Building Capacities to Evaluate Health Inequities: Some Lessons Learned from Evaluation Experiments in China, India and Chile New Directions for Evaluation, Number 154

• Focuses on inequities in evaluation capacity building initiatives.
• Argues evaluations can be interventions themselves.
• Explores how evaluations can have influence in addressing inequities.
• Recognizes that innovations in evaluation capacity experiments are occurring in diverse countries and we have the opportunity to learn from such initiatives.

Kun Zhao is a professor at the China National Health Development Research Center in Beijing, China.

April Nakaima is a senior evaluator at The Evaluation Centre for Complex Health Interventions at St. Michael's Hospital in Canada.

Editors’ Notes 9
Sanjeev Sridharan, Kun Zhao, April Nakaima

1. An Experiment on Building Evaluation Capacity to Address Health Inequities in China 17
Kun Zhao, Sanjeev Sridharan, Marie-Gloriose Ingabire, Mo Yu, April Nakaima, Xue Li, Yue Xiao, Emily Chen

2. Evaluation at the Time of Health Systems Reform: Chinese Policymakers’ Need for a Robust System of Evaluations to Assess Progress in the Implementation of Reform Efforts 29
Kun Zhao, April Nakaima, Wudong Guo, Yingpeng Qiu, Sanjeev Sridharan

3. Conceptual Indicators Framework for Strengthening the Chinese Health System 41
Yue Xiao, Kun Zhao, Sanjeev Sridharan, Xiaohong Cao

4. Lessons Learned from Evaluating China’s New Cooperative Medical Scheme 55
Mo Yu, Xiaoyan He, Yunxin Hou, Xue Li

5. Toward a Structured Process to Evaluate Health Inequities: Lessons Learned from Developing and Implementing Evaluation Guidelines to Address Health Inequities 65
Sanjeev Sridharan, Kun Zhao, April Nakaima, Joanna Maplazi, Mo Yu, Yingpeng Qiu

6. Equity Is Not an Intervention: Implications of Evaluation—Reflections from India 79
Katherine Hay

7. The Challenge of Evaluating Equity in Health: Experiences from India’s Maternal Health Program 91
Abhijit Das

8. Lessons from Chile’s Use of System-Level Theory of Change to Implement a Policy Redesign Process to Address Health Inequities 101
Orielle Solar, Patricia Frenz

9. Building Evaluation Capacity to Address Problems of Equity 115
Fred Carden

10. Inequities and Evaluation Influence 127
Melvin M. Mark

INDEX 139

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