Implementing Adaptive Approaches in Real World Scenarios : A Nigeria Case Study, with Lessons for Theory and Practice
How does adaptive implementation work in practice? Drawing on extensive interviews and observations, this paper contrasts the ways in which an adaptive component of a major health care project was implemented in three program and three matched comp...
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| Language: | English |
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World Bank, Washington, DC
2019
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| Online Access: | http://documents.worldbank.org/curated/en/300301560883977057/Implementing-Adaptive-Approaches-in-Real-World-Scenarios-A-Nigeria-Case-Study-with-Lessons-for-Theory-and-Practice http://hdl.handle.net/10986/31907 |
| Summary: | How does adaptive implementation work in
practice? Drawing on extensive interviews and observations,
this paper contrasts the ways in which an adaptive component
of a major health care project was implemented in three
program and three matched comparison states in Nigeria. The
paper examines the bases on which claims and counterclaims
about the effectiveness of these approaches were made by
different actors, concluding that resolution requires any
such claims to be grounded in a fit-for-purpose theory of
change and evaluation strategy. The principles of adaptive
development may be gaining broad acceptance, but a complex
array of skills, expectations, political support, empirical
measures, and administrative structures needs to be deftly
integrated if demonstrably positive operational results are
to be obtained, especially when undertaken within
institutional systems, administrative logics, and political
imperatives that are predisposed to serve rather different purposes. |
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