Evaluating System Change Initiatives: Advancing the Need for Adapting Evaluation Practices

This article describes key challenges experienced and addressed during the evaluation of the Government of Alberta's 10-Year Fetal Alcohol Spectrum Disorder (FASD) Strategic Plan (2007–2017). The purpose was to understand how the strategic plan was progressing toward outcomes at the fifth year of its implementation. Following a description of the system change initiative and evaluation context, an account of key challenges for one outcome is presented, including attempts to address and the effects on the evaluation.