WITHDRAWN: Understanding the complexity of population health interventions: assessing intervention system theory (ISyT)

Cambon, Linda; Alla, François

doi:10.21203/rs.3.rs-93699/v1

Cited by 3 publications

(2 citation statements)

References 21 publications

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“…The theoretical perspectives also provide new ways of examining coordination beyond simplistic conceptual frameworks. For example, the usual approach of dividing coordination context into legal, political, economic and social dimensions exemplifies a thematical categorisation for descriptive purposes, an entirely different thing from a theoretical approach 88. A (multi)theoretical approach permits a more profound and multifaceted analysis of complex phenomena.…”

Section: Discussionmentioning

confidence: 99%

‘Writing budgets for meetings and teas?’: a multitheoretical analysis of intragovernmental coordination for multisectoral action for health in Uganda

et al. 2022

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IntroductionCoordination across policy domains and among government agencies is considered critical for addressing complex challenges such as inequities, urbanisation and climate change. However, the factors influencing coordination among government entities in low-income and middle-income countries are not well known. Although theory building is well suited to explain complex social phenomena, theory-based health policy and systems studies are limited. This paper examined the factors influencing coordination among government entities at the central government level in Uganda.MethodsThis theory-based case study used a qualitative approach. Primary data were collected through 26 national-level key informant interviews supplemented with a review of 6 national strategic and policy documents. Data were analysed abductively using a multitheoretical framework combining the transaction cost economics theory, principal–agent theory, resource dependence theory and political economy perspective.ResultsComplex and dynamic interactions among different factors, both internal and external to the government, were found. Interdependencies, coordination costs, non-aligned interests, and institutional and ideational aspects were crucial factors. The power dynamics within the bureaucratic structures and the agency of the coordinated entities influence the effectiveness of coordination efforts. New public management principles promoted in the 1990s by donor institutional strengthening projects (characterised by agencification and setting up of independent agencies to circumvent ineffective big line ministries) created further fragmentation within the government. The donors and international agendas were occasionally supportive but sometimes counterintuitive to national coordination efforts.ConclusionThe multitheoretical framework derives a deep analysis of the factors that influence organisational decision-making to coordinate with others or not. Achieving intragovernmental coordination requires more time and resources to guide the software aspects of institutional change—articulating a shared vision on coordination across government. Shaping incentives to align interests, managing coordination costs and navigating historical-institutional contexts are critical. Countervailing political actions and power dynamics should be judiciously navigated.

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Section: Discussionmentioning

confidence: 99%

‘Writing budgets for meetings and teas?’: a multitheoretical analysis of intragovernmental coordination for multisectoral action for health in Uganda

et al. 2022

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“…In order to go further, the outcomes of impact evaluation should incorporate contextual and implementation outcomes [108]. In that sense, different tools [109,110] or approaches, such as theorydriven outcomes evaluation [111,112], may help to enhance impact evaluation designs. By doing so, impact evaluation may improve the generalizability or the transferability of the findings.…”

Section: Implications For Impact Evaluation Studiesmentioning

confidence: 99%

Quantitative Methods Used to Evaluate Impact of Combination HIV Prevention Intervention: A Methodological Systematic Review

et al. 2023

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Combination HIV prevention aims to provide the right mix of biomedical, behavioral and structural interventions, and is considered the best approach to curb the HIV pandemic. The impact evaluation of combined HIV prevention intervention (CHPI) provides critical information for decision making. We conducted a systematic review of the literature to map the designs and methods used in these studies. We searched original articles indexed in Web of Science, Scopus and PubMed. Fifty-eight studies assessing the impact of CHPI on HIV transmission were included. Most of the studies took place in Asia or sub-Saharan Africa and were published from 2000 onward. We identified 36 (62.1%) quasi-experimental studies (posttest, pretest-posttest and nonequivalent group designs) and 22 (37.9%) experimental studies (randomized designs). The findings suggest that diverse methods are already rooted in CHPI impact evaluation practices as recommended but should be better reported. CHPI impact evaluation would benefit from more comprehensive approaches.

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A Theory-Driven Approach to Unpack the Black Box of Complex Interventions: Assessing Interventional Systems

Cambon

Alla

2023

Global Handbook of Health Promotion Research, Vol. 3

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WITHDRAWN: Understanding the complexity of population health interventions: assessing intervention system theory (ISyT)

Cited by 3 publications

References 21 publications

‘Writing budgets for meetings and teas?’: a multitheoretical analysis of intragovernmental coordination for multisectoral action for health in Uganda

‘Writing budgets for meetings and teas?’: a multitheoretical analysis of intragovernmental coordination for multisectoral action for health in Uganda

Quantitative Methods Used to Evaluate Impact of Combination HIV Prevention Intervention: A Methodological Systematic Review

A Theory-Driven Approach to Unpack the Black Box of Complex Interventions: Assessing Interventional Systems

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