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Table 3 Context-Mechanism-Outcome configurations

From: Monitoring and evaluation of disaster response efforts undertaken by local health departments: a rapid realist review

Stage of M&E

Context

Mechanism

Outcome

Document and assess

Assurance that staff will not be penalised for mistakes.

A culture of learning is instilled in the health department

More accurate and high quality documentation and assessment of disaster response

Training in the procedures and skills for documenting and assessing a disaster response are embedded into regular work

Provides staff with an opportunity to practice and become proficient in the analytical skills required to successfully document and assess their response.

Better prepared staff

Using external partners to document and assess the disaster response

External partners have the time, knowledge and skills to thoroughly document and assess a response

Improved depth and quality of documentation and assessment

Disseminate

Disseminating standardised reports

Allows all health departments to perceive the experiences of others as relevant to their own work

Promotes inter-agency learning

Implement

Positive leadership attributes

Establishes a culture of quality improvement within the health department which increases commitment

Promotes successful implementation of changes to improve performance

Shared decision making structures

Fosters a sense of ownership and responsibility amongst personnel which increases motivation and commitment

Promotes successful implementation of changes to improve performance