![]() However, while much literature exists on how to develop a ToC with respect to interventions in theory, there is comparatively little reflection on applying it in practice to complex interventions in the health sector. ![]() ToCs help make explicit any underlying assumptions, acknowledge the role of context and provide evidence to justify the chain of causal pathways. ![]() The construction of a ToC typically occurs through a consultative process, requiring stakeholders to reflect on how their programmes can bring about change. In recognition of their capacity to provide a framework for monitoring and evaluation, they are being increasingly employed in the development sector. Theories of change (ToCs) describe how interventions can bring about long-term outcomes through a logical sequence of intermediate outcomes and have been used to design and measure the impact of public health programmes in several countries.
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