The study involved three data collection phases: individual discussions with VAPAR programme stakeholders over 2 months (April and May 2019); an interactive workshop with provincial Department of Health (DOH) managers (May 2019); and a workshop with national child health experts (May 2019). Findings from the three phases were reviewed, collated and fed into a revised programme theory. The evaluation focused on specific layers of outcomes from the framework of the initial programme theory in order to systematically identify the context-mechanism-outcome configurations that drive these outcomes. These outcomes included research and stakeholder engagement, organization and delivery of services, establishing an evidence base for policy and planning, and improving health behaviours and outcomes .

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