Evaluability Assessment application on health field: an integrative review

Tatiane Baratieri Célia Adriana Nicolotti Sonia Natal Josimari Telino de Lacerda About the authors

ABSTRACT

It was aimed to analyze the scientific production on the application of the Evaluability Assessment in the health field. This is an integrative review of the literature carried out from September to October 2017, with the search of evaluative research with the application of an Evaluability Assessment, in the Virtual Health Library, Scopus and Web of Science. 21 articles were analyzed, 57.1% published in the last five years. The results show that there are important aspects of Evaluability Assessment theory in the studies, such as theoretical model, use of the stages of an Evaluability Assessment, modeling of the program, and association of sources of evidence. It is concluded that the use of Evaluability Assessment has been increasing in health, however, there is a need to improve its quality, especially regarding the objective and research subject, description of involvement of the authors and authorization of the research site, stakeholders involvement, description of data analysis procedures, strategies to ensure data validity and reliability, and contribution to academic knowledge, explaining the potential contributions of Evaluability Assessment and health evaluation.

KEYWORDS
Health evaluation; Program evaluation; Health care evaluation mechanisms; Evaluation studies

Introduction

The Evaluability Assessment (EA) is a type of study of the evaluative process that can be used as a pre-assessment at some stage of the development and implementation of a program, as well as throughout its life cycle11 Trevisan MS, Walser TM. Evaluability Assessment: improving evaluation quality and use. Publications, SAGE; 2015.. The EA enables stakeholder participation (interested in the assessment), enabling them to broaden their empowerment and improve understanding of the program and its progress, aspects which facilitates the occurrence of change22 Thurston WE, Potvin L. Evaluability Assessment: A Tool for Incorporating Evaluation in Social Change Programmes. Evaluation. 2003; 9(4):453-69.,33 Thurston WE, Ramaliu A. Evaluability Assessment of a Survivors of Torture Program: Lessons Learned. Can J Progr Eval. 2005; 20(2):1-25..

The conception of EA has changed over the course of history. Initially, in the 1970s, Wholey understood it as a pre-assessment activity, that is, to be carried out prior to the assessment itself, serving as the basis for deciding whether the program is ready to be evaluated. In this context, its purpose was to serve as a strategy to improve the cost-effectiveness of the assessment so that managers could use the results of the EA to improve the program and ensure that it was ready to have its results evaluated11 Trevisan MS, Walser TM. Evaluability Assessment: improving evaluation quality and use. Publications, SAGE; 2015..

In the 1980s, Rutman expanded the initial model of Wholey and described that EA was composed of two proposals: analyzing the characteristics of a program and evaluating the feasibility of reaching the assessment proposal. Rutman specified EA as a first step in identifying issues that impede assessment of effectiveness and the identification of strategies to improve the evaluation of the program, such as formative, implementation and outcome assessment. He also advocated the option of evaluating program components rather than the program as a whole11 Trevisan MS, Walser TM. Evaluability Assessment: improving evaluation quality and use. Publications, SAGE; 2015..

In the year 1989, Smith proposed a model similar to the previous ones, but that could advance in its eagerness to involve the stakeholders in the EA11 Trevisan MS, Walser TM. Evaluability Assessment: improving evaluation quality and use. Publications, SAGE; 2015.. During the 1990s, there was an expansion in the use of the EA, and in the early 2000s, there was a theoretical increase in the field, so that Thurston and Potvin22 Thurston WE, Potvin L. Evaluability Assessment: A Tool for Incorporating Evaluation in Social Change Programmes. Evaluation. 2003; 9(4):453-69. developed a model for using EA as a continuous participatory assessment through a system of seven elements11 Trevisan MS, Walser TM. Evaluability Assessment: improving evaluation quality and use. Publications, SAGE; 2015.,22 Thurston WE, Potvin L. Evaluability Assessment: A Tool for Incorporating Evaluation in Social Change Programmes. Evaluation. 2003; 9(4):453-69..

The models presented so far are of paramount importance for the elaboration of an EA. However, EA should not be considered a rigid, linear, but, rather, cyclic process, in which the ‘stages’ overlap during the process of construction of the study. In this direction, in 2015, Trevisan and Walser11 Trevisan MS, Walser TM. Evaluability Assessment: improving evaluation quality and use. Publications, SAGE; 2015. proposed a new model of EA through four essential components: EA focus; development of the initial theory of the program; compile feedback from the theory of the program; use of EA, which should not be understood as steps or stages.

Although EA studies have been conducted since the 1970s, only in recent years its popularity has grown in the health field, and has helped this area to improve its programs, considering that they can serve a number of important purposes, such as: (a) provide the program team with quick and constructive feedback on program operations; (b) assist in the main planning functions and contribute to the feasibility of proposed actions in the field of public health, helping to develop realistic objectives and provide rapid and low-cost feedback on implementation; (c) translate research into practice, examining the feasibility, acceptability and adaptation of evidence-based practices in new contexts and populations; and (d) translate practice into research, identifying promising new approaches to achieving public health objectives44 Leviton LC, Khan LK, Rog D, et al. Evaluability Assessment to Improve Public Health Policies, Programs, and Practices. Annu Rev Public Health. 2010; 31(1):213-33..

The EA is an approach that can be used at some point in the development and implementation of a program as well as throughout the program life cycle11 Trevisan MS, Walser TM. Evaluability Assessment: improving evaluation quality and use. Publications, SAGE; 2015., that is, it can be applied at different stages of the intervention cycle – before, during or after – and aims to adjust the design of the intervention to what it is trying to achieve; raise awareness about the institutional context to support an appropriate assessment; and provide information to be used in the assessment55 Peersman G, Guijt I, T Pasanen. Evaluability Assessment impact evaluation: guidance, checklists and decision support. Australian Government: Departament of Foreign Affairs and Trade; 2015..

The desired product of an EA is a full description of the program, the key issues to be addressed by the assessment, an evaluation plan and an agreement among stakeholders about the process. Conducting an EA, therefore, also means evaluating and criticizing until the program design description is coherent and logical33 Thurston WE, Ramaliu A. Evaluability Assessment of a Survivors of Torture Program: Lessons Learned. Can J Progr Eval. 2005; 20(2):1-25.. The need to modify program descriptions and activities is often identified in an EA33 Thurston WE, Ramaliu A. Evaluability Assessment of a Survivors of Torture Program: Lessons Learned. Can J Progr Eval. 2005; 20(2):1-25..

Based on the above, it is important to understand the application of the EAs in health programs, in order to highlight the importance of this stage of assessment and identify gaps to be observed in future studies. Thus, the present study aims to analyze the scientific production on the application of the EAs in the health area.

Material and methods

An integrative review study of the literature, which is characterized by a method that allows searching, critical assessment and synthesis of available evidence about the theme investigated. Its product consists of the current state of knowledge, implementation of interventions and identification of gaps that guide the development of other studies66 Mendes KDS, Silveira RCCP, Galvão CM. Revisão integrativa: método de pesquisa para incorporação de evidências na saúde e na enfermagem. Texto Context enferm. 2008; 17(4):758-64..

The operational stages of the integrative review are: identification of the theme and selection of the hypothesis or research subject; establishment of criteria for inclusion and exclusion of studies/sampling or search in the literature; definition of the information to be extracted from the selected studies/categorization of the studies; evaluation of studies included in the integrative review; interpretation of results; and presentation of the review/synthesis of the knowledge66 Mendes KDS, Silveira RCCP, Galvão CM. Revisão integrativa: método de pesquisa para incorporação de evidências na saúde e na enfermagem. Texto Context enferm. 2008; 17(4):758-64..

The guiding question of the present study was: How has the Evaluability Assessment been applied in the health area?

The search for the references occurred in the Virtual Health Library (VHL), which consolidates the main databases of national and international scope, selecting all the databases contained therein. In addition, the search on the Scopus and Web of Science databases was carried out. The data collection period occurred between September and October 2017. The keywords ‘evaluability assessment’ OR ‘estudo de avaliabilidade’ for the VHL, and ‘evaluability assessment’ for the Scopus and Web of bases Science were used. The use of a keyword is justified since the term ‘evaluability study’ is not a descriptor in health and was the object of this study.

Articles published in the Portuguese and English languages dealing with evaluative research in the health area were included, indicating in the method the application of an EA. Repeated studies were excluded from one or more databases; articles that addressed only theoretical revision on EA; evaluative researches that were not in the format of an article, such as theses and dissertations; and articles that did not provide a complete description of the EA, since the lack of information made the analysis of the study impossible. The authors chose not to establish year of publication of the studies, conducting an open research because it is a recent topic in health and still little performed in this field, both in Brazil and in other countries where the assessment field is more developed.

The selection of the material analyzed occurred in two stages and by two independent reviewers. In the first stage, the reading of the title and summary of the articles were carried out, as well as a consensus among the reviewers to define which articles would go to the second stage. At that moment, the reading of the complete texts was carried out, the verification if they met the inclusion criteria and the realization of a new consensus to decide which articles would be the object of the study.

To perform the data collection and analysis, a structured questionnaire was used. The first part of the questionnaire, elaborated by the authors, dealt with the characterization of the articles with the items: title, authors, journal, quality of the journal according to Journal Impact Factor (JCR), year, language and place of publication, objective and if it was about an academic study or service. The second stage used an instrument adapted by the authors of Walser and Trevisan77 Walser TM, Trevisan MS. Evaluability Assessment Thesis and Dissertation Studies in Graduate Professional Degree Programs: Review and1. Walser TM, Trevisan MS. Evaluability Assessment Thesis and Dissertation Studies in Graduate Professional Degree Programs: Review and Recommendat. Am J Eval. 2016; 37(1):118-38., which analyzed the application of the EA in theses and dissertations. The adaptation came about through the individual analysis by the authors, and later discussion and consensus among them. In the face of the divergences, two specialists were consulted in the area of health assessment to assist in the decision on the final version of the questionnaire.

After adaptation for analysis of the methodological quality of the EA and characterization of the application in articles, the questionnaire was composed of 26 questions grouped into five categories: (a) model of EA; (b) proposition of the EA; (c) procedures of the EA; (d) results of the EA and (e) use of the EA.

For the question ‘Are there strategies to guarantee the validity and reliability of the results?’, have been considered: a) Development of the EA in a systematic way (used a theoretical model of EA or followed adequate steps for an EA; b) use of more than one data source and if this was reliable; c) there was some kind of validation (agreement/consensus) with specialists in the area and/or stakeholders; d) presented the limitations of the study. The judgment of the quality was classified as: yes – meeting all criteria; partial – meeting one or three criteria; no – meeting no criteria.

The data collection stage and analysis of the articles was also performed by two reviewers, and it was done through an ongoing process in blocks of five articles, until totaling the number of references analyzed. At the end of each set of reviews, the authors compared their responses regarding each of the 26 questions. The divergences were debated until a consensus was reached from the items defined in the research instrument. The results were presented through a table containing absolute and relative frequency, in addition to a description of the data found. After presenting the results and interpretations, the authors elaborated recommendations on the use of the EA in health programs.

Results

After performing the systematic search in the databases, 180 references were found, which were submitted to the selection process as shown in figure 1. At the end of the search, 21 articles were analyzed88 Belford M, Robertson T, Jepson R. Using evaluability assessment to assess local community development health programmes: a Scottish case-study. BMC Med Res Methodol. 2017; 17(1):1-12.

9 Chaves SCL, Silva GAP, Rossi TRA. Avaliabilidade do Projeto de Mobilização Social para Prevenção e Controle da Dengue no Estado da Bahia. Saúde debate. 2017; 41(esp):138-55.

10 Nascimento LV, Machado WD, Gomes DF. Estudo de avaliabilidade da Política Nacional de Atenção Integral à Saúde do Homem no município de Sobral, Ceará. Rev Baiana Saúde Pública. 2014; 38(1):95-114.

11 D'Ostie-racine L, Dagenais C, Ridde V. An evaluability assessment of a West Africa based Non-Governmental Organization's (NGO) progressive evaluation strategy. Eval Program Plann. 2013; 36(1):71-9.

12 Rocha BNGA, Uchoa SAC. Avaliação da atenção humanizada ao abortamento: um estudo de avaliabilidade. Physis. 2013; 23(1):109-27.

13 Oliveira LGD, Natal S, Camacho LAB. O programa de controle da tuberculose em unidades prisionais de dois estados brasileiros Tuberculosis control program in two Brazilian states ' prisons. Cad Saude Colet. 2012; 20(2):250-7.

14 Bezerra LCDA, Alves CK A, Reis YAC, et al. Identificação e caracterização dos elementos constituintes de uma intervenção: pré-avaliação da política ParticipaSUS. Ciênc. Saúde Colet. 2012; 17(4):883-900.

15 Sanou A, Kouyaté B, Bibeau G, Nguyen VK. Evaluability Assessment of an immunization improvement strategy in rural Burkina Faso: Intervention theory versus reality, information need and evaluations. Eval Program Plann. 2011; 34(3):303-15.

16 Natal S, Samico I, Gonçalves L, et al. Estudo de avaliabilidade da rede de formação de Recursos Humanos da Secretaria de Vigilância em Saúde do Ministério da Saúde. Cad. Saúde Colet. 2010; 18(4):560-71.

17 Medeiros PFP, Bezerra LCA, Santos NTV, et al. Um estudo sobre a avaliabilidade do Programa + Vida: política de redução de danos em álcool, fumo e outras drogas do município de Recife, Brasil. Rev bras saúde mater infant. 2010; 10(supl1):s209-17.

18 Lima LRF, Silva LMV. Ampliação do acesso à atenção oftalmológica?: um estudo sobre a avaliabilidade da campanha "De Olho na Visão", Goiás, 2004. Ciênc. Saúde Colet. 2008; 13(supl2):2059-64.

19 Dwyer JJM, Hansen B, Barrera M, et al. Maximizing children's physical activity: An evaluability assessment to plan a community-based, multi-strategy approach in an ethno-racially and socio-economically diverse city. Health Promot Int. 2003; 18(3):199-208.

20 Correia PCI, Goulart PM, Furtado JP. A avaliabilidade dos Núcleos de Apoio à Saúde da Família (Nasf). Saúde debate. 2017; 41(esp):345-59.

21 Thurston WE, Hatfield J. Evaluability assessment: A Catalyst for Program Change and Improvement. Eval Health Prof. 2003; 206-21.

22 Dagenais C, Plouffe L, Gagné C, et al. Dupont D. Improving the health and safety of 911 emergency call centre agents: An evaluability assessment of a knowledge transfer strategy. Int J Occup Saf Ergnomics. 2016; 1-20.

23 Honeycutt S, Hermstad A, Carvalho ML, et al. Practice to Evidence: Using Evaluability Assessment to Generate Practice-Based Evidence in Rural South Georgia. Heal Educ Behav. 2017; 44(3):454-62.

24 Abildso CG, Shawley S, Owens S, et al. An Evaluability Assessment of the West Virginia Physical Activity Plan, 2015: Lessons Learned for Other State Physical Activity Plans. Prev Chronic Dis. 2016; 13:160307.

25 Oliveira CM, Cruz MM, Kanso S, et al. Avaliabilidade do Programa de Valorização do Profissional da Atenção Básica (PROVAB): desafios para gestão do trabalho. Ciênc. Saúde Colet. 2015; 20(10):2999-3010.

26 Padilha MA, Oliveira CM, Figueiró AC. Estudo de avaliabilidade do Programa Academia Carioca da Saúde: desafios para a promoção da saúde. Saúde debate. 2015; 39(105):375-86.

27 Pereira NC, Luiza VL, Cruz MM. Serviços farmacêuticos na atenção primária no município do Rio de Janeiro: um estudo de avaliabilidade. Saúde debate. 2015; 39(105):451-68.
-2828 Coelho AA, Martiniano CS, Brito EWG, et al. Tuberculosis care: an evaluability study. Rev Lat Am Enfermagem. 2014; 22(5):792-800.
.

Figure 1
Flowchart of the selection process of the articles. Florianópolis (SC). 2017

Regarding the characterization of the articles, presented in table 1, the majority (85.7%) was published in health journals. As for quality, this was low, being the majority with JCR <1 (52.4%). Most of the articles were published in the last five years (57.1%), the country with the highest number of publications was Brazil (61.9%), and the predominant language was Portuguese (61.9%). Of the 21 researches conducted, 15 (71.4%) were under academic demand. Concerning the themes, most of the EAs has concentrated on programs and projects (85.7%) focused on several areas of health care.

Table 1
Characterization of the Evaluability Assessments. Florianópolis (SC). 2017 (N=21)

The analysis of the methodological quality of the EAs and their application in the selected articles are presented in table 2, according to the established categories.

Table 2
Result of the review of articles according to the analysis category and review subject. Florianópolis (SC). 2017 (N=21)

In the ‘model of EA’ category, 13 (61.9%) studies1010 Nascimento LV, Machado WD, Gomes DF. Estudo de avaliabilidade da Política Nacional de Atenção Integral à Saúde do Homem no município de Sobral, Ceará. Rev Baiana Saúde Pública. 2014; 38(1):95-114.

11 D'Ostie-racine L, Dagenais C, Ridde V. An evaluability assessment of a West Africa based Non-Governmental Organization's (NGO) progressive evaluation strategy. Eval Program Plann. 2013; 36(1):71-9.

12 Rocha BNGA, Uchoa SAC. Avaliação da atenção humanizada ao abortamento: um estudo de avaliabilidade. Physis. 2013; 23(1):109-27.

13 Oliveira LGD, Natal S, Camacho LAB. O programa de controle da tuberculose em unidades prisionais de dois estados brasileiros Tuberculosis control program in two Brazilian states ' prisons. Cad Saude Colet. 2012; 20(2):250-7.

14 Bezerra LCDA, Alves CK A, Reis YAC, et al. Identificação e caracterização dos elementos constituintes de uma intervenção: pré-avaliação da política ParticipaSUS. Ciênc. Saúde Colet. 2012; 17(4):883-900.

15 Sanou A, Kouyaté B, Bibeau G, Nguyen VK. Evaluability Assessment of an immunization improvement strategy in rural Burkina Faso: Intervention theory versus reality, information need and evaluations. Eval Program Plann. 2011; 34(3):303-15.

16 Natal S, Samico I, Gonçalves L, et al. Estudo de avaliabilidade da rede de formação de Recursos Humanos da Secretaria de Vigilância em Saúde do Ministério da Saúde. Cad. Saúde Colet. 2010; 18(4):560-71.
-1717 Medeiros PFP, Bezerra LCA, Santos NTV, et al. Um estudo sobre a avaliabilidade do Programa + Vida: política de redução de danos em álcool, fumo e outras drogas do município de Recife, Brasil. Rev bras saúde mater infant. 2010; 10(supl1):s209-17.,2121 Thurston WE, Hatfield J. Evaluability assessment: A Catalyst for Program Change and Improvement. Eval Health Prof. 2003; 206-21.,2424 Abildso CG, Shawley S, Owens S, et al. An Evaluability Assessment of the West Virginia Physical Activity Plan, 2015: Lessons Learned for Other State Physical Activity Plans. Prev Chronic Dis. 2016; 13:160307.

25 Oliveira CM, Cruz MM, Kanso S, et al. Avaliabilidade do Programa de Valorização do Profissional da Atenção Básica (PROVAB): desafios para gestão do trabalho. Ciênc. Saúde Colet. 2015; 20(10):2999-3010.

26 Padilha MA, Oliveira CM, Figueiró AC. Estudo de avaliabilidade do Programa Academia Carioca da Saúde: desafios para a promoção da saúde. Saúde debate. 2015; 39(105):375-86.
-2727 Pereira NC, Luiza VL, Cruz MM. Serviços farmacêuticos na atenção primária no município do Rio de Janeiro: um estudo de avaliabilidade. Saúde debate. 2015; 39(105):451-68.
presented a guiding theoretical frame, and 11 (52.4%)1010 Nascimento LV, Machado WD, Gomes DF. Estudo de avaliabilidade da Política Nacional de Atenção Integral à Saúde do Homem no município de Sobral, Ceará. Rev Baiana Saúde Pública. 2014; 38(1):95-114.,1111 D'Ostie-racine L, Dagenais C, Ridde V. An evaluability assessment of a West Africa based Non-Governmental Organization's (NGO) progressive evaluation strategy. Eval Program Plann. 2013; 36(1):71-9.,1313 Oliveira LGD, Natal S, Camacho LAB. O programa de controle da tuberculose em unidades prisionais de dois estados brasileiros Tuberculosis control program in two Brazilian states ' prisons. Cad Saude Colet. 2012; 20(2):250-7.,1515 Sanou A, Kouyaté B, Bibeau G, Nguyen VK. Evaluability Assessment of an immunization improvement strategy in rural Burkina Faso: Intervention theory versus reality, information need and evaluations. Eval Program Plann. 2011; 34(3):303-15.

16 Natal S, Samico I, Gonçalves L, et al. Estudo de avaliabilidade da rede de formação de Recursos Humanos da Secretaria de Vigilância em Saúde do Ministério da Saúde. Cad. Saúde Colet. 2010; 18(4):560-71.
-1717 Medeiros PFP, Bezerra LCA, Santos NTV, et al. Um estudo sobre a avaliabilidade do Programa + Vida: política de redução de danos em álcool, fumo e outras drogas do município de Recife, Brasil. Rev bras saúde mater infant. 2010; 10(supl1):s209-17.,2121 Thurston WE, Hatfield J. Evaluability assessment: A Catalyst for Program Change and Improvement. Eval Health Prof. 2003; 206-21.,2424 Abildso CG, Shawley S, Owens S, et al. An Evaluability Assessment of the West Virginia Physical Activity Plan, 2015: Lessons Learned for Other State Physical Activity Plans. Prev Chronic Dis. 2016; 13:160307.

25 Oliveira CM, Cruz MM, Kanso S, et al. Avaliabilidade do Programa de Valorização do Profissional da Atenção Básica (PROVAB): desafios para gestão do trabalho. Ciênc. Saúde Colet. 2015; 20(10):2999-3010.

26 Padilha MA, Oliveira CM, Figueiró AC. Estudo de avaliabilidade do Programa Academia Carioca da Saúde: desafios para a promoção da saúde. Saúde debate. 2015; 39(105):375-86.
-2727 Pereira NC, Luiza VL, Cruz MM. Serviços farmacêuticos na atenção primária no município do Rio de Janeiro: um estudo de avaliabilidade. Saúde debate. 2015; 39(105):451-68.
followed all steps of the referential. In the review, it was also analyzed whether articles, regardless of adopting a theoretical reference, followed the own stages of an EA, and most (90.5%)88 Belford M, Robertson T, Jepson R. Using evaluability assessment to assess local community development health programmes: a Scottish case-study. BMC Med Res Methodol. 2017; 17(1):1-12.

9 Chaves SCL, Silva GAP, Rossi TRA. Avaliabilidade do Projeto de Mobilização Social para Prevenção e Controle da Dengue no Estado da Bahia. Saúde debate. 2017; 41(esp):138-55.

10 Nascimento LV, Machado WD, Gomes DF. Estudo de avaliabilidade da Política Nacional de Atenção Integral à Saúde do Homem no município de Sobral, Ceará. Rev Baiana Saúde Pública. 2014; 38(1):95-114.

11 D'Ostie-racine L, Dagenais C, Ridde V. An evaluability assessment of a West Africa based Non-Governmental Organization's (NGO) progressive evaluation strategy. Eval Program Plann. 2013; 36(1):71-9.

12 Rocha BNGA, Uchoa SAC. Avaliação da atenção humanizada ao abortamento: um estudo de avaliabilidade. Physis. 2013; 23(1):109-27.

13 Oliveira LGD, Natal S, Camacho LAB. O programa de controle da tuberculose em unidades prisionais de dois estados brasileiros Tuberculosis control program in two Brazilian states ' prisons. Cad Saude Colet. 2012; 20(2):250-7.

14 Bezerra LCDA, Alves CK A, Reis YAC, et al. Identificação e caracterização dos elementos constituintes de uma intervenção: pré-avaliação da política ParticipaSUS. Ciênc. Saúde Colet. 2012; 17(4):883-900.

15 Sanou A, Kouyaté B, Bibeau G, Nguyen VK. Evaluability Assessment of an immunization improvement strategy in rural Burkina Faso: Intervention theory versus reality, information need and evaluations. Eval Program Plann. 2011; 34(3):303-15.

16 Natal S, Samico I, Gonçalves L, et al. Estudo de avaliabilidade da rede de formação de Recursos Humanos da Secretaria de Vigilância em Saúde do Ministério da Saúde. Cad. Saúde Colet. 2010; 18(4):560-71.

17 Medeiros PFP, Bezerra LCA, Santos NTV, et al. Um estudo sobre a avaliabilidade do Programa + Vida: política de redução de danos em álcool, fumo e outras drogas do município de Recife, Brasil. Rev bras saúde mater infant. 2010; 10(supl1):s209-17.

18 Lima LRF, Silva LMV. Ampliação do acesso à atenção oftalmológica?: um estudo sobre a avaliabilidade da campanha "De Olho na Visão", Goiás, 2004. Ciênc. Saúde Colet. 2008; 13(supl2):2059-64.
-1919 Dwyer JJM, Hansen B, Barrera M, et al. Maximizing children's physical activity: An evaluability assessment to plan a community-based, multi-strategy approach in an ethno-racially and socio-economically diverse city. Health Promot Int. 2003; 18(3):199-208.,2121 Thurston WE, Hatfield J. Evaluability assessment: A Catalyst for Program Change and Improvement. Eval Health Prof. 2003; 206-21.,2222 Dagenais C, Plouffe L, Gagné C, et al. Dupont D. Improving the health and safety of 911 emergency call centre agents: An evaluability assessment of a knowledge transfer strategy. Int J Occup Saf Ergnomics. 2016; 1-20.,2424 Abildso CG, Shawley S, Owens S, et al. An Evaluability Assessment of the West Virginia Physical Activity Plan, 2015: Lessons Learned for Other State Physical Activity Plans. Prev Chronic Dis. 2016; 13:160307.

25 Oliveira CM, Cruz MM, Kanso S, et al. Avaliabilidade do Programa de Valorização do Profissional da Atenção Básica (PROVAB): desafios para gestão do trabalho. Ciênc. Saúde Colet. 2015; 20(10):2999-3010.

26 Padilha MA, Oliveira CM, Figueiró AC. Estudo de avaliabilidade do Programa Academia Carioca da Saúde: desafios para a promoção da saúde. Saúde debate. 2015; 39(105):375-86.

27 Pereira NC, Luiza VL, Cruz MM. Serviços farmacêuticos na atenção primária no município do Rio de Janeiro: um estudo de avaliabilidade. Saúde debate. 2015; 39(105):451-68.
-2828 Coelho AA, Martiniano CS, Brito EWG, et al. Tuberculosis care: an evaluability study. Rev Lat Am Enfermagem. 2014; 22(5):792-800.
did so.

Of the 21 articles analyzed, 16 (76.2%)88 Belford M, Robertson T, Jepson R. Using evaluability assessment to assess local community development health programmes: a Scottish case-study. BMC Med Res Methodol. 2017; 17(1):1-12.,1010 Nascimento LV, Machado WD, Gomes DF. Estudo de avaliabilidade da Política Nacional de Atenção Integral à Saúde do Homem no município de Sobral, Ceará. Rev Baiana Saúde Pública. 2014; 38(1):95-114.

11 D'Ostie-racine L, Dagenais C, Ridde V. An evaluability assessment of a West Africa based Non-Governmental Organization's (NGO) progressive evaluation strategy. Eval Program Plann. 2013; 36(1):71-9.

12 Rocha BNGA, Uchoa SAC. Avaliação da atenção humanizada ao abortamento: um estudo de avaliabilidade. Physis. 2013; 23(1):109-27.

13 Oliveira LGD, Natal S, Camacho LAB. O programa de controle da tuberculose em unidades prisionais de dois estados brasileiros Tuberculosis control program in two Brazilian states ' prisons. Cad Saude Colet. 2012; 20(2):250-7.

14 Bezerra LCDA, Alves CK A, Reis YAC, et al. Identificação e caracterização dos elementos constituintes de uma intervenção: pré-avaliação da política ParticipaSUS. Ciênc. Saúde Colet. 2012; 17(4):883-900.

15 Sanou A, Kouyaté B, Bibeau G, Nguyen VK. Evaluability Assessment of an immunization improvement strategy in rural Burkina Faso: Intervention theory versus reality, information need and evaluations. Eval Program Plann. 2011; 34(3):303-15.
-1616 Natal S, Samico I, Gonçalves L, et al. Estudo de avaliabilidade da rede de formação de Recursos Humanos da Secretaria de Vigilância em Saúde do Ministério da Saúde. Cad. Saúde Colet. 2010; 18(4):560-71.,1919 Dwyer JJM, Hansen B, Barrera M, et al. Maximizing children's physical activity: An evaluability assessment to plan a community-based, multi-strategy approach in an ethno-racially and socio-economically diverse city. Health Promot Int. 2003; 18(3):199-208.

20 Correia PCI, Goulart PM, Furtado JP. A avaliabilidade dos Núcleos de Apoio à Saúde da Família (Nasf). Saúde debate. 2017; 41(esp):345-59.

21 Thurston WE, Hatfield J. Evaluability assessment: A Catalyst for Program Change and Improvement. Eval Health Prof. 2003; 206-21.

22 Dagenais C, Plouffe L, Gagné C, et al. Dupont D. Improving the health and safety of 911 emergency call centre agents: An evaluability assessment of a knowledge transfer strategy. Int J Occup Saf Ergnomics. 2016; 1-20.
-2323 Honeycutt S, Hermstad A, Carvalho ML, et al. Practice to Evidence: Using Evaluability Assessment to Generate Practice-Based Evidence in Rural South Georgia. Heal Educ Behav. 2017; 44(3):454-62.,2626 Padilha MA, Oliveira CM, Figueiró AC. Estudo de avaliabilidade do Programa Academia Carioca da Saúde: desafios para a promoção da saúde. Saúde debate. 2015; 39(105):375-86.

27 Pereira NC, Luiza VL, Cruz MM. Serviços farmacêuticos na atenção primária no município do Rio de Janeiro: um estudo de avaliabilidade. Saúde debate. 2015; 39(105):451-68.
-2828 Coelho AA, Martiniano CS, Brito EWG, et al. Tuberculosis care: an evaluability study. Rev Lat Am Enfermagem. 2014; 22(5):792-800.
addressed EA in the introduction or in the literature review, all performed the modeling of the program88 Belford M, Robertson T, Jepson R. Using evaluability assessment to assess local community development health programmes: a Scottish case-study. BMC Med Res Methodol. 2017; 17(1):1-12.

9 Chaves SCL, Silva GAP, Rossi TRA. Avaliabilidade do Projeto de Mobilização Social para Prevenção e Controle da Dengue no Estado da Bahia. Saúde debate. 2017; 41(esp):138-55.

10 Nascimento LV, Machado WD, Gomes DF. Estudo de avaliabilidade da Política Nacional de Atenção Integral à Saúde do Homem no município de Sobral, Ceará. Rev Baiana Saúde Pública. 2014; 38(1):95-114.

11 D'Ostie-racine L, Dagenais C, Ridde V. An evaluability assessment of a West Africa based Non-Governmental Organization's (NGO) progressive evaluation strategy. Eval Program Plann. 2013; 36(1):71-9.

12 Rocha BNGA, Uchoa SAC. Avaliação da atenção humanizada ao abortamento: um estudo de avaliabilidade. Physis. 2013; 23(1):109-27.

13 Oliveira LGD, Natal S, Camacho LAB. O programa de controle da tuberculose em unidades prisionais de dois estados brasileiros Tuberculosis control program in two Brazilian states ' prisons. Cad Saude Colet. 2012; 20(2):250-7.

14 Bezerra LCDA, Alves CK A, Reis YAC, et al. Identificação e caracterização dos elementos constituintes de uma intervenção: pré-avaliação da política ParticipaSUS. Ciênc. Saúde Colet. 2012; 17(4):883-900.

15 Sanou A, Kouyaté B, Bibeau G, Nguyen VK. Evaluability Assessment of an immunization improvement strategy in rural Burkina Faso: Intervention theory versus reality, information need and evaluations. Eval Program Plann. 2011; 34(3):303-15.

16 Natal S, Samico I, Gonçalves L, et al. Estudo de avaliabilidade da rede de formação de Recursos Humanos da Secretaria de Vigilância em Saúde do Ministério da Saúde. Cad. Saúde Colet. 2010; 18(4):560-71.

17 Medeiros PFP, Bezerra LCA, Santos NTV, et al. Um estudo sobre a avaliabilidade do Programa + Vida: política de redução de danos em álcool, fumo e outras drogas do município de Recife, Brasil. Rev bras saúde mater infant. 2010; 10(supl1):s209-17.

18 Lima LRF, Silva LMV. Ampliação do acesso à atenção oftalmológica?: um estudo sobre a avaliabilidade da campanha "De Olho na Visão", Goiás, 2004. Ciênc. Saúde Colet. 2008; 13(supl2):2059-64.

19 Dwyer JJM, Hansen B, Barrera M, et al. Maximizing children's physical activity: An evaluability assessment to plan a community-based, multi-strategy approach in an ethno-racially and socio-economically diverse city. Health Promot Int. 2003; 18(3):199-208.

20 Correia PCI, Goulart PM, Furtado JP. A avaliabilidade dos Núcleos de Apoio à Saúde da Família (Nasf). Saúde debate. 2017; 41(esp):345-59.

21 Thurston WE, Hatfield J. Evaluability assessment: A Catalyst for Program Change and Improvement. Eval Health Prof. 2003; 206-21.

22 Dagenais C, Plouffe L, Gagné C, et al. Dupont D. Improving the health and safety of 911 emergency call centre agents: An evaluability assessment of a knowledge transfer strategy. Int J Occup Saf Ergnomics. 2016; 1-20.

23 Honeycutt S, Hermstad A, Carvalho ML, et al. Practice to Evidence: Using Evaluability Assessment to Generate Practice-Based Evidence in Rural South Georgia. Heal Educ Behav. 2017; 44(3):454-62.

24 Abildso CG, Shawley S, Owens S, et al. An Evaluability Assessment of the West Virginia Physical Activity Plan, 2015: Lessons Learned for Other State Physical Activity Plans. Prev Chronic Dis. 2016; 13:160307.

25 Oliveira CM, Cruz MM, Kanso S, et al. Avaliabilidade do Programa de Valorização do Profissional da Atenção Básica (PROVAB): desafios para gestão do trabalho. Ciênc. Saúde Colet. 2015; 20(10):2999-3010.

26 Padilha MA, Oliveira CM, Figueiró AC. Estudo de avaliabilidade do Programa Academia Carioca da Saúde: desafios para a promoção da saúde. Saúde debate. 2015; 39(105):375-86.

27 Pereira NC, Luiza VL, Cruz MM. Serviços farmacêuticos na atenção primária no município do Rio de Janeiro: um estudo de avaliabilidade. Saúde debate. 2015; 39(105):451-68.
-2828 Coelho AA, Martiniano CS, Brito EWG, et al. Tuberculosis care: an evaluability study. Rev Lat Am Enfermagem. 2014; 22(5):792-800.
and 17 (81.0%)88 Belford M, Robertson T, Jepson R. Using evaluability assessment to assess local community development health programmes: a Scottish case-study. BMC Med Res Methodol. 2017; 17(1):1-12.,99 Chaves SCL, Silva GAP, Rossi TRA. Avaliabilidade do Projeto de Mobilização Social para Prevenção e Controle da Dengue no Estado da Bahia. Saúde debate. 2017; 41(esp):138-55.,1919 Dwyer JJM, Hansen B, Barrera M, et al. Maximizing children's physical activity: An evaluability assessment to plan a community-based, multi-strategy approach in an ethno-racially and socio-economically diverse city. Health Promot Int. 2003; 18(3):199-208.,2020 Correia PCI, Goulart PM, Furtado JP. A avaliabilidade dos Núcleos de Apoio à Saúde da Família (Nasf). Saúde debate. 2017; 41(esp):345-59.,2222 Dagenais C, Plouffe L, Gagné C, et al. Dupont D. Improving the health and safety of 911 emergency call centre agents: An evaluability assessment of a knowledge transfer strategy. Int J Occup Saf Ergnomics. 2016; 1-20.,2525 Oliveira CM, Cruz MM, Kanso S, et al. Avaliabilidade do Programa de Valorização do Profissional da Atenção Básica (PROVAB): desafios para gestão do trabalho. Ciênc. Saúde Colet. 2015; 20(10):2999-3010.

26 Padilha MA, Oliveira CM, Figueiró AC. Estudo de avaliabilidade do Programa Academia Carioca da Saúde: desafios para a promoção da saúde. Saúde debate. 2015; 39(105):375-86.

27 Pereira NC, Luiza VL, Cruz MM. Serviços farmacêuticos na atenção primária no município do Rio de Janeiro: um estudo de avaliabilidade. Saúde debate. 2015; 39(105):451-68.
-2828 Coelho AA, Martiniano CS, Brito EWG, et al. Tuberculosis care: an evaluability study. Rev Lat Am Enfermagem. 2014; 22(5):792-800.,1010 Nascimento LV, Machado WD, Gomes DF. Estudo de avaliabilidade da Política Nacional de Atenção Integral à Saúde do Homem no município de Sobral, Ceará. Rev Baiana Saúde Pública. 2014; 38(1):95-114.

11 D'Ostie-racine L, Dagenais C, Ridde V. An evaluability assessment of a West Africa based Non-Governmental Organization's (NGO) progressive evaluation strategy. Eval Program Plann. 2013; 36(1):71-9.

12 Rocha BNGA, Uchoa SAC. Avaliação da atenção humanizada ao abortamento: um estudo de avaliabilidade. Physis. 2013; 23(1):109-27.

13 Oliveira LGD, Natal S, Camacho LAB. O programa de controle da tuberculose em unidades prisionais de dois estados brasileiros Tuberculosis control program in two Brazilian states ' prisons. Cad Saude Colet. 2012; 20(2):250-7.

14 Bezerra LCDA, Alves CK A, Reis YAC, et al. Identificação e caracterização dos elementos constituintes de uma intervenção: pré-avaliação da política ParticipaSUS. Ciênc. Saúde Colet. 2012; 17(4):883-900.

15 Sanou A, Kouyaté B, Bibeau G, Nguyen VK. Evaluability Assessment of an immunization improvement strategy in rural Burkina Faso: Intervention theory versus reality, information need and evaluations. Eval Program Plann. 2011; 34(3):303-15.

16 Natal S, Samico I, Gonçalves L, et al. Estudo de avaliabilidade da rede de formação de Recursos Humanos da Secretaria de Vigilância em Saúde do Ministério da Saúde. Cad. Saúde Colet. 2010; 18(4):560-71.
-1717 Medeiros PFP, Bezerra LCA, Santos NTV, et al. Um estudo sobre a avaliabilidade do Programa + Vida: política de redução de danos em álcool, fumo e outras drogas do município de Recife, Brasil. Rev bras saúde mater infant. 2010; 10(supl1):s209-17.
showed it. Regarding the type of model performed, 13 (61.9%)88 Belford M, Robertson T, Jepson R. Using evaluability assessment to assess local community development health programmes: a Scottish case-study. BMC Med Res Methodol. 2017; 17(1):1-12.

9 Chaves SCL, Silva GAP, Rossi TRA. Avaliabilidade do Projeto de Mobilização Social para Prevenção e Controle da Dengue no Estado da Bahia. Saúde debate. 2017; 41(esp):138-55.

10 Nascimento LV, Machado WD, Gomes DF. Estudo de avaliabilidade da Política Nacional de Atenção Integral à Saúde do Homem no município de Sobral, Ceará. Rev Baiana Saúde Pública. 2014; 38(1):95-114.

11 D'Ostie-racine L, Dagenais C, Ridde V. An evaluability assessment of a West Africa based Non-Governmental Organization's (NGO) progressive evaluation strategy. Eval Program Plann. 2013; 36(1):71-9.
-1212 Rocha BNGA, Uchoa SAC. Avaliação da atenção humanizada ao abortamento: um estudo de avaliabilidade. Physis. 2013; 23(1):109-27.,1414 Bezerra LCDA, Alves CK A, Reis YAC, et al. Identificação e caracterização dos elementos constituintes de uma intervenção: pré-avaliação da política ParticipaSUS. Ciênc. Saúde Colet. 2012; 17(4):883-900.,1515 Sanou A, Kouyaté B, Bibeau G, Nguyen VK. Evaluability Assessment of an immunization improvement strategy in rural Burkina Faso: Intervention theory versus reality, information need and evaluations. Eval Program Plann. 2011; 34(3):303-15.,1717 Medeiros PFP, Bezerra LCA, Santos NTV, et al. Um estudo sobre a avaliabilidade do Programa + Vida: política de redução de danos em álcool, fumo e outras drogas do município de Recife, Brasil. Rev bras saúde mater infant. 2010; 10(supl1):s209-17.,2020 Correia PCI, Goulart PM, Furtado JP. A avaliabilidade dos Núcleos de Apoio à Saúde da Família (Nasf). Saúde debate. 2017; 41(esp):345-59.,2424 Abildso CG, Shawley S, Owens S, et al. An Evaluability Assessment of the West Virginia Physical Activity Plan, 2015: Lessons Learned for Other State Physical Activity Plans. Prev Chronic Dis. 2016; 13:160307.

25 Oliveira CM, Cruz MM, Kanso S, et al. Avaliabilidade do Programa de Valorização do Profissional da Atenção Básica (PROVAB): desafios para gestão do trabalho. Ciênc. Saúde Colet. 2015; 20(10):2999-3010.
-2626 Padilha MA, Oliveira CM, Figueiró AC. Estudo de avaliabilidade do Programa Academia Carioca da Saúde: desafios para a promoção da saúde. Saúde debate. 2015; 39(105):375-86.,2828 Coelho AA, Martiniano CS, Brito EWG, et al. Tuberculosis care: an evaluability study. Rev Lat Am Enfermagem. 2014; 22(5):792-800.
did a logical model by activities.

In relation to the second category, ‘proposition of the ‘EA’, it was verified that 12 studies99 Chaves SCL, Silva GAP, Rossi TRA. Avaliabilidade do Projeto de Mobilização Social para Prevenção e Controle da Dengue no Estado da Bahia. Saúde debate. 2017; 41(esp):138-55.,1111 D'Ostie-racine L, Dagenais C, Ridde V. An evaluability assessment of a West Africa based Non-Governmental Organization's (NGO) progressive evaluation strategy. Eval Program Plann. 2013; 36(1):71-9.,1212 Rocha BNGA, Uchoa SAC. Avaliação da atenção humanizada ao abortamento: um estudo de avaliabilidade. Physis. 2013; 23(1):109-27.,1414 Bezerra LCDA, Alves CK A, Reis YAC, et al. Identificação e caracterização dos elementos constituintes de uma intervenção: pré-avaliação da política ParticipaSUS. Ciênc. Saúde Colet. 2012; 17(4):883-900.

15 Sanou A, Kouyaté B, Bibeau G, Nguyen VK. Evaluability Assessment of an immunization improvement strategy in rural Burkina Faso: Intervention theory versus reality, information need and evaluations. Eval Program Plann. 2011; 34(3):303-15.

16 Natal S, Samico I, Gonçalves L, et al. Estudo de avaliabilidade da rede de formação de Recursos Humanos da Secretaria de Vigilância em Saúde do Ministério da Saúde. Cad. Saúde Colet. 2010; 18(4):560-71.

17 Medeiros PFP, Bezerra LCA, Santos NTV, et al. Um estudo sobre a avaliabilidade do Programa + Vida: política de redução de danos em álcool, fumo e outras drogas do município de Recife, Brasil. Rev bras saúde mater infant. 2010; 10(supl1):s209-17.
-1818 Lima LRF, Silva LMV. Ampliação do acesso à atenção oftalmológica?: um estudo sobre a avaliabilidade da campanha "De Olho na Visão", Goiás, 2004. Ciênc. Saúde Colet. 2008; 13(supl2):2059-64.,2020 Correia PCI, Goulart PM, Furtado JP. A avaliabilidade dos Núcleos de Apoio à Saúde da Família (Nasf). Saúde debate. 2017; 41(esp):345-59.,2323 Honeycutt S, Hermstad A, Carvalho ML, et al. Practice to Evidence: Using Evaluability Assessment to Generate Practice-Based Evidence in Rural South Georgia. Heal Educ Behav. 2017; 44(3):454-62.,2525 Oliveira CM, Cruz MM, Kanso S, et al. Avaliabilidade do Programa de Valorização do Profissional da Atenção Básica (PROVAB): desafios para gestão do trabalho. Ciênc. Saúde Colet. 2015; 20(10):2999-3010.,2828 Coelho AA, Martiniano CS, Brito EWG, et al. Tuberculosis care: an evaluability study. Rev Lat Am Enfermagem. 2014; 22(5):792-800.
, which corresponds to slightly more than half (57.1%), had as purpose to verify if the program was able to be submitted to an assessment. Of these, 4 studies1515 Sanou A, Kouyaté B, Bibeau G, Nguyen VK. Evaluability Assessment of an immunization improvement strategy in rural Burkina Faso: Intervention theory versus reality, information need and evaluations. Eval Program Plann. 2011; 34(3):303-15.,1818 Lima LRF, Silva LMV. Ampliação do acesso à atenção oftalmológica?: um estudo sobre a avaliabilidade da campanha "De Olho na Visão", Goiás, 2004. Ciênc. Saúde Colet. 2008; 13(supl2):2059-64.,2020 Correia PCI, Goulart PM, Furtado JP. A avaliabilidade dos Núcleos de Apoio à Saúde da Família (Nasf). Saúde debate. 2017; 41(esp):345-59.,2525 Oliveira CM, Cruz MM, Kanso S, et al. Avaliabilidade do Programa de Valorização do Profissional da Atenção Básica (PROVAB): desafios para gestão do trabalho. Ciênc. Saúde Colet. 2015; 20(10):2999-3010. were exclusively for this purpose, and the others associated others.

In general (61.9%), the studies presented appropriate objectives and research questions for EA88 Belford M, Robertson T, Jepson R. Using evaluability assessment to assess local community development health programmes: a Scottish case-study. BMC Med Res Methodol. 2017; 17(1):1-12.,1111 D'Ostie-racine L, Dagenais C, Ridde V. An evaluability assessment of a West Africa based Non-Governmental Organization's (NGO) progressive evaluation strategy. Eval Program Plann. 2013; 36(1):71-9.,1212 Rocha BNGA, Uchoa SAC. Avaliação da atenção humanizada ao abortamento: um estudo de avaliabilidade. Physis. 2013; 23(1):109-27.,1515 Sanou A, Kouyaté B, Bibeau G, Nguyen VK. Evaluability Assessment of an immunization improvement strategy in rural Burkina Faso: Intervention theory versus reality, information need and evaluations. Eval Program Plann. 2011; 34(3):303-15.,1717 Medeiros PFP, Bezerra LCA, Santos NTV, et al. Um estudo sobre a avaliabilidade do Programa + Vida: política de redução de danos em álcool, fumo e outras drogas do município de Recife, Brasil. Rev bras saúde mater infant. 2010; 10(supl1):s209-17.

18 Lima LRF, Silva LMV. Ampliação do acesso à atenção oftalmológica?: um estudo sobre a avaliabilidade da campanha "De Olho na Visão", Goiás, 2004. Ciênc. Saúde Colet. 2008; 13(supl2):2059-64.
-1919 Dwyer JJM, Hansen B, Barrera M, et al. Maximizing children's physical activity: An evaluability assessment to plan a community-based, multi-strategy approach in an ethno-racially and socio-economically diverse city. Health Promot Int. 2003; 18(3):199-208.,2121 Thurston WE, Hatfield J. Evaluability assessment: A Catalyst for Program Change and Improvement. Eval Health Prof. 2003; 206-21.

22 Dagenais C, Plouffe L, Gagné C, et al. Dupont D. Improving the health and safety of 911 emergency call centre agents: An evaluability assessment of a knowledge transfer strategy. Int J Occup Saf Ergnomics. 2016; 1-20.

23 Honeycutt S, Hermstad A, Carvalho ML, et al. Practice to Evidence: Using Evaluability Assessment to Generate Practice-Based Evidence in Rural South Georgia. Heal Educ Behav. 2017; 44(3):454-62.

24 Abildso CG, Shawley S, Owens S, et al. An Evaluability Assessment of the West Virginia Physical Activity Plan, 2015: Lessons Learned for Other State Physical Activity Plans. Prev Chronic Dis. 2016; 13:160307.
-2525 Oliveira CM, Cruz MM, Kanso S, et al. Avaliabilidade do Programa de Valorização do Profissional da Atenção Básica (PROVAB): desafios para gestão do trabalho. Ciênc. Saúde Colet. 2015; 20(10):2999-3010.,2828 Coelho AA, Martiniano CS, Brito EWG, et al. Tuberculosis care: an evaluability study. Rev Lat Am Enfermagem. 2014; 22(5):792-800.
, with alignment between purpose, questions, procedures, results and recommendations88 Belford M, Robertson T, Jepson R. Using evaluability assessment to assess local community development health programmes: a Scottish case-study. BMC Med Res Methodol. 2017; 17(1):1-12.,1111 D'Ostie-racine L, Dagenais C, Ridde V. An evaluability assessment of a West Africa based Non-Governmental Organization's (NGO) progressive evaluation strategy. Eval Program Plann. 2013; 36(1):71-9.,1212 Rocha BNGA, Uchoa SAC. Avaliação da atenção humanizada ao abortamento: um estudo de avaliabilidade. Physis. 2013; 23(1):109-27.,1515 Sanou A, Kouyaté B, Bibeau G, Nguyen VK. Evaluability Assessment of an immunization improvement strategy in rural Burkina Faso: Intervention theory versus reality, information need and evaluations. Eval Program Plann. 2011; 34(3):303-15.,1717 Medeiros PFP, Bezerra LCA, Santos NTV, et al. Um estudo sobre a avaliabilidade do Programa + Vida: política de redução de danos em álcool, fumo e outras drogas do município de Recife, Brasil. Rev bras saúde mater infant. 2010; 10(supl1):s209-17.,1919 Dwyer JJM, Hansen B, Barrera M, et al. Maximizing children's physical activity: An evaluability assessment to plan a community-based, multi-strategy approach in an ethno-racially and socio-economically diverse city. Health Promot Int. 2003; 18(3):199-208.,2121 Thurston WE, Hatfield J. Evaluability assessment: A Catalyst for Program Change and Improvement. Eval Health Prof. 2003; 206-21.

22 Dagenais C, Plouffe L, Gagné C, et al. Dupont D. Improving the health and safety of 911 emergency call centre agents: An evaluability assessment of a knowledge transfer strategy. Int J Occup Saf Ergnomics. 2016; 1-20.

23 Honeycutt S, Hermstad A, Carvalho ML, et al. Practice to Evidence: Using Evaluability Assessment to Generate Practice-Based Evidence in Rural South Georgia. Heal Educ Behav. 2017; 44(3):454-62.

24 Abildso CG, Shawley S, Owens S, et al. An Evaluability Assessment of the West Virginia Physical Activity Plan, 2015: Lessons Learned for Other State Physical Activity Plans. Prev Chronic Dis. 2016; 13:160307.

25 Oliveira CM, Cruz MM, Kanso S, et al. Avaliabilidade do Programa de Valorização do Profissional da Atenção Básica (PROVAB): desafios para gestão do trabalho. Ciênc. Saúde Colet. 2015; 20(10):2999-3010.
-2626 Padilha MA, Oliveira CM, Figueiró AC. Estudo de avaliabilidade do Programa Academia Carioca da Saúde: desafios para a promoção da saúde. Saúde debate. 2015; 39(105):375-86.,2828 Coelho AA, Martiniano CS, Brito EWG, et al. Tuberculosis care: an evaluability study. Rev Lat Am Enfermagem. 2014; 22(5):792-800.
.

The third category refers to ‘procedures of the EA’, in which documentary analysis (90.5%)88 Belford M, Robertson T, Jepson R. Using evaluability assessment to assess local community development health programmes: a Scottish case-study. BMC Med Res Methodol. 2017; 17(1):1-12.

9 Chaves SCL, Silva GAP, Rossi TRA. Avaliabilidade do Projeto de Mobilização Social para Prevenção e Controle da Dengue no Estado da Bahia. Saúde debate. 2017; 41(esp):138-55.
-1010 Nascimento LV, Machado WD, Gomes DF. Estudo de avaliabilidade da Política Nacional de Atenção Integral à Saúde do Homem no município de Sobral, Ceará. Rev Baiana Saúde Pública. 2014; 38(1):95-114.,1212 Rocha BNGA, Uchoa SAC. Avaliação da atenção humanizada ao abortamento: um estudo de avaliabilidade. Physis. 2013; 23(1):109-27.

13 Oliveira LGD, Natal S, Camacho LAB. O programa de controle da tuberculose em unidades prisionais de dois estados brasileiros Tuberculosis control program in two Brazilian states ' prisons. Cad Saude Colet. 2012; 20(2):250-7.

14 Bezerra LCDA, Alves CK A, Reis YAC, et al. Identificação e caracterização dos elementos constituintes de uma intervenção: pré-avaliação da política ParticipaSUS. Ciênc. Saúde Colet. 2012; 17(4):883-900.

15 Sanou A, Kouyaté B, Bibeau G, Nguyen VK. Evaluability Assessment of an immunization improvement strategy in rural Burkina Faso: Intervention theory versus reality, information need and evaluations. Eval Program Plann. 2011; 34(3):303-15.

16 Natal S, Samico I, Gonçalves L, et al. Estudo de avaliabilidade da rede de formação de Recursos Humanos da Secretaria de Vigilância em Saúde do Ministério da Saúde. Cad. Saúde Colet. 2010; 18(4):560-71.

17 Medeiros PFP, Bezerra LCA, Santos NTV, et al. Um estudo sobre a avaliabilidade do Programa + Vida: política de redução de danos em álcool, fumo e outras drogas do município de Recife, Brasil. Rev bras saúde mater infant. 2010; 10(supl1):s209-17.
-1818 Lima LRF, Silva LMV. Ampliação do acesso à atenção oftalmológica?: um estudo sobre a avaliabilidade da campanha "De Olho na Visão", Goiás, 2004. Ciênc. Saúde Colet. 2008; 13(supl2):2059-64.,2020 Correia PCI, Goulart PM, Furtado JP. A avaliabilidade dos Núcleos de Apoio à Saúde da Família (Nasf). Saúde debate. 2017; 41(esp):345-59.

21 Thurston WE, Hatfield J. Evaluability assessment: A Catalyst for Program Change and Improvement. Eval Health Prof. 2003; 206-21.

22 Dagenais C, Plouffe L, Gagné C, et al. Dupont D. Improving the health and safety of 911 emergency call centre agents: An evaluability assessment of a knowledge transfer strategy. Int J Occup Saf Ergnomics. 2016; 1-20.

23 Honeycutt S, Hermstad A, Carvalho ML, et al. Practice to Evidence: Using Evaluability Assessment to Generate Practice-Based Evidence in Rural South Georgia. Heal Educ Behav. 2017; 44(3):454-62.

24 Abildso CG, Shawley S, Owens S, et al. An Evaluability Assessment of the West Virginia Physical Activity Plan, 2015: Lessons Learned for Other State Physical Activity Plans. Prev Chronic Dis. 2016; 13:160307.

25 Oliveira CM, Cruz MM, Kanso S, et al. Avaliabilidade do Programa de Valorização do Profissional da Atenção Básica (PROVAB): desafios para gestão do trabalho. Ciênc. Saúde Colet. 2015; 20(10):2999-3010.

26 Padilha MA, Oliveira CM, Figueiró AC. Estudo de avaliabilidade do Programa Academia Carioca da Saúde: desafios para a promoção da saúde. Saúde debate. 2015; 39(105):375-86.

27 Pereira NC, Luiza VL, Cruz MM. Serviços farmacêuticos na atenção primária no município do Rio de Janeiro: um estudo de avaliabilidade. Saúde debate. 2015; 39(105):451-68.
-2828 Coelho AA, Martiniano CS, Brito EWG, et al. Tuberculosis care: an evaluability study. Rev Lat Am Enfermagem. 2014; 22(5):792-800.
and interview (90.5%)88 Belford M, Robertson T, Jepson R. Using evaluability assessment to assess local community development health programmes: a Scottish case-study. BMC Med Res Methodol. 2017; 17(1):1-12.

9 Chaves SCL, Silva GAP, Rossi TRA. Avaliabilidade do Projeto de Mobilização Social para Prevenção e Controle da Dengue no Estado da Bahia. Saúde debate. 2017; 41(esp):138-55.

10 Nascimento LV, Machado WD, Gomes DF. Estudo de avaliabilidade da Política Nacional de Atenção Integral à Saúde do Homem no município de Sobral, Ceará. Rev Baiana Saúde Pública. 2014; 38(1):95-114.

11 D'Ostie-racine L, Dagenais C, Ridde V. An evaluability assessment of a West Africa based Non-Governmental Organization's (NGO) progressive evaluation strategy. Eval Program Plann. 2013; 36(1):71-9.

12 Rocha BNGA, Uchoa SAC. Avaliação da atenção humanizada ao abortamento: um estudo de avaliabilidade. Physis. 2013; 23(1):109-27.
-1313 Oliveira LGD, Natal S, Camacho LAB. O programa de controle da tuberculose em unidades prisionais de dois estados brasileiros Tuberculosis control program in two Brazilian states ' prisons. Cad Saude Colet. 2012; 20(2):250-7.,1515 Sanou A, Kouyaté B, Bibeau G, Nguyen VK. Evaluability Assessment of an immunization improvement strategy in rural Burkina Faso: Intervention theory versus reality, information need and evaluations. Eval Program Plann. 2011; 34(3):303-15.

16 Natal S, Samico I, Gonçalves L, et al. Estudo de avaliabilidade da rede de formação de Recursos Humanos da Secretaria de Vigilância em Saúde do Ministério da Saúde. Cad. Saúde Colet. 2010; 18(4):560-71.

17 Medeiros PFP, Bezerra LCA, Santos NTV, et al. Um estudo sobre a avaliabilidade do Programa + Vida: política de redução de danos em álcool, fumo e outras drogas do município de Recife, Brasil. Rev bras saúde mater infant. 2010; 10(supl1):s209-17.

18 Lima LRF, Silva LMV. Ampliação do acesso à atenção oftalmológica?: um estudo sobre a avaliabilidade da campanha "De Olho na Visão", Goiás, 2004. Ciênc. Saúde Colet. 2008; 13(supl2):2059-64.
-1919 Dwyer JJM, Hansen B, Barrera M, et al. Maximizing children's physical activity: An evaluability assessment to plan a community-based, multi-strategy approach in an ethno-racially and socio-economically diverse city. Health Promot Int. 2003; 18(3):199-208.,2121 Thurston WE, Hatfield J. Evaluability assessment: A Catalyst for Program Change and Improvement. Eval Health Prof. 2003; 206-21.

22 Dagenais C, Plouffe L, Gagné C, et al. Dupont D. Improving the health and safety of 911 emergency call centre agents: An evaluability assessment of a knowledge transfer strategy. Int J Occup Saf Ergnomics. 2016; 1-20.

23 Honeycutt S, Hermstad A, Carvalho ML, et al. Practice to Evidence: Using Evaluability Assessment to Generate Practice-Based Evidence in Rural South Georgia. Heal Educ Behav. 2017; 44(3):454-62.

24 Abildso CG, Shawley S, Owens S, et al. An Evaluability Assessment of the West Virginia Physical Activity Plan, 2015: Lessons Learned for Other State Physical Activity Plans. Prev Chronic Dis. 2016; 13:160307.

25 Oliveira CM, Cruz MM, Kanso S, et al. Avaliabilidade do Programa de Valorização do Profissional da Atenção Básica (PROVAB): desafios para gestão do trabalho. Ciênc. Saúde Colet. 2015; 20(10):2999-3010.

26 Padilha MA, Oliveira CM, Figueiró AC. Estudo de avaliabilidade do Programa Academia Carioca da Saúde: desafios para a promoção da saúde. Saúde debate. 2015; 39(105):375-86.

27 Pereira NC, Luiza VL, Cruz MM. Serviços farmacêuticos na atenção primária no município do Rio de Janeiro: um estudo de avaliabilidade. Saúde debate. 2015; 39(105):451-68.
-2828 Coelho AA, Martiniano CS, Brito EWG, et al. Tuberculosis care: an evaluability study. Rev Lat Am Enfermagem. 2014; 22(5):792-800.
were the most commonly used for data collection, in addition to meetings and discussion groups with stakeholders, which also had significant use, that is, 9 (42.9%)88 Belford M, Robertson T, Jepson R. Using evaluability assessment to assess local community development health programmes: a Scottish case-study. BMC Med Res Methodol. 2017; 17(1):1-12.,1313 Oliveira LGD, Natal S, Camacho LAB. O programa de controle da tuberculose em unidades prisionais de dois estados brasileiros Tuberculosis control program in two Brazilian states ' prisons. Cad Saude Colet. 2012; 20(2):250-7.

14 Bezerra LCDA, Alves CK A, Reis YAC, et al. Identificação e caracterização dos elementos constituintes de uma intervenção: pré-avaliação da política ParticipaSUS. Ciênc. Saúde Colet. 2012; 17(4):883-900.
-1515 Sanou A, Kouyaté B, Bibeau G, Nguyen VK. Evaluability Assessment of an immunization improvement strategy in rural Burkina Faso: Intervention theory versus reality, information need and evaluations. Eval Program Plann. 2011; 34(3):303-15.,1717 Medeiros PFP, Bezerra LCA, Santos NTV, et al. Um estudo sobre a avaliabilidade do Programa + Vida: política de redução de danos em álcool, fumo e outras drogas do município de Recife, Brasil. Rev bras saúde mater infant. 2010; 10(supl1):s209-17.,1919 Dwyer JJM, Hansen B, Barrera M, et al. Maximizing children's physical activity: An evaluability assessment to plan a community-based, multi-strategy approach in an ethno-racially and socio-economically diverse city. Health Promot Int. 2003; 18(3):199-208.,2121 Thurston WE, Hatfield J. Evaluability assessment: A Catalyst for Program Change and Improvement. Eval Health Prof. 2003; 206-21.,2323 Honeycutt S, Hermstad A, Carvalho ML, et al. Practice to Evidence: Using Evaluability Assessment to Generate Practice-Based Evidence in Rural South Georgia. Heal Educ Behav. 2017; 44(3):454-62.,2424 Abildso CG, Shawley S, Owens S, et al. An Evaluability Assessment of the West Virginia Physical Activity Plan, 2015: Lessons Learned for Other State Physical Activity Plans. Prev Chronic Dis. 2016; 13:160307.
of the studies. It is noteworthy that 1 (4.8%)1111 D'Ostie-racine L, Dagenais C, Ridde V. An evaluability assessment of a West Africa based Non-Governmental Organization's (NGO) progressive evaluation strategy. Eval Program Plann. 2013; 36(1):71-9. study used only one source, and the others associated two or more data sources.

Another aspect investigated in relation to procedures of the EA was the description of the involvement of the authors with the research site, in which 4 (19.0%)88 Belford M, Robertson T, Jepson R. Using evaluability assessment to assess local community development health programmes: a Scottish case-study. BMC Med Res Methodol. 2017; 17(1):1-12.,1111 D'Ostie-racine L, Dagenais C, Ridde V. An evaluability assessment of a West Africa based Non-Governmental Organization's (NGO) progressive evaluation strategy. Eval Program Plann. 2013; 36(1):71-9.,2424 Abildso CG, Shawley S, Owens S, et al. An Evaluability Assessment of the West Virginia Physical Activity Plan, 2015: Lessons Learned for Other State Physical Activity Plans. Prev Chronic Dis. 2016; 13:160307.,2727 Pereira NC, Luiza VL, Cruz MM. Serviços farmacêuticos na atenção primária no município do Rio de Janeiro: um estudo de avaliabilidade. Saúde debate. 2015; 39(105):451-68. described; and of these, 1 (4.8%)88 Belford M, Robertson T, Jepson R. Using evaluability assessment to assess local community development health programmes: a Scottish case-study. BMC Med Res Methodol. 2017; 17(1):1-12. reported how this relationship was treated. Regarding the approval of the service to carry out the study, 5 (23.8%)1414 Bezerra LCDA, Alves CK A, Reis YAC, et al. Identificação e caracterização dos elementos constituintes de uma intervenção: pré-avaliação da política ParticipaSUS. Ciênc. Saúde Colet. 2012; 17(4):883-900.,1919 Dwyer JJM, Hansen B, Barrera M, et al. Maximizing children's physical activity: An evaluability assessment to plan a community-based, multi-strategy approach in an ethno-racially and socio-economically diverse city. Health Promot Int. 2003; 18(3):199-208.,2121 Thurston WE, Hatfield J. Evaluability assessment: A Catalyst for Program Change and Improvement. Eval Health Prof. 2003; 206-21.,2424 Abildso CG, Shawley S, Owens S, et al. An Evaluability Assessment of the West Virginia Physical Activity Plan, 2015: Lessons Learned for Other State Physical Activity Plans. Prev Chronic Dis. 2016; 13:160307.,2727 Pereira NC, Luiza VL, Cruz MM. Serviços farmacêuticos na atenção primária no município do Rio de Janeiro: um estudo de avaliabilidade. Saúde debate. 2015; 39(105):451-68. had express authorization from the managing institution of the program studied. Of these, 2 studies1919 Dwyer JJM, Hansen B, Barrera M, et al. Maximizing children's physical activity: An evaluability assessment to plan a community-based, multi-strategy approach in an ethno-racially and socio-economically diverse city. Health Promot Int. 2003; 18(3):199-208.,2121 Thurston WE, Hatfield J. Evaluability assessment: A Catalyst for Program Change and Improvement. Eval Health Prof. 2003; 206-21. were carried out for the initial interest of the programs themselves.

In addition, the involvement of stakeholders was analyzed, in which 6 (28.6%)1414 Bezerra LCDA, Alves CK A, Reis YAC, et al. Identificação e caracterização dos elementos constituintes de uma intervenção: pré-avaliação da política ParticipaSUS. Ciênc. Saúde Colet. 2012; 17(4):883-900.,1515 Sanou A, Kouyaté B, Bibeau G, Nguyen VK. Evaluability Assessment of an immunization improvement strategy in rural Burkina Faso: Intervention theory versus reality, information need and evaluations. Eval Program Plann. 2011; 34(3):303-15.,1717 Medeiros PFP, Bezerra LCA, Santos NTV, et al. Um estudo sobre a avaliabilidade do Programa + Vida: política de redução de danos em álcool, fumo e outras drogas do município de Recife, Brasil. Rev bras saúde mater infant. 2010; 10(supl1):s209-17.,1919 Dwyer JJM, Hansen B, Barrera M, et al. Maximizing children's physical activity: An evaluability assessment to plan a community-based, multi-strategy approach in an ethno-racially and socio-economically diverse city. Health Promot Int. 2003; 18(3):199-208.,2121 Thurston WE, Hatfield J. Evaluability assessment: A Catalyst for Program Change and Improvement. Eval Health Prof. 2003; 206-21.,2424 Abildso CG, Shawley S, Owens S, et al. An Evaluability Assessment of the West Virginia Physical Activity Plan, 2015: Lessons Learned for Other State Physical Activity Plans. Prev Chronic Dis. 2016; 13:160307. studies did so, and half of them1515 Sanou A, Kouyaté B, Bibeau G, Nguyen VK. Evaluability Assessment of an immunization improvement strategy in rural Burkina Faso: Intervention theory versus reality, information need and evaluations. Eval Program Plann. 2011; 34(3):303-15.,1717 Medeiros PFP, Bezerra LCA, Santos NTV, et al. Um estudo sobre a avaliabilidade do Programa + Vida: política de redução de danos em álcool, fumo e outras drogas do município de Recife, Brasil. Rev bras saúde mater infant. 2010; 10(supl1):s209-17.,1919 Dwyer JJM, Hansen B, Barrera M, et al. Maximizing children's physical activity: An evaluability assessment to plan a community-based, multi-strategy approach in an ethno-racially and socio-economically diverse city. Health Promot Int. 2003; 18(3):199-208. did so in a sufficient way, characterized by involvement of stakeholders throughout the EA. For most studies (66.7%)88 Belford M, Robertson T, Jepson R. Using evaluability assessment to assess local community development health programmes: a Scottish case-study. BMC Med Res Methodol. 2017; 17(1):1-12.

9 Chaves SCL, Silva GAP, Rossi TRA. Avaliabilidade do Projeto de Mobilização Social para Prevenção e Controle da Dengue no Estado da Bahia. Saúde debate. 2017; 41(esp):138-55.

10 Nascimento LV, Machado WD, Gomes DF. Estudo de avaliabilidade da Política Nacional de Atenção Integral à Saúde do Homem no município de Sobral, Ceará. Rev Baiana Saúde Pública. 2014; 38(1):95-114.

11 D'Ostie-racine L, Dagenais C, Ridde V. An evaluability assessment of a West Africa based Non-Governmental Organization's (NGO) progressive evaluation strategy. Eval Program Plann. 2013; 36(1):71-9.

12 Rocha BNGA, Uchoa SAC. Avaliação da atenção humanizada ao abortamento: um estudo de avaliabilidade. Physis. 2013; 23(1):109-27.
-1313 Oliveira LGD, Natal S, Camacho LAB. O programa de controle da tuberculose em unidades prisionais de dois estados brasileiros Tuberculosis control program in two Brazilian states ' prisons. Cad Saude Colet. 2012; 20(2):250-7.,1616 Natal S, Samico I, Gonçalves L, et al. Estudo de avaliabilidade da rede de formação de Recursos Humanos da Secretaria de Vigilância em Saúde do Ministério da Saúde. Cad. Saúde Colet. 2010; 18(4):560-71.,1818 Lima LRF, Silva LMV. Ampliação do acesso à atenção oftalmológica?: um estudo sobre a avaliabilidade da campanha "De Olho na Visão", Goiás, 2004. Ciênc. Saúde Colet. 2008; 13(supl2):2059-64.,2222 Dagenais C, Plouffe L, Gagné C, et al. Dupont D. Improving the health and safety of 911 emergency call centre agents: An evaluability assessment of a knowledge transfer strategy. Int J Occup Saf Ergnomics. 2016; 1-20.,2323 Honeycutt S, Hermstad A, Carvalho ML, et al. Practice to Evidence: Using Evaluability Assessment to Generate Practice-Based Evidence in Rural South Georgia. Heal Educ Behav. 2017; 44(3):454-62.,2525 Oliveira CM, Cruz MM, Kanso S, et al. Avaliabilidade do Programa de Valorização do Profissional da Atenção Básica (PROVAB): desafios para gestão do trabalho. Ciênc. Saúde Colet. 2015; 20(10):2999-3010.

26 Padilha MA, Oliveira CM, Figueiró AC. Estudo de avaliabilidade do Programa Academia Carioca da Saúde: desafios para a promoção da saúde. Saúde debate. 2015; 39(105):375-86.

27 Pereira NC, Luiza VL, Cruz MM. Serviços farmacêuticos na atenção primária no município do Rio de Janeiro: um estudo de avaliabilidade. Saúde debate. 2015; 39(105):451-68.
-2828 Coelho AA, Martiniano CS, Brito EWG, et al. Tuberculosis care: an evaluability study. Rev Lat Am Enfermagem. 2014; 22(5):792-800.
, the stakeholders were only a source of evidence. Regarding the analysis of the data, the majority (66.7%)99 Chaves SCL, Silva GAP, Rossi TRA. Avaliabilidade do Projeto de Mobilização Social para Prevenção e Controle da Dengue no Estado da Bahia. Saúde debate. 2017; 41(esp):138-55.,1212 Rocha BNGA, Uchoa SAC. Avaliação da atenção humanizada ao abortamento: um estudo de avaliabilidade. Physis. 2013; 23(1):109-27.

13 Oliveira LGD, Natal S, Camacho LAB. O programa de controle da tuberculose em unidades prisionais de dois estados brasileiros Tuberculosis control program in two Brazilian states ' prisons. Cad Saude Colet. 2012; 20(2):250-7.
-1414 Bezerra LCDA, Alves CK A, Reis YAC, et al. Identificação e caracterização dos elementos constituintes de uma intervenção: pré-avaliação da política ParticipaSUS. Ciênc. Saúde Colet. 2012; 17(4):883-900.,1717 Medeiros PFP, Bezerra LCA, Santos NTV, et al. Um estudo sobre a avaliabilidade do Programa + Vida: política de redução de danos em álcool, fumo e outras drogas do município de Recife, Brasil. Rev bras saúde mater infant. 2010; 10(supl1):s209-17.

18 Lima LRF, Silva LMV. Ampliação do acesso à atenção oftalmológica?: um estudo sobre a avaliabilidade da campanha "De Olho na Visão", Goiás, 2004. Ciênc. Saúde Colet. 2008; 13(supl2):2059-64.

19 Dwyer JJM, Hansen B, Barrera M, et al. Maximizing children's physical activity: An evaluability assessment to plan a community-based, multi-strategy approach in an ethno-racially and socio-economically diverse city. Health Promot Int. 2003; 18(3):199-208.

20 Correia PCI, Goulart PM, Furtado JP. A avaliabilidade dos Núcleos de Apoio à Saúde da Família (Nasf). Saúde debate. 2017; 41(esp):345-59.
-2121 Thurston WE, Hatfield J. Evaluability assessment: A Catalyst for Program Change and Improvement. Eval Health Prof. 2003; 206-21.,2323 Honeycutt S, Hermstad A, Carvalho ML, et al. Practice to Evidence: Using Evaluability Assessment to Generate Practice-Based Evidence in Rural South Georgia. Heal Educ Behav. 2017; 44(3):454-62.,2424 Abildso CG, Shawley S, Owens S, et al. An Evaluability Assessment of the West Virginia Physical Activity Plan, 2015: Lessons Learned for Other State Physical Activity Plans. Prev Chronic Dis. 2016; 13:160307.,2626 Padilha MA, Oliveira CM, Figueiró AC. Estudo de avaliabilidade do Programa Academia Carioca da Saúde: desafios para a promoção da saúde. Saúde debate. 2015; 39(105):375-86.

27 Pereira NC, Luiza VL, Cruz MM. Serviços farmacêuticos na atenção primária no município do Rio de Janeiro: um estudo de avaliabilidade. Saúde debate. 2015; 39(105):451-68.
-2828 Coelho AA, Martiniano CS, Brito EWG, et al. Tuberculosis care: an evaluability study. Rev Lat Am Enfermagem. 2014; 22(5):792-800.
did not make the description sufficiently and adequately, that is, with methodological details that allowed the reader to understand in detail the form of analysis; and in general there was a succinct description.

Regarding the ‘results of the EA’, all studies presented in a narrative form, and most (90.5%)88 Belford M, Robertson T, Jepson R. Using evaluability assessment to assess local community development health programmes: a Scottish case-study. BMC Med Res Methodol. 2017; 17(1):1-12.

9 Chaves SCL, Silva GAP, Rossi TRA. Avaliabilidade do Projeto de Mobilização Social para Prevenção e Controle da Dengue no Estado da Bahia. Saúde debate. 2017; 41(esp):138-55.

10 Nascimento LV, Machado WD, Gomes DF. Estudo de avaliabilidade da Política Nacional de Atenção Integral à Saúde do Homem no município de Sobral, Ceará. Rev Baiana Saúde Pública. 2014; 38(1):95-114.

11 D'Ostie-racine L, Dagenais C, Ridde V. An evaluability assessment of a West Africa based Non-Governmental Organization's (NGO) progressive evaluation strategy. Eval Program Plann. 2013; 36(1):71-9.

12 Rocha BNGA, Uchoa SAC. Avaliação da atenção humanizada ao abortamento: um estudo de avaliabilidade. Physis. 2013; 23(1):109-27.

13 Oliveira LGD, Natal S, Camacho LAB. O programa de controle da tuberculose em unidades prisionais de dois estados brasileiros Tuberculosis control program in two Brazilian states ' prisons. Cad Saude Colet. 2012; 20(2):250-7.

14 Bezerra LCDA, Alves CK A, Reis YAC, et al. Identificação e caracterização dos elementos constituintes de uma intervenção: pré-avaliação da política ParticipaSUS. Ciênc. Saúde Colet. 2012; 17(4):883-900.

15 Sanou A, Kouyaté B, Bibeau G, Nguyen VK. Evaluability Assessment of an immunization improvement strategy in rural Burkina Faso: Intervention theory versus reality, information need and evaluations. Eval Program Plann. 2011; 34(3):303-15.

16 Natal S, Samico I, Gonçalves L, et al. Estudo de avaliabilidade da rede de formação de Recursos Humanos da Secretaria de Vigilância em Saúde do Ministério da Saúde. Cad. Saúde Colet. 2010; 18(4):560-71.

17 Medeiros PFP, Bezerra LCA, Santos NTV, et al. Um estudo sobre a avaliabilidade do Programa + Vida: política de redução de danos em álcool, fumo e outras drogas do município de Recife, Brasil. Rev bras saúde mater infant. 2010; 10(supl1):s209-17.

18 Lima LRF, Silva LMV. Ampliação do acesso à atenção oftalmológica?: um estudo sobre a avaliabilidade da campanha "De Olho na Visão", Goiás, 2004. Ciênc. Saúde Colet. 2008; 13(supl2):2059-64.

19 Dwyer JJM, Hansen B, Barrera M, et al. Maximizing children's physical activity: An evaluability assessment to plan a community-based, multi-strategy approach in an ethno-racially and socio-economically diverse city. Health Promot Int. 2003; 18(3):199-208.
-2020 Correia PCI, Goulart PM, Furtado JP. A avaliabilidade dos Núcleos de Apoio à Saúde da Família (Nasf). Saúde debate. 2017; 41(esp):345-59.,2222 Dagenais C, Plouffe L, Gagné C, et al. Dupont D. Improving the health and safety of 911 emergency call centre agents: An evaluability assessment of a knowledge transfer strategy. Int J Occup Saf Ergnomics. 2016; 1-20.,2323 Honeycutt S, Hermstad A, Carvalho ML, et al. Practice to Evidence: Using Evaluability Assessment to Generate Practice-Based Evidence in Rural South Georgia. Heal Educ Behav. 2017; 44(3):454-62.,2626 Padilha MA, Oliveira CM, Figueiró AC. Estudo de avaliabilidade do Programa Academia Carioca da Saúde: desafios para a promoção da saúde. Saúde debate. 2015; 39(105):375-86.

27 Pereira NC, Luiza VL, Cruz MM. Serviços farmacêuticos na atenção primária no município do Rio de Janeiro: um estudo de avaliabilidade. Saúde debate. 2015; 39(105):451-68.
-2828 Coelho AA, Martiniano CS, Brito EWG, et al. Tuberculosis care: an evaluability study. Rev Lat Am Enfermagem. 2014; 22(5):792-800.
, also by means of figures, especially for presentation of the modeling, being the focus of the studies predominantly (71.4%)88 Belford M, Robertson T, Jepson R. Using evaluability assessment to assess local community development health programmes: a Scottish case-study. BMC Med Res Methodol. 2017; 17(1):1-12.,99 Chaves SCL, Silva GAP, Rossi TRA. Avaliabilidade do Projeto de Mobilização Social para Prevenção e Controle da Dengue no Estado da Bahia. Saúde debate. 2017; 41(esp):138-55.,1111 D'Ostie-racine L, Dagenais C, Ridde V. An evaluability assessment of a West Africa based Non-Governmental Organization's (NGO) progressive evaluation strategy. Eval Program Plann. 2013; 36(1):71-9.

12 Rocha BNGA, Uchoa SAC. Avaliação da atenção humanizada ao abortamento: um estudo de avaliabilidade. Physis. 2013; 23(1):109-27.

13 Oliveira LGD, Natal S, Camacho LAB. O programa de controle da tuberculose em unidades prisionais de dois estados brasileiros Tuberculosis control program in two Brazilian states ' prisons. Cad Saude Colet. 2012; 20(2):250-7.
-1414 Bezerra LCDA, Alves CK A, Reis YAC, et al. Identificação e caracterização dos elementos constituintes de uma intervenção: pré-avaliação da política ParticipaSUS. Ciênc. Saúde Colet. 2012; 17(4):883-900.,1616 Natal S, Samico I, Gonçalves L, et al. Estudo de avaliabilidade da rede de formação de Recursos Humanos da Secretaria de Vigilância em Saúde do Ministério da Saúde. Cad. Saúde Colet. 2010; 18(4):560-71.

17 Medeiros PFP, Bezerra LCA, Santos NTV, et al. Um estudo sobre a avaliabilidade do Programa + Vida: política de redução de danos em álcool, fumo e outras drogas do município de Recife, Brasil. Rev bras saúde mater infant. 2010; 10(supl1):s209-17.

18 Lima LRF, Silva LMV. Ampliação do acesso à atenção oftalmológica?: um estudo sobre a avaliabilidade da campanha "De Olho na Visão", Goiás, 2004. Ciênc. Saúde Colet. 2008; 13(supl2):2059-64.

19 Dwyer JJM, Hansen B, Barrera M, et al. Maximizing children's physical activity: An evaluability assessment to plan a community-based, multi-strategy approach in an ethno-racially and socio-economically diverse city. Health Promot Int. 2003; 18(3):199-208.
-2020 Correia PCI, Goulart PM, Furtado JP. A avaliabilidade dos Núcleos de Apoio à Saúde da Família (Nasf). Saúde debate. 2017; 41(esp):345-59.,2222 Dagenais C, Plouffe L, Gagné C, et al. Dupont D. Improving the health and safety of 911 emergency call centre agents: An evaluability assessment of a knowledge transfer strategy. Int J Occup Saf Ergnomics. 2016; 1-20.,2424 Abildso CG, Shawley S, Owens S, et al. An Evaluability Assessment of the West Virginia Physical Activity Plan, 2015: Lessons Learned for Other State Physical Activity Plans. Prev Chronic Dis. 2016; 13:160307.

25 Oliveira CM, Cruz MM, Kanso S, et al. Avaliabilidade do Programa de Valorização do Profissional da Atenção Básica (PROVAB): desafios para gestão do trabalho. Ciênc. Saúde Colet. 2015; 20(10):2999-3010.
-2626 Padilha MA, Oliveira CM, Figueiró AC. Estudo de avaliabilidade do Programa Academia Carioca da Saúde: desafios para a promoção da saúde. Saúde debate. 2015; 39(105):375-86.
on the results of the EA.

Regarding the strateg