We followed a two-step approach: initially, at Beta case study level using a combination of deductive and inductive approaches [ 33, 34], and then a meta-synthesis that drew upon the analytical themes from other case studies, which were predominantly in acute hospitals.
A descriptive analysis was performed at the case study and cross-case studies level.
The key finding of the case study research at local level was that, while interviewees could point to local examples of benefits realization, there has so far been only limited evaluation of the experience of implementation and of the impact of Agenda for Change.
In addition, at the district level, the case study team interviewed district officials, community health volunteers, preprimary teachers, and day care providers.
Consistent with UNICEF's focus on incorporating strategies to improve gender equity, during field visit interviews at national and district levels, the case study team noted that women were well represented in leadership roles.
However, such an investigation has subsequently been done at national level, based on the case study illustrated in this paper.
The marginal cost at the median level of coverage in the case study dataset is over 25 times the equivalent value for the financial dataset (INR335 and INR 13, respectively).
This study illustrates that the case study approach for assessing a curriculum functioning at a suboptimal level, can be valuable.
These considerations are particularly relevant when the assessment is related to the justification of, and accountability for, funding at a national level, even if the case studies are conducted at project or research unit level.
As described above, informants in the case studies included program managers at the local agency level, community development workers and artists all of whom provided insights into the ways in which social capital is put into practice.
