Responsive feedback: Towards a new paradigm to enhance intervention effectiveness

Gates Open Research

article

K. Viswanath¹  Christina Synowiec²  Sohail Agha³ 

[1] Harvard T. H. Chan School of Public Health ,(HSPH), Dana-Farber Cancer Institute;Results for Development;Global Development, Bill & Melinda Gates Foundation

关键词: Implementation science;    responsive feedback;    feedback loops;    adaptive implementation;    theory of change;    monitoring and evaluation;   

DOI  :  10.12688/gatesopenres.12937.2

学科分类：电子与电气工程

来源: American Journal Of Pharmtech Research

【 摘 要 】

The current dominant models of intervention design in the development sector do not account for the complexity and unpredictability of implementation challenges. Decision makers and implementers need timely feedback during implementation to respond to field realities and to course-correct. This letter calls for a new approach of “responsive feedback” or “feedback loops” that promotes interactions between project designers, implementers, researchers and decision-makers to enable course corrections needed to achieve intended outcomes. A responsive feedback approach, in theory, should be agile, flexible, adaptive, iterative, and actionable. There can be multiple challenges associated with incorporating this approach into practice including donor requirements, organizational structure and culture, concerns about the additional time required to adopt such an approach, resource and operational constraints, the absence of skill sets needed for such an approach within smaller organizations and inadequate inter-departmental communication. However, these barriers to adaptation can be overcome. For responsive feedback to become a part of the culture of development organizations, commitment is needed from donors, decision-makers, project designers and implementers. We believe that, to generate opportunities for learning and adaptation, donors should provide the stimulus to break down silos between implementers and researchers.

【 授权许可】

CC BY