Appreciative inquiry and the co-creation of an evaluation framework for Extension for Community Healthcare Outcomes (ECHO) implementation: a two-country experience

Smita Ghosh, Bruce B. Struminger, Neeta Singla, Brenna M. Roth, Anil Kumar, Sunil Anand, Emmanuel Mtete, Jacob Lusekelo, Irene Massawe, Elizabeth Jarpe-Ratner, Steven M. Seweryn, Kris Risley, Patrick K. Moonan and Eve Pinsker

Evaluation and Program Planning, 2022, vol. 92, issue C

Abstract: Persistent gaps exist in healthcare workers’ capacity to address HIV and tuberculosis in Asia and Africa due to constraints in resources and knowledge. Project ECHO (Extension for Community Healthcare Outcomes) leverages video-enabled technology to build workforce capacity and promote collaboration through mentorship and case-based learning. To understand current perceptions of ECHO participants and develop a comprehensive evaluation framework for ECHO implementation, we utilized modified appreciative inquiry guided focus group discussions (FGD) in India and Tanzania and called it SCORE (Strengths, Challenges, Opportunities, Results, and Evaluation). Content and thematic analysis of transcripts from FGDs and key-informant interviews triangulated perceptions of diverse stakeholders about ECHO implementation and identified key elements for development of the framework. The perceived strengths (S) were capacity building and establishing communities of practice. The perceived challenges (C) included securing resources, engaging leadership, and building systems for monitoring impact. Improved internet connectivity, addressing logistical challenges, encouraging session interactivity, and having strategic scale-up plans were perceived opportunities (O). Additionally, gathering measurable results (R) led to development of a comprehensive evaluation (E) framework. Contextualizing and facilitating SCORE with qualitative analysis of findings 6–12 months post-ECHO implementation may serve as a best practice to assess mid-course corrections to improve ECHO implementation quality.

Keywords: Evaluation; Qualitative research; Systems thinking; Strategic planning; HIV; Tuberculosis; Appreciative inquiry (search for similar items in EconPapers)
Date: 2022
References: View references in EconPapers View complete reference list from CitEc
Citations:

Downloads: (external link)
http://www.sciencedirect.com/science/article/pii/S0149718922000210
Full text for ScienceDirect subscribers only

Related works:
This item may be available elsewhere in EconPapers: Search for items with the same title.

Export reference: BibTeX RIS (EndNote, ProCite, RefMan) HTML/Text

Persistent link: https://EconPapers.repec.org/RePEc:eee:epplan:v:92:y:2022:i:c:s0149718922000210

DOI: 10.1016/j.evalprogplan.2022.102067

Access Statistics for this article

Evaluation and Program Planning is currently edited by Jonathan A. Morell

More articles in Evaluation and Program Planning from Elsevier
Bibliographic data for series maintained by Catherine Liu ().