Meta-evaluation of baseline studies of the Brazilian Family Health Strategy Expansion Project: a participatory and formative approach

Cad Saude Publica. 2010 Dec;26(12):2270-8. doi: 10.1590/s0102-311x2010001200006.


A participatory, formative meta-evaluation of baseline studies in Brazil is presented. International standards recommended by associations of evaluators were used, along with "specificity" criteria built up using the terms of reference for proposals for the selection of studies. The methodological approach combined a "peer review" of baseline study reports, with a participatory (self) assessment for "primary" evaluators, the average of which provided the final score. Results revealed a classification of "good" and "very good" for the set of standards. The differences between the attribution of scores further highlight the importance of taking into account multiple points of view. Given the lack of pre-existing standards for the reports, the absence of standards and the incipient nature of evaluation focusing on utility, this meta-evaluation does not adequately reflect the quality or potential utility of the baseline studies, however, it will certainly contribute to overcoming these limitations and improving future impact studies of the Brazilian Family Health Strategy Expansion Project (PROESF).

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Brazil
  • Family Health*
  • Humans
  • National Health Programs / standards*
  • Program Evaluation / methods*
  • Program Evaluation / standards
  • Reference Standards