Key Message

10: Strategic review and evaluation can track and show diverse forms of progress in health and social outcomes and build learning from action.

Participatory processes grow and deepen through strategic review and learning from action and experience. They thus demand opportunities for all involved to reflect on the progress achieved and what this means for their analysis, methods and actions. 

While evidence is often gathered to build policy, funder and management support, evidence gathered through participatory approaches is vital to support constructive criticism, strategic review and learning from action.  From the outset this should recognise and value a mix of social, system, service and health outcomes, the time they take to emerge and the different ways they are gathered and measured, as described in the report. Such evidence can build confidence in shared progress in those involved, and shows the contribution of social power and participation in health.