Table 3 Matrix of indicators and data sources for adaptive implementation of community-based management of PSBI program during the COVID-19 pandemic in Ethiopia, 2021
RE-AIM framework | Metrics | Data sources |
|---|---|---|
Reach: The degree to which an intervention-eligible population receives it (Coverage) | • # of sick young infants managed for PSBI (% infants eligible who receive PSBI care) • # of sick newborns and young infants managed • Proportion of SYI referred | Facility iCCM/PSBI register review |
Effectiveness: The impact of an intervention on targeted outcomes | • Improvement in % of mothers/caretakers of SYIs who seek care from an appropriate provider • % of mothers’/caretakers’ adherence to treatment advice (caretaker level) • Care provider adherence to PSBI management | Before-after household surveys Facility iCCM/PSBI register review |
Adoption: Intention, initial decision, or action to employ new intervention (uptake) | • # of facilities providing PSBI treatment services when a referral is not possible • # of facilities and community-based providers trained in PSBI treatment | Program monitoring data |
Feasibility: the extent to which a new strategy can be successfully used or carried out within a given setting | • Percent of supplies in stock and percent of re-supply | • Process evaluation (facility assessment) |
Fidelity: Degree to which an intervention or strategy was implemented as it was designed in an original protocol, plan, or policy (or as adapted) | • Ongoing implementation challenges • Providers' adherence to PSBI case management protocol • Implementation strength score  ○ % of HEWs on average trained/mentored on PSBI treatment  ○ Mean percentage of materials/ equipment available  ○ Mean percentage of supplies available  ○ % of HEWs supervised on PSBI treatment  ○ % of HPs participated in the PHCU level PRCCM meetings in the last six months  ○ % of HPs facilitated kebele-level multi-sectoral meetings at least once in the last six months  ○ % of HPs facilitated awareness creation meetings at the community level • % of mothers’/caretakers’ adherence to treatment advice | Process evaluation (facility assessment, interview with service providers and program managers, facility iCCM/PSBI register review) Program monitoring data Before-after household surveys |
Acceptability: Perception among stakeholders that intervention is agreeable | • Barriers and facilitators to uptake of PSBI treatment services • % of mothers/caretakers of SYI who seek care from an appropriate provider • Parent/caregiver acceptance of PSBI treatment | Process evaluation (interview with service providers) Before-after household surveys |
Maintenance: Extent to which an intervention is maintained or institutionalized in a setting (Sustainability) | • Implementation strategies incorporated with the woreda work stream and integration • Trends in service uptake and rebound • Feasibility of the approach for national scale-up | Process evaluation (facility assessment, interview with service providers and program managers, facility iCCM/PSBI register review) |