Lessons Learned From the Use of the Most Significant Change Technique for Adaptive Management of Complex Health Interventions

Resource type
Authors/contributors
Title
Lessons Learned From the Use of the Most Significant Change Technique for Adaptive Management of Complex Health Interventions
Abstract
Introduction:The Most Significant Change (MSC) technique is a complex-aware monitoring and evaluation tool, widely recognized for various adaptive management purposes. The documentation of practical examples using the MSC technique for an ongoing monitoring purpose is limited. We aim to fill the current gap by documenting and sharing the experience and lessons learned of The Challenge Initiative (TCI), which is scaling up evidence-based family planning (FP) and adolescent and youth sexual and reproductive health (AYSRH) interventions in 11 countries in Asia and sub-Saharan Africa. Methods:The qualitative assessment took place in early 2021 to document TCI’s use and adaptation of MSC and determine its added value in adaptive management, routine monitoring, and cross-learning efforts. Focus group discussions and key informant interviews were conducted virtually with staff members involved in collecting and selecting MSC stories. Results:TCI has had a positive experience with using MSC to facilitate adaptive management in multiple countries. The use of MSC has created learning opportunities that have helped diffuse evidence-based FP and AYSRH interventions both within and across countries. The responsive feedback step in the MSC process was viewed as indispensable to learning and collaboration. There are several necessary inputs to successful use of the method, including buy-in about the benefits, training on good interviewing techniques and qualitative research, and dedicated staff to manage the process. Conclusion:Our assessment results suggest that the MSC technique is an effective qualitative data collection tool to strengthen routine monitoring and adaptive management efforts that allows for flexibility in how project stakeholders implement the process. The MSC technique could be an important tool for global health practitioners, policy makers, and researchers working on complex interventions because they continually need to understand stakeholders’ needs and priorities, learn from lessons and evidence-based practices, and be agile about addressing potential challenges.
Publication
Global Health: Science and Practice
Volume
10
Issue
1
Date
2022/02/28
Language
en
ISSN
2169-575X
Accessed
16/05/2022, 10:09
Library Catalog
Rights
© Ohkubo et al.. This is an open-access article distributed under the terms of the Creative Commons Attribution 4.0 International License (CC BY 4.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are properly cited. To view a copy of the license, visit https://creativecommons.org/licenses/by/4.0/. When linking to this article, please use the following permanent link: https://doi.org/10.9745/GHSP-D-21-00624
Extra
Publisher: Global Health: Science and Practice Section: ORIGINAL ARTICLE PMID: 35294391
Citation
Ohkubo, S., Mwaikambo, L., Salem, R. M., Ajijola, L., Nyachae, P., & Sharma, M. K. (2022). Lessons Learned From the Use of the Most Significant Change Technique for Adaptive Management of Complex Health Interventions. Global Health: Science and Practice, 10(1). https://doi.org/10.9745/GHSP-D-21-00624