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Conférence internationale Africa 2013 sur lEcosanté Knowledge changes and lessons learned, looking at outcome pathway of an EcoHealth project Outcome Mapping and EcoHealth Uptake Assessment of the Ecosystem Approaches to the Better Management of Zoonotic Emerging Infectious Diseases in the Southeast Asia Region (EcoZD) project Tohtubtiang, K. 1 , Assé, R. 1 , Unger, F. 1 and Gilbert , J. 1 1. International Livestock Research Institute

Knowledge changes and lessons learned, looking at outcome pathway of an Ecohealth project

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Presentation by Korapin Tohtubtiang, Rainer Assé, Fred Unger and Jeff Gilbert at the First African Regional Conference of the International Association on Ecology and Health (Africa 2013 Ecohealth), Grand-Bassam, Côte d'Ivoire, 1-5 October 2013.

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Page 1: Knowledge changes and lessons learned, looking at outcome pathway of an Ecohealth project

Conférence internationale Africa 2013 sur l’Ecosanté 

Knowledge changes and lessons learned, looking at outcome pathway of

an EcoHealth project Outcome Mapping and EcoHealth Uptake Assessment of the Ecosystem Approaches to the Better Management of Zoonotic Emerging Infectious

Diseases in the Southeast Asia Region (EcoZD) project   Tohtubtiang, K.1, Assé, R. 1, Unger, F. 1 and Gilbert , J. 1

 1. International Livestock Research Institute 

Page 2: Knowledge changes and lessons learned, looking at outcome pathway of an Ecohealth project

Conférence internationale Africa 2013 sur l’Ecosanté 

Project Overview  

EcoZD Project: • Generate evidence-

based knowledge

• Build capacity for sustainable ZEID management

• Strengthen networks & develop capacity of ZEID actors 

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Page 3: Knowledge changes and lessons learned, looking at outcome pathway of an Ecohealth project

Conférence internationale Africa 2013 sur l’Ecosanté 

Key messages 

Outcome pathway: intentional stakeholder engagement • Influenced knowledge, attitude, and practices (KAP)

changes of targeted stakeholders.

• Fostered teams’ internal KAP changes and learning.

• Paraprofessionals are important actors in ZEID management.

• For sustainable ZEID management, capacity building for paraprofessionals is very critical.

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Page 4: Knowledge changes and lessons learned, looking at outcome pathway of an Ecohealth project

Conférence internationale Africa 2013 sur l’Ecosanté 

Project’s Expected Outcomes 

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Key Stakeholders

Expected Outcomes

1 Policy- makers • Convinced by research findings • Incorporated EH approach in policy-making

process

2 National partners • Actively contribute towards research • Engage community leaders • Disseminate best practices

3 10-15 members of EcoZD Country Teams

• Have clear understanding of EH • Continue to advocate beyond EcoZD

4 2 EcoHealth Resource Centres

• Provide EH advocacy, training and mentoring of the region

• Link with other integrated health initiatives

Page 5: Knowledge changes and lessons learned, looking at outcome pathway of an Ecohealth project

Conférence internationale Africa 2013 sur l’Ecosanté 

Project Strategies and Methods 

Outcome Mapping (OM)

• An actor-centred participatory planning, M&E tool.

• Outcomes = changes in KAP & behaviour of targeted stakeholders

• Putting learning and people at the centre of development

5 Source: www.outcomemapping.ca

Page 6: Knowledge changes and lessons learned, looking at outcome pathway of an Ecohealth project

Conférence internationale Africa 2013 sur l’Ecosanté 

Project Strategies and Methods 

OM, a guideline to construct outcome pathway: Two-level framework to capture outcomes

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ILRI‐EcoZD 

Layer 1  

Slaughterhouse Owners  

Students 

 Para 

professionals 

Layer 2  CHI 

CAM IND 

VTN LAO 

JTV EHRC CMU EHRC CMU 

EHRC UGM EHRC UGM 

Page 7: Knowledge changes and lessons learned, looking at outcome pathway of an Ecohealth project

Conférence internationale Africa 2013 sur l’Ecosanté 

Project Strategies and Methods 

Creating outcome pathway:

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Project’s goals, 

objectives & outcomes 

Goals of engagement Goals of 

engagement 

Progress indicators  Progress indicators  

Planning & implementation 

Assessing & Documenting outcomes  

Assessing & Documenting outcomes  

Country Teams 

Targeted Stakeholders 

Adaptation of strategies 

Page 8: Knowledge changes and lessons learned, looking at outcome pathway of an Ecohealth project

Conférence internationale Africa 2013 sur l’Ecosanté 

Project Strategies and Methods 

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Layer 1: ILRI – Country Teams

• Understanding and applying EcoHealth principles.

• Communicating research findings.

• Networking & policy engagement.

Key themes of progress indicators: Layer 2: Country Teams – Targeted Stakeholders

• Improved understanding/ specific knowledge.

• Changes in practices.

• Communication of particular knowledge/ practices to communities.

Page 9: Knowledge changes and lessons learned, looking at outcome pathway of an Ecohealth project

Conférence internationale Africa 2013 sur l’Ecosanté 

Outcomes: KAP changes Knowledge changes reflected in self-assessment

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Progress Indicator 3: Strategically plan communication and dissemination of research findings to targeted stakeholders

Self-assessment 1*

Sep. 2012 Cambodia

China

Vietnam

L+ M+

L M

M- H

Self-assessment 2*

Sep. 2013

Page 10: Knowledge changes and lessons learned, looking at outcome pathway of an Ecohealth project

Conférence internationale Africa 2013 sur l’Ecosanté 

Outcomes: KAP changes Increased understanding of EcoHealth and improved internal learning & communication

• Perspectives towards transdisciplinary research

• Adoption of new research tools

• EH an approach for complex challenges

• Potential impacts

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Page 11: Knowledge changes and lessons learned, looking at outcome pathway of an Ecohealth project

Conférence internationale Africa 2013 sur l’Ecosanté 

Outcomes: KAP changes Paraprofessionals’ improved knowledge in performing their ZEID management tasks

• Better understanding of particular diseases

• Cross sectional learning & collaboration

• Improved communication strategies to communities

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Page 12: Knowledge changes and lessons learned, looking at outcome pathway of an Ecohealth project

Conférence internationale Africa 2013 sur l’Ecosanté 

Lessons Learned: Challenges 

Challenges in creating outcomes

through intentional outreach • M&E concept &

implementation

• Language capacity

• Integration of social science &qualitative methods

• Limited resources & capacity affecting internal learning and hindering changes

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Page 13: Knowledge changes and lessons learned, looking at outcome pathway of an Ecohealth project

Conférence internationale Africa 2013 sur l’Ecosanté 

Lessons learned: Enabling factors  

Towards creating intentional outreach and outcomes • Share goals & objectives with stakeholders

• Make intentional stakeholder engagement an integral component of research process

• M&E, a formative process for EH research management

• Adaptive & team-specific strategies

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Page 14: Knowledge changes and lessons learned, looking at outcome pathway of an Ecohealth project

Conférence internationale Africa 2013 sur l’Ecosanté 

Conclusion 

• Intentional stakeholder engagement strategy contributed to:

EcoZD team members’ adoption of EcoHealth approach

Capacity building of actors for sustainable management of ZEID

• Participatory M&E serves as platform for exchange and learning, a source for adaptive management strategies

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Page 15: Knowledge changes and lessons learned, looking at outcome pathway of an Ecohealth project

Conférence internationale Africa 2013 sur l’Ecosanté 

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