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Table 3 MAHMAZ Implementation Evaluation Data Collection Tools and Timing of Administration

From: Evaluating implementation effectiveness and sustainability of a maternity waiting homes intervention to improve access to safe delivery in rural Zambia: a mixed-methods protocol

ToolOriginal Data SourceDescriptionTiming
Quantitative data collection tools
 Delivery and Neonatal OutcomesDelivery Register at Health FacilityExtract key information about maternal and neonatal delivery outcomesMonthly collection of previous calendar month
 ReferralsMaternity Ward Admission Register at Health FacilityExtract information about referrals. In the absence of this register, the information will be extracted from the appropriate improvised register found at the health facility.Monthly collection of previous calendar month
 Postnatal CarePostnatal Register at Health FacilityExtract key information about postnatal care utilization.Monthly collection of previous 2 calendar months
 MWH RegisterMWH Register at MWHExtract information about pregnant, waiting, and postpartum women using the MWH.Monthly collection of previous 2 calendar months
 Others RegisterOthers Register at MWHExtract information about anyone not included in the MWH Register who are using the MWH.Monthly collection of previous calendar month
 Activity LogActivity Log at MWHExtract information about activities that occur at the mothers’ shelter.Monthly collection of previous calendar month
 Core Model ChecklistObservation of MWH and Consultation with MWH ManagementCollect information on infrastructure, equipment and supplies, management function, linkages with the associated health facility, and educational services being offered at the MWH. Questions were designed to address each component of the Core Model that guides the overarching implementation for the MHA.Monthly collection based on current observations
 MWH Experience SurveyWomen currently using the MWHThis is primarily a quantitative instrument that captures women’s general perceptions of and experience in the MWH (or other facility-affiliated structure in control sites) as related to the Core Model components; opportunity costs incurred while staying at the MWH; and intended future use.Monthly
 Health Facility AssessmentHealth facility staffThis short tool will be used to assess the capacity of the health facility to manage obstetric complications.Monthly
Qualitative data collection tools
 In-depth Interviews1) Provincial & District Government
2) Health Facility Staff
3) MWH Governance
4) MWH Management
5) IGA
Elicit information on the challenges, strengths, and perceived impact of the maternity home on the health facility staff and perceived patient behavior in terms of utilization, bypassing, etc. Also elicit perceptions of MWH within the health system and changes in prioritizing, financing, and planning for MWHs.
Themes will include perspectives on governance and management challenges and successes, progress toward financial and operational sustainability, perspectives on community ownership of the MWH, MWH responsiveness to community needs/acceptability, and ideas for improvements.
Elicit information on challenges and successes of the IGAs and perceived impact of the IGAs on the MWHs.
Every 6 months
 Focus Group Discussions1) Pregnant or women with a child under 1 year
2) Men with a child under age 1
3) Community elders or mother-in-law
4) SMAG members
The FGDs will elicit perspectives on: 1) the quality of the mothers’ shelters, 2) community ownership, 3) barriers and facilitators to access to care, 4) thoughts on sustainability, 5) thoughts on ways to improve each domain.Once a year in 2016, 2017, and 2018
IGA-specific data collection tools
 Main CashbooksMaternity Waiting Home Main CashbookExtract information about the revenue and expenses for the MWHs and the IGAs.Monthly collection of previous calendar month
 Sales JournalsIGA Sales JournalExtract information about the items sold at each IGA.Monthly collection of previous calendar month
 Monthly Goat StockMonthly Goat Stock Taking BookExtract information about the change in goat numbers each month at the Goat Rearing IGAs.Monthly collection of previous calendar month