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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