From: Process evaluation of a National Primary Eye Care Programme in Rwanda
Domain | Element or indicator for analysis | Source of data |
---|---|---|
Contextual Factors | ||
Leadership and governance | Engagement of Ministry of Health and key stakeholders for delivery of PEC | Stakeholder interviews Documents (Memorandum of understanding, published literature [9]) |
Healthcare Financing | Funding for PEC delivery, Funding for patient access to PEC | Stakeholder documents Rwanda Ministry of Health reports KAP survey |
Health workforce | PEC nurses trained PEC nurse supervision | VFAN programme monitoring data Stakeholder interviews Structured observation interviews |
Medical products, technologies | Availability of equipment (see Additional file 1: Figure S1) Availability of treatment options (antimicrobial and antihistamine eye drops, glasses) | Stakeholder interviews Structured observations RMOH reports VFAN programme documents and data |
Information and research | Primary Eye Care routine monitoring data | RMoH reports VFAN programme documents and data |
Service Delivery (see implementation below) | Number of PEC nurses per health facility and per population Number of PEC examinations delivered | VFAN programme documents and monitoring data |
Implementation | ||
Fidelity | Number of nurses and OCOs trained | VFAN programme documents |
Adherence to curriculum | Structured observations | |
Dose | Number of PEC examinations delivered | VFAN programme monitoring data |
Number of glasses, eye drops prescribed and referrals made | VFAN programme monitoring data | |
Adaptation | Changes to PEC programme | VFAN programme documents Stakeholders interviews |
Reach | Geographical spread of services Access by those who need PEC | VFAN programme monitoring data |