sept 2014, HC3

lobbied for the

establishment of a

Communication

Technical Working

Group for SBCC.

From January 2016, HC3

supported scale up

activities, including

developing job

descriptions and outlining

organizational structure

for the 952 Hotline.

! ! !

Policy Outcomes

During 2015, the Ethiopian National

Archives and Library Agency

incorporated the HC3 resource

center into its operations.

On February 25, 2015, FMOH

decided NARC services will

transition to FMOH.

tn During 2015, FMOH

wrote a 5-year

strategic plan using

national health

communication

strategy.

>. Cl) CJ E In May 2016, FMOH

incorporated 952

Hotline in the core plan.

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CL '5 0

Page 70: CAM Workshop Series

A. JOHNS HOPKINS ~ BLOOMBERG

SCHOOL ef PUBLIC HEALTH

Lessons learned

1. Plan for OH from the beginning of the project

2. Consider the timing of the evaluation in light of other plannedresearch/monitoring and evaluation/knowledge managementactivities

3. Use OH to complement, not replace, other methods

4. Train local project team early regarding basic OH elements

5. Plan sufficient time for training and harvesting activities

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A. JOHNS HOPKINS ~ BLOOMBERG

SCHOOL ef PUBLIC HEALTH

Acknowledgements

• Grace Awantang• Lindsey Leslie• Ruchita Pillai• Ricardo Wilson-Grau

Page 72: CAM Workshop Series

A. JOHNS HOPKINS ~ BLOOMBERG

SCHOOL ef PUBLIC HEALTH

Resources

• Gurman, T., et al. (2018). Evaluating Capacity Strengthening for Socialand Behaviour Change Communication through Outcome Harvesting. TheJournal of Development Communication, 29(2), 45-61.http://jdc.journals.unisel.edu.my/ojs/index.php/jdc/article/view/96/54

• HC3 Outcome Harvesting evaluation reports for Bangladesh, Ethiopia, andLiberia (2018). Available at: https://healthcommcapacity.org/hc3-project-materials/

Page 73: CAM Workshop Series

4 Break-out Discussion

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Break out Group Selection

• Group 1• I’d like more information about the approach.

• Group 2• I have never done OH, but am interested in using it.

• Group 3• I have used components of OH before and am interested in how I’d

formalize it.

If you have done OH before, please choose any of the groups to share your experience and help provide guidance.

76

Page 75: CAM Workshop Series

Break-Out Questions Group 1:

•What questions do you stillhave about outcomeharvesting?

•What sounds intriguing toyou about the approach?What sounds challenging?

•What would help you feelmore comfortable with usingit?

•Can you imagine usingoutcome harvesting toanswer specific learningquestions relevant to yourcurrent project?

Group 2:

•What sounds intriguing toyou about outcomeharvesting? How do you thinkit might fit into your project?

•What do you see as barriersor challenges to using OHand what would help you feelmore comfortable using it?

•Can you imagine usingoutcome harvesting toanswer specific learningquestions relevant to yourcurrent project?

Group 3:

•What aspects of outcomeharvesting are similar to yourown work? Were you awareof OH in implementing thatwork?

• What aspects of your workare different from OH andhow might the formal OHprocess help strengthen orchange your current work?

•Can you imagine usingoutcome harvesting toanswer specific learningquestions relevant to yourcurrent project?

77

Page 76: CAM Workshop Series

5 Wrap-Up

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Today’s Main Takeaways

• Outcome harvesting is an approach for identifying unintended outcomes andassessing the project’s contributions.

• It an be adapted to a wide variety of contexts, including ongoing monitoringand/or evaluations.

• You may already be using aspects of it!

• It can be work-intensive and require staff training, so plan and budgetaccordingly.

79

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In the next (FINAL) session: Wednesday, July 14th

• Introduction to Most Significant Change

• Examples of CAM in practice from MCGL and Breakthrough Research

• Don’t forget to register: Session 5 Registration

80

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Pause and Reflect: Virtual Hot Potato

QUESTIONS:

Finish one of the following statements: • Today, I learned…

OR • I am looking forward to…

PROCESS:

• List of all participants inalphabetical order created anddisplayed.

• In order, each person answers thequestion.

• Come off mute early / now.• No more than one sentence per

person!81

Page 80: CAM Workshop Series

-~1USAID ~ FROM THE AMERICAN PEOPLE

,, ~ Me:,1M E NTU M

~ ership for Health and Resilience

THANK YOU

MOMENTUM Knowledge Accelerator is funded by the U.S. Agency for International Development (USAID) as part of the MOMENTUM suite of awards and implemented by Population Reference Bureau (PRB) with partners JSI Research and Training Institute, Inc. a nd Ariadne Labs under USAID cooperative agreement #7200AA20CA00003. For more information about MOMENTUM, visit USAIDMomentum.org. The contents of this PowerPoint presentation are the sole responsibility of PRB and do not necessarily reflect the views of USAID or the United States Government.

@USAID_MOMENTUM

@USAIDMOMENTUM

USAID MOMENTUM

USAID MOMENTUM