Evaluation 2018: Speaking Truth to Power

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Ripple Effect Mapping in International Waters: How Different are the Waves?

Session Number: 2402
Track: International and Cross Cultural Evaluation
Session Type: Panel
Tags: Africa, complexity, international health, Participatory
Session Chair: Lily Asrat [Senior Evaluation Advisor - USAID]
Presenter 1: Jessica Fehringer [Senior Technical Specialist - Evaluation and Gender - MEASURE Evaluation]
Presenter 2: Mahua Mandal [Research Associate/Monitoring and Evaluation Specialist - University of North Carolina at Chapel Hill]
Presentation 1 Additional Author: Brittany Schriver Iskarpatyoti, MPH [Technical Specialist in M&E - MEASURE Evaluation]
Presentation 2 Additional Author: Lisa Parker
Presentation 2 Additional Author: Elizabeth Millar [Research Assocaite - UNC]
Presentation 2 Additional Author: Abby C Cannon [Gender Specialist - MEASURE Evaluation, Carolina Population Center at the University of North Carolina]
Time: Oct 31, 2018 (05:45 PM - 06:30 PM)
Room: Hilton - Center St. Meeting Room B

Abstract 1 Title: Exploring REM in the Context of Governance and Citizen Engagement in Tanzania
Presentation Abstract 1:

The Public-Sector Systems Strengthening (PS3) project supports the Government of Tanzania in strengthening the public-sector health system to promote the delivery, quality, and use of services, particularly for underserved populations. PS3 aims to improve public services and outcomes, by strengthening national and district capacity across multiple areas: governance and citizen engagement, human resources, financial management, and information systems. MEASURE Evaluation—a project funded by the United States Agency for International Development (USAID)—designed a mixed-methods outcome evaluation to measure changes elicited by PS3. Within the qualitative component, REM was used to explore stakeholders’ perceptions of PS3’s performance and effects on governance and citizen engagement systems. The findings indicate that REM allowed researchers to collect data on difficult-to-quantify impacts of a complex program.


Abstract 2 Title: Adapting REM with Adolescent Participants in Botswana
Presentation Abstract 2:

The Government of Botswana and USAID have responded to a maturing population of orphans and vulnerable children (OVC) in the nation by providing health and social services to vulnerable youth ages 15–17 years. The USAID-funded MEASURE Evaluation project designed a mixed-methods outcome evaluation to understand how OVC programs prepare older youth to be healthy, productive young adults. The study examined the educational, economic, and health effects of these programs, including HIV-related trajectories and outcomes of older youth graduating from the programs. In addition to collecting other types of data, the evaluation adapted REM to use with groups of HIV-positive and HIV-negative youth to understand their perspectives on the intended and unintended consequences and “ripple effects” of the programs in which they participated. This presentation will share the successes and challenges in adapting REM to older OVC and OVC programs.


Presentation 2 Other Authors: Iris Halldorsdottir (iris.halldors@gmail.com)
Sedilame Bagani (sedilame.bagani@gmail.com)
Audience Level: Intermediate

Session Abstract (150 words): 

Ripple effect mapping (REM) is a qualitative participatory group method useful for evaluating complex programs. It engages stakeholders to retrospectively and visually map intended and unintended consequences of a program, using elements of mind mapping, appreciative inquiry, and group interviewing. REM has been applied in a growing number of program evaluations in the United States, but its utility in global settings is unknown. Drawing from field experience from evaluation of two complex public health programs in developing countries, this session will explore how REM has been adapted to measure program outcomes in different country and programmatic contexts and provide recommendations for its use in future evaluations. Presenters will share their experience using REM in evaluation of a systems-level public-sector strengthening project in Tanzania and a program for orphans and vulnerable children with adolescents in Botswana.



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Cancellation Policy: Refunds less a $50 fee will be granted for requests received in writing prior to 11:59 PM EDT October 8, 2018. Email cancellation requests to registration@eval.org. All refunds are processed after the meeting. After October 8, 2018 all sales are final. For Evaluation 2018, international attendees and presenters who encounter complications due to the international travel environment will have up to 30 days after the event to request a refund and submit appropriate documentation. No administrative fee will apply for the international requests.