Loading presentation...

Present Remotely

Send the link below via email or IM

Copy

Present to your audience

Start remote presentation

  • Invited audience members will follow you as you navigate and present
  • People invited to a presentation do not need a Prezi account
  • This link expires 10 minutes after you close the presentation
  • A maximum of 30 users can follow your presentation
  • Learn more about this feature in our knowledge base article

Do you really want to delete this prezi?

Neither you, nor the coeditors you shared it with will be able to recover it again.

DeleteCancel

Make your likes visible on Facebook?

Connect your Facebook account to Prezi and let your likes appear on your timeline.
You can change this under Settings & Account at any time.

No, thanks

Theory of Change for Complex Interventions_Mary De Silva

No description
by

Mary De Silva

on 21 March 2016

Comments (0)

Please log in to add your comment.

Report abuse

Transcript of Theory of Change for Complex Interventions_Mary De Silva

Feasibility
&piloting

MRC
framework

Develop
Craig 2008
MRC framework
http://www.actconsortium.org/pages/guidance-notes.html
MRC framework
not sufficient
Solution
=
Theory-driven approach to the development, evaluation and implementation of complex interventions.
Method NOT a Theory
+
Logframe
Logical model
Driver Diagram
Theory of Change
Process
Barriers
Plausible
Testable
Do-able
Illustrates tenuous causal links and forces us to change or strengthen them
Designing an intervention likely to work in the constraints of the context
Evaluation using ToC may be more complex
Offsetting efficiencies?
Workshop
Wide range of stakeholders
Participatory planning process
Draw on diverse knowledge
Context specific
Facilitator is key
ToC report: map and narrative summary
Refine
Test
Periodic review
"An ongoing process of
reflection to explore change and how it happens"
Comic Relief, 2011
"...which is empirically tested"
Weiss, 1995
"A theory of how and why an initiative works"
Do evidence and common sense suggest that the interventions, if implemented, will lead to desired outcomes?
Will the economic, technical, political, institutional, and human resources be available to carry out the initiative?
Is the ToC specific and complete enough for an evaluator to track its progress in credible and useful ways?
Components
A
pathway of change
that shows the causal relationship between intermediate
outcomes
leading to the ultimate
impact
.

Interventions
are used to bring about each of the outcomes on the pathway

Rationale
explains the logic behind each link in the causal pathway

Assumptions
state the limits of the context

Indicators
are specific enough to measure success and are used to evaluate the whole pathway
Peer counseling for maternal depression in Goa
Generated through stakeholder consensus = buy in
Embedded in context
Acknowledges complexity of change
Evidence based
Change not just activity
Can be tested
Advantages
NGOs
Organisational change
Program planning
M&E
Donor agencies
Demonstrate impact
What?
Who?
Project cycle management
Assumptions
Formative research & piloting questions
Rationale
=
Final ToC to test
Assumption:
Women with qualities to be PCs exist + want to volunteer
Qualitative research with community members to:
identify key PC characteristics
do women exist who would like to be PCs
incentives
Assumption:
Mothers are willing to have counseling from peers
Qualitative interviews with mothers with depression and their carers to explore acceptability, feasibility and adherence.
Super
vise
Super
vise
Super
vise
THPP
AR
AR
AR
Train
Train
Train
Train
Screen
Refer
80% women attending ANC screened
80% of those diagnosed appropriately referred
Indicators
Rationale:
Effectiveness of THP in Pakistan
Assumption:
Mothers are willing to have counseling from peers
Assumption:
Women with qualities to be PCs exist + want to volunteer
Indicators
8 PSW recruited
50% improvement in depressive symptoms and social functioning score
at 3 m
Indicators
Theory of change for a theory driven approach to the MRC framework for complex interventions
Mary De Silva
Theory of change
Summary
Evaluate
Whether + why + how
Process
+
Outcome
Explain discrepancies between expected and observed outcomes
Document unintended consequences
Why an unsuccessful intervention did not work (failure of concept vs. failure of implementation)
Why a successful intervention worked
How effectiveness of intervention can be optimised
Understand how social, organisational and political context influences outcomes
Provide insights to aid scale up: acceptability and feasibility; active ingredients; contextual differences
80% women attending clinic are screened for depression& 80% of those diagnosed and appropriately referred.
Data record form filled in at each screening and assessment
Indicator:
Method:
Indicator:
7 PSWs in post and have the appropriate skills post training to deliver counseling, refer mothers and raise awareness.
Methods:
Survey of training fidelity of PSWs to assess skill level and skill retention
Method:
1. Repeat cross-sectional community awareness survey
2. Routine clinic data collection form
3. Qualitative interviews with mothers with depression and their families
Indicator:
1. 20% increase in community awareness of depression
2. 80% of women prescribed peer-counseling wiling to receive intervention.
3. Intervention acceptable to mothers with depression.
Centre for Global Mental Health
Complex interventions:
RISE: cluster RCT of CBR for schizophrenia in Ethiopia
Roundtable on Community Change
Full transcript