Process Evaluation of the Nepal Health Development Project: a participatory challenge

Staff of the Nepal Health Development Project have designed a method of examining the relationship between the project's human resource development initiatives and the concrete outputs and outcomes that result. The method ('Process Evaluation') is a participatory method which focuses on the capacity building experience itself. PE allows the researchers to analyse the strengths and weaknesses inherent in a project/activity's design, and to analyse the external constraints and enablers that influence progress towards goals. To the extent that project beneficiaries and implementors design and carry out PE, the methodology is itself a tool for capacity building. The methodology has 4 characteristics: (i) use of a conceptual model around which to examine capacity building; (ii) reliance on participatory strategies; (iii) use of participatory appraisal techniques; (iv) a qualitative approach to indicator development and investigation. PE is described and explained in 4 sections, one devoted to each of the above characteristics. It is recognised that where there is participation, there is potential for conflict. The conceptual model provides a common reference point, and can be used to enhance participation in a diverse group. The evaluation exercise was used to help 'bridge the gap' between a number of distinct components of the organisation's work. The model was applied to each of these components and the results for each are presented. The final section presents lessons regarding the methodology learned through the evaluation process.