Article ID | Journal | Published Year | Pages | File Type |
---|---|---|---|---|
7332993 | Social Science & Medicine | 2015 | 8 Pages |
Abstract
These findings point to challenges of designing and delivering interventions within a paradigm that requires factorial (reduced to predictable factors) problem definition with easily actionable and evaluable solutions by small-scale projects. Such requirements mean that interventions often work on the periphery of a health system rather than tackling the murky political and economic realities that shape access to care but are harder to change or evaluate with randomized controlled trials. Highly projectified settings further reduce the ability to genuinely 'control' for different health care access scenarios. We argue for a raised consciousness of how evaluation paradigms impact on intervention choices.
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Authors
Ferdinand M. Okwaro, Clare I.R. Chandler, Eleanor Hutchinson, Christine Nabirye, Lilian Taaka, Miriam Kayendeke, Susan Nayiga, Sarah G. Staedke,