Table 2 Summary of objectives and proposed methods at the implementation level
Study level | Objectives | Proposed methods |
|---|---|---|
Provincial (Policy) | To study program utilization trends | Secondary data analysis - complete times series, Document reviews, Key person interviews with policy makers, program managers and private sector representatives, Stakeholder discussions |
To ascertain the influence of changes in ANC service utilization and institutional deliveries on maternal and neonatal outcomes | ||
To study trends in private sector participation | ||
Explore the motivations for participation/non participation with the private sector in CY program | ||
To understand the exclusion of the private sector in the JSY program | ||
Explore experience of private provider in JSY | ||
Comparison of emergency care transportation systems | ||
Cost effectiveness of the programs and the emergency transportation models | ||
District (Facility) | List and classify all facilities performing deliveries according to their EmOC functionality | Facility Survey, Observations of normal deliveries, Register and case record review, Case vignettes to study provider competence, In depth exit interviews with mothers |
Survey and describe facilities conducting deliveries | ||
Assess the quality of care administered in study facilities | ||
Study outcomes (type of delivery, maternal mortality and morbidity, foetal outcomes) among program beneficiaries and non-beneficiaries in study facilities | ||
Experiences of public and private sector physicians of the programs (in terms of task load, shifting of tasks, human resources required, monetary transactions with the program) | ||
Community | Identify program beneficiaries and non-beneficiaries. | Questionnaires, In-depth interviews, Focus group discussion, Spatial methods (GIS) to study distance |
Study differences between background characteristics, geographic access to EmOC, outcomes (maternal), type of health service utilization in pregnancy (and delivery), use of emergency obstetric transportation services and expenditures during delivery | ||
Identify predictors for program uptake | ||
Compare infant health status and health service utilization between users and non-users. | ||
Among users, study perceived quality of care at facility | ||
Explore motives and barriers for participation/non-participation among eligible beneficiaries and non-beneficiaries | ||
Understand the working dynamic for the community health workers(ASHA, TBA & female health workers)and their role in the program |