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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

Tool

Original Data Source

Description

Timing

Quantitative data collection tools

 Delivery and Neonatal Outcomes

Delivery Register at Health Facility

Extract key information about maternal and neonatal delivery outcomes

Monthly collection of previous calendar month

 Referrals

Maternity Ward Admission Register at Health Facility

Extract 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 Care

Postnatal Register at Health Facility

Extract key information about postnatal care utilization.

Monthly collection of previous 2 calendar months

 MWH Register

MWH Register at MWH

Extract information about pregnant, waiting, and postpartum women using the MWH.

Monthly collection of previous 2 calendar months

 Others Register

Others Register at MWH

Extract information about anyone not included in the MWH Register who are using the MWH.

Monthly collection of previous calendar month

 Activity Log

Activity Log at MWH

Extract information about activities that occur at the mothers’ shelter.

Monthly collection of previous calendar month

 Core Model Checklist

Observation of MWH and Consultation with MWH Management

Collect 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 Survey

Women currently using the MWH

This 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 Assessment

Health facility staff

This short tool will be used to assess the capacity of the health facility to manage obstetric complications.

Monthly

Qualitative data collection tools

 In-depth Interviews

1) 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 Discussions

1) 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 Cashbooks

Maternity Waiting Home Main Cashbook

Extract information about the revenue and expenses for the MWHs and the IGAs.

Monthly collection of previous calendar month

 Sales Journals

IGA Sales Journal

Extract information about the items sold at each IGA.

Monthly collection of previous calendar month

 Monthly Goat Stock

Monthly Goat Stock Taking Book

Extract information about the change in goat numbers each month at the Goat Rearing IGAs.

Monthly collection of previous calendar month