Outcome Harvesting does not measure progress towards predetermined outcomes or objectives, but collects evidence of what has been achieved, and works backward to determine whether and how the project or intervention contributed to the change.
From the Intro: "The most significant change (MSC) technique is a form of participatory monitoring and evaluation. It is participatory because many project stakeholders are involved both in deciding the sorts of change to be recorded and in analysing the data. It is a form of monitoring because it occurs throughout the program cycle and provides information to help
people manage the program. It contributes to evaluation because it provides data on impact and outcomes that can be used to help assess the performance of the program as a whole."
Outcome mapping is a process for multiple stakeholders and implementers to determine appropriate program outcomes, monitor contributions and progress towards them, and adapt goals to insights along the way.
WHO has a unique perch from which to view national health systems. Although written at a general level, this report may be a helpful orientation to systems thinking in the context of health systems for yourself or colleagues.
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