Randomized Controlled Trials: Strengths, Weaknesses and Policy Relevance Anders Olofsgård Rapport 2014:1 till Expertgruppen för biståndsanalys (EBA) This report can be downloaded free of charge at www.eba.se. Hard copies are on sale at Fritzes Customer Service. Address: Fritzes, Customer Service, SE-106 47 Stockholm Sweden Fax: 08 598 191 91 (national) +46 8 598 191 91 (international) Tel: 08 598 191 90 (national) +46 8 598 191 90 (international) E-mail:
[email protected] Internet: www.fritzes.se Printed by Elanders Sverige AB Stockholm 2014 Cover design by Julia Demchenko ISBN 978-91- 38-24114-1 Foreword Sweden’s international aid is strategically managed by the Government mainly through so called results strategies. In the guidelines for these strategies it is stated that “decisions about the future design of aid are to a great extent to be based on an analysis of the results that have been achieved.”1 This demands precision in how expected results are formulated and how results are measured and reported. Results can be stated in terms of outputs, outcomes or impacts. Outputs are goods or services that result directly from interventions and are generally easy to measure and report (for example, an organised seminar on sustainability, a built road, or a number of vaccinations). Outcomes and impacts are results caused by outputs, that is, the part of the change in a state or a condition (“sustainability”, better functioning markets, or an eradicated disease) that can be attributed to the intervention. These results are in general more difficult to measure than outputs, amongst other things because the observed change rarely depends solely on the intervention.