Table 1.
Evaluation framework describing each component and method used for assessing the feasibility of engaging village doctors in C-IMCI
| Evaluation component | Key indicators | Data source and data collection method | Timeline |
|---|---|---|---|
|
Effect
of village doctor intervention on knowledge of IMCI case
management |
Knowledge of management of pneumonia
and diarrhea: |
Pre-post structured knowledge
test |
2003-04 (Before and after
training) |
| Improvement
after training, and |
End of project knowledge
retention test |
2007 (End line) |
|
| Retention over
the project period | |||
|
Assessment of village doctor’s prescribing
practices post-intervention |
Comparison of treatment and
prescribing practice of IMCI trained village doctors with
untrained village doctors and medically trained providers
on: |
Household survey on
treatment of sick under-5 child in last 2 weeks |
2007 (End line) |
| IMCI
recommended antibiotics for suspected pneumonia; | |||
| ORS and Zinc
for diarrhoea | |||
|
Profile
of village doctors and influencers |
Background and demographic
characteristics |
Structured survey
questionnaire |
2007 (End line) |
| Training | |||
| Practice
characteristics | |||
| Business
network (relationship with pharmaceutical companies) | |||
| Examination of reasons caregivers preference of village doctors | Motivating factors for care-seeking from village doctors | In-depth interviews with mothers who sought care for sick under-5 child from village doctors | 2007 (End line) |