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This paper explores some of the challenges involved in designing a monitoring framework for a complex policy initiative designed to support climate change adaptation in a highly varied and dynamic implementation environment. It looks specifically at the UK's Department for International Development (DFID) initiative called Action on Climate Today, a five-year programme that aims to support the mainstreaming of climate change adaptation into policy systems in five countries and ten locations in South Asia. This paper presents a theory-based approach to designing a monitoring system for the ACT programme that seeks to account for the programme's design and implementation complexities. It does so by providing an example for monitoring the causal processes and mechanisms that underpin the programme's theory of change. The paper highlights a systematic approach to context monitoring through periodic context assessments and evaluative indicators; the use of categorical indicators to capture a diverse portfolio of support; and a flexible results framework structured around the adoption and implementation of programme outputs into the targeted policy systems.
This article was published in the following journal.
Name: Evaluation and program planning
Community-partnered school behavioral health (CP-SBH) is a model whereby schools partner with local community agencies to deliver services. This mixed-methods study examined 80 CP-SBH clinicians' adop...
Successful clinical decision support (CDS) tools can help use evidence-based medicine to effectively improve patient outcomes. However, the impact of these tools has been limited by low provider adopt...
The realization of the right to health of adolescents and young people deprived of their liberty in Brazil is a complex task that places us before health inequities and interventions on their social d...
Policy evaluation algorithms are essential to reinforcement learning due to their ability to predict the performance of a policy. However, there are two long-standing issues lying in this prediction p...
Learning control policies has become an appealing alternative to the derivation of control laws based on classic control theory. Model-based approaches have proven an outstanding data efficiency, espe...
Background/Aims: Large scale adoption of integrated care for chronic patients constitutes a key milestone to accelerate adaptation of current healthcare systems to the evolving needs trigg...
This multi-site randomized tral aims to test methods of increasing adoption and integration of blood glucose monitoring into electronic medical records, and to measure the impact of widesc...
Background: Youth from low-income and minority families are disproportionately affected by obesity and its complications. This study presented pilot work to develop and implement a multi-c...
This study examines the effectiveness and appropriateness of a written physical activity policy implemented in licensed centre-based childcare on the physical activity levels of toddlers (...
The purpose of this study is to demonstrate that the adaptation to the Non Invasive Ventilation (NIV) at home is not worse when compared with an adaptation performed in inpatient settings.
A psychological theory based on dimensions or categories used by a given person in describing or explaining the personality and behavior of others or of himself. The basic idea is that different people will use consistently different categories. The theory was formulated in the fifties by George Kelly. Two tests devised by him are the role construct repertory test and the repertory grid test. (From Stuart Sutherland, The International Dictionary of Psychology, 1989)
An integrated nano-scale approach to MEDICINE which involves concurrent diagnosis, drug delivery, therapy, and monitoring of therapeutic response.
The adjustment of the eye to variations in the intensity of light. Light adaptation is the adjustment of the eye when the light threshold is increased; DARK ADAPTATION when the light is greatly reduced. (From Cline et al., Dictionary of Visual Science, 4th ed)
Physiologic or biochemical monitoring of the fetus. It is usually done during LABOR, OBSTETRIC and may be performed in conjunction with the monitoring of uterine activity. It may also be performed prenatally as when the mother is undergoing surgery.
Approach to improve the quality of care by selectively encouraging or discouraging the use of specific health care services, based on their potential benefit to patients' health, relative to their cost. One element is lowering beneficiary cost sharing or out-of-pocket spending to increase medication adherence.