Title
Planning an integrated agriculture and health program and designing its evaluation: Experience from Western Kenya
Date Issued
01 June 2016
Access level
open access
Resource Type
journal article
Author(s)
Publisher(s)
Elsevier Ltd
Abstract
Multi-sectoral programs that involve stakeholders in agriculture, nutrition and health care are essential for responding to nutrition problems such as vitamin A deficiency among pregnant and lactating women and their infants in many poor areas of lower income countries. Yet planning such multi-sectoral programs and designing appropriate evaluations, to respond to different disciplinary cultures of evidence, remain a challenge. We describe the context, program development process, and evaluation design of the Mama SASHA project (Sweetpotato Action for Security and Health in Africa) which promoted production and consumption of a bio-fortified, orange-fleshed sweetpotato (OFSP). In planning the program we drew upon information from needs assessments, stakeholder consultations, and a first round of the implementation evaluation of a pilot project. The multi-disciplinary team worked with partner organizations to develop a program theory of change and an impact pathway which identified aspects of the program that would be monitored and established evaluation methods. Responding to the growing demand for greater rigour in impact evaluations, we carried out quasi-experimental allocation by health facility catchment area, repeat village surveys for assessment of change in intervention and control areas, and longitudinal tracking of individual mother-child pairs. Mid-course corrections in program implementation were informed by program monitoring, regular feedback from implementers and partners' meetings. To assess economic efficiency and provide evidence for scaling we collected data on resources used and project expenses. Managing the multi-sectoral program and the mixed methods evaluation involved bargaining and trade-offs that were deemed essential to respond to the array of stakeholders, program funders and disciplines involved.
Start page
11
End page
22
Volume
56
Language
English
OCDE Knowledge area
Agricultura, Silvicultura, Pesquería
Subjects
Scopus EID
2-s2.0-84961226252
PubMed ID
Source
Evaluation and Program Planning
ISSN of the container
01497189
Sponsor(s)
We thank other Mama SASHA team members and the many Ministry, NGO and community partners who were involved in program planning and implementation. Funding was provided by the Bill & Melinda Gates Foundation [Grant ID OPP53344 ] and PATH .
Health services are provided by a mix of Kenyan government, private, and non-governmental organizations. NGOs are faith, humanitarian and/or development oriented with different national and international bases. PATH already had an existing relationship with the Ministry of Health through the AIDS, Population and Health Integrated Assistance Program (APHIA), funded by the United States Agency for International Development. APHIA aimed to improve comprehensive community and clinic based services, including maternal and antenatal health services, in areas with a high prevalence of HIV/AIDS such as Western Province.
Sources of information:
Directorio de Producción Científica
Scopus