Lessons learned in using realist evaluation to assess maternal and newborn health programming in rural Bangladesh

This article was published in Health Policy and Planning [© 2016 Oxford University Press] and the definite version is available at: http://heapol.oxfordjournals.org/content/early/2015/06/22/heapol.czv053.short?rss=1

Dettagli Bibliografici
Autori principali:	Adams, Alayne, Sedalia, Saroj, McNab, Shanon, Sarker, Malabika
Altri autori:	James P Grant School of Public Health, BRAC University
Natura:	Articolo
Lingua:	English
Pubblicazione:	© 2016 Oxford University Press 2016
Soggetti:	Bangladesh Implementation research Maternal and newborn health Realist evaluation
Accesso online:	http://hdl.handle.net/10361/7345 http://doi.org/10.1093/heapol/czv053

id	10361-7345
record_format	dspace
spelling	10361-73452018-03-27T05:06:42Z Lessons learned in using realist evaluation to assess maternal and newborn health programming in rural Bangladesh Adams, Alayne Sedalia, Saroj McNab, Shanon Sarker, Malabika James P Grant School of Public Health, BRAC University Bangladesh Implementation research Maternal and newborn health Realist evaluation This article was published in Health Policy and Planning [© 2016 Oxford University Press] and the definite version is available at: http://heapol.oxfordjournals.org/content/early/2015/06/22/heapol.czv053.short?rss=1 Realist evaluation furnishes valuable insight to public health practitioners and policy makers about how and why interventions work or don't work. Moving beyond binary measures of success or failure, it provides a systematic approach to understanding what goes on in the 'Black Box' and how implementation decisions in real life contexts can affect intervention effectiveness. This paper reflects on an experience in applying the tenets of realist evaluation to identify optimal implementation strategies for scale-up of Maternal and Newborn Health (MNH) programmes in rural Bangladesh. Supported by UNICEF, the three MNH programmes under consideration employed different implementation models to deliver similar services and meet similar MNH goals. Programme targets included adoption of recommended antenatal, post-natal and essential newborn care practices; health systems strengthening through improved referral, accountability and administrative systems, and increased community knowledge. Drawing on focused examples from this research, seven steps for operationalizing the realist evaluation approach are offered, while emphasizing the need to iterate and innovate in terms of methods and analysis strategies. The paper concludes by reflecting on lessons learned in applying realist evaluation, and the unique insights it yields regarding implementation strategies for successful MNH programming. Published 2016-12-26T09:38:27Z 2016-12-26T09:38:27Z 2016 Article Adams, A., Sedalia, S., McNab, S., & Sarker, M. (2016). Lessons learned in using realist evaluation to assess maternal and newborn health programming in rural bangladesh. Health Policy and Planning, 31(2), 267-275. doi:10.1093/heapol/czv053 02681080 http://hdl.handle.net/10361/7345 http://doi.org/10.1093/heapol/czv053 en http://heapol.oxfordjournals.org/content/early/2015/06/22/heapol.czv053.short?rss=1 © 2016 Oxford University Press
institution	Brac University
collection	Institutional Repository
language	English
topic	Bangladesh Implementation research Maternal and newborn health Realist evaluation
spellingShingle	Bangladesh Implementation research Maternal and newborn health Realist evaluation Adams, Alayne Sedalia, Saroj McNab, Shanon Sarker, Malabika Lessons learned in using realist evaluation to assess maternal and newborn health programming in rural Bangladesh
description	This article was published in Health Policy and Planning [© 2016 Oxford University Press] and the definite version is available at: http://heapol.oxfordjournals.org/content/early/2015/06/22/heapol.czv053.short?rss=1
author2	James P Grant School of Public Health, BRAC University
author_facet	James P Grant School of Public Health, BRAC University Adams, Alayne Sedalia, Saroj McNab, Shanon Sarker, Malabika
format	Article
author	Adams, Alayne Sedalia, Saroj McNab, Shanon Sarker, Malabika
author_sort	Adams, Alayne
title	Lessons learned in using realist evaluation to assess maternal and newborn health programming in rural Bangladesh
title_short	Lessons learned in using realist evaluation to assess maternal and newborn health programming in rural Bangladesh
title_full	Lessons learned in using realist evaluation to assess maternal and newborn health programming in rural Bangladesh
title_fullStr	Lessons learned in using realist evaluation to assess maternal and newborn health programming in rural Bangladesh
title_full_unstemmed	Lessons learned in using realist evaluation to assess maternal and newborn health programming in rural Bangladesh
title_sort	lessons learned in using realist evaluation to assess maternal and newborn health programming in rural bangladesh
publisher	© 2016 Oxford University Press
publishDate	2016
url	http://hdl.handle.net/10361/7345 http://doi.org/10.1093/heapol/czv053
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Lessons learned in using realist evaluation to assess maternal and newborn health programming in rural Bangladesh

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