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Table 3 Examples of operational results and indicators to be used to compare results from the accredited and non-accredited health facilities and communities

From: Evaluation of the impact of the voucher and accreditation approach on improving reproductive health behaviors and status in Kenya

1. to assess the effect of the voucher program on increasing access to, quality of, and reducing inequities

Results

Indicators

Data source

Provision of services reported as acceptable by providers and clients

Clients received comprehensive ANC and PNC

Client exit

 

Clients referred for complicated deliveries

Provider interview

 

Clients referred for other services

Population survey

Increase in clients using MNH/FP services including poor women

% clients accessing different service by socio-economic status

Service statistics Client exit & population survey

Increase in FP clients accepting long term methods

% clients using LAPM

Service statistics

  

Client exit & population survey

Improved attitudes of service providers towards poor women

% Providers indicating non discriminatory attitudes

Provider interview

 

% Clients recommending services to others

Population survey

2 Evaluate the impact of voucher program on RH behaviors, status and reducing inequities

Results

Indicators

Data source

Reduced incidence of unintended pregnancies

% women who become pregnant/%planned pregnancy

Client Exit

 

% clients with correct knowledge of fertile period

Population survey

Increased duration of contraceptive use among all women and poor women

Among all respondents and subgroups of poor:

Population survey

 

• Ever/Current use of FP method

 
 

• Discontinuation FP rates in 12 months

 
 

• Ability to achieve fertility goals

 

Decreased stigmatization at community level of poor women

Perceived barriers to accessing services: costs, distance, quality, waiting times, stigma surrounding service

Population survey