Part 9: How does CNA work on real problems? · Module 21

Two roads to too many zero-dose children

What Drives Zero-Dose Children?

Now an equifinality example. Conditions, all framed as gaps: no outreach, no community volunteers, no settlement mapping, no outreach funding. Outcome: HighZeroDose , meaning too many children never got a single dose. CNA can report two separate roads joined by OR.

Interpretation: a district can end up with too many zero-dose children either because outreach was never funded, or because it lacked active volunteers and had no settlement map to work from. The + is the gift here. It tells you there are two different problems wearing the same uniform, so the fix in one district may not be the fix in the next.

What You Will Be Able to Do

  • Frame a zero-dose question for CNA.
  • Read a two-pathway (equifinal) solution joined by OR.
  • Explain what multiple pathways mean for program design.

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