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Table 1 Analytical framework and methodological source of data

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

  1. PEC primary eye care, RMoH Rwanda Ministry of Health, KAP knowledge attitude and practice, VFAN Vision for a Nation