IDEAS home Printed from https://ideas.repec.org/a/eee/epplan/v92y2022ics0149718922000210.html
   My bibliography  Save this article

Appreciative inquiry and the co-creation of an evaluation framework for Extension for Community Healthcare Outcomes (ECHO) implementation: a two-country experience

Author

Listed:
  • Ghosh, Smita
  • Struminger, Bruce B.
  • Singla, Neeta
  • Roth, Brenna M.
  • Kumar, Anil
  • Anand, Sunil
  • Mtete, Emmanuel
  • Lusekelo, Jacob
  • Massawe, Irene
  • Jarpe-Ratner, Elizabeth
  • Seweryn, Steven M.
  • Risley, Kris
  • Moonan, Patrick K.
  • Pinsker, Eve

Abstract

Persistent gaps exist in healthcare workers’ capacity to address HIV and tuberculosis in Asia and Africa due to constraints in resources and knowledge. Project ECHO (Extension for Community Healthcare Outcomes) leverages video-enabled technology to build workforce capacity and promote collaboration through mentorship and case-based learning. To understand current perceptions of ECHO participants and develop a comprehensive evaluation framework for ECHO implementation, we utilized modified appreciative inquiry guided focus group discussions (FGD) in India and Tanzania and called it SCORE (Strengths, Challenges, Opportunities, Results, and Evaluation). Content and thematic analysis of transcripts from FGDs and key-informant interviews triangulated perceptions of diverse stakeholders about ECHO implementation and identified key elements for development of the framework. The perceived strengths (S) were capacity building and establishing communities of practice. The perceived challenges (C) included securing resources, engaging leadership, and building systems for monitoring impact. Improved internet connectivity, addressing logistical challenges, encouraging session interactivity, and having strategic scale-up plans were perceived opportunities (O). Additionally, gathering measurable results (R) led to development of a comprehensive evaluation (E) framework. Contextualizing and facilitating SCORE with qualitative analysis of findings 6–12 months post-ECHO implementation may serve as a best practice to assess mid-course corrections to improve ECHO implementation quality.

Suggested Citation

  • Ghosh, Smita & Struminger, Bruce B. & Singla, Neeta & Roth, Brenna M. & Kumar, Anil & Anand, Sunil & Mtete, Emmanuel & Lusekelo, Jacob & Massawe, Irene & Jarpe-Ratner, Elizabeth & Seweryn, Steven M. &, 2022. "Appreciative inquiry and the co-creation of an evaluation framework for Extension for Community Healthcare Outcomes (ECHO) implementation: a two-country experience," Evaluation and Program Planning, Elsevier, vol. 92(C).
    • Handle: RePEc:eee:epplan:v:92:y:2022:i:c:s0149718922000210
    DOI: 10.1016/j.evalprogplan.2022.102067
    as

    Download full text from publisher

    File URL: http://www.sciencedirect.com/science/article/pii/S0149718922000210
    Download Restriction: Full text for ScienceDirect subscribers only
    File URL: https://libkey.io/10.1016/j.evalprogplan.2022.102067?utm_source=ideas
    LibKey link: if access is restricted and if your library uses this service, LibKey will redirect you to where you can use your library subscription to access this item
    ---><---

    As the access to this document is restricted, you may want to

    for a different version of it.

    References listed on IDEAS

    as
    1. Chouinard, Jill Anne & Milley, Peter, 2018. "Uncovering the mysteries of inclusion: Empirical and methodological possibilities in participatory evaluation in an international context," Evaluation and Program Planning, Elsevier, vol. 67(C), pages 70-78.
    2. Cornwall, Andrea & Jewkes, Rachel, 1995. "What is participatory research?," Social Science & Medicine, Elsevier, vol. 41(12), pages 1667-1676, December.
    Full references (including those not matched with items on IDEAS)

    Most related items

    These are the items that most often cite the same works as this one and are cited by the same works as this one.
    1. Caroline Patsias & Anne Latendresse & Laurence Bherer, 2013. "Participatory Democracy, Decentralization and Local Governance: the Montreal Participatory Budget in the light of ‘Empowered Participatory Governance’," International Journal of Urban and Regional Research, Wiley Blackwell, vol. 37(6), pages 2214-2230, November.
    2. Ines Testoni & Irene Nencioni & Maibrit Arbien & Erika Iacona & Francesca Marrella & Vittoria Gorzegno & Cristina Selmi & Francesca Vianello & Alfonso Nava & Adriano Zamperini & Michael Alexander Wies, 2021. "Mental Health in Prison: Integrating the Perspectives of Prison Staff," IJERPH, MDPI, vol. 18(21), pages 1-14, October.
    3. Zemadim, B. & McCartney, Matthew & Langan, Simon & Sharma, Bharat, 2013. "A participatory approach for hydrometeorological monitoring in the Blue Nile River Basin of Ethiopia," IWMI Reports 201009, International Water Management Institute.
    4. Lisa M. Vaughn & MaryAnn Lohmueller, 2014. "Calling All Stakeholders," Evaluation Review, , vol. 38(4), pages 336-355, August.
    5. Ana Luiza Fontenelle & Erik Nilsson & Ieda Geriberto Hidalgo & Cintia B. Uvo & Drielli Peyerl, 2022. "Temporal Understanding of the Water–Energy Nexus: A Literature Review," Energies, MDPI, vol. 15(8), pages 1-21, April.
    6. So Pyay Thar & Thiagarajah Ramilan & Robert J. Farquharson & Deli Chen, 2021. "Identifying Potential for Decision Support Tools through Farm Systems Typology Analysis Coupled with Participatory Research: A Case for Smallholder Farmers in Myanmar," Agriculture, MDPI, vol. 11(6), pages 1-20, June.
    7. Theresia Krieger & Sandra Salm & Antje Dresen & Anna Arning & Kathrin Schwickerath & Andrea Göttel & Stefanie Houwaart & Holger Pfaff & Natalia Cecon, 2022. "Optimizing Patient Information Material for a New Psycho-Oncological Care Program Using a Participatory Health Research Approach in Germany," IJERPH, MDPI, vol. 19(3), pages 1-17, January.
    8. Jo Aldridge, 2017. "Introduction to the Issue: “Promoting Children’s Participation in Research, Policy and Practice”," Social Inclusion, Cogitatio Press, vol. 5(3), pages 89-92.
    9. Weaich, Malcolm, 2024. "Exploring the Transdisciplinary Nexus of Young People's Future Livelihoods and Relational Well-Being: A Bibliometric Approach," SocArXiv fhng9_v1, Center for Open Science.
    10. Sollis, Kate & Yap, Mandy & Campbell, Paul & Biddle, Nicholas, 2022. "Conceptualisations of wellbeing and quality of life: A systematic review of participatory studies," World Development, Elsevier, vol. 160(C).
    11. Bernard Amadei, 2020. "A Systems Approach to Building Community Capacity and Resilience," Challenges, MDPI, vol. 11(2), pages 1-23, October.
    12. Chung, Kimberly & Lounsbury, David W., 2006. "The role of power, process, and relationships in participatory research for statewide HIV/AIDS programming," Social Science & Medicine, Elsevier, vol. 63(8), pages 2129-2140, October.
    13. Alexandra Lenis Escobar & Ramón Rueda López & Jorge E. García Guerrero & Enrique Salinas Cuadrado, 2020. "Design of Strategies for the Implementation and Management of a Complementary Monetary System Using the SWOT-AHP Methodology," Sustainability, MDPI, vol. 12(17), pages 1-23, August.
    14. Melvyn W.B. Zhang & Jiangbo Ying, 2019. "Incorporating Participatory Action Research in Attention Bias Modification Interventions for Addictive Disorders: Perspectives," IJERPH, MDPI, vol. 16(5), pages 1-11, March.
    15. Nidhi Wali & Andre M N Renzaho, 2018. "“Our riches are our family”, the changing family dynamics & social capital for new migrant families in Australia," PLOS ONE, Public Library of Science, vol. 13(12), pages 1-14, December.
    16. Akbari, Pardis & Gkartzios, Menelaos & Bafarasat, Abbas Ziafati, 2025. "Making governments act on Sustainable Development Goals: The case of critical peer discourse in poverty relief," SocArXiv ga4sv_v1, Center for Open Science.
    17. Anteneh Mekuria Tesfaye & Tyali Siyasanga M, 2025. "Barriers to inclusive stakeholders’ participation in Northwest Ethiopia’s agricultural sector," Palgrave Communications, Palgrave Macmillan, vol. 12(1), pages 1-9, December.
    18. John‐Michael Davis & Yaakov Garb, 2019. "Participatory shaping of community futures in e‐waste processing hubs: Complexity, conflict and stewarded convergence in a Palestinian context," Development Policy Review, Overseas Development Institute, vol. 37(1), pages 67-89, January.
    19. Corrine Nöel Knapp & Robin S. Reid & María E. Fernández-Giménez & Julia A. Klein & Kathleen A. Galvin, 2019. "Placing Transdisciplinarity in Context: A Review of Approaches to Connect Scholars, Society and Action," Sustainability, MDPI, vol. 11(18), pages 1-25, September.
    20. Hamzeh, J. & Pluye, P. & Bush, P.L. & Ruchon, C. & Vedel, I. & Hudon, C., 2019. "Towards an assessment for organizational participatory research health partnerships: A systematic mixed studies review with framework synthesis," Evaluation and Program Planning, Elsevier, vol. 73(C), pages 116-128.

    More about this item

    Keywords

    ;
    ;
    ;
    ;
    ;
    ;
    ;

    Statistics

    Access and download statistics

    Corrections

    All material on this site has been provided by the respective publishers and authors. You can help correct errors and omissions. When requesting a correction, please mention this item's handle: RePEc:eee:epplan:v:92:y:2022:i:c:s0149718922000210. See general information about how to correct material in RePEc.

    If you have authored this item and are not yet registered with RePEc, we encourage you to do it here. This allows to link your profile to this item. It also allows you to accept potential citations to this item that we are uncertain about.

    If CitEc recognized a bibliographic reference but did not link an item in RePEc to it, you can help with this form .

    If you know of missing items citing this one, you can help us creating those links by adding the relevant references in the same way as above, for each refering item. If you are a registered author of this item, you may also want to check the "citations" tab in your RePEc Author Service profile, as there may be some citations waiting for confirmation.

    For technical questions regarding this item, or to correct its authors, title, abstract, bibliographic or download information, contact: Catherine Liu (email available below). General contact details of provider: http://www.elsevier.com/locate/evalprogplan .

    Please note that corrections may take a couple of weeks to filter through the various RePEc services.

    IDEAS is a RePEc service. RePEc uses bibliographic data supplied by the respective publishers.