L’expérience d’une démarche pluraliste dans un pays en guerre

L’Afghanistan

Abstract

Participation is often essential for successfully appropriating the results of an evaluation. Afghanistan has been a country at war since 1979, and its successive governments have left the entire public health system in the hands of international aid agencies. Having experienced and evaluated an implementation of financing mechanisms for health services, we analyze how, in a context of international emergency aid, a pluralist approach was possible, and observe the appropriation of results. The objective of this article is to identify facilitating factors of such an approach. To do this, we use an analytical framework based on and adapted from Patton’s definition of participatory evaluation, which entails three main categories: content, process, and aims of the evaluation. We think that reinforcing the links engaging evaluator and participants through participatory evaluation can partially counter the potentially negative effects of a context involving a country at war.