The document summarizes an EcoHealth project in Southeast Asia that aimed to build capacity for sustainable management of zoonotic emerging infectious diseases (ZEIDs). It used an outcome mapping approach to engage stakeholders and assess changes in knowledge, attitudes, and practices. Key outcomes included country team members and paraprofessionals increasing their understanding of EcoHealth principles and ZEID management. Challenges included implementing monitoring and evaluation and integrating social science methods with limited resources. Lessons highlighted the importance of intentional stakeholder engagement and using participatory monitoring and evaluation to foster learning and adaptive management.

1. 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

2. 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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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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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

5. 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
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Source: www.outcomemapping.ca

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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

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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

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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.

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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

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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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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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12. 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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13. 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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14. 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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