Table 1.
Primary outcomes | Source of data |
• Proportion of all eligible ANC visits made after recruitment • Delivery at a health facility • The proportion of health appointments honoured for PNC at week 2 to 6 after delivery, and months 4–12 after delivery • Proportion of referrals for ANC, PNC and child immunization attended Proportions of immunization appointments attended by children |
• Abstracted health records from the health facility • Electronic system used to enrol participants into the study • Telephone surveys will collect visits made outside the study area by all “high risk” women and 50% of other women |
Secondary outcomes | Source of data |
• Proportion of women retained in the continuum of MNCH from pregnancy to 12 months post-delivery | • Clinic records • Electronic card system • Telephone survey 3 at 6 months after delivery |
• Likelihood of a live birth and child survival 48 h after birth | • Clinic records • Telephone survey 2 at 2 weeks after EDD, if not delivered at the facility |
• Likelihood of a maternal death during delivery and 48 h postpartum | • Clinic records • Telephone survey 2, 2 weeks after EDD, if not delivered at the facility |
• Self-rated health of mothers, 6 months and 12 months after delivery | • Telephone surveys 1, 3 and 4 at 6 months and 12 months after delivery |
• Mother’s perception of infant’s health, 6 months and 12 months after delivery | • Telephone surveys 2, 3 and 4 at 6 months and 12 months after delivery |
• Proportion of mothers exclusively breastfeeding to 6 months of age | • Telephone surveys 2 and 3 and 4 at 6 months and 12 months after delivery |
• Proportion of women using family planning and contraceptive use after delivery | • Telephone surveys #3 and #4 at 6 months and 12 months after delivery |
• Screening and control of infections for mothers and fetus/baby during pregnancy and postnatal periods | • Clinic records (ANC, HF deliveries and PNC clinic records) • Manual collection of health records |
• Cost of delivery and cost effectiveness of the intervention | • Project accounts • Key informant interviews • Facility costing tool |
• Benefit incidence and equity impact of the intervention | • Clinic records • Electronic system • Telephone surveys 1, 2, 3, 4 |
Key confounders/covariates | Source of data |
• Expected date of delivery • Education • Asset ownership • Age • Distance to facility • Level of health facility • Marital status • Number of children • Planned pregnancy • Quality of care (e.g. waiting time) • Migration away from study area |
• Enrolment survey at health facility • Clinic records • Telephone survey 1, 3, 4 |
Key process indicators | Source of data |
• Satisfaction with care received | • Telephone surveys 1, 2 and 3 at 2 weeks, 6 months and 12 months after delivery, focus group discussions with a sub-sample of participating women in the intervention area |
• Health worker motivation | • Key informant interviews with health service providers |
• Receipt of the Afya and/or any other transfers | • Telephone surveys 3 and 4 at 6 months and 12 months after delivery |
MNCH maternal, newborn and child health, ANC antenatal care, PNC postnatal care, EDD expected delivery date