COVID-19 vaccination willingness in peri-urban Tanzanian communities: Towards contextualising and moving beyond the individual perspective.

With only 5.1% of the population fully vaccinated against COVID-19, Tanzania has one of the lowest vaccination rates in the world and after two years of changing policies regarding the disease, the country struggles to get its vaccination campaign on the rails. In this study, we identify the determinants of COVID-19 vaccination willingness in two villages of the Mvomero district in Eastern Tanzania.

Theory-based evaluation of the impact of Master's programmes in development studies: Insights from a mixed-methods and multicultural alumni action research project.

To understand the impact of the international Master's programmes offered at the Institute of Development Policy (University of Antwerp), a theory-based evaluation was undertaken. In the first phase, a Theory of Change (ToC) was elaborated, distinguishing between three levels of impact (individual, organisational and societal), four learning dimensions (knowledge, skills, attitudes and networks) and five implicit pathways (change agent, social network, widening access, academic diversity, international understanding). Given the multifaceted and vague nature of the 'impact' concept under study, we selected an international, gender-balanced, multi-sectoral team of alumni researchers who fostered inclusiveness of different perspectives, at the same time capitalising on their depth of understanding, having gone through the study experience themselves.

Interventions for improving male involvement in maternal and child healthcare in Uganda: A realist synthesis.

This study aimed at understanding how, when, and under what circumstances interventions succeed (or fail) to improve male involvement in maternal and child healthcare in Uganda. A realist synthesis approach was used to unpack the complexity of these health interventions to explain their theories and applications in specific circumstances. Our review of 19 studies revealed that men were specifically approached as clients, partners or agents for behavioural change.

Adolescent Dating Violence Among Nicaraguan Youth.

This study examines the rates of victimization and perpetration of physical, sexual, and psychological dating violence among a sample of 193 ever-partnered Nicaraguan adolescents. Findings reveal high levels of partner violence, with 20% of students experiencing physical violence, 27% experiencing sexual violence, and 45-83% experiencing different types of psychological violence. For both victimization and perpetration, physical and sexual abuse were found to be positively correlated with psychological abuse, most notably for girl victims.

To evaluate or not: Evaluability study of 40 interventions of Belgian development cooperation.

Due to an increasing importance of evaluations within development cooperation, it has become all the more important to analyse if initial conditions for quality and relevant evaluations are met. This article presents the findings from an evaluability study of 40 interventions of Belgian development cooperation. A study framework was developed focusing on three key dimensions (i.

Combining Theory-Driven Evaluation and Causal Loop Diagramming for Opening the 'Black Box' of an Intervention in the Health Sector: A Case of Performance-Based Financing in Western Uganda.

Increased attention on "complexity" in health systems evaluation has resulted in many different methodological responses. Theory-driven evaluations and systems thinking are two such responses that aim for better understanding of the mechanisms underlying given outcomes. Here, we studied the implementation of a performance-based financing intervention by the Belgian Technical Cooperation in Western Uganda to illustrate a methodological strategy of combining these two approaches.

Performance-based financing: the same is different.

Although it is increasingly acknowledged within the Performance-Based Financing (PBF) research community that PBF is more than just payments based on outputs verified for quality, this narrow definition of PBF is still very present in many studies and evaluations. This leads to missed opportunities, misunderstandings and an unhelpful debate. Therefore, we reinforce the claim that PBF should be viewed as a reform package focused on targeted services with many different aspects that go beyond the health worker level.

Look Who's Talking. Explaining Water-Related Information Sharing and Demand for Action Among Ugandan Villagers.

Many national water policies propagate community-based participatory approaches to overcome weaknesses in supply-driven rural water provision, operation, and maintenance. Citizen involvement is thought to stimulate bottom-up accountability and broaden the information base, which may enrich design and implementation processes and foster improved water accessibility and sustainability. Practices on the ground, however, are embedded in socio-political realities which mediate possible beneficial effects of participatory approaches.

Opening the 'black box' of performance-based financing in low- and lower middle-income countries: a review of the literature.

Although performance-based financing (PBF) receives increasing attention in the literature, a lot remains unknown about the exact mechanisms triggered by PBF arrangements. This article aims to summarize current knowledge on how PBF works, set out what still needs to be investigated and formulate recommendations for researchers and policymakers from donor and recipient countries alike. Drawing on an extensive systematic literature review of peer-reviewed journals, we analysed 35 relevant articles.

Building national M&E systems in the context of changing aid modalities: the underexplored potential of national evaluation societies.

Changes in the aid architecture have provided a renewed impetus for monitoring and evaluation (M&E), while simultaneously imposing a major reform agenda on the key players involved. More specifically, since 1999, aid-dependent countries have been facing pressure to strengthen their national M&E systems, while donors have been asked to refrain from using their own parallel systems and to rely instead on country systems. Surprisingly, attempts to strengthen national M&E frameworks have thus far largely overlooked the potential of national evaluation societies (NES).

Taking stock of monitoring and evaluation systems in the health sector: findings from Rwanda and Uganda.

In the context of sector-wide approaches and the considerable funding being put into the health sectors of low-income countries, the need to invest in well-functioning national health sector monitoring and evaluation (M&E) systems is widely acknowledged. Regardless of the approach adopted, an important first step in any strategy for capacity development is to diagnose the quality of existing systems or arrangements, taking into account both the supply and demand sides of M&E. As no standardized M&E diagnostic instrument currently exists, we first invested in the development of an assessment tool for sector M&E systems.