A practical example of Contribution Analysis to a public health intervention

The theory of Contribution Analysis (CA) as a method of evaluating complex programs has been written about extensively and has evolved considerably since it was first introduced by John Mayne in 1999. We applied Mayne’s six steps to CA and Lemire et al.’s newly proposed framework, the Relevant Explanation Finder (REF), to a state-wide public health intervention delivered in New South Wales, Australia. We argue that CA in conjunction with the REF adds value in improving practitioners’ understanding of the assumptions and underlying mechanisms which influence program delivery and outcomes in real world practice. This participatory process increased practitioners’ ownership and accountability for the program logic and drive for improvement. Although the REF has several methodological benefits we argue that the framework needs to be sufficiently flexible to account for different levels of available evidence and stages of program delivery.

[1]  Sebastian Lemire,et al.  Making contribution analysis work: A practical framework for handling influencing factors and alternative explanations , 2012 .

[2]  Lawrence W. Green,et al.  Health Program Planning: An Educational and Ecological Approach , 2004 .

[3]  Bradley Shrimpton,et al.  Contribution analysis , 2007 .

[4]  F. Leeuw,et al.  Unpacking Black Boxes: Mechanisms and Theory Building in Evaluation , 2010 .

[5]  John Mayne,et al.  Contribution analysis: Coming of age? , 2012 .

[6]  John Mayne,et al.  Addressing Attribution through Contribution Analysis: Using Performance Measures Sensibly , 2001, Canadian Journal of Program Evaluation.

[7]  John Mayne,et al.  Challenges and Lessons in Implementing Results-Based Management , 2007 .

[8]  A. Rotem,et al.  A framework for evaluating the impact of the United Nations fellowship programmes , 2010, Human resources for health.

[9]  S. French,et al.  Environmental interventions to promote vegetable and fruit consumption among youth in school settings. , 2003, Preventive medicine.

[10]  M. Mckee,et al.  Getting children to eat more fruit and vegetables: a systematic review. , 2006, Preventive medicine.

[11]  K. Lock,et al.  Will European agricultural policy for school fruit and vegetables improve public health? A review of school fruit and vegetable programmes. , 2008, European journal of public health.

[12]  T. Greenhalgh,et al.  Realist synthesis - an introduction , 2004 .

[13]  Thomas Delahais,et al.  Applying contribution analysis: Lessons from five years of practice , 2012 .

[14]  Steve Montague,et al.  Applications of contribution analysis to outcome planning and impact evaluation , 2012 .

[15]  J. Kimberly,et al.  The sustainability of new programs and innovations: a review of the empirical literature and recommendations for future research , 2012, Implementation Science.

[16]  X. Bonfill,et al.  Primary school interventions to promote fruit and vegetable consumption: a systematic review and meta-analysis. , 2011, Preventive medicine.