CAJ | 학술논문

改变理论认为项目效果来源于特定背景下过程的变化，只有分析项目引起了哪些变化、变化的可能路径或假设是什么，才能获得产生效果的真正原因。2012年，原卫生部妇幼保健与社区卫生司开始在怒江州实施儿童健康综合干预重点联系点项目，旨在以怒江州为试点地区，探索建立国家、省、州（市）合作改善西部、贫困、少数民族地区儿童健康状况的工作模式和机制。本文主要基于改变理论，构建了云南怒江州儿童健康综合干预项目的逻辑框架，对项目的目标、实施策略与措施、项目活动与预期产出、项目实施路线等进行了阐述，以期为完善项目设计、保证项目的平稳实施和开展后续的监测与评估奠定基础。
개변이론인위항목효과래원우특정배경하과정적변화，지유분석항목인기료나사변화、변화적가능로경혹가설시십요，재능획득산생효과적진정원인。2012년，원위생부부유보건여사구위생사개시재노강주실시인동건강종합간예중점련계점항목，지재이노강주위시점지구，탐색건입국가、성、주（시）합작개선서부、빈곤、소수민족지구인동건강상황적공작모식화궤제。본문주요기우개변이론，구건료운남노강주인동건강종합간예항목적라집광가，대항목적목표、실시책략여조시、항목활동여예기산출、항목실시로선등진행료천술，이기위완선항목설계、보증항목적평은실시화개전후속적감측여평고전정기출。
The Theory of Change holds that the change in a project ’ s effectiveness can be derived from the changing process in the certain context .Only after analyzing changes caused by a project and the possible changing path or hypothesis can we determine the real cause of an effect .In 2012, the maternal, child and community health department of the former Ministry of Health began a comprehensive intervention project for children ’ s health in Nu-jiang Prefecture .The project was designed to explore modes and mechanisms for improving children ’ s health in the west, poverty and ethnic minority areas through cooperation at the national , provincial, and prefecture levels.Based on the Theory of Change , this article describes the logical framework of the comprehensive intervention project .In or-der to lay the foundation for improving the project design , ensuring the implementation of the project and conducting the follow-up monitoring and evaluation , we also expound the goals , implementation strategies , and intervention measures, project activities and output , implementation routes .