Table 2.
Domains of Quality | Measurement Methods | Sampling | Final sample | |
---|---|---|---|---|
Structural inputs | Supply and infrastructure availability | Observations of infrastructure, drugs, supplies, and commodities | 100% of all health centers in 5 districts | 18 health centers: 9 program, 9 comparison |
Supervision | PPC provider survey | • Interview with facility in-charge to determine available human resources (n = 18) • Sub-sample health center RCH providers (n = 88) available on day of visit • Sub-analysis of RCH service providers that reported providing PPC services in the preceding 7 days |
18 health centers in-charges: 9 program, 9 comparison 62 PPC providers; 38 program area, 24 comparison |
|
Provider profile | Health provider ability and availability | |||
Perceptions of PPC | Qualitative in-depth provider interviews | Sub-analysis of PPC providers interviewed as part of qualitative in-depth interviews carried out among 57 RCH providers (mean of 3 per facility) | 10 PPC Providers; 6 program area, 4 comparison | |
Client profile | • Social profile • Health profile |
• Qualitative in-depth interviews • PPC client exit interviews |
Of 45 PPC clients observed, 41 consented to exit interviews. | 41 completed exit interviews; 25 program area, 16 comparison |
Process | • PPC Counseling content • PPC Service accessibility and efficiency |
Observations of PPC counseling sessions delivered | • Total approved target sample of 240 to detect a 30% difference (design effect of 2.0) in frequency of observed messages on postpartum family planning across study arms. Quota based on availability on day of visit. • 55 PPC Clients presented for services during 36 days of observation (2 days per facility). • Of 55 total PPC clients, 45 consented to observation; 9 departed prior to service delivery and 1 declined consent. |
45 completed observations; 26 program area, 19 comparison |
Outcome | Client knowledge | Quantitative PPC client exit interviews | Of 45 PPC clients observed, 41 consented to exit interviews. | 41 completed exit interviews; 25 program area, 16 comparison |