IDEAS home Printed from https://ideas.repec.org/a/eee/socmed/v131y2015icp10-17.html
   My bibliography  Save this article

Challenging logics of complex intervention trials: Community perspectives of a health care improvement intervention in rural Uganda

Author

Listed:
  • Okwaro, Ferdinand M.
  • Chandler, Clare I.R.
  • Hutchinson, Eleanor
  • Nabirye, Christine
  • Taaka, Lilian
  • Kayendeke, Miriam
  • Nayiga, Susan
  • Staedke, Sarah G.

Abstract

Health systems in many African countries are failing to provide populations with access to good quality health care. Morbidity and mortality from curable diseases such as malaria remain high. The PRIME trial in Tororo, rural Uganda, designed and tested an intervention to improve care at health centres, with the aim of reducing ill-health due to malaria in surrounding communities. This paper presents the impact and context of this trial from the perspective of community members in the study area.

Suggested Citation

  • Okwaro, Ferdinand M. & Chandler, Clare I.R. & Hutchinson, Eleanor & Nabirye, Christine & Taaka, Lilian & Kayendeke, Miriam & Nayiga, Susan & Staedke, Sarah G., 2015. "Challenging logics of complex intervention trials: Community perspectives of a health care improvement intervention in rural Uganda," Social Science & Medicine, Elsevier, vol. 131(C), pages 10-17.
    • Handle: RePEc:eee:socmed:v:131:y:2015:i:c:p:10-17
    DOI: 10.1016/j.socscimed.2015.02.032
    as

    Download full text from publisher

    File URL: http://www.sciencedirect.com/science/article/pii/S0277953615001240
    Download Restriction: Full text for ScienceDirect subscribers only
    File URL: https://libkey.io/10.1016/j.socscimed.2015.02.032?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 search for a different version of it.

    References listed on IDEAS

    as
    1. Jitta, Jessica & Whyte, Susan Reynolds & Nshakira, Nathan, 2003. "The availability of drugs: what does it mean in Ugandan primary care," Health Policy, Elsevier, vol. 65(2), pages 167-179, August.
    2. Sridharan, Sanjeev & Nakaima, April, 2011. "Ten steps to making evaluation matter," Evaluation and Program Planning, Elsevier, vol. 34(2), pages 135-146, May.
    3. Clark, Alexander M., 2013. "What are the components of complex interventions in healthcare? Theorizing approaches to parts, powers and the whole intervention," Social Science & Medicine, Elsevier, vol. 93(C), pages 185-193.
    4. Amy Maxmen, 2012. "Public health: Death at the doorstep," Nature, Nature, vol. 484(7395), pages 19-21, April.
    5. Geof Wood & Meera Tiwari & Stephen A. Bell & Peter Aggleton, 2012. "Integrating Ethnographic Principles In Ngo Monitoring And Impact Evaluation," Journal of International Development, John Wiley & Sons, Ltd., vol. 24(6), pages 795-807, August.
    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. Sridharan, Sanjeev & Jones, Bobby & Caudill, Barry & Nakaima, April, 2016. "Steps towards incorporating heterogeneities into program theory: A case study of a data-driven approach," Evaluation and Program Planning, Elsevier, vol. 58(C), pages 88-97.
    2. Clark, Alexander M., 2013. "What are the components of complex interventions in healthcare? Theorizing approaches to parts, powers and the whole intervention," Social Science & Medicine, Elsevier, vol. 93(C), pages 185-193.
    3. Jennifer Hunt, 2007. "Bribery In Health Care In Peru And Uganda," Departmental Working Papers 2007-02, McGill University, Department of Economics.
    4. West, Robert M. & House, Allan O. & Keen, Justin & Ward, Vicky L., 2015. "Using the structure of social networks to map inter-agency relationships in public health services," Social Science & Medicine, Elsevier, vol. 145(C), pages 107-114.
    5. Sridharan, Sanjeev & Nakaima, April, 2023. "Learning from experiences of evaluators implementing theory-driven evaluations in diverse settings: Building on the contributions of John Mayne," Evaluation and Program Planning, Elsevier, vol. 97(C).
    6. Justine Trompette & Joëlle Kivits & Laetitia Minary & François Alla, 2020. "Dimensions of the Complexity of Health Interventions: What Are We Talking about? A Review," IJERPH, MDPI, vol. 17(9), pages 1-21, April.
    7. Juan, Parra, 2017. "¿Qué Funciona, Para Quién, En Qué Aspectos, Hasta Qué Punto, En Qué Contexto Y Cómo? Una Introducción A La Evaluación Realista Y Sus Métodos [What Works, For Whom, In What Respects, To What Extent,," MPRA Paper 81137, University Library of Munich, Germany.
    8. Lydia Kapiriri & Douglas K. Martin, 2007. "Bedside Rationing by Health Practitioners: A Case Study in a Ugandan Hospital," Medical Decision Making, , vol. 27(1), pages 44-52, January.
    9. Mehdipanah, Roshanak & Manzano, Ana & Borrell, Carme & Malmusi, Davide & Rodriguez-Sanz, Maica & Greenhalgh, Joanne & Muntaner, Carles & Pawson, Ray, 2015. "Exploring complex causal pathways between urban renewal, health and health inequality using a theory-driven realist approach," Social Science & Medicine, Elsevier, vol. 124(C), pages 266-274.
    10. McDougall, A. & Goldszmidt, M. & Kinsella, E.A. & Smith, S. & Lingard, L., 2016. "Collaboration and entanglement: An actor-network theory analysis of team-based intraprofessional care for patients with advanced heart failure," Social Science & Medicine, Elsevier, vol. 164(C), pages 108-117.
    11. Hunt, Jennifer, 2010. "Bribery in health care in Uganda," Journal of Health Economics, Elsevier, vol. 29(5), pages 699-707, September.
    12. Nordhagen, Stella & Nielsen, Jennifer & van Mourik, Tom & Smith, Erin & Klemm, Rolf, 2019. "Fostering CHANGE: Lessons from implementing a multi-country, multi-sector nutrition-sensitive agriculture project," Evaluation and Program Planning, Elsevier, vol. 77(C).
    13. Parkhurst, Justin Oliver & Penn-Kekana, Loveday & Blaauw, Duane & Balabanova, Dina & Danishevski, Kirill & Rahman, Syed Azizur & Onama, Virgil & Ssengooba, Freddie, 2005. "Health systems factors influencing maternal health services: a four-country comparison," Health Policy, Elsevier, vol. 73(2), pages 127-138, August.
    14. Boniface Ayanbekongshie Ushie & David Betelwhobel Ugal & Justin Agorye Ingwu, 2016. "Overdependence on For-Profit Pharmacies: A Descriptive Survey of User Evaluation of Medicines Availability in Public Hospitals in Selected Nigerian States," PLOS ONE, Public Library of Science, vol. 11(11), pages 1-13, November.
    15. Arasanz, Carla & Nylen, Kirk, 2020. "The theory of change of the evaluation support program: Enhancing the role of community organizations in providing an ecology of care for neurological disorders," Evaluation and Program Planning, Elsevier, vol. 80(C).
    16. Tannahill, Carol & Sridharan, Sanjeev, 2013. "Getting real about policy and practice needs: Evaluation as a bridge between the problem and solution space," Evaluation and Program Planning, Elsevier, vol. 36(1), pages 157-164.
    17. Dunkley, Ria A. & Franklin, Alex, 2017. "Failing better: The stochastic art of evaluating community-led environmental action programs," Evaluation and Program Planning, Elsevier, vol. 60(C), pages 112-122.
    18. Cole, Donald C. & Levin, Carol & Loechl, Cornelia & Thiele, Graham & Grant, Frederick & Girard, Aimee Webb & Sindi, Kirimi & Low, Jan, 2016. "Planning an integrated agriculture and health program and designing its evaluation: Experience from Western Kenya," Evaluation and Program Planning, Elsevier, vol. 56(C), pages 11-22.
    19. Martina Hutton & Canan Corus & Joshua Dorsey & Elizabeth Minton & Caroline Roux & Christopher P. Blocker & Jonathan Z. Zhang, 2022. "Getting real about consumer poverty: Deep processes for transformative action," Journal of Consumer Affairs, Wiley Blackwell, vol. 56(3), pages 1332-1355, September.
    20. Schultes, Marie-Therese & Kollmayer, Marlene & Mejeh, Mathias & Spiel, Christiane, 2018. "Attitudes toward evaluation: An exploratory study of students’ and stakeholders’ social representations," Evaluation and Program Planning, Elsevier, vol. 70(C), pages 44-50.

    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:socmed:v:131:y:2015:i:c:p:10-17. 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/wps/find/journaldescription.cws_home/315/description#description .

    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.