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Exploring Complexity in the Health Sector: A Panel on Case- Based Evaluation Approaches 
John Snow Inc. (JSI), George Washington University School of Public Health, in collaboration with the Institute of Medicine and the World Bank 
Washington DC 
November 2014
Overview 
Why focus on case studies? 
What are case studies? 
Focus of the panel 
Context, Concepts, and Purpose
3 
The Context 
Complexity: health systems and health interventions 
The setting matters 
Greater depth of understanding needed 
Going beyond simple solutions 
Replicating success 
Going to scale
4 
The Case study 
•research method or an empirical inquiry that investigates a contemporary phenomenon within its real-life context; 
•when the boundaries between phenomenon and context are not clearly evident; and 
•in which multiple sources of evidence are used. 
Robert K. Yin 1984, p 23 
The case as an example for learning about interventions in context 
Mixed methods 
Comparative cases to increase potential learning and relevance
More variables than data points. 
Relies on multiple sources of evidence, requiring the data to converge or triangulate. 
Theoretical propositions to guide data collection and analysis. 
Case study research comprises an all-encompassing method – covering the logic of design, data collection techniques, and specific approaches to data analysis
6 
Not…..
7 
Case-based research is

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Exploring Complexity in the Health Sector: A Panel on Case-Based Evaluation Approaches

  • 1. Exploring Complexity in the Health Sector: A Panel on Case- Based Evaluation Approaches John Snow Inc. (JSI), George Washington University School of Public Health, in collaboration with the Institute of Medicine and the World Bank Washington DC November 2014
  • 2. Overview Why focus on case studies? What are case studies? Focus of the panel Context, Concepts, and Purpose
  • 3. 3 The Context Complexity: health systems and health interventions The setting matters Greater depth of understanding needed Going beyond simple solutions Replicating success Going to scale
  • 4. 4 The Case study •research method or an empirical inquiry that investigates a contemporary phenomenon within its real-life context; •when the boundaries between phenomenon and context are not clearly evident; and •in which multiple sources of evidence are used. Robert K. Yin 1984, p 23 The case as an example for learning about interventions in context Mixed methods Comparative cases to increase potential learning and relevance
  • 5. More variables than data points. Relies on multiple sources of evidence, requiring the data to converge or triangulate. Theoretical propositions to guide data collection and analysis. Case study research comprises an all-encompassing method – covering the logic of design, data collection techniques, and specific approaches to data analysis