Table 3 Project aims, indicators, expected outcomes and tools for evaluation of the study
Aims | Expected outcomes | Indicators | Tools |
|---|---|---|---|
To measure the effectiveness of intervention on neonatal mortality. | Improved survival of neonates and improved MNH in the community. | Neonatal mortality rate. | Household survey, death audits, and Management Information System (MIS). |
To assess the effect of the intervention on knowledge and practices related to MNH at community. | Improved MNH knowledge and practices of participants (mothers / caregivers / families at home). | Proportion of Recently Delivered Women (RDW) having knowledge of danger signs; delivered by skilled birth attendants; delivered at facility; received at least 4 ANC and PNC within 2 days. Proportion of newborn received Essential Newborn Care. | Household survey, and qualitative assessment. |
To evaluate the effect of intervention on health and care seeking behaviour. | Increased knowledge of participants which translates into appropriate care-seeking behaviour. | Proportion of RDW who sought care from trained providers for complications. Proportion of neonates that were taken to trained providers with at least one danger sign. | Household survey, MIS, and qualitative assessment. |
To measure and compare utilization of facilities for neonatal illness episodes and complications. | Increased, sustained utilization of facilities for neonatal and maternal cases. | Number of neonatal and maternal cases managed at health facilities. Number of maternal near miss cases managed at health facilities. | MIS. |
To measure and compare the quality of care for neonates and mothers. | The quality of care at different level of facilities will be increased. | Facility readiness to provide quality care in terms of infrastructures, staffs, trainings, and logistics. | Assessment of health facility and, quality of care, and qualitative assessment; |
To measure incremental costs and estimate the cost-effectiveness. | Costs for improved neonatal health outcomes, and related health services. | Costs per Disability Adjusted Life in Years (DALY) averted, costs per life-year gained, costs per case of delivery by skilled attendance, costs per case of essential neonatal care, programme cost, incremental health service costs for providing quality services, and out of pocket expenditure. | Client interview at hospitals, facility records, semi-structured interviews, and review of programme spending |