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Foundations of Evaluation for Planetary Health: Reporting and Other Considerations

Foundations of Evaluation for Planetary Health
Reporting and Other Considerations
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table of contents
  1. Abstract
  2. Acknowledgements
  3. About the Authors
    1. Astrid Brousselle
    2. Kai Mountfort
  4. Invitation
  5. Prologue: The Hummingbird Fable
  6. Introduction
    1. Earth Day Evaluation Declaration 2024
    2. Endnotes
  7. 1. Context Matters: Evaluation in the 21st Century
    1. Highlights
    2. Introduction
    3. Environmental and Social Depletion
    4. Reducing Risks
    5. Local Cultural Contexts
    6. Evaluation Takes Place in a Political Context
    7. Post-truth Influence as the New Propaganda
    8. Conclusion
    9. Endnotes
  8. 2. Evaluation for Planetary Health
    1. Highlights
    2. Introduction
    3. The United Nations Sustainable Development Goals
    4. The Planetary Health Framework
    5. A Transformative Approach
    6. Conclusion
    7. Endnotes
  9. 3. The Planetary Health Rapid Impact Assessment Tool
    1. Highlights
    2. Introduction
    3. The Planetary Health Rapid Impact Assessment Tool
    4. Conclusion
    5. Endnotes
  10. 4. Evaluation: Definitions, Approaches and Questions
    1. Highlights
    2. Introduction
    3. Definitions
    4. Evaluation Approaches
    5. When to Evaluate and for What Purpose?
    6. Evaluative Questions
    7. Conclusion
    8. Endnotes
  11. 5. Preparing for the Evaluation
    1. Highlights
    2. Introduction
    3. Evaluation Use and the Importance of Mapping the Context
    4. Drafting an Evaluation Plan
    5. Summary
    6. Conclusion
    7. Endnotes
  12. 6. Representing the Intervention
    1. Highlights
    2. Introduction
    3. The Causal Model
    4. The Logic Model
    5. Use of Logic Models
    6. Different Visual Representations of the Intervention
    7. Conclusion
    8. Endnotes
  13. 7. Logic Analysis
    1. Highlights
    2. Introduction
    3. Foundations of Logic Analysis
    4. Types of Logic Analysis
    5. Steps for Conducting a Direct Logic Analysis
    6. Steps for Conducting a Reverse Logic Analysis
    7. Conclusion
    8. Endnotes
  14. 8. Effect Analysis and Related Approaches
    1. Highlights
    2. Introduction
    3. Defining Effects and Causal Relationship
    4. Experimental and Quasi-Experimental Research Designs
    5. Contribution Analysis
    6. Impact Evaluation
    7. Considering Planetary Health Dimensions when Evaluating Impacts
    8. Outcome Harvesting
    9. Conclusion
    10. Endnotes
  15. 9. Implementation Analysis
    1. Highlights
    2. Introduction
    3. In the Literature
    4. Implementation Analysis Questions
    5. Evaluation Designs for Implementation Analysis
    6. Impacts on Planetary Health
    7. Conclusion
    8. Endnotes
  16. 10. Economic Evaluation
    1. Highlights
    2. Introduction
    3. Background
    4. Types of Economic Evaluations
    5. The Comparator
    6. Cost Calculation
    7. Time Horizon
    8. Uncertainty
    9. Decision Criteria
    10. Limitations of Existing Approaches
    11. A Proposal for Useful Economic Evaluations for Planetary Health
    12. Conclusion
    13. Endnotes
  17. 11. Needs Assessment
    1. Highlights
    2. Introduction
    3. Defining What is, What should be and For Whom
    4. Contextual Elements and Boundaries
    5. Ex-ante and Ex-post
    6. Other important Considerations
    7. Next Steps?
    8. A Political Exercise
    9. Summary
    10. Endnotes
  18. 12. Monitoring
    1. Highlights
    2. Introduction
    3. Focus
    4. Establishing a Monitoring System
    5. Reporting and Other Considerations
    6. Gaming and Other Behavioural Effects
    7. Conclusion
    8. Endnotes
  19. 13. An Example: Evaluating a Local Government Official Community Plan Using Planetary Health Lenses
    1. Introduction
    2. Characterizing the OCP Within the Context of the Planetary Health Framework
    3. Data Collection
    4. Findings
    5. Recommendations
    6. Conclusion
    7. Endnotes
  20. 14. Further Thoughts and Resources
    1. Endnotes
  21. Bibliography

Table 12-2 Developing the Monitoring Plan

Focus

Criteria

Sample Questions

Indicator

Target

Data Source

Whose responsibility and timing

Structure

Fidelity

Is the intervention implemented as planned?

Investments

Recruitment of professional

Qualifications

As set in the plan

Process

Fidelity

Are all activities taking place?

Are the costs respected?

Amount and number of activities delivered

Operation costs

As set in the plan

Reach

Is the target population participating as expected?

Target population versus participants

As set in the plan

Quality

Are the activities offered according to best practices?

Wait times

Survival rates

According to best practices

Are clients satisfied (interpersonal dimensions of quality)?

Satisfaction rates

Dissatisfaction

Agreed on levels

Nb of complaints

Results

Goal achievements

Determined according to the logic model, for example, are students succeeding?

Graduate rates

Post-graduate employment

Studies duration

Best results in similar programs

Environmental impacts: pollution, biodiversity, land and waters

Is the intervention meeting its environmental commitments?

Greenhouse gas emissions

Use of plastic

Greening of parking lots

Established targets

Impacts on human systems

Is the intervention contributing to better health, greater equity and more prosperity?

Mental health indicators

Rates of burn out

Diversity of beneficiaries

Proportion of spending in local business

According to best practices or agreed pre-set targets

Source: Adapted from Markiewicz, A., & Patrick, I. (2022). Developing Monitoring and Evaluation Frameworks. SAGE Publications, and from Champagne, F., Hartz, Z., Brousselle, A., & Contandriopoulos, A. P. (2011d). L’appréciation normative. In A. Brousselle, F. Champagne, A. P. Contandriopoulos, & Z. Hartz (Eds.), L’évaluation: concepts et méthodes. Deuxième édition mise à jour. Les Presses de l’Université de Montréal.

Reporting and Other Considerations

Once the data collected, how will it be used? Planning for the use of the results should be considered from the start. Evaluators can consider questions such as: How will the data be compiled? How regularly will it be shared? And with whom— managers, organizational professionals, intervention beneficiaries, or the general public? The compiled information can be used for learning, steering, and formative purposes with the intention of identifying areas and strategies of improvement carried out by the organization (Van Dooren et al., 2015). It can also be used to make decisions about whether to pursue an initiative (i.e. control and accountability functions).

Implementing a monitoring system requires careful planning. Success depends on a series of steps, including engaging with the organization, consulting to build support and anticipate resistance, and designing the system to be both useful and minimally burdensome. It is also essential to ensure that data collection, compilation, and reporting are straightforward. McDavid et al. outline the key steps for designing and implementing performance measurement systems (see Table 12.3).

Table 12-3 Key Steps to Designing and Implementing a Performance Measurement system

1.

Leadership: Identify the organizational champions of this change.

2.

Understand what a performance measurement system can and cannot do and why it is needed.

3.

Communication: Establish multichannel ways of communicating that facilitate top-down, bottom-up and horizontal sharing of information, problem identification, and problem-solving.

4.

Clarify the expectations for the uses of the performance information that will be created.

5.

Identify the resources and plan for the design, implementation, and maintenance of the performance measurement system.

6.

Take the time to understand the organizational history around similar initiatives.

7.

Develop logic models for the programs or lines of business for which performance measures are being developed.

8.

Identify constructs that are intended to represent performance for aggregations of programs or the whole organization.

9.

Involve prospective users in reviewing the logic model and constructs in the proposed performance measurement system.

10.

Translate constructs into observable measures.

11.

Highlight the comparisons that can be part of the performance measurement system.

12.

Reporting results and then regularly review feedback from users and, if needed, make changes to the performance measurement system.

Source: McDavid, J., Huse, I., & Hawthorne, L. R. (2019). Program Evaluation and Performance Measurement. An Introduction to Practice. Third Edition. Sage Publications: 375.

Gaming and Other Behavioural Effects

By establishing a monitoring system, a new set of incentives are implemented. One should be very cautious, not only on the choice of focus, questions, indicators, and norms, but most importantly, attention should be paid to the distortion a monitoring system can create. When people know that their actions are being monitored, they may change their behaviours; for example, in focusing on reaching the set targets they may decide to reduce their efforts in other areas of their work (Van Dooren et al., 2015).

Once incentives are put in place, one cannot change the system easily. In fact, studies have shown that there is no back-to-normal; getting rid of a system results in a new reinterpretation of the rules. People will adapt their behaviours to the system with positive impacts and potentially negative impacts too. Furthermore, in the longer term, the performance system in place may lose its relevance due to the “performance target paradox”:

Behavioural effects, both functional and dysfunctional, lead to a clustering of performance around targets. Over time, indicators lose their ability to differentiate between high and low performers as organisations adjust their performance to align with the indicators. Meyer and Gupta (1994) refer to this phenomenon as the performance paradox (also highlighted by Van Thiel and Leeuw (2002)). We prefer the term performance target paradox because the effect described by Meyer and Gupta should be linked to how performance is measured rather than merely to the pursuit of performance in itself. (as cited in Van Dooren et al., 2025)

Finally, once a monitoring system is put in place and effectively used as a control or an accountability mechanism, some gamification can occur. It happened in the Province of Quebec when the Ministry of Health decided to monitor the patient’s length of stay and the number of stretchers in emergency rooms. Some hospitals felt unable to improve their numbers and decided to create side rooms where emergency patients were placed. As these locations were not considered part of the emergency room, this patient data was not compiled in the Ministry monitoring system. Scores improved, but not patients’ situations.

Conclusion

Implementing monitoring systems is often justified by the desire to become highly productive, effective, or efficient. However, such systems can be onerous to implement and inevitably distort employees’ behaviours, which leads to positive and negative consequences. Monitoring systems’ learning function is the most interesting because of its potential to really improve the intervention and steer organizations in innovative strategic directions. However, to achieve this objective, all facets of the system, including its reporting and potential use, should be carefully designed to ensure monitoring systems’ learning function is activated, rather than control and accountability functions.

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This book is released under a Creative Commons Attribution-Non-Commercial 4.0 International (CC BY-NC 4.0) license. This means that you are free to share and build upon the material, so long as you give appropriate credit and indicate if changes are made. You may not use the material for commercial purposes. Under this license, anyone who redistributes or modifies this book, in whole or in part, can do so for free providing they properly attribute the book as follows: Brousselle, A. (2026). Foundations of Evaluation for Planetary Health. Victoria, B.C. University of Victoria Libraries. Doi: https://doi.org/10.18357/9781550587364
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