Skip to main content

Table 3 Examples of operational results and indicators to be used to compare results from the V&A and non V&A health facilities and communities

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

Objective 1: To evaluate the impact of the V&A approach on improving reproductive health
behaviors and status and reducing inequities at the population level
Results Indicators Data source
Increase in clients using maternal health care services including poor women Clients received ANC services from public health facility
Clients received institutional safe delivery care (normal/vacuum/forceps/caesarean section)
Clients received pregnancy related complications management from the designated facility
Clients utilized PNC services
Clients received facility-based care for managing life threatening complications
Clients received key physical and laboratory examinations (weight, height, blood test, urine test, abdomen exam, sonogram or ultrasound, and anemia exam).
Service statistics
Population survey
Improved attitudes of service providers towards poor women Providers indicating non discriminatory attitudes
Clients recommending services to others
Client exit interview
CPI
Population survey
Improved quality of services Service waiting hours
Round-the-clock service availability
Maintaining privacy and confidentiality
Availability of necessary service equipments and logistics
Client provider interaction
Client exit interview
Facility inventory
Reduced out-of-pocket expenses Medicine cost
Transport cost
Unofficial charge by the providers
Population survey
Reduced disease burden Proportion of untreated complicated pregnancies Population survey
Objective 2: To assess the effect of the V&A approach on increasing access to, quality of, and reducing inequities in the use of selected RH services
Results Indicators Data source
Increased knowledge and skills of service providers on maternal health care issues Recite proper schedule of TT and child immunization
Life-threatening complications management Referral conditions for life-threatening conditions
Interviews with service providers
Increased awareness of clients on maternal health care issues among all clients and poor clients Complications during pregnancy, delivery and post-partum period
Number of ANC visits and schedule
Schedule of Vitamin A capsule and iron tablet or syrup
Schedule of TT and child immunization
Breastfeeding
Population survey
Increased utilization of maternal health care services Clients received ANC services from public health facility
Clients received institutional safe delivery care (normal/vacuum/forceps/caesarean section)
Clients received pregnancy related complications management from the designated facility
Clients utilized PNC services
Clients received facility-based care for managing life threatening complications
Clients received key physical and laboratory examinations (weight, height, blood test, urine test, abdomen exam, sonogram or ultrasound, and anemia exam).
Population survey
Improved patient satisfaction with health care experiences Perceived barriers to accessing services: costs, distance, quality, waiting times, privacy, confidentiality, respect, stigma surrounding service Population survey
Client exit interview