The name of the intervention: | |
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A) Description of the purpose, goal/s and expected results of the intervention | |
1. Briefly describe the purpose of the intervention | |
2. Describe the goal of the intervention. What results should be achieved and when? | |
B) Description of activities that has been realized as part of the intervention, and what part/s of the organization they concern, and the focus of the intervention | |
1. Which activities has been realized? | |
2. What part/s of the organization does the intervention concern? Mark one or several alternatives. | a) Maternal Health Care (MHC) including specialist MHC |
b) Delivery clinics/maternity wards | |
c) Neonatal care | |
d) Primary healthcare - other than MHC | |
e) Open specialist care - other than specialist MHC | |
f) Other inpatient care | |
g) Other | |
3. Does the intervention have a particular focus on these target groups? Mark Yes or No. | a) Women born in another country |
b) People with low education level | |
c) People exposed to violence | |
d) Socio-economically vulnerable (geographical) areas | |
e) People with mental illness | |
f) The partner to the women giving birth | |
C) Description of the underlying needs that the intervention is based upon | |
1. Based on what need/s where the intervention selected? | |
2. How was the need/s identified? | |
D) Timeframe of and finances for the intervention | |
1. Start - Specify year, month | 2. Finish - Specify year, month |
3. Amount financed by the national program? Specify in 1000 SEK | |
4. Is the intervention completed? Yes or No – if Yes continue to F to describe results of completed interventions | |
E) Description of the results so far in on-going interventions | |
1. What results/effects can you see so far? | |
2. How has these results/effects been measured - alternatively how is/are the results/effects planned to be followed-up? | |
3. If feasible, describe shortly any special effects on the following groups | a. Women born in another country |
b. People with low education level | |
c. People exposed to violence | |
d. Socio-economically vulnerable areas | |
e. People with mental illness | |
f. The partner to the women giving birth | |
F) Description of the results of completed intervention | |
1. Describe shortly results/effects of the completed intervention | |
2. How has these results/effects been measured? | |
3. (same as QE3 above) | |
G) Reflections over completed interventions | |
1. Has the intervention led to any un-foreseen consequences? | |
2. What potential results/effects is expected in a longer time perspective? | |
3. Is there plans/preparations for how results shall be treated and sustained within the organisation? Yes/No/Partly | |
4. If Yes or Partly on QF6 – describe how | |
5. What is the most important learning from this intervention – if you should do a similar intervention again? | |
H. Other comments | |
1. Any other comments? |