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dc.contributor.authorAdams, Alayne
dc.contributor.authorSedalia, Saroj
dc.contributor.authorMcNab, Shanon
dc.contributor.authorSarker, Malabika
dc.date.accessioned2016-05-03T10:39:45Z
dc.date.available2016-05-03T10:39:45Z
dc.date.copyright2015
dc.date.issued2015-06-22
dc.identifier.citationAdams, A., Sedalia, S., McNab, S., & Sarker, M. (2015). Lessons learned in using realist evaluation to assess maternal and newborn health programming in rural Bangladesh. Health Policy and Planning, 1–9. http://doi.org/10.1093/heapol/czv053en_US
dc.identifier.issn1460-2237
dc.identifier.urihttp://hdl.handle.net/10361/5205
dc.descriptionIncludes bibliographical references (page 8-9).
dc.description.abstractRealist 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.en_US
dc.description.statementofresponsibilityAlayne Adams
dc.description.statementofresponsibilitySaroj Sedalia
dc.description.statementofresponsibilityShanon McNab
dc.description.statementofresponsibilityMalabika Sarker
dc.language.isoenen_US
dc.publisherHealth Policy and Planningen_US
dc.rightsBRAC University Journals are protected by copyright. They may be viewed from this source for any purpose, but reproduction or distribution in any format is prohibited without written permission.
dc.subjectBangladeshen_US
dc.subjectImplementation researchen_US
dc.subjectMaternal and newborn healthen_US
dc.subjectRealist evaluationen_US
dc.titleLessons learned in using realist evaluation to assess maternal and newborn health programming in rural Bangladeshen_US
dc.typeArticleen_US
dc.contributor.departmentJames P Grant School of Public Health, BRAC University


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