Assessment, Monitoring, and Evaluation

Assessment, Monitoring, and Evaluation

CGHEGHE provides direct and indirect support to the DoD GHE enterprise in order to build capacity to conduct assessment, monitoring, and evaluation (AME) within DoD GHE programs and activities. AME is a required component of Security Cooperation activities (which includes most DoD GHE activities) per DoDI 5132.14, Assessment, Monitoring and Evaluation Policy for the Security Cooperation Enterprise. 

CGHE educates DoD GHE professionals and conducts research on topics such as: 

    • How to operationalize militarily relevant goals and objectives (e.g. build capacity, enhance readiness, develop partnerships, etc.)  for the purposes of planning and evaluation; 
    • How Theories of Change can be developed in order to develop rigorous project and programmatic plans and how these theories of change can be empirically tested in order to support evaluation efforts; and
    • The value of effective data collection in the planning and operational stages in order to support evaluations conducted until three years after project completion.

CGHE continues to provide direct AME support to the CCMDs though the Improving Processes and Coordination in Theater (IMPACT) cooperative agreement, the purpose of which is to develop and integrate AME tools and practices to support the strategic goals outlined by the CCMDs’ Theater Campaign Plans in order to measure the effectiveness of DoD GHE activities and help CCMDs with the DoD-mandated integration of AME into security cooperation activities.

Solomon Islands Public Health Capacity Building Program Evaluation

In support of USINDOPACOM, this outcomes-based program evaluation used a theory of change model to demonstrate the critical role evaluation theory, methods and tools can play in “unpacking” the process of change in DoD GHE. This evaluation, conducted over the course of 2019, applied, tested and refined a theory of change designed to deconstruct the process of capacity building as influenced by three different contexts in the South Pacific. Through the final iteration of the theory of change in the Solomon Islands, CGHE explored the influence of the local context on capacity-building outcomes and to demonstrate the relevance of realist concepts to DoD GHEs. CGHE seeks to contribute both to the literature of operationalizing realist evaluation concepts in complex settings and equip future DoD GHE decision-makers with the frameworks, methods and tools needed to deconstruct the nuances involved in processes of change and to understand and measure outcomes.

Ukraine Rehabilitation Interdisciplinary Team Approach Collaborative Program Evaluation

In support of USEUCOM and in collaboration with U.S. Army Europe, CGHE began conducting a values-oriented formative evaluation grounded in an illuminative framework in order to explore the means by which an interdisciplinary approach to the training of Ukrainian Ministry of Defence health care providers in contemporary rehabilitation methods and techniques is translated into practice. This evaluation aims to elicit best practices within an interdisciplinary training approach in modern
rehabilitation capabilities with partner-nations, while building interoperability and increasing the capacity to provide care to injured soldiers and combatants. This evaluation commenced in 2019 by conducting a context assessment and the first of three data collection activities.

Evaluation Capacity Building

In order to increase evaluation capacity in DoD GHE, CGHE also began an action learning project using a community of practice approach with USINDOPACOM. By piloting a three-day workshop to build organizational institutional capacity across key AME competencies and through strategic consultations with GHE planners, CGHE is working to mainstream AME practices as embedded components of DoD GHE operational strategy. This project explores evaluation capacity building within a context where
demand for AME is high but historically has lacked a DoD-specific framework for planning and execution of evaluations. This presents an opportunity to capitalize on momentum inspired by policy and build institutional capacity to conduct AME, pushing both the field of global health security and evaluation forward. This will allow for building capacity in a manner which encourages the use of AME findings, better data and systems, and sustainable operational evaluation practices.