Health Policy Initiative | PIAT Interview Guide for Implementers/Other Stakeholders
Policy Implementation
Assessment Tool
Master Interview Guide
May 2010
IMPLEMENTERS AND
OTHER STAKEHOLDERS
This master interview guide was prepared by the USAID | Health Policy Initiative,
Task Order 1. In-country teams should adapt this master interview guide to the
specific policy of interest and the given country or local context.
To learn more about applying the tool, please see the paper Taking the Pulse of Policy:
The Policy Implementation Assessment Tool (2010), available at
www.healthpolicyinitiative.com/policyimplementation.
Health Policy Initiative | PIAT Interview Guide for Implementers/Other Stakeholders
Policy Implementation Interview Guide for
Implementing Organizations and Other Stakeholders
Basic Information about the Key Informant
Please obtain and enter all basic information about the implementer/other stakeholder before the interview.
Name: ___________________________________________________________________________
Title: ____________________________________________________________________________
Sex:
F: ______
M: ______
Agency/organization: ______________________________________________________________
Length of time at agency/organization: ________________________________________________
Address: _________________________________________________________________________
Email and contact numbers: ________________________________________________________
Date(s) of interview:________________________________________________________________
Name of interviewer: ______________________________________________________________
The following information about the policy is to be completed by the core team before data collection starts.
Print this on a separate sheet of paper to give to the respondent.
Full name (and number if applicable) of the policy that is the focus of the assessment:________
_________________________________________________________________________________
Issuing body/institution:____________________________________________________________
________________________________________________________
Date officially approved:____________________________________________________________
_________________________________________________________________________________
Policy goal (as stated in the policy):___________________________________________________
_________________________________________________________________________________
Policy objectives (as stated in the policy): ______________________________________________
_________________________________________________________________________________
Policy timeframe (as stated in the policy):_____________________________________________
_________________________________________________________________________________
1
Health Policy Initiative | PIAT Interview Guide for Implementers/Other Stakeholders
Note to Interviewer:








All questions or phrases to read aloud are in bold font.
Items to be filled in by the core team prior to the interviews are italicized and shaded in
gray. Some of these items will be filled in based on the findings from the policy text analysis
completed by the core team prior to application of this tool.
All instructions to interviewers are italicized and enclosed by double-lined boxes. They
should not be read aloud.
Ask each question as stated in the interview guide. If the key informant states that he/she
does not really know the answer, write “DK” (“Don’t know”).
Numbered categories of responses are provided for several questions. Read out the
categories to the respondent and circle the corresponding number of the respondent’s
choice. Choices should not fall between two numbers; in such cases, the interviews should
encourage the respondents to choose the number that best reflects their viewpoint.
Most questions request the key informant to specify or explain further. Please probe
appropriately to obtain the underlying reasons. Write down any comments or
recommendations that the key informant gives. Interviewers are encouraged to probe in the
case of open-ended questions. Use spaces provided and the margins or the back pages of the
interview guide if more space is needed.
In some instances, a respondent may decline to answer a specific question. If so, write down
“Declined,” then ask the respondent if it is okay to ask the next question. If the respondent
agrees to continue, be sure to ask the next applicable question based on “Skip” instructions.
In case questions arise, make sure you have a copy of the policy with you.
Introduction
Good morning Sir/Madam [or as appropriate]. Thank you very much for making time for this
interview. My name is [state your name] and I work for [state your organization]. We are
interviewing stakeholders regarding the implementation of the insert exact title of the policy.
By policy implementation, we mean the activities and operations of various stakeholders toward
achieving the goals and objectives articulated in an authorized policy—in this case, the insert the
policy.
The purpose of this assessment is to analyze how well insert the policy is being implemented. The
results of the interviews can be used by policymakers and stakeholders to clarify guidelines and
directives, address barriers to implementation, improve resource mobilization, update
implementation plans, or advocate for policy reform.
This interview includes categorized or close-ended questions as well as questions that are
open ended. We anticipate that this interview will last about one and a half hours.
CONSENT
Please be assured that all your responses will be held in strict confidence; findings will be
presented in aggregate, and no statements used in the report will be attributed directly to
you. Your participation is voluntary, and you may decline to answer any question or end
the interview at any point. Do you agree to continue?
___Yes
___No
____________Interviewer’s Initials
2
Health Policy Initiative | PIAT Interview Guide for Implementers/Other Stakeholders
Review the goals and objectives of the policy (listed above on the first page of the interview guide).
Confirm with the respondent that he/she is aware of the contents of this policy and can answer questions
about its implementation. Tips for conducting the interview are enclosed in these double-lined boxes.
A. The Policy, Its Formulation, and Dissemination
A1.
Referring to the goals and objectives of this policy, to what extent do you think these goals
and objectives address the key issues in the country, district, technical area…complete as
appropriate for policy?
1
Do not address
important issues
2
Address some key
issues, but many
missing
3
Address most of
the key issues, but
some missing
4
Address all key issues
(A1a) Why? Please explain.
A1b.
To what extent does the policy address the needs of the poor or insert other underserved, vulnerable,
or most at-risk populations as appropriate based on the policy text analysis and their health status?
1
2
Does not address
needs of the poor/
underserved
Addresses some key
issues affecting the
poor/underserved
3
Addresses most of
the key issues
affecting the poor/
underserved
4
Addresses all key
issues affecting the
poor/underserved
(A1b1) Please explain.
A1c.
To what extent does the policy address gender issues in the country, district, technical area…complete
as appropriate per the policy text analysis?
1
Does not address
key gender issues
2
Addresses some key
gender issues
3
Addresses most of
the key gender issues
3
4
Addresses all key
gender issues
Health Policy Initiative | PIAT Interview Guide for Implementers/Other Stakeholders
(A1c1) Please explain.
If the policy specifies a timeframe, read out the timeframe then ask question A2; otherwise skip to A3.
A2.
In your opinion, are the goals and objectives achievable within the timeframe set out in the policy?
1_Yes
2_No
8_Don’t know
(A2a) Why? Please explain.
A3.
To what extent were you and/or your organization involved during the process of formulating the
policy?
1
2
3
4
Not involved
Limited involvement
Moderate involvement
Extensive involvement
(A3a) Please explain.
(A3b) In your opinion, how has this degree of involvement in policy formulation affected your role
in implementation?
A4.
In your opinion, how well was the policy disseminated to various implementing agencies?
1
Not disseminated
2
Limited dissemination
3
Disseminated
widely; no forums
for discussion
4
4
Disseminated widely; with
forums for discussion
Health Policy Initiative | PIAT Interview Guide for Implementers/Other Stakeholders
(A4a) Please explain.
Probe for how and when the
respondent became aware of
the policy.
A5.
In your opinion, how well was the policy disseminated to the public, including beneficiaries?
1
Not disseminated
2
3
4
Limited dissemination Disseminated widely; Disseminated widely
no forums for
amongst beneficiaries;
discussion
with forums for discussion
(A5a) Please explain.
B. Social, Political, and Economic Context
The core team should tailor the questions in this section to include any specific social, economic, or
political issues that may affect policy implementation.
B1.
From your perspective, how do social factors—at either local or national levels—facilitate or hinder
your or your organization’s ability to implement this policy? Please consider religious practices or
beliefs, gender norms, cultural practices, ethnic affiliations, or social status.
Social Factor
(1) Indicate
Facilitate/Hinder
(2) Describe Effect
(B1a)
Religious practices
or beliefs
(B1a1)
(B1a2)
(B1b)
Gender norms
(B1b1)
(B1b2)
5
Health Policy Initiative | PIAT Interview Guide for Implementers/Other Stakeholders
(B1c)
Cultural practices
(B1c1)
(B1c2)
(B1d)
Ethnic affiliations
(B1d1)
(B1d2)
(B1e)
Social status
(B1e1)
(B1e2)
(B1f)
Other
(B1f1)
(B1f2)
B2.
In your opinion, how do political factors—at either local or national levels— facilitate or hinder
your or your organization’s ability to implement this policy? Please take into consideration changes
in government, decentralization, policy environment, and international agreements (e.g., United
Nations declarations, Millennium Development Goals).
Political Factor
(1) Indicate
Facilitate/Hinder
(2) Describe Effect
(B2a)
Changes in
government
(B2a1)
(B2a2)
(B2b)
Decentralization;
and/or divergent
priorities at national
and local levels
(B2b1)
(B2b2)
(B2c)
Policy environment,
including alignment
or conflict with
other policies
(B2c1)
(B2c2)
6
Health Policy Initiative | PIAT Interview Guide for Implementers/Other Stakeholders
(B2d)
International
agreements,
programs,
covenants, and
priorities
(B2d1)
(B2d2)
(B2e)
Prioritization of
poverty alleviation
on the policy agenda
(B2e1)
(B2e2)
(B2f)
Other
(B2f1)
(B2f2)
B3.
In your opinion, how do economic factors—at either local or national levels— facilitate or hinder
your or your organization’s ability to implement this policy? Please take into consideration
domestic economic issues as well as global assistance priorities and mechanisms.
Economic Factor
(1) Indicate
Facilitate/Hinder
(2) Describe Effect
(B3a)
Unemployment
(B3a1)
(B3a2)
(B3b)
Migration
(B3b1)
(B3b2)
(B3c)
Poverty
(B3c1)
(B3c2)
(B3d)
Global assistance
mechanisms, donor
priorities
(B3d1)
(B3d2)
7
Health Policy Initiative | PIAT Interview Guide for Implementers/Other Stakeholders
(B3e)
Other
(B3e1)
(B3e2)
C. Leadership for Policy Implementation
C1.
Currently, is there support among opinion leaders or influential institutions from any sector for
implementing this policy?
1_Yes
2_No
8_Don’t know
If yes
Which opinion leaders or institutions
support implementing this policy?
(1) How is the support for implementing this
policy affecting you/your organization?
(C1a)
(C1a1)
(C1b)
(C1b1)
(C1c)
(C1c1)
If no or don’t know, continue with C2.
C2.
Currently, is there opposition among opinion leaders or influential institutions from any
sector for implementing this policy?
1_Yes
2_No
8_Don’t know
If yes
Which opinion leaders or institutions
oppose implementing this policy?
(C2a)
(1) How is the opposition for implementing this
policy affecting you/your organization?
(C2a1)
(C2b)
(C2b1)
(C2c)
(C2c1)
If no or don’t know, continue with C3.
8
Health Policy Initiative | PIAT Interview Guide for Implementers/Other Stakeholders
C3.
In your understanding, what is the lead institution for implementing the policy?
____________________________________________________________________________________
(C3a) Please explain.
C4.
How effective is this institution’s leadership in implementing the policy?
1
Not effective
2
Somewhat effective
3
Mostly effective
4
Very effective
(C4a) Please explain.
D. Stakeholder Involvement in Policy Implementation
D1.
To what extent are different sectors within the government involved in implementing the policy?
1
None – only the
key Ministry/agency
2
Limited involvement
of various sectors
3
Moderate involvement
of various sectors
4
Wide multisectoral
involvement
(D1a) Please explain.
Ask about different ministries
[e.g., Health, Finance, Planning,
Women’s Affairs], departments
[e.g., reproductive health and
HIV programs within the
Ministry of Health], agencies,
and levels within the government.
9
Health Policy Initiative | PIAT Interview Guide for Implementers/Other Stakeholders
D2.
To what extent are other stakeholders involved in implementing the policy?
1
None – only the
government
2
Limited involvement
of other
nongovernmental
stakeholders
3
Moderate involvement
of other
nongovernmental
stakeholders
4
Wide involvement of
other nongovernmental
stakeholders
(D2a) Please explain.
Ask about different stakeholders, as
appropriate based on the policy text
analysis: NGOs, women’s groups, the
private or commercial sector, groups
representing the poor and other
vulnerable populations, and others.
D3.
To what extent is your organization implementing the policy or involved in its implementation?
1
Not implementing or
involved
2
Partly implementing
or partly involved
3
4
Implementing or
Implementing or
involved in many parts involved in all relevant
of the policy
parts of the policy
(D3a) Please explain.
D4.
Are groups in civil society advocating for this policy to be implemented?
1_Yes
2_No
8_Don’t know
If yes
Which groups?
(1) Please describe the effect of their advocacy
efforts on implementation
(D4a)
(D4a1)
(D4b)
(D4b1)
(D4c)
(D4c1)
If no or don’t know, continue with D5.
10
Health Policy Initiative | PIAT Interview Guide for Implementers/Other Stakeholders
D5.
To what extent are insert groups here as appropriate, whom the policy is designed to reach, involved
in implementing the policy?
1
Not involved
2
Limited involvement
3
Moderate involvement
4
Wide involvement
(D5a) Please explain.
D6.
What, if any, other organizations could be involved in order to improve implementation of the
policy?
Please identify organizations and explain why their participation would foster implementation.
Organization
(1) Reason
(D6a)
(D6a1)
(D6b)
(D6b1)
E. Implementation Planning and Resource Mobilization
If there is an official implementation plan, ask E1 to E5a. If there is no implementation plan, skip to E6.
E1.
Are you familiar with insert the official title of the implementation plan here?
1_Yes
2_No
If yes, continue with E2; if no, skip to E8.
11
8_Don’t know
Health Policy Initiative | PIAT Interview Guide for Implementers/Other Stakeholders
(E1a)
Was your organization involved in the formulation of the implementation plan?
1_Yes
2_No
8_Don’t know
E2.
How helpful is insert the official title of the implementation plan here to your organization for
implementing the policy?
1
Not helpful
2
Somewhat helpful
3
Helpful in
most aspects
4
Very helpful
(E2a) Please explain.
As appropriate, ask about the
clarity of the organization’s
expected role in implementation,
objectives, timeframe for achieving
objectives, the budget, and how the
organization’s progress will be
measured and evaluated.
E3.
Do you have any suggestions for making the insert the official title of the implementation plan here
more useful for your organization?
E4.
To what extent does the implementation plan include strategies to address the needs of the poor or
insert other underserved, vulnerable, or most at-risk populations as appropriate and their health status?
1
2
Does not address
needs of the poor /
underserved
Addresses some key
issues affecting the
poor/underserved
3
Addresses most of
the key issues
affecting the poor/
underserved
(E4a) Please explain.
12
4
Addresses all key
issues affecting the
poor/underserved
Health Policy Initiative | PIAT Interview Guide for Implementers/Other Stakeholders
E5.
To what extent does the implementation plan include strategies to address gender issues in the
country, district, technical area…complete as appropriate per the policy text analysis?
1
Does not address
key gender issues
2
Addresses some key
gender issues
3
Addresses most of
the key gender issues
4
Addresses all key
gender issues
(E5a) Please explain.
Skip to E8. If there is no written implementation plan, ask E6 through E7a.
E6.
Because there is no overall implementation plan for the policy, what document is currently guiding
your organization in implementing activities under the policy?
E7.
How helpful is the document refer to the document mentioned in E6 to your organization for
implementing the policy?
1
Not helpful
2
Somewhat helpful
3
Helpful in
most aspects
4
Very helpful
(E7a) Why? Please explain.
E8. Do you have any suggestions for making the implementation planning more useful for your
organization in terms of understanding how your activities contribute to achieving the policy goals?
13
Health Policy Initiative | PIAT Interview Guide for Implementers/Other Stakeholders
E9.
Please identify your organization’s primary areas of roles and responsibilities that support the
implementation of this policy.
Check areas mentioned by key informant and then write down key roles and responsibilities.
Components of Implementation
Mark √
where
appropriate
(1) Roles/Responsibilities
Training/Capacity Building
(E9a)
(E9a1)
Advocacy
(E9b)
(E9b1)
Service Delivery
(E9c)
(E9c1)
Information, education,
communication (IEC)
(E9d)
(E9d1)
Logistics
(E9e)
(E9e1)
Planning
(E9f)
(E9f1)
Finance
(E9g)
(E9g1)
M&E/Research
(E9h)
(E9h1)
Other (Specify)
(E9i)
(E9i1)
14
Health Policy Initiative | PIAT Interview Guide for Implementers/Other Stakeholders
E10.
How would you describe the scope and complexity of the changes that this policy requires of your
organization?
1
No change
2
Minor changes;
requiring small
adjustments here
and there
3
Moderate change;
requiring
organizational and
operational changes
4
Significant change;
requiring restructuring
and instituting major
changes in the way we
work
(E10a) Why? Please explain.
E11.
Did you or your organization receive training/capacity building on specific issues related to
implementing the policy?
1_Yes
2_No
8_Don’t know
If no, skip to E11c.
(E11a) How effective was the training in preparing you or your organization for policy
implementation?
1
Not effective
2
Limited effectiveness
3
Mostly effective
4
Very effective
(E11b) Why? Please explain.
(E11c) Please describe any areas in which you need training/capacity building to better implement
the policy.
E12.
How well is your organization adapting to the changes required by the policy?
1
Having significant
difficulty with the
changes
2
Adequately, but having
some difficulties
adapting
15
3
Well
4
Very Well
Health Policy Initiative | PIAT Interview Guide for Implementers/Other Stakeholders
(E12a) Why? Please explain.
E13.
Is there a mechanism in place to ensure funding for implementing this policy?
1_Yes
2_No
8_Don’t know
If yes, ask E13a; if no, ask E13b. If don’t know, continue with E14.
(E13a) Please explain the mechanism.
(E13b) How will funding for this policy be sustained for the insert duration of the policy? Please
explain.
E14.
From what sources does your organization receive funding to implement activities under the
policy? Check all that apply.
(E14a)__Government
(E14b)__Donor
(E14c)__Private sector
(E14d)__Insurance
(E14e)__Clients
(E14f)__Other (please specify) __________________
E15.
How sufficient are the funds your organization has available to carry out its roles and
responsibilities under the policy?
1
Not sufficient
2
Somewhat sufficient
3
Mostly sufficient
(E15a) Please explain.
16
4
Completely sufficient
Health Policy Initiative | PIAT Interview Guide for Implementers/Other Stakeholders
(E15b) What key activities would you be able to conduct with additional funding?
Activity
(a) Additional annual funding
(E15b1)
(E15b2)
(E15b3)
(E15b1a)
(E15b2a)
(E15b3a)
E16.
Has your organization experienced problems/barriers in accessing funding (i.e., funding
cycles, signatory authority, reporting requirements) This list should be tailored to the specific
country and policy.?
1_Yes
2_No
8_Don’t know
If yes, ask E16a and E16b; otherwise skip to E17.
(E16a) Please explain.
(E16b) In your opinion, how can these problems be resolved?
E17.
Has your organization experienced problems/barriers in expending funds?
1_Yes
2_No
8_Don’t know
If yes, ask E17a and E17b; otherwise skip to E18.
(E17a) Explain.
(E17b) In your opinion, how can these problems be resolved?
17
Health Policy Initiative | PIAT Interview Guide for Implementers/Other Stakeholders
E18.
Please rate the sufficiency (both in terms of quality and quantity) of your organization’s human and
material resources to fulfill its roles and responsibilities under the policy. Please describe the
difficulties, challenges, or consequences arising from any insufficiencies.
In this section, please double check that that responses refer to activities under the policy, not the
organization, in general.
Sufficiency of resources
Resources
(1) Quantity
(2) Quality
(How would you rate the
current quantity of
resources?)
1= insufficient
2= somewhat sufficient
3= mostly sufficient
4 = completely sufficient
(How would you rate
the current quality of
resources?)
1= insufficient
2= somewhat sufficient
3= mostly sufficient
4 = completely sufficient
(3) Difficulties,
challenges, or
consequences
Probe for gender
inequalities,
rural/urban
differences, and access
by the poor or other
underserved and
vulnerable groups, as
appropriate.
(E18a)
Human Resources
(Quantity refers to
numbers of
personnel; quality
refers to trained
personnel)
E18a1)
E18a2
E18a3)
(E18b)
Infrastructure/
Facilities
(E18b1)
(E18b2)
(E18b3)
(E18c)
Equipment/
Supplies
(E18c1)
(E18c2)
(E18c3)
(E18d)
Information
(E18d1)
(E18d2)
(E18d3)
18
Health Policy Initiative | PIAT Interview Guide for Implementers/Other Stakeholders
(E18e)
Others
(E18e1)
(E18e2)
(E18e3)
F. Operations and Services
Please remind the key informant that he/she should focus on the roles, responsibilities, or activities that
are designed to achieve the policy’s goals. The answers in this section should reflect issues related only to
implementing the policy and not the general status of the organization.
Please note that some questions in this section are most relevant to organizations that have service
delivery responsibilities under the policy. The core team should clarify in advance which questions may be
skipped while interviewing non-service delivery organizations or the team should tailor the questions
appropriately so that they can be asked of other stakeholders as well.
F1.
In your opinion, how effective is the coordination among the various organizations that are
implementing strategies designed to achieve the policy’s goals?
1
Not effective
2
Somewhat effective;
many improvements
needed
3
Mostly effective; some
improvements needed
4
Very effective
(F1a) Please explain.
(F1b) If applicable, please describe any suggestions for improving this situation.
F2a.
In implementing this policy, are you experiencing or are you aware of any new barriers or
challenges to providing services?
1_Yes
2_No
8_Don’t know
If yes, collect information below; otherwise, skip to F2b.
Service
(a) Barrier/Challenge
19
(b) How have you addressed this?
Health Policy Initiative | PIAT Interview Guide for Implementers/Other Stakeholders
(F2a1)
(F2a1a)
(F2a1b)
(F2a2)
(F2a2a)
(F2a2b)
(F2a3)
(F2a3a)
(F2a3b)
F2b.
In implementing this policy, have there been positive changes related to service delivery?
1_Yes
2_No
8_Don’t know
If yes, collect information below; otherwise, skip to F3.
Service
(a) Positive Change
(F2b1)
(F2b1a)
(F2b2)
(F2b2a)
(F2b3)
(F2b3a)
F3.
In your opinion, does your organization have the flexibility it needs to adapt policy
implementation strategies and activities to respond to local needs?
1
No flexibility
2
Some flexibility
3
Quite a bit of
flexibility
4
Complete flexibility
(F3a) Why? Please explain.
(F3b) If applicable, please describe any suggestions for improving the situation.
20
Health Policy Initiative | PIAT Interview Guide for Implementers/Other Stakeholders
F4.
In your opinion, is this policy being applied equitably among different groups in society?
1_Yes
8_Don’t know
2_No
If no, please complete the table below; otherwise, skip to F5.
Group (e.g.,
rural/urban, women,
men, the poor,
underserved,
vulnerable or most
at-risk groups)
(1) Is your organization
addressing needs?
Yes/No
(2) What is your
organization doing?
(3) Additional
suggestions?
(F4a)
(F4a1)
(F4a2)
(F4a3)
(F4b)
(F4b1)
(F4b2)
(F4b3)
(F4c)
(F4c1)
(F4c2)
(F4c3)
G. Feedback on Progress and Results
G1.
What institution(s) is monitoring the implementation of this policy?
G2.
What methodology is being used to monitor the implementation of this policy?
If the respondent has difficulty
identifying methods, ask about
specific approaches, such as
regular meetings, periodic reports,
site visits, service statistics, client
satisfaction surveys, etc.
21
Health Policy Initiative | PIAT Interview Guide for Implementers/Other Stakeholders
G3.
What indicators are used to monitor the implementation of the policy?
G4a.
How are the following key gender issues/strategies relating to the policy’s implementation being
assessed?
If the respondent has difficulty identifying methods, ask about specific approaches, such as use of genderbased indicators, sex-disaggregated data, other gender analyses or studies.
If more than one issue/strategy is mentioned, please list separately.
(G4a1) Please explain.
Fill in gender issue identified
during the policy text analysis
(G4a2) Please explain.
Fill in gender issue identified
during the policy text analysis
(G4a3) Please explain.
Fill in gender issue identified
during the policy text analysis
G4b.
How are the following key poverty and equity issues/strategies relating to the policy’s
implementation being assessed?
If the respondent has difficulty identifying methods, ask about specific approaches, such as use of equitybased indicators, quintile analysis, other poverty assessment tools.
If more than one issue/strategy is mentioned, please list separately.
(G4b1) Please explain.
Fill in poverty and equity issue
identified during the policy text
analysis
(G4b2) Please explain.
Fill in poverty and equity issue
identified during the policy text
analysis
(G4b3) Please explain.
Fill in poverty and equity issue
identified during the policy text
analysis
22
Health Policy Initiative | PIAT Interview Guide for Implementers/Other Stakeholders
G5.
Is your organization required to report on progress or accomplishments under this policy?
1_Yes
8_Don’t know
2_No
If no or don’t know, continue with G6.
(G5a) What performance indicators does your organization report on?
If yes
(G5b) To whom?
(G5c) How often?
(G5d) Does your organization use sex-disaggregated data when reporting on progress or
accomplishments under this policy?
1_Yes
8_Don’t know
2_No
(G5e) How helpful is the overall reporting process to you and your organization?
1
Not helpful
2
3
Mostly helpful
Somewhat
4
Very Helpful
(G5f) Why? Please explain.
(G5g) If applicable, please describe any suggestions for improvement.
G6.
Are you or your organization receiving feedback on how this policy is being implemented overall?
1_Yes
8_Don’t know
2_No
23
Health Policy Initiative | PIAT Interview Guide for Implementers/Other Stakeholders
If no or don’t know, proceed to G6e.
(G6a) What type of information?
If yes
(G6b) From whom?
(G6c) How helpful is this information to your organization in planning and decisionmaking?
1
Not helpful
2
Somewhat
3
Mostly helpful
4
Very helpful
(G6d) Please explain.
(G6e) What additional information would you like to receive? Why?
H. Overall Assessment
H1.
Overall, how well do you think the policy is being implemented?
1
Not being
implemented
2
Partly implemented
3
Many parts of the
policy are being
implemented
24
4
Overall, implementation
is proceeding very well
Health Policy Initiative | PIAT Interview Guide for Implementers/Other Stakeholders
(H1a) Please explain.
H2.
Are you beginning to see positive changes as a result of implementing this policy?
1_Yes
If yes
8_Don’t know
2_No
(H2a) What are these changes?
If no or
don’t know
(H2b) Why do you think there are no changes so far?
(H2c) In implementing this policy, have you observed any unanticipated or unintended effects?
1_Yes
8_Don’t know
2_No
(H2d) Please explain.
H3.
Would additional policy action—such as issuance of a law or operational guidelines, directives,
norms, or standards— facilitate the implementation of this policy?
1_Yes
2_No
8_Don’t know
If yes, ask H3a and H3b; otherwise, skip to H4.
(H3a) What additional policy action is needed?
(H3b) What office should take this policy action?
25
Health Policy Initiative | PIAT Interview Guide for Implementers/Other Stakeholders
H4.
In the process of implementing the policy, which initiatives/activities at the local or national levels
have been successful or serve as lessons learned? Please explain.
H5.
In addition to what you have already mentioned above, do you have any additional suggestions that
would improve implementation of this policy? Please describe.
Thank you.
Thank you and follow-up.
Please thank the respondent for the time, and provide your contact information for any follow-up
questions or concerns. Describe the next steps for disseminating and discussing the results as agreed
among the core team. Obtain the respondent’s initial interest and availability in participating in the
follow-up activities. This would typically include the following, but should be developed as appropriate
for each assessment.



Analyze responses
Present findings at a forum for stakeholders for discussion
Based on discussions, develop strategies for further steps
26