Developing a framework for a program theory-based approach to evaluating policy processes and outcomes: Health in all policies in South Australia
journal contributionposted on 02.06.2021, 01:40 by A Lawless, F Baum, T Delany-Crowe, C MacDougall, C Williams, The McDermott, H van Eyk
Background: The importance of evaluating policy processes to achieve health equity is well recognised but such evaluation encounters methodological, theoretical and political challenges. This paper describes how a program theory-based evaluation framework can be developed and tested, using the example of an evaluation of the South Australian Health in All Policies (HiAP) initiative. Methods: A framework of the theorised components and relationships of the HiAP initiative was produced to guide evaluation. The framework was the product of a collaborative, iterative process underpinned by a policy-research partnership and drew on social and political science theory and relevant policy literature. Results: The process engaged key stakeholders to capture both HiAP specific and broader bureaucratic knowledge and was informed by a number of social and political science theories. The framework provides a basis for exploring the interactions between framework components and how they shape policy-making and public policy. It also enables an assessment of HiAP’s success in integrating health and equity considerations in policies, thereby laying a foundation for predicting the impacts of resulting policies. Conclusion: The use of a program theory-based evaluation framework developed through a consultative process and informed by social and political science theory has accommodated the complexity of public policy-making. The framework allows for examination of HiAP processes and impacts, and for the tracking of contribution towards distal outcomes through the explicit articulation of the underpinning program theory.
This work was supported by the National Health and Medical Research Council (grant number 1027561).
JournalInternational Journal of Health Policy and Management
Pagination12p. (p. 510-521)
PublisherKerman University of Medical Science
Rights StatementThe Author reserves all moral rights over the deposited text and must be credited if any re-use occurs. Documents deposited in OPAL are the Open Access versions of outputs published elsewhere. Changes resulting from the publishing process may therefore not be reflected in this document. The final published version may be obtained via the publisher’s DOI. Please note that additional copyright and access restrictions may apply to the published version.
Science & TechnologyLife Sciences & BiomedicineHealth Care Sciences & ServicesHealth Policy & ServicesHealthy Public PolicyEvaluationInter-sectoral ActionHealth EquitySocial DeterminantsSOCIAL DETERMINANTSIMPLEMENTATIONGOVERNMENTSCIENCEHumansProgram EvaluationHealth PolicyPolicy MakingSouth AustraliaSocial Theory