rap_3_theory_of_change_review_narrative_and_diagram_third_draft_090816_0

<p>This document brings together critical insights and thoughts from each of the core RAP-3 components and DFID to provide a revised Theory of Change (ToC). This new version has been considered to provide cohesiveness for the whole programme and one that better articulate linkages and the interconnected of relevant key issues.</p>
<p>The article also sheds light on assumptions underpinning the context and the theory of change adopted by the RAP-3 programme.</p>


<p>The purpose of the review of the Rural Access Programme 3 (RAP-3) Theory of Change was to provide an opportunity for stakeholders to reflect and critically review the programme from a holistic perspective.</p>


Review of the Theory of Change of the Rural Access Programme

usingtheorydriven_approach

<h2>Background</h2>
<p>There is a paucity of data on how to deliver complex interventions that seek to reduce the treatment gap for mental disorders, particularly in sub-Saharan Africa. The need for well-documented protocols which clearly describe the development and the scale-up of programs and interventions is necessary if such interventions are to be replicated elsewhere. This article describes the use of a theory of change (ToC) model to develop a brief psychological intervention for common mental disorders and its’ evaluation through a cluster randomized controlled trial in Zimbabwe.</p>
<h2>Methods</h2>
<p>A total of eight ToC workshops were held with a range of stakeholders over a 6-month period with a focus on four key components of the program: formative work, piloting, evaluation and scale-up. A ToC map was developed as part of the process with defined causal pathways leading to the desired impact. Interventions, indicators, assumptions and rationale for each point along the causal pathway were considered.</p>
<h2>Results</h2>
<p>Political buy-in from stakeholders together with key resources, which included human, facility/infrastructure, communication and supervision were identified as critical needs using the ToC approach. Ten (10) key interventions with specific indicators, assumptions and rationale formed part of the final ToC map, which graphically illustrated the causal pathway leading to the development of a psychological intervention and the successful implementation of a cluster randomized controlled trial.</p>
<h2>Conclusion</h2>
<p>ToC workshops can enhance stakeholder engagement through an iterative process leading to a shared vision that can improve outcomes of complex mental health interventions particularly where scaling up of the intervention is desired.</p>


<p>This article describes the use of a Theory of Change (ToC) model to develop a brief psychological intervention for common mental disorders and its’ evaluation through a cluster randomized controlled trial in Zimbabwe.</p>


Using a theory driven approach to develop and evaluate a complex mental health intervention: The friendship bench project in Zimbabwe

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LIFT-Case-Study-FINAL

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Listening-Better_Dec-2016

<p>LIFT is a US nonprofit organisation, aimed at ending intragenerational poverty among low-income families in Chicago, Washington DC and New York. The Theory of Change postulated that a strong positive relationship based on dignity and respect will enable members achievement.</p>
<p>LIFT has been using Keystone Accountability’s Constituent Voice™ method of collecting and using feedback from their members since 2013. Members answer surveys on iPads following meetings with their advocates. The results are analysed by LIFT staff and discussed with members in groups.</p>


<p>A case study of a US nonprofit organisation that used client feedback to test its Theory of Change.</p>
