Category Archives: Health

Where and Why Western lenses miss the mark in Africa: The case of HIV/AIDS prevention evaluations

“Given the norms that govern most patriarchal societies in Africa, should the Western epistemology, ethics and concepts be the main default lens for evaluation” “Despite their blindness to social cultural context, are these evaluations valid even though they are said … Continue reading

Posted in Appropriate inference, Causal inference, Cultural context, Development, Health, Meta-evaluation, Values-based | Tagged , , , , | 6 Comments

How much evidence is needed for policy?

In the last few days before the Australian federal election, a curious $5million advertising campaign has been launched which claims to be advocating evidence-based policy but does nothing of the kind.
.
Continue reading

Posted in Appropriate inference, Appropriate measurement, Business & industry, Causal inference, Government programs, Health | Tagged , | 1 Comment

An apple a day – or cherry-picking the studies?

Why can’t newspapers be more critical when they report findings from research and evaluation, and provide easy links to more details? A new study by researchers from Australia’s major government research instution (the Commonwealth Scientific and Industrial Research Organisation – … Continue reading

Posted in Appropriate criteria and standards, Appropriate inference, Appropriate reporting, Civil society engagement, Health, Synthesis of findings | Tagged , , , , | 2 Comments

What constitutes “evidence”? Implications for cutting-edge, tailored treatments, and small sub-populations

In the medical profession in particular, there are some very rigid beliefs about what constitutes good enough “evidence of effectiveness” to justify offering, recommending, allowing patients to try, or even just not vehemently opposing a particular type of treatment for a patient.

There are some glimmers of hope in other sectors (e.g. in the Best Evidence Synthesis work here in New Zealand). But there are still three areas where there are very serious challenges in building a credible evidence base given the kinds of constraints and realities surrounding them. They are: (1) cutting-edge treatments; (2) treatments that are by their very nature tailored/individualized rather than standardized across patients or populations; and (3) learning what works for small sub-populations Continue reading

Posted in Causal inference, Community programs, Development, Education, Government programs, Health, Strategic policy evaluation | Tagged , , , , , , , , , , | 12 Comments

The Friday Funny – The Hollowmen

This week we are revisting a classic moment in Australian comedy which seems strangely relevant to this week’s headlines.

Continue reading

Posted in Friday Funnies, Health, The client's role | Tagged , | Leave a comment