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Need plausible evidence that programme works

Need evidence of effectiveness with causality or high plausibility, but need to be aware that classic RCT methodology not always feasible or appropriate.

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Need plausible evidence that programme works
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Evidence that program works may be significantly time-delayed
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Need to be cautious about mortality
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Evaluate the processes as well as the outcomes
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Need success stories for buy-in
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What is measured is what gets done
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Adapt to local context and culture
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Define clear responsibilities and hold people accountable
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Engage a wide range of actors
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Map the process – and build a logical framework
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Need effective government support
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Need to be opportunistic
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Transfer and adapt and effective practice to other countries
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