ABSTRACT

This chapter focuses on the notion of context as a core element of an interpretive approach to evaluation and public health strategy development. It focuses primarily on the analytical level, especially in relation to the framing of context. Context can be understood as that which environs the object of interest and helps by its relevance to explain it' and being temporal, geographical, cultural, cognitive, and emotional or any sort at all'. The chapter discusses the development of a strategy for implementation of tuberculosis (TB) services in inaccessible' areas of the state of Odisha in India. It suggests that while limited time may often preclude standard forms of ethnography as evaluation approach ethnography may inspire the analytic strategy used during fieldwork. The chapter describes the deconstruction and contextual analysis of the Tribal Action Plan allowed us to pursue questions in the field that were important to attaining the objectives of this plan, yet invisible in its understanding of the issues.