cam workshop series
TRANSCRIPT
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(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
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Introduction • Housekeeping
• Resources
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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
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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
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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
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PART 4
Wrap-Up & Pause and Reflect
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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.
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1 Preparing for a Successful Outcome Harvest
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Preparing for a Successful
Outcome Harvest
Heather Britt 7 July 2021
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*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
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*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.
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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.
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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
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*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.
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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
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*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
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*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.
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*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
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*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.
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*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.
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Clarifying Questions?
Before we dig deeper, do you have questions about what
we’ve covered so far?
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*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
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*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.
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*NORC at the University of Chicago
4 Key Stakeholders
▪ Project staff
▪ Primary intended users
▪ Change agents
▪ Outcome verifiers or substantiators
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*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
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*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
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*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
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*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
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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
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Project Staff
Primary Intended User
Change Agent
Verifier
Social Actor
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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)
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*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
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*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
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*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
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*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.
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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
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*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
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*NORC at the University of Chicago
Discussion
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Can Trust· * Research You
*NORC at the University of Chicago
Thank you. Heather Britt Principal Research Scientist [email protected]
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2OH Case Study: Monitoring the USAID-funded PROGRESSProject at FHI 360
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(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
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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.
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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
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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
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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.
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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
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•1Tt<l:S.Oot.-.C OF 111 I IMF'IIOVINCi 1"'a
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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)
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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”
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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
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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
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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?
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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
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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.
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End-of. Meeting the Family Planning Needs ofUnderserved Populations
fh.1360 PROGRESS .. ........ . ....
Thank you!
...And to FHI 360 and the PROGRESS team
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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
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3OH Case Study: Ethiopia Health Communication CapacityCollaborative
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Outcome Harvesting Case Study:Ethiopia Health Communication
Capacity Collaborative
Tilly A. Gurman, DrPH, MPH July 7, 2021
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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
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A. JOHNS HOPKINS ~ BLOOMBERG
SCHOOL ef PUBLIC HEALTH
Ethiopia Health Communication HC3 Ethiopia Capacity Collaborative
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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
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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?
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L v I of Int rv ntion
Where?
Global
Tr n tni.tl<.1n11I
N1tlon1I
SY b N11tlon1I
Cc mm1.1nlty
tl v I
i I i ~
~ I e
Interventions Howl
SVST M
':itr~-n~ t t,(,! r1 tt1 ~u, 11 r,~•~ Lium ,!I'd
~<>1.11dI1111 llun ,rn,ur 1c,1 lr,dl~ l~h.i,111~ ,md M<1A1,'1Al l(')n,
ORGANIZATION
St r11~gth 1n pro gr1 m n~1tl c In It ltut lonal ll~d ft n11n cl I I
d0m~lns ot SBCC o~onl1~tlon1
INDIVIDUAL
Strengtht n the c1p11clty 0t individuals within
o 'OM i.zuti(l n~ th rou9h 1 t, l~•nd ot l~•u mrr,9
:.tr~k~1 l1.-~
Competencies What?
SVST M
C0c1·dln1tu tmmonlns and pr0vld11
op port~n, ltlH tor ,::xchM!iJt? and
~,IJ..,M ccm~•nt ot hl9l1 tJUl(lil)I ~BC'C ri r<>11 r~ r, 1 rn I 11 r,1
ORGANIZATION
Opcru~~ »iat~rn~i~ly by fo I luwir,g I ri~tlt u tlum, li.z~•ti
fJrur.r:~~~•~ ,md r,•1:11lir1 r; r1~•w c,11:r,~•1,1Llur1~ 1,r
rnr,1p.-lrri l -.1.-rr
INDIVIDUAL
lrrpl1m11r1t~ follQWln" ~II st1 ges of the SBCC
str1t1glc d11lgn proc, u and pr0vld11 l111d1r1hlp
tor secc
Results Why?
SVST M
S)11t11'1'1 I thllt s~1pp0rt
tthtctivt $BCC
ORGANIZATION
O·t1,111l.:.1 ll~1n,:,. l11 ,1l r,11 n ~1.,~~1c>rl c: rr(•~ llv1~
~H( c: 1n1 .. 1~f'nl IM
INDIVIDUAL
lndl1ldu~l1 with J kl lls !'In ct contid11nc11
w undc.: rt~k~ (.! lr~•~llv~• i DCC
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
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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
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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
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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
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A. JOHNS HOPKINS ~ BLOOMBERG
SCHOOL ef PUBLIC HEALTH
Q2: Exceeding objectives
• The evaluation identified outcomes for global HC3 aswell as HC3 Ethiopia program objectives
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A. JOHNS HOPKINS ~ BLOOMBERG
SCHOOL ef PUBLIC HEALTH
System
Organization
Individual
(n = 8)
(n= 24)
(n = 5)
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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.
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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 ·-
M ,._. u _g:::c: ·c:
.....
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.
= 0 0 CJ
CL '5 0
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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
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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/
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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.
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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?
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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.
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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
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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
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-~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