Breakthrough ACTION Nepal Most Significant Change Evaluation Report
To explore changes in SBC capacity at the local, provincial, and federal levels where Breakthrough ACTION Nepal works, Breakthrough ACTION Nepal used the Most Significant Change (MSC) approach, a qualitative methodology involving key informant interviews with program staff and key collaborators. The MSC evaluation technique is well suited to evaluating complex settings where changes are not necessarily predefined or expected. This qualitative approach also offers the potential for organizational learning that can be used to inform future programmatic efforts.
Key informant interviews were conducted with stakeholders at the municipal, provincial, and federal levels in August, September, and October 2019. During these interviews, key informants were asked a set of open-ended questions to gather stories about changes they noticed or identified during the Breakthrough ACTION Nepal project. Breakthrough ACTION Nepal’s evaluation team collected 22 stories from four focal municipalities in Karnali province and from stakeholders at the provincial and federal levels.
Ten of those stories were vetted, scored, and selected as “most significant” by local stakeholders. Two MSC stories were selected from each of the four municipalities, and two MSC stories were selected from stakeholder interviews at the provincial level.
More Breakthrough ACTION Nepal resources
- Strengthening the USAID Zika Response: Experiences from the Zika Social and Behavior Change Working Group
- Social Behavior Change Programming for Public Health Emergencies: Lessons Learned from the USAID Zika Response in Latin America and the Caribbean
- Supportive Supervision and Monitoring Checklist
- Lessons Learned for SBC Programming from the USAID Zika Response
- Promoting Quality Malaria Medicines Through SBCC: An Implementation Kit
- Evidence Review and Analysis of Provider Behavior Change Opportunities: Literature Review
- Strengthening Social and Behavior Change Monitoring and Evaluation for Family Planning in Francophone West Africa
- Map of Social Norms-focused Projects and Measurement Approaches
- SBCC for Malaria in Pregnancy: Strategy Development Guidance
- Engaging Men and Boys: A Brief Summary of UNFPA Experience and Lessons Learned
- Outcome Harvesting Evaluation of Social and Behavior Change Capacity Strengthening Activities in Nepal
- Evidence Maps
- Data Scoping Evidence for Contraceptive Use, ANC, Institutional Delivery, SBA, in Nepal
- Landscape Analysis Workshops in Nepal Summary Findings
- Social and Behavior Change Capacity Assessment Report-Nepal 2018