Sanjeev Sridharan
Biographic Data
| ID | 279705 |
|---|---|
| NAME | Sanjeev Sridharan |
| GIVEN NAMES | Sanjeev |
| FAMILY NAME | Sridharan |
| SIGNATURE | SRIDHARAN S |
| AFFILIATIONS | St. Michael's Hospital |
| ORCID | 0000-0002-0392-3084 |
| VERIFIED | Yes |
| TOTAL WORKS | 36 |
| TOTAL CITATIONS | 63 |
| AUTHOR COUNT | 36 |
| EDITOR COUNT | 0 |
| FIRST PUBLICATION YEAR | 2003 |
| LATEST PUBLICATION YEAR | 2026 |
| H-INDEX | 4 |
Lessons from Hawai‘i in Building an Ecology of Knowledge
In this paper, we show how widely used evaluation criteria grounded in Western epistemologies—such as the Organisation for Economic Co-operation & Development, Development Assistance Committee framework—fall short, especially in Indigenous and culturally diverse contexts. Drawing on Indigenous critiques and Hawaiian epistemology, the paper highlights fundamental differences in how valuing is understood across traditions. Indigenous worldviews emp…
The landscape of family medicine in India – A cross-sectional survey study
Family medicine was recognized as a distinct specialty in India in the early 1980s, but it is at an early stage of implementation. There are few training programs, and little is known about family physicians’ training, perceptions, and current practices. This paper describes the findings from the first national survey of family medicine in India. We administered the Landscape of Family Medicine in India survey to members of the Academy of Family …
Nothing about me without me
Towards an evolutionary approach to learning from assumptions
Testing theory of change assumptions of health behavior change interventions
This paper used a blended approach that involves multiple techniques to, first, test a set of assumptions around a health behavior change communication intervention theory of change (ToC) and, second, surface some unidentified assumptions involving the local context. The intervention was integrated with women's self-help groups (SHGs) in Uttar Pradesh, India. The key assumption tested in this paper was the linkage between SHG membership, program …
Learning from experiences of evaluators implementing theory-driven evaluations in diverse settings
Pioneering family physicians and the mechanisms for strengthening primary health care in India—A qualitative descriptive study
India has one of the most unequal healthcare systems globally, lagging behind its economic development. Improved primary care and primary health care play an integral role in overcoming health disparities. Family medicine is a subset of primary care—delivered by family physicians, characterized by comprehensive, continuous, coordinated, collaborative, personal, family and community-oriented services—and may be able to fill these gaps. This resear…
The emergence of family medicine in India–A qualitative descriptive study
Countries globally are introducing family medicine to strengthen primary health care; however, for many, that process has been slow. Understanding the implementation of family medicine in a national context is complex but critical to uncovering what worked, the challenges faced, and how the process can be improved. This study explores how family medicine was implemented in India and how early cohort family physicians supported the field’s emergen…
Causality and Complexity in Evaluating Equity Interventions
We discuss how explicit thinking about a variety of causal pathways, informed by a dynamic systems lens that is responsible for exacerbating and diminishing inequities as well as different types of complexities (related to program pathways), will further help develop theory-driven evaluation approaches such as Contribution Analysis. We argue that contribution claims associated with interventions focused on addressing inequities need to consider t…
The role of evaluation in iterative learning and implementation of quality of care interventions
Background: The Lancet Global Health Commission (LGHC) has argued that quality of care (QoC) is an emergent property that requires an iterative process to learn and implement. Such iterations are required given that health systems are complex adaptive systems.Objective: This paper explores the multiple roles that evaluations need to play in order to help with iterative learning and implementation. We argue evaluation needs to shift from a summati…
Reflections on experiential learning in evaluation capacity building with a community organization, Dancing With Parkinson’s
Valuing and embracing complexity
Experiments in evaluation capacity building
Till Time (and Poor Planning) Do Us Part
This article describes the need for, and challenge of, representing the sustainability of a program as a dynamic process. Part of what enhances the complexity of programs is the challenge of dynamic complexity—the complexity of the program evolves over time through the interaction of actors and their environment. The problem is not just one of representation but also of planning—specifically planning for sustainability. We argue that an essential…
Heterogeneities in utilization of antenatal care in Uttar Pradesh, India
BACKGROUND: This paper explores the heterogeneities in antenatal care (ANC) utilization in India's most populated state, Uttar Pradesh. Taking an intersectionality lens, multiple individual- and district-level factors are used to identify segments of any antenatal care usage in Uttar Pradesh Objective: This paper seeks to understand the multilevel contexts of ANC utilization. The planning and programming challenge is that such knowledge of contex…
Towards an understanding of the multilevel factors associated with maternal health care utilization in Uttar Pradesh, India
BACKGROUND: This paper explores the multilevel factors associated with maternal health utilization in India's most populous state, Uttar Pradesh. 3 key utilization practices: registration of pregnancy, receipt of antenatal care, and delivery at home are examined for district and individual level predictors. The data is based on 5666 household surveys conducted as part of a baseline evaluation of the Uttar Pradesh Technical Support Unit (UPTSU.) p…
Incorporating gender, equity, and human rights into the action planning process
BACKGROUND: Mainstreaming of gender, equity, and human rights (GER) is an important focus of the World Health Organization (WHO) and other UN organizations. This paper explores the role of action plans in mainstreaming GER. This paper is informed by a theory-driven evaluation lens. DESIGN: A theory of change framework explored the following seven dimensions of how action plans can implement mainstreaming of GER: awareness of the foundations of GE…
One Client, One Team - Health Care Integration for Populations with Complex Care Needs
Introduction: Working in a provincial environment where the health care system is fragmented, across 60,000 primary care physicians, 155 hospitals, 162 home care providers, and over 1,000 community support service organization, presents a compelling need to integrate care and services to make the system less confusing for clients (patients), particularly those clients and their families with complex care needs, who frequently have to access servi…
One Client, One Team - Health Care Integration for Older Adults with Complex Care Needs
The International Journal of Integrated Care (IJIC) is an online, open-access, peer-reviewed scientific journal that publishes original articles in the field of integrated care on a continuous basis.IJIC has an Impact Factor of 2.913 (2021 JCR, received in June 2022)The IJIC 20th Anniversary Issue was published in 2021
Where theory and practice of global health intersect
OBJECTIVE: This paper examines the scope of practice of global health, drawing on the practical experience of a global health initiative of the Government of Canada--the Teasdale-Corti Global Health Research Partnership Program. A number of challenges in the practical application of theoretical definitions and understandings of global health are addressed. These challenges are grouped under five areas that form essential characteristics of global…
The Utility of a Realist Evaluation Approach in Implementing and Evaluating Health Equity Policy
This article discusses the utility of realist evaluation in influencing policies aimed at reducing health inequities and improving population health. Using an example of a National Demonstration program in Scotland, the article discusses how realist evaluation can help in several aspects of policy implementation: exploring “loss in translation” from policy aspirations to program design, interrogating the program design, developing a range of lear…
Towards an evidence base of theory-driven evaluations
This article discusses the further development of theory-driven evaluation approaches that are informed by contribution analysis. Using an illustrative example of an ongoing dance/physical activity programme for health promotion, a number of challenges are identified when applying a theory-driven evaluation approach. These challenges are reformulated as questions that need to be answered to make further progress with theory-driven evaluation incl…
Walking gently
The decision to commission new research is both a difficult and a highly contextualised one. The paper ‘To RCT or not to RCT’1 provides a flow chart to attempt to provide one way of thinking about ‘understandable methods of determining when more research really is needed’. Although the authors do not provide evidence that the state of the affairs in the existing commissioning process is poor, in this commentary we offer some thoughts on how the f…
Reaching the Hard-to-Reach
The concept of systematic inequalities in social and health outcomes has come to form part of contemporary policy discourse. This rhetoric is deployed even in the face of policy decisions widely viewed as iniquitous. Moreover, there is a widespread view, expressed across the political spectrum, that those in more deprived circumstances are less likely than their more affluent counterparts to be in receipt of optimal public services. Such individu…
On Ambition, Learning, and Co-Evolution
Using Exploratory Spatial Data Analysis to Leverage Social Indicator Databases
An exploratory spatial data analysis approach to understanding the relationship between deprivation and mortality in Scotland
Reaching the Hard-to-Reach
The concept of systematic inequalities in social and health outcomes has come to form part of contemporary policy discourse. This rhetoric is deployed even in the face of policy decisions widely viewed as iniquitous. Moreover, there is a widespread view, expressed across the political spectrum, that those in more deprived circumstances are less likely than their more affluent counterparts to be in receipt of optimal public services. Such individu…
Developing a Stakeholder-Driven Anticipated Timeline of Impact for Evaluation of Social Programs
The authors present a stakeholder-driven method, the earliest anticipated timeline of impact, which is designed to assess stakeholder expectations for the earliest time frame in which social programs are likely to affect outcomes. The utility of the anticipated timeline of impact is illustrated using an example from an evaluation of a comprehensive community initiative in which such a timeline was developed using the concept-mapping methodology. …
Using Event Structure Analysis to Understand Planned Social Change
In this article, the authors explore the application of Event Structure Analysis in understanding the linkages between events in planned social change. An illustrative example from the Comprehensive Strategy for Serious, Violent and Chronic Juvenile Offenders is used to highlight the key features of Event Structure Analysis
Towards an evidence base of theory-driven evaluations
This article discusses the further development of theory-driven evaluation approaches that are informed by contribution analysis. Using an illustrative example of an ongoing dance/physical activity programme for health promotion, a number of challenges are identified when applying a theory-driven evaluation approach. These challenges are reformulated as questions that need to be answered to make further progress with theory-driven evaluation incl…
Sustaining Problem‐solving Capacity in Collaborative Networks
Research Summary: Comprehensive Community Initiatives (CCIs) attempt to build collaborative networks within the community and enhance the community's collaborative social problem‐solving capacity to address specific criminal justice problems. In this paper, we use network analysis methods to operationalize the collaborative problem‐solving capacity in two sites involved in the Comprehensive Strategy for Serious, Violent and Chronic Juvenile Offen…
Walking gently
The decision to commission new research is both a difficult and a highly contextualised one. The paper ‘To RCT or not to RCT’1 provides a flow chart to attempt to provide one way of thinking about ‘understandable methods of determining when more research really is needed’. Although the authors do not provide evidence that the state of the affairs in the existing commissioning process is poor, in this commentary we offer some thoughts on how the f…
A Realist Evaluation Approach to Unpacking the Impacts of the Sentencing Guidelines
Evaluations of complex interventions such as sentencing guidelines provide an opportunity to understand the mechanisms by which policies and programs can impact intermediate and long-term outcomes. There is limited previous discussion of the underlying frameworks by which sentencing guidelines can impact outcomes such as crime rates. Guided by a realist evaluation framework, this article examines the impact of linkages of sentencing policy to res…
The Case of Top Beginnings and the Missing Child Outcomes
The Case of Top Beginnings and the Missing Child Outcomes is a fictionalized case study of a set of evaluation challenges faced in evaluating comprehensive initiatives that are seeking to build systems. In this case, the issue is a multistate foundation-funded early learning system building initiative that has to date primarily employed a case study approach that has provided a formative assessment of progress in building systems. Funders, practi…
Introduction to Special Section on “What is a Useful Evaluation?”
Introduction to Special Section on “What is a Useful Evaluation?”
Introduction to Special Section on “What is a Useful Evaluation?”
Using Event Structure Analysis to Understand Planned Social Change
In this article, the authors explore the application of Event Structure Analysis in understanding the linkages between events in planned social change. An illustrative example from the Comprehensive Strategy for Serious, Violent and Chronic Juvenile Offenders is used to highlight the key features of Event Structure Analysis
Sustaining Problem‐solving Capacity in Collaborative Networks
Research Summary: Comprehensive Community Initiatives (CCIs) attempt to build collaborative networks within the community and enhance the community's collaborative social problem‐solving capacity to address specific criminal justice problems. In this paper, we use network analysis methods to operationalize the collaborative problem‐solving capacity in two sites involved in the Comprehensive Strategy for Serious, Violent and Chronic Juvenile Offen…
A Study of Prosecutorial Certification Practice in Virginia
Research Summary: In response to the growing trend of violent juvenile crime, the Virginia legislature enacted the Juvenile Justice Reform Package in 1996. This legislation created two new classes of transfers: automatic and prosecutorial certifications. This article examines the prosecutor's decision to certify a juvenile offender to adult court in Virginia for intake cases in 1997 and 1998. Although the law gives the prosecutor the authority to…
Developing a Stakeholder-Driven Anticipated Timeline of Impact for Evaluation of Social Programs
The authors present a stakeholder-driven method, the earliest anticipated timeline of impact, which is designed to assess stakeholder expectations for the earliest time frame in which social programs are likely to affect outcomes. The utility of the anticipated timeline of impact is illustrated using an example from an evaluation of a comprehensive community initiative in which such a timeline was developed using the concept-mapping methodology. …
Using Exploratory Spatial Data Analysis to Leverage Social Indicator Databases
An exploratory spatial data analysis approach to understanding the relationship between deprivation and mortality in Scotland
The Case of Top Beginnings and the Missing Child Outcomes
The Case of Top Beginnings and the Missing Child Outcomes is a fictionalized case study of a set of evaluation challenges faced in evaluating comprehensive initiatives that are seeking to build systems. In this case, the issue is a multistate foundation-funded early learning system building initiative that has to date primarily employed a case study approach that has provided a formative assessment of progress in building systems. Funders, practi…
Making Evaluations Work
This article describes the design and evaluation approaches to address the complexity posed by systems change initiatives. The role of evaluations in addressing the following issues is briefly reviewed: moving from strategic planning to implementation, impacts on system-level coordination, anticipated timeline of impact, and individual level impacts. The role of evaluations in enhancing multiple types of learning is also summarized
On Ambition, Learning, and Co-Evolution
A Realist Evaluation Approach to Unpacking the Impacts of the Sentencing Guidelines
Evaluations of complex interventions such as sentencing guidelines provide an opportunity to understand the mechanisms by which policies and programs can impact intermediate and long-term outcomes. There is limited previous discussion of the underlying frameworks by which sentencing guidelines can impact outcomes such as crime rates. Guided by a realist evaluation framework, this article examines the impact of linkages of sentencing policy to res…
Towards an evidence base of theory-driven evaluations
This article discusses the further development of theory-driven evaluation approaches that are informed by contribution analysis. Using an illustrative example of an ongoing dance/physical activity programme for health promotion, a number of challenges are identified when applying a theory-driven evaluation approach. These challenges are reformulated as questions that need to be answered to make further progress with theory-driven evaluation incl…
Walking gently
The decision to commission new research is both a difficult and a highly contextualised one. The paper ‘To RCT or not to RCT’1 provides a flow chart to attempt to provide one way of thinking about ‘understandable methods of determining when more research really is needed’. Although the authors do not provide evidence that the state of the affairs in the existing commissioning process is poor, in this commentary we offer some thoughts on how the f…
Reaching the Hard-to-Reach
The concept of systematic inequalities in social and health outcomes has come to form part of contemporary policy discourse. This rhetoric is deployed even in the face of policy decisions widely viewed as iniquitous. Moreover, there is a widespread view, expressed across the political spectrum, that those in more deprived circumstances are less likely than their more affluent counterparts to be in receipt of optimal public services. Such individu…
Where theory and practice of global health intersect
OBJECTIVE: This paper examines the scope of practice of global health, drawing on the practical experience of a global health initiative of the Government of Canada--the Teasdale-Corti Global Health Research Partnership Program. A number of challenges in the practical application of theoretical definitions and understandings of global health are addressed. These challenges are grouped under five areas that form essential characteristics of global…
The Utility of a Realist Evaluation Approach in Implementing and Evaluating Health Equity Policy
This article discusses the utility of realist evaluation in influencing policies aimed at reducing health inequities and improving population health. Using an example of a National Demonstration program in Scotland, the article discusses how realist evaluation can help in several aspects of policy implementation: exploring “loss in translation” from policy aspirations to program design, interrogating the program design, developing a range of lear…
One Client, One Team - Health Care Integration for Older Adults with Complex Care Needs
The International Journal of Integrated Care (IJIC) is an online, open-access, peer-reviewed scientific journal that publishes original articles in the field of integrated care on a continuous basis.IJIC has an Impact Factor of 2.913 (2021 JCR, received in June 2022)The IJIC 20th Anniversary Issue was published in 2021
Incorporating gender, equity, and human rights into the action planning process
BACKGROUND: Mainstreaming of gender, equity, and human rights (GER) is an important focus of the World Health Organization (WHO) and other UN organizations. This paper explores the role of action plans in mainstreaming GER. This paper is informed by a theory-driven evaluation lens. DESIGN: A theory of change framework explored the following seven dimensions of how action plans can implement mainstreaming of GER: awareness of the foundations of GE…
One Client, One Team - Health Care Integration for Populations with Complex Care Needs
Introduction: Working in a provincial environment where the health care system is fragmented, across 60,000 primary care physicians, 155 hospitals, 162 home care providers, and over 1,000 community support service organization, presents a compelling need to integrate care and services to make the system less confusing for clients (patients), particularly those clients and their families with complex care needs, who frequently have to access servi…
Towards an understanding of the multilevel factors associated with maternal health care utilization in Uttar Pradesh, India
BACKGROUND: This paper explores the multilevel factors associated with maternal health utilization in India's most populous state, Uttar Pradesh. 3 key utilization practices: registration of pregnancy, receipt of antenatal care, and delivery at home are examined for district and individual level predictors. The data is based on 5666 household surveys conducted as part of a baseline evaluation of the Uttar Pradesh Technical Support Unit (UPTSU.) p…
Heterogeneities in utilization of antenatal care in Uttar Pradesh, India
BACKGROUND: This paper explores the heterogeneities in antenatal care (ANC) utilization in India's most populated state, Uttar Pradesh. Taking an intersectionality lens, multiple individual- and district-level factors are used to identify segments of any antenatal care usage in Uttar Pradesh Objective: This paper seeks to understand the multilevel contexts of ANC utilization. The planning and programming challenge is that such knowledge of contex…
Till Time (and Poor Planning) Do Us Part
This article describes the need for, and challenge of, representing the sustainability of a program as a dynamic process. Part of what enhances the complexity of programs is the challenge of dynamic complexity—the complexity of the program evolves over time through the interaction of actors and their environment. The problem is not just one of representation but also of planning—specifically planning for sustainability. We argue that an essential…
Reflections on experiential learning in evaluation capacity building with a community organization, Dancing With Parkinson’s
Valuing and embracing complexity
Political science (24 works) · Computer Science (22 works) · Evaluation and Performance Assessment (17 works) · Psychology (17 works) · Sociology (17 works) · Management science (16 works) · Medicine (16 works) · Business (13 works) · Engineering (13 works) · Primary Care and Health Outcomes (12 works)