Monitoring and evaluation of the participatory processes of Cantieri della Salute in Tuscany

Title Cantieri della Salute – La salute si costruisce insieme

Location  5 Tuscan socio-health districts: Alta Val di Cecina–Valdera, Amiata Senese e Vald’Orcia e Valdichiana Senese, Lunigiana, Fiorentina Nord-Ovest e Valdichiana Aretina

Duration  2020-2023

Coordination Federsanità ANCI

Tecnical Partner Sociolab

Partner Università degli Studi di Firenze, Center for Generative Communication, Accademia della Crusca

Funding Tuscan Regional government




In recent years, the regional government of Tuscany consolidated a rich and composite multi-level governance system of social and health services. Its mission is to structure the dialogue with citizens and Third Sector organisations and to involve them in the co-construction of broad and far-sighted responses to health issues.

Through dialogue and cooperation with the identified subjects, it is possible to enhance the work of these services, giving public administrations a renewed ability to interpret their own territory. By structuring the dialogue into a participatory process, it will be possible to develop health policies that are consistent with the needs of citizens and local communities.

The participatory process will be articulated in 6 phases:

  1. Context analysis
  2. Capacity Building of the Local Committees
  3. Training for Community Mobilizers
  4. Service design
  5. Test of the designed service
  6. Service Set up



General Objective

The project Cantieri per la Salute aims to strengthen the regional system of participation in structuring social and healthcare multi-level governance as well as new policies and services through training, co-design and the involvement of operators from the civil society. The Monitoring and Evaluation process aims to assess the outcomes and highlight the changes generated by the project.


Our contribution

Since the project has a strong experimental component, ARCO is in charge of monitoring an evaluation process with a strong emphasis on assessing replicability. ARCO activities include:

  • Elaborate evaluation tools from the Theory of Change reconstructed in a participatory manner with the project partners. The tools include questionnaires to be addressed to the Zonal Participation Committees, Focus Group Discussions and Interviews with Key Informants.
  • Carry out social impact assessment, i.e. measure the social added value generated in the project through the participatory research approach “Evaluating Human Development”.
  • Adopt an approach that highlights not only the achievement of expected results, but also the quality of the process put in place, in terms of sustainability, scalability and replicability.


Read more on our Inclusive Development Unit