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A Protocol for a Comprehensive Monitoring and Evaluation Framework With a Compendium of Tools to Assess Quality of Project Echo (Extension for Community Healthcare Outcomes) Implementation Using Mixed Methods, Developmental Evaluation Design

Bibliographic Data

ID22091083
AuthorsSmita Ghosh (0000-0001-5182-1720, Centers for Disease Control and Prevention, corresponding author), Brenna M Roth (University of Maryland, Baltimore), Irene Massawe (University of Maryland, Baltimore), Emmanuel Mtete, Jacob Lusekelo (Ministry of Health, Community Development, Gender, Elderly and Children), Eve Pinsker (0009-0008-2367-1276, University of Illinois Urbana-Champaign), Steven M Seweryn (University of Illinois Urbana-Champaign), Steven Seweryn, Patrick K Moonan (0000-0002-3550-2065, Centers for Disease Control and Prevention), Bruce B Struminger, Bruce Struminger (0000-0003-4780-2257, University of New Mexico)
Year2021
Volume9
Pages714081-714081
Publication date2021-09-21
Peer ReviewedYes
Open AccessYes
TypeARTICLE
VenueFrontiers in Public Health (JOURNAL)
Journal identifiersISSN: 2296-2565 • E-ISSN: 2296-2565
PublisherFrontiers Media SA (PUBLISHER • CH)
DOI10.3389/fpubh.2021.714081
PMID34621719
OpenAlexW3199457711
LanguageEN
Citations received1
References cited13

Introduction: The United States Centers for Disease Control and Prevention (CDC), through U.S. President's Emergency Plan for AIDS Relief (PEPFAR), supports a third of all people receiving HIV care globally. CDC works with local partners to improve methods to find, treat, and prevent HIV and tuberculosis. However, a shortage of trained medical professionals has impeded efforts to control the HIV epidemic in Sub-Saharan Africa and Asia. The Project Extension for Community Healthcare Outcomes (ECHO TM ) model expands capacity to manage complex diseases, share knowledge, disseminate best practices, and build communities of practice. This manuscript describes a practical protocol for an evaluation framework and toolkit to assess ECHO implementation. Methods and Analysis: This mixed methods, developmental evaluation design uses an appreciative inquiry approach, and includes a survey, focus group discussion, semi-structured key informant interviews, and readiness assessments. In addition, ECHO session content will be objectively reviewed for accuracy, content validity, delivery, appropriateness, and consistency with current guidelines. Finally, we offer a mechanism to triangulate data sources to assess acceptability and feasibility of the evaluation framework and compendium of monitoring and evaluation tools. Expected impact of the study on public health: This protocol offers a unique approach to engage diverse group of stakeholders using an appreciative inquiry process to co-create a comprehensive evaluation framework and a compendium of assessment tools. This evaluation framework utilizes mixed methods (quantitative and qualitative data collection tools), was pilot tested in Tanzania, and has the potential for contextualized use in other countries who plan to evaluate their Project ECHO implementation

Communications protocol · Compendium · Computer security · External quality assessment · Health care · Pathology · Process management · Protocol design · Quality assurance · Computer Science · Engineering · Evaluation and Performance Assessment · Health Policy Implementation Science · Medicine · Primary Care and Health Outcomes

  • Appreciative inquiry and the co-creation of an evaluation framework for Extension for Community Healthcare Outcomes (Echo) implementation

    Open Access•Smita Ghosh, Bruce B Struminger et al.•Evaluation and Program Planning•2022

  • Qualitative Diary Research Design

    Lauri L Hyers•Diary Methods•2018

  • Implementation Matters

    Open Access•Joseph A Durlak, Emily P DuPre•American Journal of Community…•2008

  • Pragmatic, formative process evaluations of complex interventions and why we need more of them

    Rhiannon Evans, Jonathan Scourfield et al.•Journal of Epidemiology and…•2015

  • Practical Implementation Science

    Open Access•Duncan C Meyers, J Sylvan Katz et al.•American Journal of Community…•2012

  • Three Approaches to Qualitative Content Analysis

    Open Access•Hsiu-Fang Hsieh, Sarah E Shannon•Qualitative Health Research•2005

  • Using Mixed-Methods Sequential Explanatory Design

    Open Access•Nataliya V Ivankova, John W Creswell et al.•CAM•2006

Unique citing works1
Citations per year0,25
Citation span2022 - 2022 (1)
Citation velocityhistorical
Highly citedNo
Citation typesNeutral: 1
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