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You are here: Home Modules Module 3: Optimize Potential Impact Context - How do complex interventions interact
Context - How do complex interventions interact Print E-mail
Module 3: Optimize Potential Impact
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Context
Inner Context
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How do complex interventions interact
Examples of context and change
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How do complex interventions interact with context?

The context of a multiple intervention program changes constantly and interactively — that is, changes at one level or in one place produce effects elsewhere.

Complex interventions interact with their contexts in many ways:

  • They can be influenced by people such as program staff and community stakeholders adding details or lobbying for changes.
  • Their movement from planning to implementation and evaluation can be blocked or rerouted by changes in the program or disagreements among participants.
  • Different groups joining or new activities added can alter plans.
  • Other programs or interventions in the same or neighbouring communities may influence interventions.
  • Feedback from experience, observation and evaluation can change intervention delivery.
  • All of these changes may affect each other within or across system levels and program elements (Edwards et al., 2006, p.18).

How can you integrate context into your multiple intervention program?

  • Look at contextual factors — what works, for whom and under what circumstances — when you design your intervention program and evaluate it (Pawson & Tilley, 1997).
  • Do a thorough process evaluation to tease out the factors and conditions that may account for program success or failure.
  • Use your evaluation findings to modify, adapt, and refine program interventions that match the contextual influences you’ve identified.
  • Take into account socio-ecological factors and the nature and depth of inequities in the population when you choose your interventions. Reducing the vast inequities that lie behind many public health problems will require many more resources and different intersectoral cooperation than reducing smaller inequities. (Edwards et al., 2006, p.15).
  • Identify complementary and contradictory policies among jurisdictions that affect your program area, including which level and sector of government is responsible for what, so you can highlight priority areas for partnering and cooperation (Edwards et al., 2006, Clinton et al., 2007).


Last Updated on Wednesday, 16 September 2009 18:30