Building Capacities to Evaluate Health Inequities: Some Lessons Learned from Evaluation Experiments in China, India and Chile: New Directions for Evaluation, Number 154
DescriptionThe World Health Organization defines health inequities as differences in health outcomes that are systematic, avoidable, and unjust; and the result of poor social policies, unfair economic arrangements, and bad politics. This volume describes the role that evaluations can play in addressing health inequities. A key focus is on the types of capacities that need to be built to evaluate inequities.
Bringing alive these questions around evaluation capacities are theory and practice studies from China, Chile, and India.
- Focuses on inequities in evaluation capacity building initiatives.
- Argues evaluations can be interventions themselves.
- Explores how evaluations can have influence in addressing inequities.
- Recognizes that innovations in evaluation capacity experiments are occurring in diverse countries and we have the opportunity to learn from such initiatives.
This is the 154th issue in the New Directions for Evaluation series from Jossey-Bass. It is an official publication of the American Evaluation Association.
Editors’ Notes 9
Sanjeev Sridharan, Kun Zhao, April Nakaima
1. An Experiment on Building Evaluation Capacity to Address Health Inequities in China 17
Kun Zhao, Sanjeev Sridharan, Marie-Gloriose Ingabire, Mo Yu, April Nakaima, Xue Li, Yue Xiao, Emily Chen
2. Evaluation at the Time of Health Systems Reform: Chinese Policymakers’ Need for a Robust System of Evaluations to Assess Progress in the Implementation of Reform Efforts 29
Kun Zhao, April Nakaima, Wudong Guo, Yingpeng Qiu, Sanjeev Sridharan
3. Conceptual Indicators Framework for Strengthening the Chinese Health System 41
Yue Xiao, Kun Zhao, Sanjeev Sridharan, Xiaohong Cao
4. Lessons Learned from Evaluating China’s New Cooperative Medical Scheme 55
Mo Yu, Xiaoyan He, Yunxin Hou, Xue Li
5. Toward a Structured Process to Evaluate Health Inequities: Lessons Learned from Developing and Implementing Evaluation Guidelines to Address Health Inequities 65
Sanjeev Sridharan, Kun Zhao, April Nakaima, Joanna Maplazi, Mo Yu, Yingpeng Qiu
6. Equity Is Not an Intervention: Implications of Evaluation—Reflections from India 79
7. The Challenge of Evaluating Equity in Health: Experiences from India’s Maternal Health Program 91
8. Lessons from Chile’s Use of System-Level Theory of Change to Implement a Policy Redesign Process to Address Health Inequities 101
Orielle Solar, Patricia Frenz
9. Building Evaluation Capacity to Address Problems of Equity 115
10. Inequities and Evaluation Influence 127
Melvin M. Mark