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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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While agile approaches can be extremely effective at a project level, they can impose significant complexity and a need for adaptiveness at the project portfolio level. While this has proven to be highly problematic, there is little research on how to manage a set of agile projects at the project portfolio level. What limited research that does exist often assumes that portfolio-level agility can be achieved by simply scaling project level agile approaches such as Scrum. This study uses a...
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This paper looks at the technical issues associated with the representation of Theories of Change and the implications of design choices for the evaluability of those theories. The focus is on the description of connections between events rather than the events themselves, because this is seen as a widespread design weakness. Using examples and evidence from Internet sources six structural problems are described along with their consequences for evaluation. The paper then outlines a range of...
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Impact and process evaluations are increasingly used in international development; however they are generally retrospective in outlook. A more timely approach to evaluation aims to identify necessary, feasible and effective changes during a programme or intervention’s lifetime. This paper aims to identify, categorise, describe and critically appraise methods to support more timely evaluation in international development. Potential methods were identified through scoping seminar, public...
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Theory of change (ToC) is currently the approach for the evaluation and planning of international development programs. This approach is considered especially suitable for complex interventions. We question this assumption and argue that ToC’s focus on cause–effect logic and intended outcomes does not do justice to the recursive nature of complex interventions such as advocacy. Supported by our work as evaluators, and specifically our case study of an advocacy program on child rights, we...
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In recent years, the use of experimental methodologies has emerged as a central means of evaluating international aid interventions. Today, proponents of randomized control trials (so-called randomistas) are among the most influential of development experts. This paper examines the growth of this thought collective, analysing how uncertainty has become a central concern of development institutions. It demonstrates that transformations within the aid industry – including the influence of...
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Developmental evaluation supports grant-funded initiatives seeking innovation and change. Programs born from aspirational grant language and plans often need guidance as they work toward creating workable models for social innovation. This article describes the challenge of designing and implementing complex programs and presents a case that illustrates how a program moves from proposal to practice. The Massachusetts Charter Public School Association Capacity Building Network is a complex...
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Knowledge-intensive companies that adopt Agile Software Development (ASD) relay on efficient implementation of Knowledge Management (KM) strategies to promotes different Knowledge Processes (KPs) to gain competitive advantage. This study aims to
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In this provocation, the author attempts to cite the advantages of collective leadership while acknowledging the objections and fears of challengers. Collective leadership is seen as remote because it defies the traditional view of leadership as an individualistic attractive quality that not only protects us but is efficient when applied. Nevertheless, the collective alternative may not only be advisable but required in a connected world featuring a networked economy. The contemporary...
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