For the World AIDS Day, there is a sign at the World Bank that states that taking ARVs reduces rate of HIV transmission by 96%. If this was last year, a sign somewhere may well have read “A cheap microbicidal gel that women can use up to 12 hours before sexual intercourse reduces HIV infection risk by more than half – when used consistently.” Well, sadly, it turns out, so much for that.
randomized controlled trials
The English cartoonist Ashleigh Brilliant once offered the following piece of advice to strategists of all sorts who are concerned with their reputation: “To be sure of hitting the target, shoot first, and call whatever you hit the target…” With little time and fewer resources than elsewhere to battle the burning issues of poverty, insecurity and sociopolitical instability, economists and policymakers in developing countries may not be in the position to benefit from such cynical wisdom. Rather than listening to Ashleigh Brilliant, they should always keep in mind the constraints they face and the urgency of the situation in poor countries, and reflect on the maxim that recommends to “always aim before shooting.
A policy and research domain where there is a serious deficit of strategic thinking and prioritization is that of evaluation, which is traditionally defined as the systematic assessment of the worth or merit of some project, program or policy. The importance of evaluation cannot be underestimated: first, in a world where ideas compete constantly for funding, it is essential to ensure that value for money is at the core of public policy. Second, only by assessing the pertinence and efficiency of development initiatives can we get a full picture of their outcomes, and ensure accountability. Third and perhaps even more importantly, evaluation helps define the criteria for decision-making on new initiatives, and chart the course of future action. It highlights what works and what does not. It is therefore not surprising that evaluation has become a hot area of research and policy.