Exploring the barriers to rigorous monitoring and evaluation of health systems strengthening activities: qualitative evidence from international development partners

Janna M. Wisniewski, Valerie Yeager, Mark L. Diana, David R. Hotchkiss

Research output: Contribution to journalArticle

Abstract

The number of health systems strengthening (HSS) programs has increased in the last decade. However, a limited number of studies providing robust evidence for the value and impact of these programs are available. This study aims to identify knowledge gaps and challenges that impede rigorous monitoring and evaluation (M&E) of HSS, and to ascertain the extent to which these efforts are informed by existing technical guidance. Interviews were conducted with HSS advisors at United States Agency for International Development-funded missions as well as senior M&E advisors at implementing partner and multilateral organizations. Findings showed that mission staff do not use existing technical resources, either because they do not know about them or do not find them useful. Barriers to rigorous M&E included a lack suitable of indicators, data limitations, difficulty in demonstrating an impact on health, and insufficient funding and resources. Consensus and collaboration between international health partners and local governments may mitigate these challenges.

Original languageEnglish (US)
Pages (from-to)e302-e311
JournalInternational Journal of Health Planning and Management
Volume31
Issue number4
DOIs
StatePublished - Oct 1 2016
Externally publishedYes

Fingerprint

Health
United States Agency for International Development
Local Government
Organizations
Interviews

Keywords

  • health systems strengthening
  • monitoring and evaluation
  • qualitative research

ASJC Scopus subject areas

  • Health Policy

Cite this

Exploring the barriers to rigorous monitoring and evaluation of health systems strengthening activities : qualitative evidence from international development partners. / Wisniewski, Janna M.; Yeager, Valerie; Diana, Mark L.; Hotchkiss, David R.

In: International Journal of Health Planning and Management, Vol. 31, No. 4, 01.10.2016, p. e302-e311.

Research output: Contribution to journalArticle

@article{fc7f3cb0b11f4531a39d2966d5c6987b,
title = "Exploring the barriers to rigorous monitoring and evaluation of health systems strengthening activities: qualitative evidence from international development partners",
abstract = "The number of health systems strengthening (HSS) programs has increased in the last decade. However, a limited number of studies providing robust evidence for the value and impact of these programs are available. This study aims to identify knowledge gaps and challenges that impede rigorous monitoring and evaluation (M&E) of HSS, and to ascertain the extent to which these efforts are informed by existing technical guidance. Interviews were conducted with HSS advisors at United States Agency for International Development-funded missions as well as senior M&E advisors at implementing partner and multilateral organizations. Findings showed that mission staff do not use existing technical resources, either because they do not know about them or do not find them useful. Barriers to rigorous M&E included a lack suitable of indicators, data limitations, difficulty in demonstrating an impact on health, and insufficient funding and resources. Consensus and collaboration between international health partners and local governments may mitigate these challenges.",
keywords = "health systems strengthening, monitoring and evaluation, qualitative research",
author = "Wisniewski, {Janna M.} and Valerie Yeager and Diana, {Mark L.} and Hotchkiss, {David R.}",
year = "2016",
month = "10",
day = "1",
doi = "10.1002/hpm.2339",
language = "English (US)",
volume = "31",
pages = "e302--e311",
journal = "International Journal of Health Planning and Management",
issn = "0749-6753",
publisher = "John Wiley and Sons Ltd",
number = "4",

}

TY - JOUR

T1 - Exploring the barriers to rigorous monitoring and evaluation of health systems strengthening activities

T2 - qualitative evidence from international development partners

AU - Wisniewski, Janna M.

AU - Yeager, Valerie

AU - Diana, Mark L.

AU - Hotchkiss, David R.

PY - 2016/10/1

Y1 - 2016/10/1

N2 - The number of health systems strengthening (HSS) programs has increased in the last decade. However, a limited number of studies providing robust evidence for the value and impact of these programs are available. This study aims to identify knowledge gaps and challenges that impede rigorous monitoring and evaluation (M&E) of HSS, and to ascertain the extent to which these efforts are informed by existing technical guidance. Interviews were conducted with HSS advisors at United States Agency for International Development-funded missions as well as senior M&E advisors at implementing partner and multilateral organizations. Findings showed that mission staff do not use existing technical resources, either because they do not know about them or do not find them useful. Barriers to rigorous M&E included a lack suitable of indicators, data limitations, difficulty in demonstrating an impact on health, and insufficient funding and resources. Consensus and collaboration between international health partners and local governments may mitigate these challenges.

AB - The number of health systems strengthening (HSS) programs has increased in the last decade. However, a limited number of studies providing robust evidence for the value and impact of these programs are available. This study aims to identify knowledge gaps and challenges that impede rigorous monitoring and evaluation (M&E) of HSS, and to ascertain the extent to which these efforts are informed by existing technical guidance. Interviews were conducted with HSS advisors at United States Agency for International Development-funded missions as well as senior M&E advisors at implementing partner and multilateral organizations. Findings showed that mission staff do not use existing technical resources, either because they do not know about them or do not find them useful. Barriers to rigorous M&E included a lack suitable of indicators, data limitations, difficulty in demonstrating an impact on health, and insufficient funding and resources. Consensus and collaboration between international health partners and local governments may mitigate these challenges.

KW - health systems strengthening

KW - monitoring and evaluation

KW - qualitative research

UR - http://www.scopus.com/inward/record.url?scp=84959276840&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=84959276840&partnerID=8YFLogxK

U2 - 10.1002/hpm.2339

DO - 10.1002/hpm.2339

M3 - Article

C2 - 26927839

AN - SCOPUS:84959276840

VL - 31

SP - e302-e311

JO - International Journal of Health Planning and Management

JF - International Journal of Health Planning and Management

SN - 0749-6753

IS - 4

ER -