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Qualitative Evaluation in Public Health

This document provides an overview of qualitative evaluation paradigms and methods. It discusses the four major evaluation paradigms: positivist, constructivist/interpretivist, critical/emancipatory, and pragmatist. It compares the ontological, epistemological, and methodological assumptions of each paradigm. Examples are provided to illustrate how an issue might be evaluated from the perspective of each paradigm. The document also discusses the benefits of mixed methods and provides a case study example of how different paradigms could design an evaluation around an issue in Tanzania related to gender roles and domestic violence.

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Hamid Wafa
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0% found this document useful (0 votes)
67 views28 pages

Qualitative Evaluation in Public Health

This document provides an overview of qualitative evaluation paradigms and methods. It discusses the four major evaluation paradigms: positivist, constructivist/interpretivist, critical/emancipatory, and pragmatist. It compares the ontological, epistemological, and methodological assumptions of each paradigm. Examples are provided to illustrate how an issue might be evaluated from the perspective of each paradigm. The document also discusses the benefits of mixed methods and provides a case study example of how different paradigms could design an evaluation around an issue in Tanzania related to gender roles and domestic violence.

Uploaded by

Hamid Wafa
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PPTX, PDF, TXT or read online on Scribd

Introduction to Paradigms

and Qualitative Evaluation

[insert date]
Qualitative Methods
in Evaluation of Public
Health Programs
Session 1
The evaluation process

Evaluation paradigm (how you/client view the world; your “lens”)

Methodological assumptions (Qualitative? Quantitative?)

Evaluation design

Data collection and analysis

Methodological norms/standards of quality

Dissemination and use


The evaluation process

Evaluation paradigm (how you/client view the world; your “lens”)

Methodological assumptions (Qualitative? Quantitative?)

Evaluation design

Data collection and analysis

Methodological norms/standards of quality

Dissemination and use


Learning objectives

 Understand and compare the four major


paradigms of evaluation
 Compare and contrast the use of qualitative
methods for evaluation
as opposed to other approaches
 Establish the appropriateness of the use of mixed-
methods of evaluation
What is the point?
Monitoring and evaluation
Class discussion—why bother?
 Why do we conduct monitoring and
evaluation?
 What is the point
of these activities?
 What makes these
activities worthwhile?
Breaking the code/sorting out the glasses
 Evaluation terminology can be used to
confuse and as a way
for evaluators to hide behind complicated
words
 There is no area where this is more true
than the philosophy of the scientific
method, or paradigms

Paradigm = view of the world


 What do you view as reality?
 What is viewed as knowledge and truth?
 Guides choice of method and design
Breaking the code/sorting out the glasses

 Paradigms are, in essence, a classification system


 Every evaluation design can be mapped to this
classification system or paradigm
 Once you know which paradigm your evaluation
uses, you will understand the underlying view of
reality, the knowledge type that is sought, and the
probable methods applied
Breaking the code/sorting out the glasses
Characteristics of paradigms

Ontology: Nature of reality or theory


of existence
Epistemology: How do we know the world?
Theory of knowledge, learning,
and the nature of truth
Methodology: How do we gain knowledge about the world?
Theory of method?
Breaking the code
Why do we care?
Helps you to understand where others are coming
from:
 Other evaluators
 Funders
 Clients
 Other stakeholders
You need to be able to communicate
your work, and understanding the paradigms give
you terminology
to express yourself
Positivist
Ontology:  One “scientific,” “real” reality
Reality  Search for certainty
Epistemology:  Explain events through knowable
Knowledge, reality, and facts, causes, and effects, law-like underlying
truth regularities
 “True” findings
 “Objective” observation
 Absolute knowledge
Methodology:  Quantitative
 Experimental
 Testing
 Predicting
 Control
 Generalization
Example: Positivist paradigm

You are designing a study on school attendance and


absenteeism.

Question: What would be the positivist way


to evaluate this topic?

Answer: Collect quantitative data—possibly monitoring data


over time to look at trends, maybe disaggregated by sex and
age.
Constructivist/interpretivist
Ontology:  Multiple subjective realities,
Reality which are constructed and
interpreted
 Constructed through human
interactions
Epistemology:
Knowledge, reality,  Events understood through
and truth interpretation and influenced by
interactions with social context

Methods:  Qualitative
 Case studies
 Understanding and
interpretation of
particular contexts
Constructivist/interpretivist example
Same topic: Study on school attendance
and absenteeism
Question: What would be the constructivist/
interpretivist way to evaluate this topic?
Answer: Look at existing quantitative data for trends.
Discover that adolescent girls are more likely
to miss school.
Do in-depth interviews with adolescent girls to find out why they
are missing school. It could be that girls stay home for four days
a week when they have their period.
Critical/emancipatory
Ontology:  Reality shaped by historical, social, political,
Reality economic values, people
in society, power
Epistemology:  Understand events in the social
Knowledge, and economic context; emphasis
reality, on ideological critique and praxis
and truth
 Findings are value mediated
and socially constructed
Methods:  Argumentative and controversial
 Aims for social justice
and emancipation
 Critical discourse analysis
 Critical action research
 Feminism
Critical/emancipatory example
Same topic: Study on school attendance
and absenteeism

Question: What would be the critical/


emancipatory way to evaluate this topic?

Answer: Add more interviews to the plan to gather info on the


social, economic, historical context.
You might find out that there are no girls’ bathrooms at
school. Girls may be thought to be dirty when they have their
period. There may not be enough soap at home, so they cannot
always wash the girl’s uniform to go to school.
Summary of the paradigms
 Positivists
o They seek to explain reality

 Constructivists/interpretivists
o Trying to understand the multiple constructed
realities

 Critical/emancipatory
o Argue for changes in power relationships, and in
some cases
move toward emancipation
Paradigm debate
Group work  Split into three groups
 Plan your position for the
paradigm assigned to
your group. State why
you would not use the other two
paradigms
o 15 Minutes
 Generate a list of pros/cons
for each paradigm
 Present to class.
(5 minutes each)
 Class debate
o Combined 20 minutes
after all groups present
Paradigm debate

Positivist

Constructivist/interpretivist

Critical/emancipatory
The Third Wave
What is better, qualitative
or quantitative?
 Different strengths and weaknesses
 Must be judged by their own criteria
 Facilitated the development—last “paradigm”/
3rd wave

Pragmatism
 Focus on usefulness
 Mixed-methods
 Supplement each other
The Third Wave
Group activity
 Split into four groups representing each
of the four major paradigms
 Design an evaluation project around the topic
o Develop a particular evaluation question
and expand on the context
o Develop your group’s
evaluation concept
o 20 minutes
 Present your plan to the class
o 5 minutes each
 Class discussion
o Combined 20 minutes after all groups present
The Third Wave

Positivist
Pragmatists

Constructivist/interpretivist

Critical/emancipatory
The Third Wave
Case study example
The Third Wave
Tanzania
 Tanzania is located on the east coast of Africa,
just south of the equator
 Shares borders with Kenya, Uganda, the Democratic Republic of
the Congo, Rwanda, Burundi, Zambia, Malawi, Mozambique,
and the Indian Ocean
 Approximately 120 ethnic groups, languages representing all
four major African language groups
 Tanzanians are fluent in own language and Swahili (Kiswahili in
Swahili)
 The second official language is English, a vestige
of the British colonial period
 Traditional marriage customs vary by ethnic group
The Third Wave
Tanzania
 Extreme poverty often obligates male heads of households to
migrate in search of work
 Women often takeover some of the hard,
physical labor
 The changing roles are often contemplated
 Alcohol abuse, HIV/AIDS, and poverty place great strains on
relationships
 Violence, especially within a marriage, is commonly accepted at
a cultural level
 According to Tanzania’s 2015–2016 DHS Survey, 39.5% of all
women ages 15–49 had experienced violence after the age of 15,
while 41.7% of ever-married women had experienced violence
committed by a husband or partner
The Third Wave
Framework
Evaluation Description
component
Evaluation
question

Sample
population

Data collection
methods
Summary: Mixed-methods approach
 Combines strengths of quantitative
and qualitative methods
 Can speak to different audiences
 Qualitative data can be used to do formative evaluation
to inform development of quantitative measurements
 Qualitative data can be used to help explain patterns
observed in the survey data
 Enhance robustness and integrity of findings
 Provide greater capacity to explain
and interpret findings
This presentation was produced with the support of the United States
Agency for International Development (USAID) under the terms of
MEASURE Evaluation cooperative agreement
AID-OAA-L-14-00004. MEASURE Evaluation is implemented by the
Carolina Population Center, University of North Carolina at Chapel Hill in
partnership with ICF International; John Snow, Inc.; Management Sciences
for Health; Palladium; and Tulane University. Views expressed are not
necessarily those of USAID or the United States government.

[Link]

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