Published July 21, 2022 | Version Version 3
Working paper Open

Use of the Informed Health Choices digital resources for teaching lower secondary school students in Rwanda to think critically about health: protocol for a process evaluation

  • 1. University of Oslo
  • 2. University of Rwanda
  • 3. Norwegian Institute of Public Health
  • 4. Oslo Metropolitan University
  • 5. Makerere University
  • 6. Tropical Institute of Community Health and Development
  • 7. Norwegian University of Science and Technology


Background: The Informed Health Choices (IHC) network is a group of researchers aiming to develop the public’s critical thinking skills and help them make informed health choices. We started with young people and developed the primary and secondary school resources for teaching critical thinking about health choices. The “Be Smart about your Health” secondary school resources are designed for lower secondary students and will be evaluated in randomized trials in three countries: Kenya, Rwanda, and Uganda. This protocol is for a process evaluation that will be conducted alongside the trial in Rwanda. The aim is to assess the implementation process, impacts of the intervention, and factors affecting the impacts and scaling up use of the resources.

Methods: We will follow the UK Medical Research Council’s guidance for designing process evaluations of complex interventions alongside randomized trials. We will use quantitative and qualitative methods. We will collect quantitative data to assess lessons taught (dose), students’ attendance (reach) and any alterations in how the intervention (adaptation) is delivered in all schools allocated to the intervention arm (n=42). We will explore the intended and unintended effects, and transfer of learning through focus group discussions (FGDs) with students (n=8-10 FGDs), their parents/guardians (n=5 FGDs) and their teachers using key informant interviews (KIIs) (n=8-10 KIIs). We will also explore factors affecting the effective delivery and scaling up of the intervention through interviews with teachers (n=8-10 KIIs), school administrators (n=8-10 KIIs), district authorities (n=5 KII) and policymakers in education (n=5 KIIs). We will collect qualitative data in about 8-10 schools varying by district, school ownership, and school performance. We will analyse quantitative data using descriptive statics and qualitative data using thematic content analysis and framework analysis.


00 Rwanda process evaluation protocol for CHOICE intervention V3.pdf

Files (3.3 MB)

Name Size Download all
669.5 kB Preview Download
279.2 kB Preview Download
446.0 kB Preview Download
203.3 kB Preview Download
299.4 kB Preview Download
237.0 kB Preview Download
245.0 kB Preview Download
94.0 kB Preview Download
241.2 kB Preview Download
276.2 kB Preview Download
174.6 kB Preview Download
90.6 kB Preview Download
66.9 kB Preview Download