User partners (i.e., senior managers responsible for the services included in the study) contributed to the final selection of study sites by identifying sub-districts classified as priority areas for utilisation and access evaluation.
The approach is informed by the Viable Systems Model (VSM) and utilisation-focussed evaluation and, falls within the tradition of facilitated modelling approaches to operational research.
Whilst not all parameters have been measured in this work, the research collectively fills gaps in knowledge to better enable utilisation of critical compatibility models and evaluation tools.
The RPS programme in Nicaragua was able to successfully improve both health service utilisation and supply, though the evaluation did not measure health outcomes.
Humanitarian organisations should however endeavour to disseminate routinely collected mortality data and improve utilisation of data for operational planning and evaluation.
Principles of participatory, process-based and utilisation-focused evaluation are embedded in this toolkit and shown to be critical to its success, achieving high face-validity and wide applicability.
Public availability of regulatory documents as well as information from publications regarding evidence procurement, evaluation and utilisation, and its impact on decision-making, was sparse and unbalanced.
The project was novel in its focus on primary care management of HF, the utilisation of implementation science knowledge in its design, delivery and evaluation, and the fundamental role of heart failure specialist nurses (HFSNs) in achieving its objectives.
An improved understanding of the strategic targeting and appropriate utilisation of policy levers may assist in the delivery and evaluation of evidence-based mental health reform in the future.
The evaluation will analyse the effect on patient health and functional status, patient experiences and hospital utilisation, and it will conduct an economic evaluation.
