How do we understand the barriers to and drivers of immunization program improvement? Through the rigorous application of a range of adaptable methods and approaches across the FCE partnership. PATH’s contributions to the FCE toolkit include our tools for immunization program prospective process evaluation and innovative tools such as social network analysis and root cause analysis. But these tools would be useless without the local expertise of our in-country partners.
The FCE process evaluation is prospective in nature, meaning that every day we are tracking what is happening, why, and the consequences. To do this, our in-country partners observe meetings, engage immunization stakeholders through fact-checking interviews, and review documents as they’re developed. These process tracking activities are driven by FCE theories of change. To delve in-depth on a given issue, we use key informant interviews and social network surveys. One of the most useful tools we have for understanding ‘why’ we observe what we observe is root cause analysis.
The FCE is most powerful when all the methods work together to understand the challenges or successes that can lead to the greatest impact. Visit our partner IHME’s website to learn more about the approaches that they lead, including household and health facility surveys, vaccine effectiveness studies, and resource tracking.