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BMC Public Health
Published in: BMC Public Health 1/2012

Open Access 01-12-2012 | Study protocol

Methods for evaluating the impact of vertical programs on health systems: protocol for a study on the impact of the global polio eradication initiative on strengthening routine immunization and primary health care

Authors: Svea Closser, Anat Rosenthal, Thomas Parris, Kenneth Maes, Judith Justice, Kelly Cox, Matthew A Luck, R Matthew Landis, John Grove, Pauley Tedoff, Linda Venczel, Peter Nsubuga, Jennifer Kuzara, Vanessa Neergheen

Published in: BMC Public Health | Issue 1/2012

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Abstract

Background

The impact of vertical programs on health systems is a much-debated topic, and more evidence on this complex relationship is needed. This article describes a research protocol developed to assess the relationship between the Global Polio Eradication Initiative, routine immunization, and primary health care in multiple settings.

Methods/Design

This protocol was designed as a combination of quantitative and qualitative research methods, making use of comparative ethnographies. The study evaluates the impact of the Global Polio Eradication Initiative on routine immunization and primary health care by: (a) combining quantitative and qualitative work into one coherent study design; (b) using purposively selected qualitative case studies to systematically evaluate the impact of key contextual variables; and (c) making extensive use of the method of participant observation to create comparative ethnographies of the impact of a single vertical program administered in varied contexts.

Discussion

The study design has four major benefits: (1) the careful selection of a range of qualitative case studies allowed for systematic comparison; (2) the use of participant observation yielded important insights on how policy is put into practice; (3) results from our quantitative analysis could be explained by results from qualitative work; and (4) this research protocol can inform the creation of actionable recommendations. Here, recommendations for how to overcome potential challenges in carrying out such research are presented. This study illustrates the utility of mixed-methods research designs in which qualitative data are not just used to embellish quantitative results, but are an integral component of the analysis.
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Metadata
Title
Methods for evaluating the impact of vertical programs on health systems: protocol for a study on the impact of the global polio eradication initiative on strengthening routine immunization and primary health care
Authors
Svea Closser
Anat Rosenthal
Thomas Parris
Kenneth Maes
Judith Justice
Kelly Cox
Matthew A Luck
R Matthew Landis
John Grove
Pauley Tedoff
Linda Venczel
Peter Nsubuga
Jennifer Kuzara
Vanessa Neergheen
Publication date
01-12-2012
Publisher
BioMed Central
Published in
BMC Public Health / Issue 1/2012
Electronic ISSN: 1471-2458
DOI
https://doi.org/10.1186/1471-2458-12-728

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