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Realist evaluation and experimental designs are both well-established approaches to evaluation. Over the past 10 years, realist trials—evaluations purposefully combining realist evaluation and experimental designs—have emerged. Informed by a comprehensive review of published realist trials, this article examines to what extent and how realist trials align with quality standards for realist evaluations and randomized controlled trials and to what extent and how the realist and trial aspects...
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Nearly all challenges in international development tend to be complex because they depend on constantly evolving human behaviour, systems, and contexts, involving multiple actors, entities, and processes. As a result, both the discovery and scaling of innovations to address challenges in development often involve changes in system behaviour or even system-level transformation. This is rarely a linear process over time and can result in unexpected outcomes. Existing evaluation techniques...
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This article explores the challenges of monitoring and evaluating politically informed and adaptive programmes in the international development field. We assess the strengths and weaknesses of some specific evaluation methodologies which have been suggested as particularly appropriate for these kinds of programmes based on scholarly literature and the practical experience of the authors in using them. We suggest that those methods which assume generative causality are particularly well...
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Healthcare systems are increasingly recognised as complex, in which a range of non-linear and emergent behaviours occur. China’s healthcare system is no exception. The hugeness of China, and the variation in conditions in different jurisdictions present very substantial challenges to reformers, and militate against adopting one-size-fits-all policy solutions. As a consequence, approaches to change management in China have frequently emphasised the importance of sub-national experimentation,...
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There is a growing recognition that programs that seek to change people’s lives are intervening in complex systems, which puts a particular set of requirements on program monitoring and evaluation. Developing complexity-aware program monitoring and evaluation systems within existing organizations is difficult because they challenge traditional orthodoxy. Little has been written about the practical experience of doing so. This article describes the development of a complexity-aware evaluation...
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Realist evaluation provides valuable insights into how and why programmes lead to change, and can generate transferable lessons to help practitioners roll out or scale up an intervention. However, as ...
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• Realist evaluation is a member of a family of theory-based evaluation approaches which begin by clarifying the ‘programme theory’: the mechanisms that are likely to operate, the contexts in which they might operate and the outcomes that will be observed if they operate as expected. • Realist approaches assume that nothing works everywhere for everyone: context makes a big difference to programme outcomes. A realist evaluation asks not ‘what works?’ but ‘how or why does this work, for...
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Contents: Introduction 1. The nature of programmes and how they work 2. Basic concepts in the explanation and understanding of programmes 3. Strategies and methods of realist evaluation 4. Realism’s place in the policy cycle: formative, summative and synthetic approaches 5. The nature, presentation and use of findings from realist evaluation 6. Conclusion: strengths, limitations and relationships with other approaches Appendix I – ‘Thinking it through’: an exercise in realist hypothesis...
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Realist evaluation is a form of theory-driven evaluation, but is set apart by its explicit philosophical underpinnings. Pawson and Tilley (1997) developed the first realist evaluation approach, although other interpretations have been developed since. Pawson and Tilley argued that in order to be useful for decision makers, evaluations need to identify ‘what works in which circumstances and for whom?’, rather than merely ‘does it work?. The complete realist question is: “What works, for...
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MEL4 Adaptive Management
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