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Section 1 Before we began

Section 2

Section 3 Final section

Most Significant Change Story

<div class="simple-box-wrapper"><div class="simple-box"><div class="column"><h3>Description</h3><hr><p>The <i>Most Significant Change</i> (MSC) technique is an inductive, indicator-free, participatory evaluation method that complements deductive methods. Initially developed to evaluate social-change programs operating within complex community systems, IRH adapted MSC techniques for use in evaluating changes within complex health systems.</p><p>Three domains were defined for MSC collection:</p><ol><li>changes in the lives of Standard Days Method® (SDM) users;</li><li>changes noted by service providers since SDM introduction; and</li><li>changes detected by program managers since SDM was integrated into their programs.</li></ol><p>This methodology was an important tool to assess whether values inherent in the innovation remained when SDM was offered at scale. By allowing respondents to describe phenomena that they valued, MSC uncovered scale-up effects not detected by quantitative evaluation data, and intangible aspects of SDM scale-up such as advocacy, champions, leadership, gender equity and informed choice, among others.</p><p>Here is a <a target="_blank" rel="noopener noreferrer" href="https://drive.google.com/file/d/11IQQ62MUZHW9oThTd7If16mU3n_DRBqS/view?usp=sharing">quick link</a> to the pdf version of this course.&nbsp;</p></div></div></div>