Skip to main content

Main menu

  • Content
    • Current Issue
    • Advance Access
    • Archive
    • Supplements
      • The Challenge Initiative Platform
      • Call for Abstracts
      • The Responsive Feedback Approach
    • Topic Collections
  • For Authors
    • Instructions for Authors
    • Submit Manuscript
    • Publish a Supplement
    • Promote Your Article
    • Resources for Writing Journal Articles
  • About
    • About GHSP
    • Editorial Team
    • Advisory Board
    • FAQs
    • Instructions for Reviewers
  • Webinars
    • Local Voices Webinar
    • Connecting Creators and Users of Knowledge
    • Publishing About Programs in GHSP
  • Other Useful Sites
    • GH eLearning
    • GHJournal Search

User menu

  • My Alerts

Search

  • Advanced search
Global Health: Science and Practice
  • Other Useful Sites
    • GH eLearning
    • GHJournal Search
  • My Alerts

Global Health: Science and Practice

Dedicated to what works in global health programs

Advanced Search

  • Content
    • Current Issue
    • Advance Access
    • Archive
    • Supplements
    • Topic Collections
  • For Authors
    • Instructions for Authors
    • Submit Manuscript
    • Publish a Supplement
    • Promote Your Article
    • Resources for Writing Journal Articles
  • About
    • About GHSP
    • Editorial Team
    • Advisory Board
    • FAQs
    • Instructions for Reviewers
  • Webinars
    • Local Voices Webinar
    • Connecting Creators and Users of Knowledge
    • Publishing About Programs in GHSP
  • Alerts
  • Visit GHSP on Facebook
  • Follow GHSP on Twitter
  • RSS
  • Find GHSP on LinkedIn
ORIGINAL ARTICLE
Open Access

Lessons Learned From the Use of the Most Significant Change Technique for Adaptive Management of Complex Health Interventions

Saori Ohkubo, Lisa Mwaikambo, Ruwaida M. Salem, Lekan Ajijola, Paul Nyachae and Mukesh Kumar Sharma
Global Health: Science and Practice February 2022, 10(1):e2100624; https://doi.org/10.9745/GHSP-D-21-00624
Saori Ohkubo
aThe Challenge Initiative, Johns Hopkins Center for Communication Programs, Baltimore, MD, USA.
  • Find this author on Google Scholar
  • Find this author on PubMed
  • Search for this author on this site
  • For correspondence: saori.ohkubo@jhu.edu
Lisa Mwaikambo
aThe Challenge Initiative, Johns Hopkins Center for Communication Programs, Baltimore, MD, USA.
  • Find this author on Google Scholar
  • Find this author on PubMed
  • Search for this author on this site
Ruwaida M. Salem
aThe Challenge Initiative, Johns Hopkins Center for Communication Programs, Baltimore, MD, USA.
  • Find this author on Google Scholar
  • Find this author on PubMed
  • Search for this author on this site
Lekan Ajijola
bThe Challenge Initiative, Nigeria Hub, Johns Hopkins Center for Communication Programs, Abuja, Nigeria.
  • Find this author on Google Scholar
  • Find this author on PubMed
  • Search for this author on this site
Paul Nyachae
cThe Challenge Initiative, East Africa Hub, Jhpiego, Nairobi, Kenya.
  • Find this author on Google Scholar
  • Find this author on PubMed
  • Search for this author on this site
Mukesh Kumar Sharma
dThe Challenge Initiative for Healthy Cities, India Hub, Population Services International, Delhi, India.
  • Find this author on Google Scholar
  • Find this author on PubMed
  • Search for this author on this site
PreviousNext
  • Article
  • Figures & Tables
  • Supplements
  • Info & Metrics
  • Comments
  • PDF
Loading

Figures & Tables

Figures

  • Tables
  • Additional Files
  • FIGURE
    • Download figure
    • Open in new tab
    • Download powerpoint
    FIGURE

    The Challenge Initiative’s Most Significant Change Story Selection Process

    Abbreviations: FWA, Francophone West Africa; TCI, The Challenge Initiative.

Tables

  • Figures
  • Additional Files
    • View popup
    TABLE.

    Definitions of The Challenge Initiative’s 4 Domains for Sustainable Scale-Upa

    Domain of ChangeDefinition
    Knowledge, attitudes, practiceThe progression from awareness of an innovation, to forming positive attitudes about the innovation, to the adoption of knowledge for decision-making purposes or for application in practice and policy.
    Political and financial commitmentsThe multidimensional nature of political commitment is usually captured through the level of spending on intervention since it requires action by both the executive and legislative branches of government—implying commitment of funds and establishment of enabling policies. Statements of leaders are also commonly examined to measure political commitment.
    SystemsThe building blocks that make health systems function well: leadership and governance, health workforce, medical products and technologies, information and research, including data demand and use.12
    Access and qualityElements that impact access to family planning services, such as geographic distance, economic, administrative, awareness of services, and psychosocial issues (e.g., individual attitudes or social norms). Elements that impact the quality of services, such as choice of methods; appropriate client-provider interaction; and availability of competent providers, space, and an appropriate constellation of services.13
    • ↵a The definitions are adapted from The Challenge Initiative’s Global Toolkit on Most Significant Change, Step 2: Selecting the Most Significant Stories (https://tciurbanhealth.org/courses/program-design/lessons/most-significant-change/).

Additional Files

  • Figures
  • Tables
  • Supplemental material

    • Supplement 1 -

      Supplement 1

    • Supplement 2 -

      Supplement 2

    • Supplement 3 -

      Supplement 3

    • Supplement 4 -

      Supplement 4

PreviousNext
Back to top

In this issue

Global Health: Science and Practice: 10 (1)
Global Health: Science and Practice
Vol. 10, No. 1
February 28, 2022
  • Table of Contents
  • About the Cover
  • Index by Author
Print
Download PDF
Article Alerts
Sign In to Email Alerts with your Email Address
Email Article

Thank you for your interest in spreading the word about Global Health: Science and Practice.

NOTE: We only request your email address so that the person you are recommending the page to knows that you wanted them to see it, and that it is not junk mail. We do not capture any email address.

Enter multiple addresses on separate lines or separate them with commas.
Lessons Learned From the Use of the Most Significant Change Technique for Adaptive Management of Complex Health Interventions
(Your Name) has forwarded a page to you from Global Health: Science and Practice
(Your Name) thought you would like to see this page from the Global Health: Science and Practice web site.
CAPTCHA
This question is for testing whether or not you are a human visitor and to prevent automated spam submissions.
Citation Tools
Lessons Learned From the Use of the Most Significant Change Technique for Adaptive Management of Complex Health Interventions
Saori Ohkubo, Lisa Mwaikambo, Ruwaida M. Salem, Lekan Ajijola, Paul Nyachae, Mukesh Kumar Sharma
Global Health: Science and Practice Feb 2022, 10 (1) e2100624; DOI: 10.9745/GHSP-D-21-00624

Citation Manager Formats

  • BibTeX
  • Bookends
  • EasyBib
  • EndNote (tagged)
  • EndNote 8 (xml)
  • Medlars
  • Mendeley
  • Papers
  • RefWorks Tagged
  • Ref Manager
  • RIS
  • Zotero
Share
Lessons Learned From the Use of the Most Significant Change Technique for Adaptive Management of Complex Health Interventions
Saori Ohkubo, Lisa Mwaikambo, Ruwaida M. Salem, Lekan Ajijola, Paul Nyachae, Mukesh Kumar Sharma
Global Health: Science and Practice Feb 2022, 10 (1) e2100624; DOI: 10.9745/GHSP-D-21-00624
del.icio.us logo Digg logo Reddit logo Twitter logo CiteULike logo Facebook logo Google logo Mendeley logo
  • Tweet Widget
  • Facebook Like
  • Google Plus One

Statistics from Altmetric.com

Jump to section

  • Article
    • ABSTRACT
    • INTRODUCTION
    • TCI PROJECT DESCRIPTION
    • THE RATIONALE FOR SELECTING MSC
    • METHODS
    • RESULTS
    • DISCUSSION
    • LESSONS LEARNED AND RECOMMENDATIONS FOR USING MSC AS AN ADAPTIVE MANAGEMENT TOOL
    • POTENTIAL CHALLENGES OF USING MSC FOR ADAPTIVE MANAGEMENT
    • CONCLUSION
    • Acknowledgments
    • Funding
    • Author contributions
    • Competing interests
    • Notes
    • REFERENCES
  • Figures & Tables
  • Supplements
  • Info & Metrics
  • Comments
  • PDF

Related Articles

  • PubMed
  • Google Scholar

Cited By...

  • No citing articles found.
  • Google Scholar

More in this TOC Section

  • Getting Rigor Right: A Framework for Methodological Choice in Adaptive Monitoring and Evaluation
  • A Platform for Sustainable Scale: The Challenge Initiative’s Innovative Approach to Scaling Proven Interventions
  • What Underlies State Government Performance in Scaling Family Planning Programming? A Study of The Challenge Initiative State Partnerships in Nigeria
Show more Original article

Similar Articles

Subjects

  • Health Topics
    • Family Planning and Reproductive Health
US AIDJohns Hopkins Center for Communication ProgramsUniversity of Alberta

Follow Us On

  • Twitter
  • Facebook
  • LinkedIn
  • RSS

Articles

  • Current Issue
  • Advance Access Articles
  • Past Issues
  • Topic Collections
  • Most Read Articles
  • Supplements

More Information

  • Submit a Paper
  • Instructions for Authors
  • Instructions for Reviewers
  • GH Journals Database

About

  • About GHSP
  • Advisory Board
  • FAQs
  • Privacy Policy
  • Contact Us

© 2023 Creative Commons Attribution 4.0 International License. ISSN: 2169-575X

Powered by HighWire